20170674 Ver 1_401 Application_20170530

•
r� Z
May 23, 2017
U.S. Army Corps of Engineers
Wilmington Regulatory Field Office
69 Darlington Avenue
Wilmington, North Carolina 28403
Attention: Mr. Andy Williams, Regulatory Specialist
Ms. Jennifer Burdette, 401/ Buffer Coordinator
N.C. Division of Water Resources
401 and Buffer Permitting Branch
512 North Salisbury Street
Raleigh, North Carolina 27604
Reference: Application for USACE NWP 12 and NC DWR Water Quality Certification 4086
PSNC Lawrence Road Pipeline Project
Granville County, North Carolina
S&ME Project No. 7435-16-005 Phase 09
Dear Mr. Williams and Ms. Burdette:
On behalf of PSNC Energy (PSNC), S&ME, Inc. (S&ME) is submitting this Preconstruction Notification
(PCN) for a U.S. Army Corps of Engineers (USACE) Nationwide Permit 12 (NWP 12, Utility Line Activities)
and the North Carolina Division of Water Resources (NCDWR) Water Quality Certification 4086 (WQC
4086) for the above -referenced project. Written approval from NCDWR is sought as the project involves
permanent fill in wetlands and will involve activities that impact regulated riparian buffers and may not be
listed as exempt in these regulations. Notification to the USACE for this project is being provided for the
record only, as written approval is not required because the project: 1) will not involve mechanized land
clearing of a forested wetland for the utility line easement, 2) no section 10 waters are present, 3) the
utility line does not exceed 500' in waters, 4) the project does not run parallel to a streambed, 5) losses to
waters will be less than 0.10 acre, and 6) no permanent access roads will be constructed.
❖ BACKGROUND INFORMATION
PSNC proposes to install 6,990 linear feet of 12 -inch diameter steel natural gas pipeline in the road right-
of-way (ROW) along the east side of Lawrence road from Bruce Garner Road to an existing station along
PSNC's T-30 pipeline located approximately 450 feet north of the bride over Smith Creek. The project
also entails installation of approximately 1,210 linear feet of 2 -inch diameter plastic natural gas pipeline in
the road ROW along Hardie Street, and construction of a new 50'X100' station site that will be cleared and
graded level at the location where the proposed pipe ties in to the T-30 line, along an existing access road
and adjacent to an existing station site.
The following documents are provided in support of our request:
o A completed PCN form;
S&ME, Inc. 19751 Southern Pine Boulevard I Charlotte, NC 28273 1 p 704.523.4726 1 f 704.525.3953 1 www.smeinc.com

Application for USACE NWP 12 and NC DWR Water Quality Certification 4086
*S&ME
PSNC Lawrence Road Pipeline Project
Granville County, North Carolina
S&ME Project No. 7435-16-005 Phase 09
Appendix I: Figures: Site Vicinity (Figure 1), USGS Topographic Map / NWI Wetlands / FEMA Flood
Zones (Figure 2), 2013 Aerial Photograph (Figure 3), Approximate Waters of the US (Figure 4), and
Proposed Impacts (Figures 5-7);
♦ Appendix II: Land Ownership Information and Agent Authorization;
♦ Appendix III: Site Photographs;
♦ Appendix IV: Threatened Species and Historic Resources Information;
♦ Appendix V: Jurisdictional Delineation Supplemental Information.
❖ PROPOSED PROJECT IMPACTS
Plans for the site development include impacts to two wetland areas and one stream and its regulated
riparian buffer. The impact to the stream (Smith Creek, a tributary of Falls Lake / Neuse River) will be
temporary, consisting of a trenched pipeline crossing within the existing road ROW (see Figure 5). Stream
banks will be returned to original contour and seeded with a native seed mix. It should be noted that this
area has recently been impacted by the fall 2016 replacement of the Lawrence Road bridge. Though the
workspace for installation of the pipeline will be completely contained within the existing road ROW,
which extends approximately 29 feet from the edge of pavement, some clearing of forested vegetation
will be required, as survey data indicates that the tree line encroaches up to 9' into the existing ROW. As
such, we calculate that 201 ft2 of clearing will occur within the Zone 1 buffer and 71 ft2 of clearing will
occur within the Zone 2 buffer. Becuase this is a is near perpendicular, non -electric utility crossing with a
workspace less than 40' wide, these buffer impacts are at minimum considered allowable without
mitigation, and may be considered exempt, as the additional cleared ROW width is less than 10 feet.
Impacts to Wetland 2 will be limited to ground disturbance associated with pipe installation equipment
and placement of temporary timber matting (see Figure 6). Most of the portion of Wetland 2 within the
road ROW is wooded, and will therefore be cleared prior to pipe installation, though this clearing impact
is temporary, and PSNC will not maintain the area. Impacts to Wetland 1 will involve trenched pipeline
installation through the emergent portion of this wetland as well as placement of fill in a small
(approximately 0.01 acre) wooded corner of the wetland associated with establishment of the new station
site (see Figure 7). Equipment work areas will be largely limited to the existing permanent access road
and will avoid additional impacts to the north end of Wetland 2.
Appropriate sediment and erosion control practices equaling those outlined in the most recent version of
the "North Carolina Sediment and Erosion Control Planning and Design Manual" will be used to minimize
impacts to the wetlands.
During construction, equipment operating near streams and wetlands will be limited to that necessary for
excavation, pipe installation, and restoration activities. As proposed, the project will comply with
applicable conditions of NWP 12 and WQC 4086. Following the pipeline installation work, the affected
areas will be returned to its original grade and contour.
May 23, 2017 2

Application for USACE NWP 12 and NC DWR Water Quality Certification 4086
-- PSNC Lawrence Road Pipeline Project
S&ME
Granville County, North Carolina
S&ME Project No. 7435-16-005 Phase 09
CLOSING
By copy of this correspondence and completed PCN, we are requesting NCDWR's written concurrence
that this project is certified under WQC 4086. If we can provide additional information or answer
questions you may have, please feel free to contact David Homans at 704-523-4726 or email at
[e-mail].
Sincerely,
5&ME, Inc.
D. David Homans Joey Lawler, PWS
Project Scientist Project Manager
[e-mail] [e-mail]
Senior Review by Kristy Smedley, Senior Scientist
May 23, 2017

Completed PCN

W�A�T€q
Q�Y
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 14
PCN Form — Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
® Yes ❑ No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
PSNC Lawrence Road Project
2b.
County:
Granville
2c.
Nearest municipality / town:
Creedmoor
2d. Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Located in NCDOT right-of-way / PSNC easements (See Appendix II)
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 14
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ® Other, specify: Utility Company
4b.
Name:
Aaron Schwartz, P.E.
4c.
Business name
(if applicable):
PSNC Energy / SCANA
4d.
Street address:
220 Operation Way
4e.
City, state, zip:
Cayce, SC 29033-3701
4f.
Telephone no.:
[phone]
4g.
Fax no.:
803-217-7810
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
D. David Homans
5b.
Business name
(if applicable):
S&ME, Inc.
5c.
Street address:
9751 Southern Pine Blvd.
5d.
City, state, zip:
Charlotte, NC, 28273
5e. Telephone no.:
704-523-4726
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 14

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
NCDOT ROW; Easement in Granville MAPN
181500714705
1b. Site coordinates (in decimal degrees):
36.088175°N, 78.602270°W
1 c.
Property size:
3.7 Acres disturbance
2.
Surface Waters
2a.
Name of nearest body of water (stream, river, etc.) to
Smith Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-IV; NSW
2c.
River basin: map is available at
Neuse
http://h2o.enr.state.nc.us/admin/maps/
Page 3 of 14
PCN Form — Version 1.3 December 10, 2008 Version

3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The project will take place entirely within existing DOT roadside easement and in existing PSNC utility easements.
Easements have been cleared and maintained though some wooded vegetation is present in areas at the edge of the
easement. Surrounding land use is primarily wooded with some rural residential areas. The Lawrence Road bridge over
Smith Creek had been replaced and expanded in the fall of 2016.
3b. List the total estimated acreage of all existing wetlands on the property:
0.09 Acres within construction corridor.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
29 LF within the construction corridor.
3d. Explain the purpose of the proposed project:
The primary purpose of the project is to install approximately 6,990 linear feet of 12 -inch -diameter steel natural gas
pipeline and approximately 1,210 linear feet of 2 -inch -diameter plastic natural gas pipeline in order to improve natural gas
service in the area. In addition, a new 50'X100' station site is proposed at the end of the new pipeline in order to manage
natural gas flow through the pipe.
Page 4 of 14

3e. Describe the overall project in detail, including the type of equipment to be used:
The pipeline project will include installation of approximately 6,990 linear feet of 12 -inch -diameter steel natural gas
pipeline in the road ROW along the east side of Lawrence road from Bruce Garner Road to a station along PSNC's T-30
pipeline located approximately 450 feet north of the Smith Creek crossing, as well as installation of approximately 1,210
linear feet of 2 -inch diameter plastic natural gas pipeline in the road ROW along Hardie Street. In addition, a new
50'X100' station site will be cleared and graded level at the location where the proposed pipe ties in to the T-30 line.
Construction of the new pipeline will first involve demarcation existing ROW and easements and mechanized clearing of
any existing vegetation in the proposed workspace. Along Lawrence Road, the pipe will be installed in the existing ROW
approximately 10 feet off of the edge of pavement. The width of the ROW to the edge of pavement varies from 20 to 27
feet. In wetland areas, efforts will be made to remove surface vegetation in a manner that minimizes disturbance of the
substrate and prevents excessive exposure of soil. If necessary, temporary timber mat equipment crossings will be
installed to facilitate equipment passage, and prevent excessive rutting and ground disturbance in the wetland areas.
Appropriate sediment and erosion control (S&EC) measures will be installed as clearing proceeds to prevent
sedimentation of jurisdictional features.
No grubbing or below -ground vegetation removal will occur within wetlands or along stream banks outside of the
construction corridor. Where the pipe will be installed by conventional means (e.g. "open -trench" or "isolation"), grubbing
will be limited, to the extent practicable, to the trench line. Select upland portions of the easement may require rough
grading to facilitate safe passage of equipment, and to prepare a suitably -level work surface.
Following preparation of the work area and installation of necessary S&EC measures, the trench for the pipeline will be
excavated. Subsurface disturbance will only be conducted within the trench line at wetlands and the stream crossing.
Stump removal or light grading may occur on the working side of the easement if required for safety reasons. The work
will be performed either from the timber mats placed along the working side of the easement or from the road. Efforts will
be made to segregate topsoil from the subsoil when excavating in wetlands.
In general, lengths of pipe will be trucked to the site, strung along the easement and placed on skids (wooden pedestals).
Specialized machines will be used to bend individual segments of pipe to fit the contours of the trench where necessary.
The pipe segments will be welded together, x-rayed, the structural integrity and surface coating inspected, and then
lowered into the trench. Segments of the trench may require dewatering or "padding" to prevent large rocks or other
debris from coming in contact with the pipe. In areas where segregation of the subsoil and topsoil is required, the topsoil
will be replaced last. Affected areas will then be "cleaned up" by rough -grading and temporary seeding (if necessary),
followed by final grading, permanent seeding and mulching to restore the easement as closely as possible to pre -
disturbance contours and conditions.
All work within wetlands and the stream will be conducted in accordance with the applicable permits. Best Management
Practices (BMP's) will be employed at all stream and wetland crossings to help prevent siltation or inadvertent discharges
to a Waters of the U.S.
Following completion of the pipeline installation, the area will continue to be maintained by DOT. Any vegetation within
the ROW that was cleared for pipe installation will be permitted to regrow at the discretion of the DOT.
Page 5 of 14

4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ❑ No ® Unknown
Comments: Wetland may have been delineated in
association with the DOT Smith Creek bridge replacement
4b.
If the Corps made the jurisdictional determination, what type
El Preliminary El Final
of determination was made?
4c.
If yes, who delineated the jurisdictional areas?
Agency/Consultant Company:
Name (if known):
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A delineation was performed by Ashley Steele of SWE on February 2, 2017. See Appendix III for Delineation
Information. Determination will be issued at the discretion of the USACE regulator.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
❑ Yes ❑ No ® Unknown
this project (including all prior phases) in the past?
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ® No
6b.
If yes, explain.
Page 6 of 14

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ❑ P ®T
Temporary
Clearing / Ground
Bottomland
® Yes
® Corps
0.03
Disturbance
Hardwood Forest
E] No
®DWQ
W2 ❑ P ®T
Trenched Pipe
Bottomland
❑ Yes
® Corps
0.05
Installation
Hardwood Forest
® No
® DWQ
W3 ®P ❑ T
Fill for New
Bottomland
® Yes
® Corps
0.01
Station Site
Hardwood Forest
❑ No
® DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.09
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
SM ❑ P ®T
Trenched Pipeline
Smith Creek
® PER
® Corps
25
29
Installation
❑ INT
® DWQ
SA3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
SA5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
SA6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
SA7 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
SA8 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
SA9 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
29
Page 7 of 14

3i. Comments: Impacts to streams will all be temporary and will consist of open cutting the stream. See Stream Impact Table
(Appendix II)
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number —
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑ PEI T
03 ❑ PEI T
04 ❑ PEI T
4f. Total open water impacts
4g. Comments: No impacts to open waters are anticipated as a result of this project.
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments: No impacts to ponds or lakes
are anticipated as a result of this project.
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:
Page 8 of 14

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.
® Neuse
❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba
❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason for impact
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
Stream name
mitigation
(square feet)
(square feet)
Temporary T
required?
Clearing for
❑ Yes
B1 ®P ❑ T
equipment access for
Smith Creek
® No
201
71
pipe installation
B2 ❑P❑T
F-1 Yes
❑ No
B3 ❑P❑T
F-1 Yes
❑ No
6h. Total buffer impacts
201
71
6i. Comments: As this is a near -perpendicular non -electric utility crossing with
a construction corridor width less than 40', this
activity is considered allowable without mitigation.
Page 9 of 14

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts have been minimized by installing the project entirely within the existing maintained road and gas easements /
ROW. After construction, no additional right of way maintenance by PSNC will be required. Station impacts have been
minimized by locating new stations along an existing access road and adjacent to existing station site. All wetland impacts
have been limited to less than 0.10 acres.
Appropriate sediment and erosion control practices equaling those outlined in the most recent version of the "North
Carolina Sediment and Erosion Control Planning and Design Manual" will be used to minimize impacts to the wetlands.
b.
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
During construction, equipment operating near the stream and wetlands will be limited to that necessary for excavation,
pipe installation, and restoration activities. As proposed, the project will comply with applicable conditions of NWP No. 12
and WQC No.4086. Following the work, the affected areas will be returned to their original grade and contour, with the
exception of the new station site.
2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.
Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b.
If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c.
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank: N/A
3b.
Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
0 linear feet
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
0 square feet
4e.
Riparian wetland mitigation requested:
0 acres
4f.
Non -riparian wetland mitigation requested:
0 acres
4g.
Coastal (tidal) wetland mitigation requested:
0 acres
4h. Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 10 of 14
PCN Form — Version 1.3 December 10, 2008 Version

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? If yes, you will have to fill out this entire form — please
contact the State for more information.
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)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments: As this is a near -perpendicular non -electric utility crossing with a construction corridor width less than 40', this
activity is considered allowable without mitigation.
Page 11 of 14

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a.
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Comments: The proposed plan will not result in additional impervious surfaces or
❑ Yes ® No
storm water management draining to buffered streams.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
<1 %
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
Project will result in minimal additional impervious surface.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
N/A
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 12 of 14
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
® No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
❑ No
Comments: N/A
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project is not considered "growth -inducing" in that its purpose is to supplement gas supply to existing customers.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The project will not generate wastewater.
Page 13 of 14
PCN Form — Version 1.3 December 10, 2008 Version

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected species or
❑ Yes H No
habitat?
5b.
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes H No
impacts?
F-1 Raleigh
5c.
If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d.
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
See Appendix IV for additional information. S&ME initiated a County search through the USFWS website for Granville
County. A review of the NCNHP database identified no other records of federally protected species within a one -mile
radius of the site.
6.
Essential Fish Habitat (Corps Requirement)
6a.
Will this project occur in or near an area designated as essential fish habitat?
❑ Yes H No
6b.
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
http:ocean.floridamarine.org/efh—coral/ims/viewer.htm
7.
Historic or Prehistoric Cultural Resources (Corps Requirement)
7a.
Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes H No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b.
What data sources did you use to determine whether your site would impact historic or archeological resources?
2016 NC SHPO Historic Resources Shapefiles. See Appendix IV
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
H Yes ❑ No
8b.
If yes, explain how project meets FEMA requirements: All necessary floodplain encroachment permits will be obtained
from the county/ municipal floodplain administrator prior to project construction.
8c.
What source(s) did you use to make the floodplain determination? FEMA National Flood Hazard Layer (NFHL)
D. David Homans
5/23/2017
Applicant/Agent's Signature
Applicant/Agent's Printed Name
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
Page 14 of 14

Appendix I:
Figures
Site Vicinity (Figure 1)
USGS Topographic Map / NWI Wetlands / FEMA Flood Zones
(Figure 2)
2013 Aerial Photograph (Figure 3)
Approximate Waters of the US (Figure 4)
Proposed Impacts (Figures 5-7)

PFO A-1.0
PLVH h
PUBHh / nI
!aPU61ll: BhfL �
PF-01111c
4 ` PUBHh
l�$Hh
PF04/1G I PUB1 r;
1/�f7r PUBHh
/
�/~` ✓
PFO S,1.Ci P`SS7C
�vCerr4. I PSS1/4A
PUBHh "Ft k PF01A
+ry,
PFO 1
-y •+ .� _ �� - �. f�� �� �_ 4
1
PEM_9A
PFum
01Ch� i \ `�'c90
PUBHh
PFO h
M Ch-
/PEM1Fh 6r1
PSS1Ch
__ ,d �_
q _a j �I�} 'Ty �;�`♦' P U B
HI CFuDnI m
1 PUBHh.
I. E
-
pp� rL
a —' �'• �� �`�� 4 I �'•\ _� �3S$Q•R,
7 y ?\ Rxkpia8 i' ❑
PUBHh
Cem
rz
/
PUBHh _/� PF01C 4 �4(
0 ' 2,000 4,000'UBHh :•, y P
�;`- PU NWI WETLANDS
UBH
PUBHh Feet FEMA 100-YEAR FLOOD ZONE
a
REFERENCE: 1993 GRISSOM [NC] 1:24,000 USGS QUAD SHEET
NWI DATA OBTAINED FROM USFWS. FEMA NATIONAL FLOOD HAZARD LAYER DATA FOR GRANVILLE PROPOSED 12" STEEL PIPELINE W
COUNTY, ZONES A AND AE ARE SHOWN. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL m
FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY 2
INFORMATION, UNLESS STATED OTHERWISE. Hh PROPOSED 2" PLASTIC PIPELINE
z
SCALE:1 = 2,000 USGS TOPOGRAPHIC MAP/ FIGURE NO. o
0
DATE: 5-19-17S&ME NWI WETLANDS / FEMA FLOOD ZONES /�
DRAWN BY: DDH 2
LAWRENCE ROAD PIPELINE PROJECT C'
PROJECT NO:
L 7435-16-005 PH09 GRANVILLE COUNTY, NORTH CAROLINA

AREA WITH
+. JURISDICTIONAL
I FEATURES
�x (SEE FIGURE 4)
VY
1 a
3w 3
c r, r x �ti *�z/, • m � •�
Cr
HARp1E�'�• "
y'
ao �
PROPOSED STEELPIPELINE
PV.OPOSED 2" PLASTIC PIPELIUE
REFERENCE: 2013 AERIAL PHOTOGRAPH
DATA OBTAINED FROM INC ONEMAP AND GRANVILLE COUNTY GIS. THIS MAP IS FOR
INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED
THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE,
SCALE: 1 „ = 800 ,
I
800
DATE: 5-19-17
2013 AERIAL PHOTOGRAPH
DRAWN BY: DDH
tS&ME
LAWRENCE ROAD PIPELINE PROJECT
PROJECT NO:
7435-16-005 PH09
GRANVILLE COUNTY, NORTH CAROLINA
0
1,600 I
2
Feet z
co
0-
0
0

c'�.. NOTE: POTENTIAL JURISDICTIONAL FEATURES WERE
N, DELINEATED IN THE FIELD BY ASHLEY STEELE OF S&ME
ON 2/2/2017 AND WERE SURVEYED BY REGIONAL LAND
SURVEYORS (RLS) INC.
01
WETLAND 1 i.*,�� ":\;, r 3� �' , .; • i�,
Potential Jurisdictional Emergent Wetland
0.06 Acres within the Construction Corridor : , - \f "
S j A-1
(Proposed Impacts on Figure 7)� 1
_ Y ,�
'1 i •
,
y
22
t
WETLAND 2 ``
•y Potential Jurisdictional Forested Wetland
1 0.03 Acres within the Construction Corridor ,�`
"''+.• (Proposed Impacts on Figure 6) ` 4C
F
Al
SMITH CREEK `\' ,•\a `
Potential Perennial Jurisdictional Tributary \, M
\ti-'' . ✓"3: a 29 LF within the Proposed Construction Corridor
(Proposed Impacts on Figure 5)
_
Proposed Pipe Center,, E
p p line
Construction Corridor
Photo Locations (See Appx. III);_
O Upland Data Point (See Appx. V)
0 Wetland Data Point (See Appx. V)
Stream Banks fir,$ ' ` *.{
Stream Centerline
Culvert
® Wetland \�
\, w
REFERENCE: 2013 AERIAL PHOTOGRAPH p',' S'ti; 100 200 `
DATA OBTAINED FROM NC ONEMAP AND GRANVILLE COUNTY GIS. THIS MAP IS FOR
It
INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. 1 1'a�• °
THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATED OTHERWISE. ✓'r+ :'� `4 >s F@@t YY \\ z
n
SCALE:1 „ = 100 , FIGURE NO. o
APPROXIMATE WATERS
DATE: 5-23-17 tS&ME
OF THE U.S. m
DRAWN BY: DDH 4
LAWRENCE ROAD PIPELINE PROJECT
PROJECT NO:
L 7435-16-005 PH09 GRANVILLE COUNTY, NORTH CAROLINA

�'N� \ I �■ / // // j �j / /// j BUFFER NOTES:TREELINE WAS SURVEYED BY RLS, INC.
\ ■ / //, j/ / CONSTRUCTION CORRIDOR THROUGH THE STREAM
BUFFER IS 27' WIDEAND LOCATED ENTIRELY WITHIN
\\� \\\■ %��;/� j// ; / '/ THE DOT RIGHT-OF-WAY. MAXIMUM WIDTH OF
ADDITIONAL CLEARED VEGEATION IS 8.8'. STREAM
CROSSING IS NEAR -PERPENDICULAR.
\ � i
%\'�� ■\ —ZONE 2ft..
) ,II OZONE -1-
1 ZONE -1
IMPACT S1
29 LF Proposed Temporary Impact to Smith Creek
Due to Trenched Pipline Installation
Note: Bridge was
replaced in fall of 2016
• 7 /
Proposed Pipe Centerline
Construction Corridor/
i Limits of Disturbance
Temporary Stream Impact
Stream Banks
> - - -> Stream Centerline
Surveyed Treeline
= Zone 1 Buffer Clearing
Zone 2 Buffer Clearing
REFERENCE: 2013 AERIAL PHOTOGRAPH
DATA OBTAINED FROM INC ONEMAP AND GRANVILLE COUNTY GIS. SITE SURVEY PROVIDED BY
REGIONAL LAND SURVEYORS (RLS) INC. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY.
ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEYARE NOT BASED ON CIVIL
SURVEY INFORMATION, UNLESS STATED OTHERWISE.
SCALE: 1 " = 30 '
DATE: 5-19-17
DRAWN BY: DDH
PROJECT NO:
7435-16-005 PH09
En . , •-I � I M
IMPACT B1
ZONE 1 BUFFER
201 FTz proposed clearing
ZONE 2 BUFFER
71 FTz proposed clearing
'1
000
//
11 X*ZON
0 • 30 60
■ .a
■'3
! Feet ■'
■
PROPOSED IMPACTS:
SMITH CREEK
LAWRENCE ROAD PIPELINE PROJECT
GRANVILLE COUNTY, NORTH CAROLINA
FIGURE NO.
5

N
l 1�
IMPACT W1
0.03 Acres of Temporary Impact to Wetland 2
Due to temporary ground disturbance
and vegetation clearing for equipment
access for pipeline installation
Proposed Pipe Centerline
Construction Corridor/
Limits of Disturbance
Permanent Wetland
Impacts
Temporary Wetland
Impacts
® Wetland
Surveyed Treeline
REFERENCE: 2013 AERIAL PHOTOGRAPH
DATA OBTAINED FROM NC ONEMAP AND GRANVILLE COUNTY GIS. SITE SURVEY PROVIDED BY
REGIONAL LAND SURVEYORS (RLS) INC. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY.
ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL
SURVEY INFORMATION, UNLESS STATED OTHERWISE.
SCALE: 1 „ = 30 ,
DATE: 5-19-17
DRAWN BY: DDH
PROJECT NO:
7435-16-005 PH09
I ;
30 60
PROPOSED IMPACTS:
WETLAND 2
LAWRENCE ROAD PIPELINE PROJECT
GRANVILLE COUNTY, NORTH CAROLINA
FIGURE NO.
0
J

—�� + d 1
--------------
i
/ y0 X10
IMPACT W3 0'? OS ONS\��
0.01 Acres Permanent Impact to Wetland 1 QFz S1P(\
due to fill placement for
creation of new station site
IMPACT W2 �`~� x. y ES P, ot, ti
0.05 Acres Temporary Impact to Wetland 1
due to ground disturbance associated
with trenched pipeline installation
r 7,AGy
Proposed Pipe Centerline
Z ♦ / „ '/ j
i Construction Corridor/
P Limits of Disturbance
'•� �` '//��� ;/,%//,/ — — • Existing Gas Line
Station Sites
Culvert
®Wetland
0 30 60
Surveyed Treeline
Feet Permanent Wetland
REFERENCE: 2013 AERIAL PHOTOGRAPH /j Impacts
DATA OBTAINED FROM NC ONEMAP AND GRANVILLE COUNTY GIS. SITE SURVEY PROVIDED BY V
REGIONAL LAND SURVEYORS (RLS) INC. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY., Temporary Wetland
ALL FEATURE LOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL
SURVEY INFORMATION, UNLESS STATED OTHERWISE. 1 Impacts
SCALE: 1 „ _ 30 , FIGURE NO.
PROPOSED IMPACTS:
DATE: 5-19-17 WETLAND 1
#S&ME DRAWN BY: DDH 7
PROJECT NO: LAWRENCE ROAD PIPELINE PROJECT
7435-16-005 PH09 GRANVILLE COUNTY, NORTH CAROLINA

Appendix II:
Land Ownership Information and Agent Authorization

AGENT AUTHORIZATION FORM
Date:
rroject intormation
S&ME Project Name
Type of Project
Location:
Lawrence Road Pipeline Project
Jurisdictional Determination / NWP 12
Lawrence Road, Granville County, NC
trroperty uwneriKepresentative intormation
Business Name: PSNC
Mailing Address:
City, State, Zip Code: -
Telephone No. q -,3(oI-
Contact:
����
Agent Information
Business Name: S&ME, Inc.
Street Address: 9751 Southern Pine Boulevard
City, State, Zip Code: Charlotte, NC 28273
Telephone No. [phone]
Contacts: Joey Lawler / David Homans
S&ME is hereby authorized to submit information and conduct site visits with the
U.S. Army Corps of Engineers, as necessary to secure confirmation of a
jurisdictional determination and permit authorization regarding the project
identified above.
Srgnatu
Printed Ndme/Title
r or Appointed Representative

Page I of 4
I1{111111111{ 111 {Illi 111{{ IIIA {{Ill II{II ll{II lI{11IIIII 11111 {Illi 1111111{Ill{I
Doe ID: 003024490004 Type: CRP
Recorded: 05/03/2016 at 11:49:29 AM
Fee Amt: $61.00 Pape 1 of 4
Revenue Tax: $35.00
Granville County. NC
Kathy M. Taylor Req of Deeds
BK 1593 PG201-204
UTILITY STATION EASEMENT
PREPARED BY: Jane Foy Painter, Mullen Holland & Cooper, P.A.
RETURN TO: PSNC Energy
(Attn: Josue Aicaraz, Engineering Department)
2020 Energy Drive
Apex, North Carolina 27502
STATE OF NORTH CAROLINA COUNTY OF GRANVILLE Project No. 0059993
Know all men by these presents that for and in consideration of the sum of One Dollar ($1.00) and other valuable
consideration paid to Norman Lehto and wife, Sonya Garner Lehto, (hereinafter designated "Grantor"), the receipt of
which is hereby acknowledged, the Grantor hereby bargains, sells, and conveys unto Public Service Company of North
Carolina, Incorporated, a South Carolina corporation, dba PSNC Energy (hereinafter designated "Grantee"), and its
successors and assigns, a perpetual and exclusive utility station easement fifty (50) feet in length and one hundred (100)
feet in width for the purpose of installing, laying, constructing, maintaining, operating, repairing, altering, replacing, and
removing gas pipeline equipment (including but not limited to valves, regulators, meters, fittings, appliances, tie -overs,
pipe line markers, communications and corrosion control equipment, appurtenant facilities, and multiple gas lines) for the
transportation and control of natural gas under, upon, over, through and across lands of Grantor, or in which Grantor has
interest situate in Granville County, North Carolina as described in that deed recorded in Book 1546 at Page 681 in the
Granville County Registry, together with the rights of ingress and egress over and across the easement and the remaining
lands of the Grantor for the purpose of obtaining access to and from the easement. The utility station easement shall be
located as shown on Exhibit "A" and described in Exhibit "B", both of which are attached hereto and incorporated herein
by reference.
The Grantee shall have the right to assign this Easement in whole or part at any time.
The Grantee shall have the right to remove all trees, undergrowth, and other obstructions which may be located within the
easement area that may injure, endanger, or interfere with the construction, operation, maintenance, and repair of said
utility station.
Except for any area where pipe and other appurtenances are enclosed within any fenced station site and/or except for
other unfenced area designated for above -ground facilities, the Grantor may make full use and enjoyment of the lands
and premises included within the easement herein granted in any manner not inconsistent with the use and purpose of
said land by the Grantee; provided, however, that the Grantor, its successors and assigns, shall not construct nor permit
to be constructed any house or other permanent structure, nor plant trees or large shrubs, nor allow to be placed or
installed any other obstruction, temporary or permanent, that could damage the station site or interfere with operation,
maintenance or repair of the station site by the Grantee, including, but not limited to the accumulation of garbage, rubble,
disabled vehicles, tires, or debris of any kind, nor impound nor permit to be impounded any water, on or over the entire
area specifically covered by this easement. The Grantor, for themselves, their heirs, successors, and assigns, further
agrees not to build road, street or utility crossings, or fence crossings, or to change the grade within the easement in any
manner which will reduce or increase the cover over any pipelines or within the easement, unless approved in writing in
advance by Grantee. Grantor shall notify Grantee in writing at least 30 days prior to any construction or maintenance
activity within the area specifically covered by this easement to obtain such approval and to allow Grantee's
Book: 1 693 Page: 201 Seq; 1

Page 2 of 4
representative to be present during such activity. Pipeline markers shall not be relocated or removed from the easement.
To have and to hold said utility station easement into the Grantee, its successors, and assigns, in title forever and the
undersigned hereby binds themselves, their heirs, successors, and assigns to warrant and forever defend all and singular
said premises unto the Grantee, its successors, and assigns, against the claims of all persons whomsoever.
It Is understood and acknowledged by the undersigned that the person securing this grant is without authority to make any
agreement with regard to the subject matter hereof which is not expressed herein, and that no such agreement will be
binding on the Grantee.
IN WITNESS WHEREOF this instrument is signed and sealed this ° 7# da of T//'1 (� 2016
(SEAL)
(SEAL)
Sonya Garner L
ACKNOWLEDGMENT
A notary public or other officer completing this
certificate verifies only the identity of the individual
who signed the document to which this certificate is
attached, and not the truthfulness, accuracy, or
-validity of that document.
State of California
County of Je on i�c, )
Onbefore me, Jeffrey James Valle, Notary Public
(insert name and title of the officer)
personally appeared Nt ; nr,n LelVe, nna Sanya Ga1ny-r ,
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) jilare
subscribed to the within instrument and acknowledged to me that e/they executed the same in
4isAterltheir authorized capacity(ies), and that by hiMieWtheir signature(s) on the instrument the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
paragraph is true and correct.
ALLE
WITNESS my hand and official seal. JJAMES 11
Coo mmmississ ion * 201858858
4
a =r Notary public • California z
i Ventura County
My Comm. Expires Apr 8, 2017 f
Signature � _. , ll (Seal)
Book: 1 693 Page: 201 Seq; 2

Page 3 of 4
AREA TWIT
l EXHIBIT A
I'Rflf'(15ISI1 "I'1LIIl RT:ITION SITE
E\M,T]NG PSSC. EASEMENT (} •ul +�_ :1C.
SUALE I" _ 60 FIJI,
60 0 60 1 w0
GRAPHIC SCALA,—I{ P.ET
NORMAN LIMITO
SONYA GARNER LE'11TO
DEED II00K 1:516 I'G. 081
1'.11. 3 -', PC. 1 IT
11AP NI.'N[ EI1 181:;(10711-(05
i+
()I
1�
9'r:1TI{)N SLrr:
\
i 31 '~i 1}:3�I:
55.13:3'
DF1�1'
O. f
J
NOTE: \
I. AREA HlCOORDINATE CONIPUTUION
_'. ALI, I1IRTANCH:S AU NORIZZONTAr. GROUND. IN D.S. SIIRkf.S GEF -r.
:5. SDIUVC'T TO AM AND ALL EA -'4 MEN'L9• RIGIIT-OF-ISA1,
Z(INING RLG(:3 ATIONS ANI)/Olt ItESTRICTI k li CON EN-IN'IS Of RECORD
;1ND NOT 'MOWN ITFREON.
-1. 'TM: 8f'RI�Pa� 1S 1\TFNDFD FOR '1'11F 1'LIRI'OSES (IF F \SEMENT
:5C'Q11ISITION UN1.), -1N1) IS NO'r' INTFNDFD TO 114: 1 No l NDAI:7
1lt E11:1 OT [,J] 1: LANDS MI01$N IIFREON.
i. '['HIR 1111' 11.15 \0'r ISP:H:N RG:LI[•:NI(Il N1 :A LOC'AI. GOIh:RNASEN'1'
;AGF.NCI FOR C'{1AlI'1.Lti\C'L 1ti[rl'[] IN}- A['I'LICULI, I,ANO DEk�LI01'S1P:N"I'
REGULATIONS.
,/V
VICINITY MAI'
(NOT TO SCALP:)
N/F
SONYA G. WILSON
1).11. )3000 PG. 165
11A1' Nl NMER 18-9100006905
H:XISTIXC ItLOC6
1'AIA'I? IH',NCI? 1pd.
0.75 3.1
IfLOa' NORMAN Lh,IM)
LEGEND
NAII, S,fl
011OIkEH T101
TTIK
1'K NAII. t'OI -SI)
• comi'I--1'1-:1) I'OIN-I.-
O IH11\ EHLt: Em ND
0 ILt;DAII REC'I'
F.As LINE:
CLr::1 R 1.1 INIlE C,4rF:D AS DKAVtiN VROM INF HR CATION FI111NI) IN 11001,
1011', , 1'AG1':
79 'Il II ki,'10 (Yl ' ITI:C'IS ION AS CIA LFII L,A"1'1'5 15 I: ... ......
RI-O-fP:C'T HOI'I,NOARI
LINK: (Sl ftl'P:)H:D)
5h h4.l EC'1 IIOIiNDARl IINFANWI' Sl-MESEUI
:Al1.IOINr:R Rllh-tDARl' I.ISt'.
[,CS`Inn 'L.)I
AI1.ID1AF.R EII11 N1AR1 r.INL ("'or slllm-. ta]W
Roil) R/I5' /.INP -
SONYA GARNER LFIITO
HEED BOOK 11516 PG- Edit
1'.13. 3'3, PG, I1?
MAP 1 L'I1INE R IIS 1 :6007 l 1—M,
SURVEY POI
PANG ENE
PIZ( P0c,'ED UTILITI STATI
h'ROM NORMAN o1 U.
LI
SONV'A (AGARNER5.1:. 1710 — 1,:111'RENC
EIli,1SSF'IF,1,11 T011
cP.ANNILL['. CoIN'r
DE;,A) 1100K 151ti i
33"111'01"F 10AW
.Q
SEAL
r L-2740
�r ,{0 ;(
, URNf t3
I- KSNDOIP11 P-
VSH[P
SVIIOI,SnN', r'LRTILA 111A'I' 11{15 PI,A'I' 4kti DIt,Aw-ti I�Ni)F:Y, h(i
til PIPISIIlN I NIIM
AN AF -11 1I, SI P%L) MADE ❑i—IMP Ml SDI'h: Y,ti INION [DI•:N:D
I d:SClil l"]-101 /LLC
OI;PFD I,� 71noF IL111IG, rich: 6 i, IRnT 111hPaI NDAI!lF.S N01-
SI-I.A'1,,p Eli ,11th:
CLr::1 R 1.1 INIlE C,4rF:D AS DKAVtiN VROM INF HR CATION FI111NI) IN 11001,
1011', , 1'AG1':
79 'Il II ki,'10 (Yl ' ITI:C'IS ION AS CIA LFII L,A"1'1'5 15 I: ... ......
IS i'fNFS' kl) ND
HAAND SEAL. 'I'l1[S 1'J /LAY JAN1Rl;?11
, lri
--
1::1NDOI.Pli E'. NICII01';ON. PI S. I.-"710
ROANOKh, LAND SURVEYING
R ,(.I
1:10 1YAS1)IIENCTON STREET
11.. 130. If 93
44'ILLIANIS'I'O\, NORTH CAROLINA '17i5S1'1
(1N S[TI?
NC F'lMl LIC'ENS'E: NO. C'—:?101
a,tlTc�
I h' I I T (�
i11 PHONI
PH [phone] C '
�
PH. [phone] [phone]
I' IM ILD
DIWA N BY: 13C' KF,N INIONS
1', NC
DATE: L/ISd/lSi
C. 6111
.1011. NO. N-9(1131
MAP NI'NI13ER 1815007l1705
PROJECT # OM59670 I MGE I OF 1
Book: 1 693 Page: 201 Seq; 3

Page I of 4
EASEMENT
��a By:
Smith, Anderson, Blount, Dorsett,
Mitchell & Jernigan, LLP (MDR)
P.O. Box 2611
Raleigh, NC 27602
(No Opinion on Title)
Return To:
PSNC Energy
Attn: Andrew Moore
P. O. Box 1398
Gastonia, NC 28053
STATE OF NORTH CAROLINA
COUNTY OF GRANVILLE
I{III{I 111111 III VIII II I IIIA Illll 11111 IIII{Ill{I VIII I{III VIII VIII {III Illl
Doo ID: 002469950004 Type: CRP
Recorded: 05/03/2010 at 04:11:04 PM
Fee Amt: $23.00 Page i of 4
Excise Tax: $0.00
Granville County, NC
Kathy M. Adcock Req of Deeds
Bi( 1351 PG229-232
Line No.
Parcel No.
Project No.
Check No.
Date of Check
T-30
8
831111
Know all men by these presents that for and in consideration of the sum of Ten Dollars ($10.00) and other valuable
consideration paid to SONYA LEHTO nee SONYA GARNER WILSON and husband NORMAN E. LEHTO, JR.
(collectively, "Grantor'), the receipt of which is hereby acknowledged, the Grantor hereby bargains, sells, and conveys
unto PUBLIC SERVICE COMPANY OF NORTH CAROLINA, INCORPORATED, a South Carolina corporation
d/b/a PSNC ENERGY ("Grantee'), and its successors and assigns, a perpetual and exclusive easement for the purpose of
installing, laying, constructing, maintaining, inspecting, operating, repairing, altering, replacing, changing the size of, and
removing an underground pipeline or pipelines (together with appurtenant facilities including, but not limited to, valves,
regulators, meters, fittings, appliances, tie -overs, pipeline markers, communications and electrical service, and corrosion
control equipment) (the pipeline(s) and appurtenant facilities are collectively referred to herein as "Facilities") for the
transportation and control of natural gas, oil, petroleum products, or any other liquids, gases, or substances which can be
transported through a pipeline system under, upon, over, through and across lands of Grantor, or in which Grantor has
interest, situate in Brassfield Township, Granville County, North Carolina, as described in that deed recorded in Book
148, Page 360, Granville County Registry (see also Will of Roger M. Garner of record in the office of the Clerk of Court
of Granville County in File 00-E-165) ("Grantor's Land'). The easement granted herein shall be fifty (50) feet wide and
located as shown on Exhibit A attached hereto and incorporated herein and as described in Exhibit B attached hereto and
incorporated herein (the "Easement Area"). All Facilities installed by Grantee shall be and remain the property of Grantee
and may be removed or replaced by it at any time and from time to time.
There is included in this grant the right of Grantee, at any time and from time to time to install, lay, construct, maintain,
inspect, operate, repair, alter, replace, change the size of, and remove additional Facilities within the Easement Area,
including one or more additional lines of pipe and appurtenances thereto, without the payment of additional
compensation, such rights being included in this Easement and the consideration paid hereunder.
The Grantee shall have all rights necessary and convenient for installation, laying, constructing, maintaining, inspecting,
operating, repairing, altering, replacing, changing the size of, and removing the Facilities within the Easement Area,
including, but not limited to, the rights of ingress and egress over and across the Easement Area and Grantor's Land for
the purpose of obtaining access to and from the Easement Area, and, subject to the provisions of this Easement, the right
from time to time to cut all trees, shrubs, and undergrowth and to clear other obstructions that may be located within the
Easement Area that Grantee determines, in its discretion, may injure, endanger, or interfere with the installation, laying,
construction, maintenance, inspection, operation, repair, alteration, replacement, changing the size of, or removal of the
Facilities. Grantee shall comply with all applicable federal, state, and local laws, ordinances, and regulations in exercising
the rights granted hereunder.
The Grantee shall have the right to assign this Easement and the rights granted herein in whole or in part at any time and
from time to time.
To have and to hold said Easement unto said Grantee, its successors, and assignees, in title forever, and Grantor, for itself,
its heirs, executors, administrators, successors, and assigns, covenants to and with Grantee that Grantor is lawfully seized
of Grantor's Land and the Easement Area in fee and has the right to convey said rights and Easement and that Grantor
will forever warrant and forever defend the title to said rights and Easement against the lawful claims of all persons
whomsoever. The individuals signing this Easement personally warrant that they have the right and power to enter into
this Easement, to grant the rights granted under this Easement, and to undertake the obligations described in this
Easement.
Book: 1361 Page: 229 Seq: 1

Page 2 of 4
Grantor may make full use and enjoyment of the Easement Area in any manner not inconsistent or materially interfering
with Grantee's use of the Easement Area or the rights granted hereunder; provided, however, that Grantor, its heirs,
successors, and assigns, shall not construct nor permit to be constructed any house, building, or other structure, temporary
or permanent, within the Easement Area (including, but not Iimited to, wells, tanks, septic systems, and other natural or
man-made obstructions of any nature or kind whatsoever), nor plant trees, large shrubs, or orchards within the Easement
Area, nor allow to be placed or installed any other obstruction, temporary or permanent, within the Easement Area that
Grantee determines, in its discretion, could damage the Facilities or interfere with the operation, maintenance, or repair of
the Facilities by Grantee (including, but not limited to, the accumulation of garbage, rubble, disabled vehicles, tires, or
debris of any kind), nor impound nor permit to be impounded any water on or over the Easement Area. Grantor
may do the following within the Easement Area. (i) plant, cultivate, and harvest crops (excluding plants whose root
systems may interfere with the Facilities including, without limitation, timber and orchards), so long as such planting,
cultivating, and harvesting is not otherwise inconsistent with the terms of this Easement; (ii) build roads, streets, or above-
ground utilities that cross the Easement Area so long as the centerline of such road, street, or above -ground utility crosses
the centerline of the Easement Area as close to perpendicular to as reasonably possible, as determined by Grantee; (iii)
construct underground utilities that cross the Easement Area, but only upon advance written approval from Grantee as to
the type, specifications, construction plans, and exact location of the proposed underground utilities, including clearance
distances from the Facilities; (iv) install fences crossing the Easement Area, but only after obtaining advance written
approval from Grantee, and such fences must meet specifications of Grantee for type and must provide accessibility to the
Easement Area suitable to Grantee. The above provisions notwithstanding, Grantor, for itself, its heirs, successors, and
assigns, further agrees not to construct or install any road, street, utilities, or fences, nor change the grade, within the
Easement Area in any manner which will reduce or increase the groundcover over the Easement Area, unless approved in
writing in advance by Grantee. Grantor shall notify Grantee in writing at least thirty (30) days prior to any construction or
maintenance activity within the Easement Area to obtain such approval and to allow Grantee's representative to be present
during such activity. Pipeline markers shall not be relocated or removed from the Easement Area.
It is understood and acknowledged by the undersigned that the person securing this grant on behalf of Grantee is without
authority to make any agreement with regard to the subject matter hereof which is not expressed herein, and that no such
agreement will be binding on Grantee.
IN WITNESS WHEREOF this Easement is executed this. day of S'+ , 2010.
GRANTOR:
Sonya Lehto
nee Sonya Garner Wilson
Norman E. Lehto, Jr.
STATE OF // %
COUNTY OF � Zfe J
a Notary Public for unty, State of C/7" ,
do hereby certify that SONYA LEHTO nee SONYA GARNER WILSON and husband NORMAN E. LEHTO, JR.
personally appeared before me this day and acknowledged the due execution of the foregoing Easement.
Witness my hand and official seal this the6gcZday of Bef '2010.
fliYNNIE K HACF:;`lAA
CommlWon # 1680877
z Notary Public - COtitornla
r , Ventura County F
A w Af y Comm. Expires Aug 9,201 O
Book: 1361 Page: 229 Seq:2

Page 3 of 4
` EXHIBIT A LEGEND
0 EXfS71NG IRON PIPE
N/F A CALCULATED POINT
TYNDALL WILMA C
PIN: 1815-84-2222
DB 98. PG 205 GRAPHIC SCALE
300 0 150 300 600
1 inch = 800 ft
A
VICINITY MAP SITE N/F
HENRY A & PAMELA R ISLEY
PIN: 1815-93--1547
DB 593, PG 602
N
.e
N/F
CASH RONALD H
& ELAINE 0
PIN: 1815-73-1529
DB 240. PG 358
N/F
SONYA GARNER WILSON
PIN: 1824-08-6905
DB 859, PG 698
DB 240. PG 362
s
EASEMEMENT AREA, 1.64 AC
N/F
DEXTER D. BAILEY
PIN: 1815-71-4705
DB 1152, PG 608
, © fr1B 321 PG 117
O�
5v�
o
r
AG
�G
�0
s
LINE TABLE
THE JOHN R. McADAMS
COMPANY, INC,
LINE
BEARING
LENGTH
L1
N 741' 4" W
99.7V
L2
7'41' 4" W
29.92'.-
9.2 'L3
L3
46'11'44" w
9
L4
N 43'41'Q4*
7'
L5
1' " W
124. 9'
L6
N 43'41'04" w
12.4'
L7
N 40'11' 4" w
212.00'
t6
N 41'26'04" w
118. $'
s
PARCEL EASEMENT SURVEY OR PSNC ENERGY OF NEW
PSNC ENERGY EASEMENT` ON THE PROPERTY OF:
SONYA GARNER WILSON
BRUCE GARNER ROAD
BRASSFIELD TOWNSHIP, GRANVILLE COUNTY, NORTH CAROLINA
THE JOHN R. McADAMS
COMPANY, INC,
FCL-08000--SHT
1"=300'
�>�e�
FZMAM »= NC ,�
UPON".
num
01-25-09
F
a
l�
N 3426'04' Wj-
180.00' EN 1
1
`o
t\
IV
A 0194r-
Lo
1`�
0 Z $ �$ N/F
�'t}+ �': :� ✓' SONYA GARNER WILSON
PIN: 1824--•08--6905L EXISTING CREEK
J✓ �o DS 859, PG 69$ CENTERLINE (TYP.)
. DB 240, PG 362 $86Nlf0rr/�r
STING CREEK C4
Z % ��� CENITERLINE (TYP.) p ���-1.0e- .
OWNERSHIP:
SONYA GARNER WILSON
PO BOX 247
OXFORD, NC 27565
GENERAL NOTES
�x .
N 14'41'04' W
r 90.00'
1.) THIS EXHIBIT IS NOT A CERTIFIED SURVEY AI�
HAS NOT BEEN REVIEWED BY ANY GOVERNMENTAL
AGENCY FOR COMPLIANCE WITH ANY APPLICABLE
LAND DEVELOPMENT REGULATIONS.
2.) BEARINGS FOR THIS SURVEY ARE BASED ON NC
GRID (NAD 83)
3_) REFERENCES: GRANVILLE COUTY REGISTRY
D.B. 859, PG 698; D.B. 240, PG 362
4.) AREA COMPUTED BY COORDINATE METHOD.
5.) SURVEY PERFORMED BY CLOSED TRAVERSE
METHOD.
REVISION:
N La
WALLACE E & x.KIMBERLY C PIEFFER yPIN: 1815-8D-2621 'fV 0
DB 1207, PG 55:.... /'�
'
��srr
THIS MAP WAS PREPARED FOR THE PUR'wwq
RIGHT—OF—WAY EASEMENT AOWISITION ONLY. AND IS
NOT INTENDED TO BE A BOUNDARY SURVEY OF THE
PROPERTY SHOWN.
I. RONALD F. FREDERICK, CERTIFY THAT UNDER MY
DIRECTION AND SUPERVISION THIS MAP WAS DRAWN FROM
AN ACTUAL ROUTE SURVEY , AND THAT THE PROPERTY
LINES INTER TED 8Y ISR 7E CTUALI.Y
SUR
SIGNATURE
® p> Ko FCL -08000
PARCEL EASEMENT SURVEY OR PSNC ENERGY OF NEW
PSNC ENERGY EASEMENT` ON THE PROPERTY OF:
SONYA GARNER WILSON
BRUCE GARNER ROAD
BRASSFIELD TOWNSHIP, GRANVILLE COUNTY, NORTH CAROLINA
THE JOHN R. McADAMS
COMPANY, INC,
FCL-08000--SHT
1"=300'
�>�e�
FZMAM »= NC ,�
UPON".
num
01-25-09
�j . c j� g w� f y 0.�C� 1�+�{ M rt- L) t v .�
re ook: I A-1 ,p r

Page 4 of -4
EXHIBIT B
(Legal Description of Easement Area)
An easement fifty (50) feet in width being located in Brassfield Township, Granville County, North Carolina, and
being more particularly described as follows (all bearings herein are based on the N.C. Grid (NAD 83)):
COMMENCING at an existing iron pipe located in an eastern property line of a tract of land
owned, now or formerly, by Sonya Garner Wilson (see Book 859, Page 698 and Book 240, Page 362,
Granville County Registry) and being the southwest corner of a tract of land owned, now or formerly, by
Henry A. and Pamela R. Isley (see Tract 1 of Book 593, Page 602, Granville County Registry); thence
along and with said common property line North 29° 39' 06" East 364.84 feet to the TRUE POINT OF
BEGINNING; thence South 67° 17' 33" West 1,428.52 feet to a point in the western property line of said
Wilson tract and the eastern property line of a tract of land owned, now or formerly, by Dexter D. Bailey
(see Book 1152, Page 608, Granville County Registry); thence along and with said common property line
North 33° 41' 04" West 10.84 feet to an existing iron pipe; thence along and with said common property
line North 25° 26' 04" West 39.40 feet to a point; thence North 67° 17' 33" East 1,426.37 feet to a point
in the eastern property line of said Wilson tract and the western property line of said Isley tract, said point
further being located South 290 39' 06" East 1,555.79 feet from the northernmost corner of said Wilson
tract and the western most corner of said Isley tract; thence along and with said common property line
South 29° 39' 06" East 50.37 feet to the POINT OF BEGINNING, containing 1.64 acres, more or less,
and being shown as "New 50' PSNC Easement" on a survey entitled "Parcel #8 EASEMENT SURVEY
FOR PSNC ENERGY OF NEW PSNC ENERGY EASEMENT ON THE PROPERTY OF: SONYA
GARNER WILSON" prepared by The John R. McAdams Company, Inc., and dated 01-25-09.
Book: 1361 Page: 229 Seq:4

Page 4 of 4
EXHIBIT "B"
50' X 100' UTILITY STATION EASEMENT:
Lying and being in Brassfield Township, Granville County, North Carolina:
BEGINNING at a rebar being located in the northern right of edge of PSNC Energy, said rebar also located by beginning
at a PK Nail located in the centerline of a bridge for Lawrence Road over a creek, and running thence along and with the
centerline of Lawrence Road North 31 degrees 35 minutes 27 seconds West 422,26 feet to a PK Nail, thence South 78
degrees 32 minutes 36 seconds East 40.51 feet to a rebar located at the intersection of southern right of way edge of
PSNC Energy and the northeastern right of way edge of Lawrence Road, thence along and with said northeastern right of
way edge North 31 degrees 37 minutes 20 seconds West 55.33 feet to a rebar being located in the northern right of way
edge of PSNC Energy, and thence along and with said northern right of way edge the following courses and distances:
North 83 degrees 43 minutes 34 seconds East 64.36 feet to a rebar and North 67 degrees 17 minutes 33 seconds East
0.75 feet to the beginning point; and runs thence from the beginning point North 22 degrees 42 minutes 27 seconds West
50.00 feet to a rebar; thence North 67 degrees 17 minutes 33 seconds East 100.00 feet to a rebar; thence South 22
degrees 42 minutes 27 seconds East 50.00 feet to a rebar located in said northern right of way edge of PSNC Energy;
and thence along and with said northern right of way edge South 67 degrees 17 minutes 33 seconds West 100.00 feet to
the POINT AND PLACE OF BEGINNING, encompassing 5,000 square feet, more or less, as shown and labeled
"PROPOSED UTILITY STATION SITE" on a certain survey prepared by Roanoke Land Surveying, dated 1119116, and
titled "SURVEY FOR PSNC ENERGY, PROPOSED UTILITY STATION SITE FROM NORMAN LEHTO & SONYA
GARNER LENTO, S. R. 1710 - LAWRENCE ROAD."
Book: 1 693 Page: 201 Seq; 4

Appendix III:
Site Photographs

CME Lawrence Road Pipeline Project SWE Project No. 7435-16-005 Ph 09
Granville County, North Carolina Taken by: A. Steele I Date Taken: 2/2/2017
- i
rt.
r
.� View of Smith Creek looking downstream at the proposed
construction corridor adjacent to the new Lawrence Road bridge.
+t
S
ry
Wag! i
3
View of Wetland 2 south of the existing access road,
immediately outside of the proposed project construction
corridor.
CME Lawrence Road Pipeline Project SWE Project No. 7435-16-005 Ph 09
Granville County, North Carolina Taken by: A. Steele I Date Taken: 2/2/2017

Appendix IV:
Threatened Species and Historic Resources Information

NORTH CAROLINA DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
Pat McCrory Bryan Gossage Susan Kluttz
Governor Executive Director Secretary
Clean Water Management Trust Fund
June 7, 2016
Ashley Steele
S&ME, Inc.
3201 Spring Forest Road
Raleigh, NC 27616
[e-mail]
RE: test
Dear Ashley Steele:
NCNHDE-1710
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information
about natural heritage resources from our database that have been compiled for the project referenced
above.
A query of the NCNHP database indicates that there are records for rare species, important natural
communities, natural areas, or conservation/managed areas within the proposed project boundary submitted
with your request for information. These results are presented in the attached `Documented Occurrences'
table and map.
Also attached is a table summarizing rare species and natural communities that have been documented
within a one -mile radius of the project boundary. The proximity of these records suggests that these natural
heritage elements may potentially be present in the project area if suitable habitat exists and is included for
reference. In the event that rare species are found within the project area, please contact the NCNHP so that
we may update our records. Tables of natural areas and conservation/managed area within a one -mile
radius, if any, are also included in this report.
Please note that natural heritage element data are maintained for the purposes of conservation planning,
project review, and scientific research, and are not intended for use as the primary criteria for regulatory
decisions. Information provided by the NCNHP database may not be published without prior written
notification to the NCNHP, and the NCNHP must be credited as an information source in these publications.
Maps of NC Natural Heritage Program data may not be redistributed without permission from the NCNHP.
Also please note that the NC Natural Heritage Program may follow this letter with additional correspondence
if a Dedicated Nature Preserve (DNP), Registered Heritage Area (RHA), or an occurrence of a Federally -
listed species is documented within or near the project area.
Thank you for your inquiry. If you have questions regarding the information provided in this letter or need
additional assistance, please contact Suzanne Mason at [e-mail] or 919.707.8637.
Sincerely,
NC Natural Heritage Program
Page 1 of 4

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Intersecting the Project Area
test
June 7, 2016
NCNHDE-1710
Element Occurrences Documented Within Project Area
Taxonomic EO ID Scientific Name Common Name
Last
Element Accuracy Federal
State
Global State
Group
Observation
Occurrence Status
Status
Rank Rank
Date
Status
Freshwater 20770 Lampsilis sp. 2 Chameleon Lampmussel
2001-06-18
Current 3 -Medium ---
Significantly
G1 S2
Bivalve
Rare
Freshwater Fish 19227 Etheostoma collis Carolina Darter
2010-05-06
Current 3 -Medium Species of
Special
G3 S3
Concern
Concern
Natural Areas Documented Within Project Area
Site Name Representational Rating
Collective Rating
Smith Creek Alluvial Forest and Slopes R3 (High)
C5 (General)
No Managed Areas Documented within the Project Area
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.org/content/help. Data query generated on June 7, 2016; source: NCNHP, Q4 October 2015. Please resubmit your
information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 4

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
test
June 7, 2016
NCNHDE-1710
Element Occurrences Documented Within a One -mile Radius of the Project Area
Taxonomic EO ID
Scientific Name
Common Name ■
Last
Element
Accuracy Federal
State
Global
State
Group
Observation
Occurrence
Status
Status
Rank
Rank
Date
Status
Freshwater 20770
Lampsilis sp. 2
Chameleon Lampmussel
2001-06-18
Current
3 -Medium ---
Significantly
G1
S2
Bivalve
Rare
Freshwater Fish 19227
Etheostoma collis
Carolina Darter
2010-05-06
Current
3 -Medium Species of
Special
G3
S3
Concern
Concern
Natural 28872
Mesic Mixed Hardwood
---
2010-09-14
Current
2 -High ---
---
G3G4
S4
Community
Forest (Piedmont
Subtype)
Natural 28871
Piedmont Alluvial Forest
---
2010-09-14
Current
2 -High ---
---
G4
S4
Community
Natural Areas Documented Within a One -mile Radius of the Project Area
Site Name
Representational Rating
Collective
Rating
Smith Creek Alluvial Forest and Slopes
R3 (High)
C5 (General)
No Managed Areas are Documented Within a One -mile Radius of the Project Area
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.org/content/help. Data query generated on June 7, 2016; source: NCNHP, Q4 October 2015. Please resubmit your
information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 3 of 4

US Fish and Wildlife Service (USFWS)
S&ME initiated a County search through the USFWS website for Granville County. The
USFWS Endangered Species, Threatened Species, Federal Species of Concern, and Candidate
List for Granville County is attached and is summarized in the table below.
Scientific Name Common Name
Federal
Status
Record
Status
Haliaeetus leucocephalus Bald eagle
BGPA
Current
Alasmidonta heterodon Dwarf wedgemussel
E
Current
Ptilimnium nodosum Harperella
E
Current
Echinaceae laevigata Smooth coneflower
E
Current
E — Endangered, T— Threatened, BGPA — Bald and Golden Eagle Protection Act
NC Natural Heritage Program
S&ME initiated a 1 -mile radius search using the October 2016 NCNHP Natural Heritage
Element Occurrences shapefile and the results are shown on the attached NCNHP Elemental
Occurrences Map. This search identified two element occurrences within the proposed project
area. There are 4 element occurrences within one mile of the project area, two of which are
natural communities. Neither of the two element occurrences within the project area are federally
protected. No impacts to state or federal threatened or endangered species are anticipated as a
result of this project.
EO ID
Species
Last
Federal or
Accuracy
Category
Observation
State Status
20770
Lampsilis sp. 2
2001-06-18
State
3 — Medium
Freshwater
Significantly
bivalve
Rare
19227
Etheostoma collis
2010-05-06
Federal and
3 — Medium
Freshwater
State Species
fish
of Concern
28872
Mesic Mixed
2010-09-14
--
2 — High
Natural
Hardwood Forest
Community
28871
Piedmont Alluvial
2010-09-14
--
2 — High
Natural
Forest
Community

NC State Historic Preservation Office
There are no sites that are on the National Register, are on the Study List, or have been
Determined Eligible to be placed on the National Register within the project area. There is one
site identified within the one -mile search radius. This site is been located approximately 0.43
miles from the project site. No impacts to historic sites are anticipated as a result of this project.
Historic site information is summarized in the table below.
Site ED
Status
Site Name
Distance
from Site
(mi)
GV0507
SL
Dr. G. T. Grissom House
0.43

NCNHDE-1710: test
June 7, 2016
Project Boundary
Buffered Project Boundary
E] NHP Natural Area (NHNA)
Page 4 of 4
1:32,711
0 0.275 0.55 1.1 mi
0 0.45 0.9 1.8 km
Sources: Esri, HERE, DeLorme, Intermap, increment P Corp., GEBCO,
USG S, FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey,

Appendix V:
Jurisdictional Determination Information

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Lawrence Road City/County: Creedmoor/ Granville Sampling Date: 2/2/2017
Applicant/Owner: PSNC (easement Only) State: NC Sampling Point: DP1
Investigator(s): A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc.): floodplain Local relief (concave, convex, none): none Slope (%): 0-2%
Subregion (LRR or MLRA): Lat: 36.08871 Long: -78.60235 Datum: NAD83
Soil Map Unit Name: Chewacla and Wehadkee soils, 0-2% slopes, frequently flooded NWI classification: N/A
Are climatic / hydrolo is conditions on the site typical for this time of year? Yes ✓ 1 No(If no, explain in Remarks.)
Are Vegetation Soil �, or Hydrology= significantly disturbed?=Are "Normal Circumstances" present? Yes= No =
Are Vegetation = Soil or Hydrology= naturally problematic? =(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? YeSO No 0 Is the Sampled Area
Hydric Soil Present? Yes= No =✓ within a Wetland? Yes No
Wetland Hydrology Present? Yes= 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 (B6)
=Surface Water (Al) =True Aquatic Plants (1314)
=Sparsely Vegetated Concave Surface (B8)
=High Water Table (A2) =Hydrogen Sulfide Odor (Cl)
=Drainage Patterns (B10)
=Saturation (A3) =Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (1316)
=Water Marks (B1) =Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Sediment Deposits (B2) =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 (B4) =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=✓ Depth (inches):
Water Table Present? Yes= No= Depth (inches):
= Ei
Saturation Present? Yes= No= Depth (inches):
Wetland
Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Water table observed 14+ inches below ground surface
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
6.
7.
Sapling Stratum (Plot size: )
1.
2.
4.
5.
6.
7.
Shrub Stratum (Plot size: )
1. Ligustrum sinense 20
2. Liquidambar styraciflua 15
3. Carpinus carolinana 10
4.
WA
45
Herb Stratum (Plot size: )
1. Arundinaria gigantea 45
2. Microstegium vimineum 10
5.
6.
7.
9.
10.
11.
12.
JJ
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 20
2. Smilax rotundifolia 10
3.
4.
30
Remarks: (Include photo numbers here or on a separate sheet.
Sampling Point: DP1
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant
Species Across All Strata: 8 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 75 (A/B)
Prevalence Index worksheet:
= Total Cover Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Absolute
Dominant Indicator
Tree Stratum (Plot size: )
% Cover
Species?
Status
1. Liriodendron tulipifera
50
Y
FACU
2. Acer rubrum
20
Y
FAC
3. Liquidambar styraciflua
10
N
FAC
6.
7.
Sapling Stratum (Plot size: )
1.
2.
4.
5.
6.
7.
Shrub Stratum (Plot size: )
1. Ligustrum sinense 20
2. Liquidambar styraciflua 15
3. Carpinus carolinana 10
4.
WA
45
Herb Stratum (Plot size: )
1. Arundinaria gigantea 45
2. Microstegium vimineum 10
5.
6.
7.
9.
10.
11.
12.
JJ
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 20
2. Smilax rotundifolia 10
3.
4.
30
Remarks: (Include photo numbers here or on a separate sheet.
Sampling Point: DP1
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant
Species Across All Strata: 8 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 75 (A/B)
Prevalence Index worksheet:
= Total Cover Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
= Total Cover
Y FACW
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
= Total Cover
01 - Rapid Test for Hydrophytic Vegetation
Y FACU
02 - Dominance Test is >50%
Y FAC
Q3 - Prevalence Index is :53.01
Y FAC
04 - Morphological Adaptations' (Provide supporting
= Total Cover
V C:Ar
data in Remarks or on a separate sheet)
OProblematic Hydrophytic Vegetation' (Explain)
= Total Cover
Y FACW
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Five Vegetation Strata:
Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
N FAC
= Total Cover
V C:Ar
E�W_V�
= I otal (over
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP1
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' Loc2 Texture Remarks
0-4 7.5YR 4/3 100
CL
clay loam
4-14+ 7.5YR 4/4 100
CL
clay loam
Type: C=Concentration, D=Depletion, RM=Reduced
Matrix, MS=Masked 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 Surface (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)
=Very Shallow Dark Surface (TF12)
=Depleted Below Dark Surface (A11)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
=Thick Dark Surface (Al2)
= Redox Depressions (F8)
=Sandy Mucky Mineral (S1) (LRR N,
=Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
=Sandy Gleyed Matrix (S4)
=Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
=Sandy Redox (S5)
=Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
=Stripped Matrix (S6)
=Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth
Hydric
Soil Present? Yes= No EEl-
(inches):
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Lawrence Road City/County: Creedmoor/ Granville Sampling Date: 2/2/2017
Applicant/Owner: PSNC (easement Only) State: NC Sampling Point: DP2
Investigator(s): A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc.): floodplain Local relief (concave, convex, none): none Slope (%): 0-2%
Subregion (LRR or MLRA): Lat: 36.08875 Long: -78.60243 Datum: NAD83
Soil Map Unit Name: Chewacla and Wehadkee soils, 0-2% slopes, frequently flooded NWI classification: PF01 A
Are climatic / hydrolo is conditions on the site typical for this time of year? Yes ✓ 1 No(If no, explain in Remarks.)
Are Vegetation Soil �, or Hydrology= significantly disturbed?=Are "Normal Circumstances" present? Yes= No =
Are Vegetation = Soil or Hydrology= naturally problematic? =(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? YeSO No 0 Is the Sampled Area
Hydric Soil Present? Yes=✓ No = within a Wetland? Yes No
Wetland Hydrology Present? Yes= 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 (B6)
_✓ Surface Water (Al)
=True Aquatic Plants (1314)
=Sparsely Vegetated Concave Surface (B8)
_✓ High Water Table (A2)
=Hydrogen Sulfide Odor (Cl)
[Z]Drainage Patterns (B10)
_✓ Saturation (A3)
=Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (1316)
=Water Marks (B1)
=Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Sediment Deposits (B2)
=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 (B4)
=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= Depth (inches): 24deep
Water Table Present? Yes=
No= Depth (inches): at surface
Saturation Present? Yes=
No= Depth (inches): at surface
Wetland Hydrology Present? Yes F-6/1 No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: DP2
IVl
Herb Stratum (Plot size: )
1. Arundinaria gigantea 30
2. Carex sp. 5
5.
6.
7.
9.
10.
11.
12.
J:J
Woody Vine Stratum (Plot size: )
1. Smilax rotundifolia 15
2. Lonicera japonica 5
3.
4.
Remarks: (Include photo numbers here or on a separate sheet.
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
= Total Cover Definitions of Five Vegetation Strata:
Y FACW Tree - Woody plants, excluding woody vines,
N UNK approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
= Total Cover
Y FAC
Y FAC
= Total Cover
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover
Species?
Status
Number of Dominant Species
1. Betula nigra
40
Y
FACW
That Are OBL, FACW, or FAC: 7 (A)
2. Acer rubrum
35
Y
FAC
Total Number of Dominant
7
Quercus 15 N FAC
3. phellos
Species Across All Strata: (B)
Percent of Dominant Species 100
4. Liquidambar styraciflua 15 N FAC
5. Fraxinus pennsylvanica 10 N FACW
That Are OBL, FACW, or FAC: (A/B)
6.
7
Prevalence Index worksheet:
Total % Cover of: Multiply by:
115
= Total Cover
Sapling Stratum (Plot size:
)
OBL species x 1 =
1. Liquidambar styraciflua
5
Y
FAC
FACW species x 2 =
FAC species x 3 =
2. Carpinus carolinana 5 Y FAC
3.
FACU species x 4 =
4.
UPL species x 5 =
Column Totals: (A) (B)
5.
6.
Prevalence Index = B/A =
7.
Hydrophytic Vegetation Indicators:
10
= Total Cover
01 Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size:
)
-
1.
Q2 - Dominance Test is >50%
2.
Q3 - Prevalence Index is :53.0'
04
3.
- Morphological Adaptations' (Provide supporting
4
data in Remarks or on a separate sheet)
OProblematic Hydrophytic Vegetation' (Explain)
IVl
Herb Stratum (Plot size: )
1. Arundinaria gigantea 30
2. Carex sp. 5
5.
6.
7.
9.
10.
11.
12.
J:J
Woody Vine Stratum (Plot size: )
1. Smilax rotundifolia 15
2. Lonicera japonica 5
3.
4.
Remarks: (Include photo numbers here or on a separate sheet.
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
= Total Cover Definitions of Five Vegetation Strata:
Y FACW Tree - Woody plants, excluding woody vines,
N UNK approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
= Total Cover
Y FAC
Y FAC
= Total Cover
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP2
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' Loc2 Texture Remarks
0-3 10YR 3/4 100
CL
clay loam
3-14+ 10yr 4/2 90
7.5YR 4/6 10 C PL CL
clay loam
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked 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 Surface (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)
=Very Shallow Dark Surface (TF12)
=Depleted Below Dark Surface (A11)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
=Thick Dark Surface (Al2)
= Redox Depressions (F8)
=Sandy Mucky Mineral (S1) (LRR N,
=Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
=Sandy Gleyed Matrix (S4)
=Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
=Sandy Redox (S5)
=Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
=Stripped Matrix (S6)
=Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth
Hydric Soil Present? Yes= No
(inches):
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Lawrence Road City/County: Creedmoor/ Granville Sampling Date: 2/2/2017
Applicant/Owner: PSNC (easement Only) State: NC Sampling Point: DP3
Investigator(s): A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc.): hillslope Local relief (concave, convex, none): concave Slope (%): 2-5%
Subregion (LRR or MLRA): Lat: 36.09855 Long: -78.60291 Datum: NAD83
Soil Map Unit Name: Creedmoor coarse sandy loam, 2-6% slopes NWI classification: N/A
Are climatic / hydrolo is conditions on the site typical for this time of year? Yes ✓ I No (If no, explain in Remarks.)
Are Vegetation Soil �, or Hydrology= significantly disturbed?=Are "Normal Circumstances" present? Yes= No =
Are Vegetation = Soil �, or Hydrology= naturally problematic? =(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? YeSO No 0 Is the Sampled Area
Hydric Soil Present? Yes=✓ No = within a Wetland? Yes No
Wetland Hydrology Present? Yes= 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 (B6)
_✓ Surface Water (Al)
=True Aquatic Plants (1314)
=Sparsely Vegetated Concave Surface (B8)
_✓ High Water Table (A2)
=Hydrogen Sulfide Odor (Cl)
=Drainage Patterns (B10)
_✓ Saturation (A3)
=Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (1316)
=Water Marks (B1)
=Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Sediment Deposits (B2)
=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 (B4)
=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= Depth (inches): 1 deep
Water Table Present? Yes=
No= Depth (inches): at surface
Saturation Present? Yes=
No= Depth (inches): at surface
Wetland Hydrology Present? Yes F-6/1 No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Tree Stratum (Plot size: )
1.
2.
3.
6.
7.
Sapling Stratum (Plot size: )
1.
2.
4.
5.
6.
7.
Shrub Stratum (Plot size: )
1. Baccharis halimifolia
3.
4.
WA
Herb Stratum (Plot size
1. Juncus effusus
2. Andropogon virginicus
3. Dicanthelium oligosanthes
A Potentilla simplex
5.
6.
7.
9.
10.
11.
12.
Sampling Point: DP3
Absolute Dominant Indicator
% Cover Species? Status
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Species Across All Strata: 5 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 60 (A/B)
Prevalence Index worksheet:
= Total Cover Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
= Total Cover
01 - Rapid Test for Hydrophytic Vegetation
5 Y FACW 02 - Dominance Test is >50%
Q3 - Prevalence Index is :53.01
04 - 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.
5 = Total Cover Definitions of Five Vegetation Strata:
60 Y FACW Tree - Woody plants, excluding woody vines,
20 Y FACU approximately 20 ft (6 m) or more in height and 3 in.
20 Y FACU (7.6 cm) or larger in diameter at breast height (DBH).
10 N FACU Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
90 = Total Cover
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 5 Y FAC
2.
3.
4.
0 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP3
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' Loc2 Texture Remarks
0-3 10YR 5/3 90
7.4YR 4/6 10 C PL SL
sandy loam
3-13+ 10YR 5/2 80
7.5YR 4/6 10 C PL SL
sandy loam
10YR 4/1 10 D M
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked 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 Surface (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)
=Very Shallow Dark Surface (TF12)
=Depleted Below Dark Surface (A11)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
=Thick Dark Surface (Al2)
= Redox Depressions (F8)
=Sandy Mucky Mineral (S1) (LRR N,
=Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
=Sandy Gleyed Matrix (S4)
=Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
=Sandy Redox (S5)
=Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
=Stripped Matrix (S6)
=Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth
Hydric Soil Present? Yes= No
(inches):
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Lawrence Road City/County: Creedmoor/ Granville Sampling Date: 2/2/2017
Applicant/Owner: PSNC (easement Only) State: NC Sampling Point: DP4
Investigator(s): A. Steele Section, Township, Range:
Landform (hillslope, terrace, etc.): hillslope Local relief (concave, convex, none): none Slope (%): 2-5%
Subregion (LRR or MLRA): Lat: 36.08962 Long: -78.60291 Datum: NAD83
Soil Map Unit Name: Creedmoor coarse sandy loam, 2-6% slopes NWI classification: N/A
Are climatic / hydrolo is conditions on the site typical for this time of year? Yes ✓ I No (If no, explain in Remarks.)
Are Vegetation Soil �, or Hydrology= significantly disturbed?=Are "Normal Circumstances" present? Yes= No =
Are Vegetation = Soil �, or Hydrology= naturally problematic? =(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? YeSO No 0 Is the Sampled Area
Hydric Soil Present? Yes= No =✓ within a Wetland? Yes No
Wetland Hydrology Present? Yes= 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 (B6)
=Surface Water (Al) =True Aquatic Plants (1314)
=Sparsely Vegetated Concave Surface (B8)
=High Water Table (A2) =Hydrogen Sulfide Odor (Cl)
=Drainage Patterns (B10)
=Saturation (A3) =Oxidized Rhizospheres on Living Roots (C3) =Moss Trim Lines (1316)
=Water Marks (B1) =Presence of Reduced Iron (C4)
=Dry -Season Water Table (C2)
=Sediment Deposits (B2) =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 (B4) =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=✓ Depth (inches):
Water Table Present? Yes= No= Depth (inches):
= Ei
Saturation Present? Yes= No= Depth (inches):
Wetland
Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: DP4
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) % Cover Species? Status Number of Dominant Species
1. Acer rubrum 40 Y FAC That Are OBL, FACW, or FAC: 7 (A)
2. Pinus taeda
30
3. Liquidambar styraciflua
15
4. Liriodendron tulipifera
10
5. Quercus rubra
10
6. Prunus serotina
5
7.
N FAC
110
Sapling Stratum (Plot size: )
1.
2.
4.
5.
6.
7.
Shrub Stratum (Plot size: )
1. Acer rubrum 20
2. Liquidambar styraciflua 20
3. Ilex opaca 5
4. Pinus taeda 5
WA
50
Herb Stratum (Plot size: )
1. Polystichum acrostichoides 2
2.
5.
6.
7.
9.
10.
11.
12.
I F MI
Total Number of Dominant
8
N FAC
= Total Cover
Species Across All Strata: (B)
Percent of Dominant Species
87 5
N FACU
N FACU
Y FAC
That Are OBL, FACW, or FAC: (A/B)
N FACU
04 - Morphological Adaptations' (Provide supporting
Prevalence Index worksheet:
= Total Cover Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
= Total Cover Definitions of Five Vegetation Strata:
Y FACU Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
= Total Cover
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 5 Y FAC
2. Smilax rotundifolia 5 Y FAC
3. Vitis rotundifolia 5 Y FAC
4.
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
= Total Cover
01 - Rapid Test for Hydrophytic Vegetation
Y FAC
02 - Dominance Test is >50%
Y FAC
Q3 - Prevalence Index is :53.0'
N FACU
04 - Morphological Adaptations' (Provide supporting
N 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.
= Total Cover Definitions of Five Vegetation Strata:
Y FACU Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
= Total Cover
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 5 Y FAC
2. Smilax rotundifolia 5 Y FAC
3. Vitis rotundifolia 5 Y FAC
4.
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes= No=
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP4
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' Loc2 Texture Remarks
0-2 10YR 3/3 100
SL
2-8 10YR 4/4 100
SL
8-14+ 10YR 6/4 100
SL
Type: C=Concentration, D=Depletion, RM=Reduced
Matrix, MS=Masked 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 Surface (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)
=Very Shallow Dark Surface (TF12)
=Depleted Below Dark Surface (A11)
=Depleted Dark Surface (F7)
=Other (Explain in Remarks)
=Thick Dark Surface (Al2)
= Redox Depressions (F8)
=Sandy Mucky Mineral (S1) (LRR N,
=Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
=Sandy Gleyed Matrix (S4)
=Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
=Sandy Redox (S5)
=Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
=Stripped Matrix (S6)
=Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth
Hydric
Soil Present? Yes= No EEl-
(inches):
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: 2/2/2017
Project/site: Lawrence Road
Latitude: 36.08846
Evaluator: A. Steele
County: Granville Co.
Longitude: -78.60225
Total Points:
Stream is at least intermittent 36
Stream Determination (circle one)
Other
Quad Name:
if >_ 19 or perennial if> 30*
Perennial
e.g.
A. Geomorphology (Subtotal = 19.5 )
Absent
Weak
Moderate
Strong
1aContinuity 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 0
1 0
2(F)
3
4. Particle size of stream substrate
0 0
1
2
3
5. Active/relict floodplain
00
1
2 •
3
6. Depositional bars or benches
0
1
2 .
3
7. Recent alluvial deposits
0
1 •
2
3
8. Headcuts
0 •
1
2
3
9. Grade control
0 ®
0.50
1 ®
1.5®
10. Natural valley
0 0
1 0.
1 • 1
1.5®
11. Second or greater order channel
No = 00
Yes = 3
•
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 9 )
12. Presence of Baseflow
0 ® 1 ®
2 ®
3
13. Iron oxidizing bacteria
0 • 1
20
3
14. Leaf litter
1. • 1 ®
0.5®
0
15. Sediment on plants or debris
00 0.5 •
1 ®
1.5
16. Organic debris lines or piles
00 0.5
1 •
1.5®
17. Soil -based evidence of high water table?
No = 0 ®
Yes = 3
in
C. Biology (Subtotal = 7.5 )
18. Fibrous roots in streambed
3 •
2
1
0
19. Rooted upland plants in streambed
3 •
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1 •
2
3
21. Aquatic Mollusks
0 •
10
2®
3
22. Fish
0 •
0.50
in
1.5
23. Crayfish
0 •
0.5
1
1.5
24. Amphibians
0®
0.50
1 ®
1.5
25. Algae
0 •
0.50
10
1.5
26. Wetland plants in streambed
FACW = 0.75()OBL
= 1.500ther = 0 E)
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
41