20171197 Ver 1_401 Application_20170920

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1. Processing
2 0 1 7 1 1 8
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: NWP 39 or General Permit (GP) number:
1 c. 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
❑ Yes
only for Corps Permit:
® 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
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
County Home Solar
2b. County:
Rockingham
2c. Nearest municipality / town:
Richmond
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
See Attached Owner Information aF91
fn)
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
sF P
Z 2017
3d. Street address:
3e. City, state, zip:
401& B FF RP RMI ING
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ® Other, specify: Partial Owner/Developer
4b. Name:
Mr. Evan Riley
4c. Business name
(if applicable):
County Home Solar, LLC
4d. Street address:
3250 Ocean Park Boulevard
4e. City, state, zip:
Santa Monica CA, 90405
4f. Telephone no.:
843.670.6013
4g. Fax no.:
828.350.3999
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Bradley S. Luckey
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4997
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 12
PCN Form —Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
748201276633, 748201379614 & 74820256671
1 b. Site coordinates (in decimal degrees):
Latitude: 34.92222 Longitude: - 79.72133
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
97 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
South Prong Falling Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Yadkin
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 site contains undeveloped wooded land. Structures are not located on the site. The site is located in a
residential/commerical area of Rockingham, Richmond County, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
11.08 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3,600 linear feet
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access and interconnection during development and long term
maintenance of the site as a solar farm.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of development of the site with a proposed solar farm. In order to provide safe access and
interconnection to the site, an access road and two crossings are necessary. To facilitate development of the site and
construction of the proposed stream crossing, grading the site is necessary. Graders, haulers, excavators and other
heavy equipment will be used during site construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
Comments: SAW -2015-01260 (portion of site)
4b. If the Corps made the jurisdictional determination, what type
El Preliminary ®Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Michael Brame/Brad Luckey/Jan Gay
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE JD for 45 acres (SAW -2015-01260) dated 8.17.15. USACE JD requested on remainder of site. Field visit by
David Bailey on remainder of site on 8.8.17.
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.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this appilication,
are not anticipated as a result of the proposed project.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 SPOT
Fill/Pump Around
PFO
® Yes
❑ No
® Corps
❑ DWQ
0.04/0.013
W2 SPOT
Fill/Pump Around
PFO
® Yes
❑ No
❑ Corps
❑ DWQ
0.04/0.010
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ 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
0.08/0.023
2h. Comments: Crossing 1 will permanently impact 0.04 acres of wetlands and temporarily impact 0.013 acres of wetlands.
Crossing 2 will permanently impact 0.04 acres of wetlands and temporarily impact 0.010 acres of wetlands. Areas of
temporary impact will be restored to similar pre -construction conditions and re -planted with native herbaceous/woody
vegetation.
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)
S1 SPOT
Fill/Pump Around
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
4
55/10
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
55/10
3i. Comments: Crossing 1 will permanently impact 55 linear feet of perennial stream channel for culvert and rip -rap fill and
temporarily impact 10 linear feet of perennial stream channel for culvert pump -around. Areas of temporary impact will be
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

restored to similair pre -construction conditions and re -planted.
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 individually list all open water impacts below.
4a.
Open water
impact number —
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑P
03 ❑P
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then 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
K Total
5g. Comments: Construction of ponds/lakes are not proposed.
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 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 El Tar -Pamlico ®Other: Yadkin
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
B1 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffer impacts are not proposed.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the development and use of the site as a solar farm, access roads and two WoUS crossing are necessary. The road
widths have been designed to the minimal width necessary to safely accommodate heavy equipment and tractor trailers. The
second crossing has been designed to cross as far up -gradient of the stream/wetland system, in an area that is just wetlands,
thus, minimizing impacts to streams on the site.
The solar array and necessary infrastructure (overhead/underground voltage lines, inverters, etc.) have been designed to
avoid impacts to jurisdictional streams, wetlands and ponds. A proposed underground electric line which will connect the
segmented solar array development areas will be installed via bore and jack methods instead of open cut excavation/back-fill.
Additionally, there will not be an aboveground maintained easement for this below ground crossing. Therefore, via proposed
installation and maintenance of this proposed underground electric line, the applicant has avoided temporary impacts from
open cut excavation/back-fill and eliminated conversion of a forested wetland to an emergent wetland based on lack of
maintained vegetative easement.
There are approximately 11.08 acres of wetlands and 3,600 linear feet of perennial stream channel located on the site. The
remaining approximate 11 acres of wetlands and 3,545 linear feet of perennial stream channel are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The impact limits will be staked and silt fence will be used. Temporary coffer dams will be installed up -gradient of the
proposed culverts. During construction, water will be pumped around the construction footprints. Appropriate bank protection
will be provided in the channel during construction and all excess excavated material will be immediately removed from the
crossing areas. Upon completion of the culvert installations, the temporary sand bag coffer dams will be removed and flow will
be diverted through the culverts. Following construction, disturbed banks will be restored to similar pre -construction conditions,
matted and seeded/live staked.
Page 7of12
PCN Form — Version 1.3 December 10, 2008 Version

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
F-1Paymentto in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) - required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
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).
Page 8 of 12
PCN Form - Version 1.3 December 10, 2008 Version

6h. Comments:
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments: State regulated buffers are not located on the site.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
<10 %
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: Based on the % impervious, a
stormwater management plan is not requried.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ 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
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ 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
El Yes [_1 No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 10 of 12
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
❑ Yes ® No
letter.)
Comments: We are not aware of a NEPA/SEPA being requried.
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.
We are not aware of additional development that will impact nearby downstream water quality.
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.
Wastewater will not be generated by the proposed project.
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

S. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
® 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?
USFWS Letter dated, 6.9.17 (attached).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the use of temporary sediment and erosion control devices will prevent sediment from entering
down -gradient waterbodies which may contain fish.
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 ® 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?
SHPO reviewed the proposed project as part of a state clearinghouse review of the project. SHPO Letter dated 12.22.14
(attached).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM 3710748200J
X Digitally signed by Bradley S. Luckey
DN: cn=Bradley S. Luckey, o=Pilot
Environmental, Inc., ou,
f emall=[e-mail],
Bradley S. Luckey
c --US
9.19.17
Date: 2017.09.19 09:03:34 -04'00'
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

DocuSign Envelope ID: BB5DB4DB-D25B-455C-9B6C-354410822520
AGENT AUTHORIZATION
This form authorizes PEI to act as our agent in stream/wetland matters including U.S. Army Corps
of Engineers and North Carolina Division of Water Resources field verification and permitting.
Property Address: 458 County Home Road
Rockingham, NC 28379
Applicant Information:
Name: County Home Solar, LLC
Address: 3250 Ocean Park Blvd
Suite 355
Santa Monica. CA 90405
Telephone Number: 843-670-6013
Fax Number: 828-350-3997
E-mail Address: [e-mail]
DocuSigned by:
Signature: Date: 9/18/2017

Land Owner Information
Responsible
Name on Recorded Deed
Book/Page #
Party
Street Address
City, State, Zip
Telephone
Email
County Home Solar, LLC
130 Roberts
Asheville, NC
(Owner/Applicant)
1727/162
Mr. Geoff Fallon
Avenue
28801
843.670.6013
[e-mail]
Bland Inc. & Mirage Enterprises
Mr. Norman
151 Sneads Mill
Rockingham, NC
(Owner)
1667/256
Bland
Road
28379
910.895.5611
[e-mail]
Mr. Jerry
361 Ledbetter
Rockingham, NC
Goodman
Road
28379
910.895.0850
[e-mail]
Mr. Jerry
361 Ledbetter
Rockingham, NC
Rustic Properties, LLC (Owner)
1744/1779
Goodman
Road
28379
910.895.0850
[e-mail]

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NON—JURISDICTIONAL STREAM
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1D
DISTURBANCE
DURATION
AMOUNT
PROPOSED
AMOUNT AMOUNT
PROPOSED S PROPOSED AC REMARKS
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55
313
0.007 Exhibit #2
Stream Impact # 1
Te
10
53
0.001
Wetland Impact # 1
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0
1756
0.040 Exhibit #2
WetbndImpact #I
Temporary
0
578
0.013
Wetland Impact #2
Permanent
0
1758
0.040 Exhibit #3
Wetland Impact #2
Temporary
0
426
0.010
TOTAL WETLAND
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0
3,514
0.080
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0.023
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55
313
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13ALLENTINE
ASSOCIATES, PA
221 MMOEMCE ROAD, CHAPEL HLL. N.C. 27514
(919) 929 - 0481 (919) 489 - 4789
SCALE: AS NOTED
DATE: 12 SEP 17
JOB NUMBER: 114064.08
DRAWN BY: Z.H.G.
REVIEWED BY: A.R.S.
EXHIBIT
1

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zI
TO ROCKING
SITE
COUNTY HOME RD
STREAM/WETLAND
IMPACT #1
VICINITY MAP
SCALE: N.T.S.
FINISHED
GRADE
FILL-�
EXISTING
GRADE
TOE OF BANK
MIN 12" COVER
24"
CULVERT TO BE PLACED--/
6" BELOW THE EXISTING
DITCH ELEVATION.
CROSSING SECTION A -A
SCALE: N.T.S.
NOTES:
JURISDIC ONAL �N ` JURISDICTIONAL\
WETLANDS �� STREAM (TYP.)
(TYP.) Io " � \ \
5.5'
8'
SILT FENCE
I I 29 9
29 � \
TEMPO ARY COFFER DAM
WITH PUMP AROUND FG=?96.9"- PROPOSED 24" RCP
(SEE EXHIBIT #4) ` ' 38' CULVERT 44 LF
PROPbSED II20� ±4.54% WITH INVERTS
ISOIL DRIVE ' I ' I PLACED 6" BELOW
' EXISTING GRADE.
FG=296.1NV. IN = 293.9'
INV. OUT = 291.9'
KEYED IN CLASS A
/ RIP RAP APRON '
8'X6'X12" THICK 17 I -,�
0) o
C-) Ju> m 00 m o
2 N
IM
JURISDICTIONAL STREAM/WETLAND IMPACT DISTURBANCE *1
SCALE: 1" = 20'
DRAWING LEGEND
77
PERMANENT JURISDICTIONAL STREAM IMPACT
TEMPORARY JURISDICTIONAL STREAM IMPACT
PERMANENT JURISDICTIONAL WETLAND IMPACT
TEMPORARY JURISDICTIONAL WETLAND IMPACT
SILT FENCE STONE OUTLET
1. JURISDICTIONAL STREAM/WETLAND DELINEATION PROVIDED BY PILOT
ENVIRONMENTAL, INC. JURISDICTIONAL STREAMAETi AND IMPACT #1 SUMMARY:
2. DISTURBANCE AT THE JURISDICTIONAL STREAM CROSSING SHALL BE MINIMIZED AREA OF JURISDICTIONAL WETLAND DISTURBED:
TO THE EXTENT PRACTICABLE FOR INSTALLATION OF THE CULVERT. PERMANENT = 1,756 S F (0,040 AC.)
3. ALL CONSTRUCTION SHALL BE CONDUCTED IN ACCORDANCE WITH NCDEQ TEMPORARY = 578 S F (0,013 AC)
STANDARDS.
AREA OF JURISDICTIONAL STREAM DISTURBED:
4. ALL TEMPORARY EROSION CONTROL MEASURES SHALL BE MAINTAINED IN PERMANENT = 313 S, F. (0.007 A
PROPER WORKING CONDITION THROUGHOUT CONSTRUCTION. TEMPORARY = 53 S F (0,001 AC)
5. INSTALL TEMPORARY SILT FENCE STONE OUTLETS AT LOW POINTS IN SILT FENCE LENGTH OF JURISDICTIONAL STREAM DISTURBED:
AS NECESSARY. PERMANENT = 55'
TEMPORARY = 10'
6. ADDITIONAL EROSION CONTROL MEASURES AND/OR MODIFICATIONS TO PROPOSED
MEASURES MAY BE NECESSARY BASED UPON ACTUAL SITE CONDITIONS.
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BALLENTINE
ASSOCIATES, PA
221 PROVIDENCE ROAD,
(919) 929 - 61
04
CHAPEL NIU, M.C. 27514
(919) 469 - 4789
SCALE:
AS NOTED
DATE:
12 SEP 17
JOB
NUMBER:
114064.08
DRAWN
BY:
Z.H.G.
REVIEWED BY:
A.R.S.
EXHIBIT
2

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WETLAND.._.�-
IMPACT #2—
" JURISDICTIONAL
COUNTY HOME RD WETLANDS (TYP.)
'OCK�NGHAM \ \
TEMPORARY COFFER DAM
Q- ` �/ WITH PUMP AROUND
(SEE EXHIBIT #4)
FINISHED
GRADE
SITE
VICINITY MAP
SCALE: N.T.S.
MIN 12" COVER
*"–FILL
EXISTING
GRADE /
TOE OF BANK–/
CULVERT TO BE PLACED--/
6" BELOW THE EXISTING
DITCH ELEVATION.
CROSSING SECTION A -A
SCALE: N.T.S.
NOTES:
FG=305.0'
---30
SILT FENCE (TYP.)
l\
I \
PROPOSED 24" RCP PROPOSED 20'
CULVERT 88 LF ® SOIL DRIVE
±2.16% WITH INVERTS
PLACED 6" BELOW ------ ----
\ EXISTING GRADE.
INV. IN = 301.9'
�"'—
UE 30"
INV. OUT = 300.0'
�_6E
E \� FG=304.0' 305, 306\
FG=303.8
SFS SF
KEYED IN CLASS—A
RIP RAP APRON
6'X8'X12" THICK
"5F SF� \
24" RCP PIPE \ \ \
1. JURISDICTIONAL STREAM/WETLAND DELINEATION PROVIDED BY PILOT
ENVIRONMENTAL, INC.
2. DISTURBANCE TO JURISDICTIONAL WETLANDS SHALL BE MINIMIZED TO THE
EXTENT PRACTICABLE FOR INSTALLATION OF THE CULVERT.
3. ALL CONSTRUCTION SHALL BE CONDUCTED IN ACCORDANCE WITH NCDEQ
STANDARDS.
4. ALL TEMPORARY EROSION CONTROL MEASURES SHALL BE MAINTAINED IN
PROPER WORKING CONDITION THROUGHOUT CONSTRUCTION.
5. INSTALL TEMPORARY SILT FENCE STONE OUTLETS AT LOW POINTS IN SILT FENCE
AS NECESSARY.
6. ADDITIONAL EROSION CONTROL MEASURES AND/OR MODIFICATIONS TO PROPOSED
MEASURES MAY BE NECESSARY BASED UPON ACTUAL SITE CONDITIONS.
NON—JURISDICTIONAL
\ ` ' STREAM (TYP.)
300- \
JURISDICTIONAL WETLAND IMPACT DISTURBANCE N2
SCALE: 1" = 20'
DRAWING LEGEND
PERMANENT JURISDICTIONAL WETLAND IMPACT
TEMPORARY JURISDICTIONAL WETLAND IMPACT
SILT FENCE STONE OUTLET
AM
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0 10 20
GRAPHIC SCALE
( IN FEET )
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JURISDICTION81-
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DISTUR13ED:
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BALLENTINE
ASSOCIATES, PA
221 PROVIDENCE ROAD,
(919) 929 - 0481
CHAPEL HILL. N.C. 27514
(919) 489 - 4789
SCALE:
AS NOTED
DATE:
12 SEP 17
JOB
NUMBER:
114064.08
DRAWN BY:
Z.H.G.
REVIEWED BY:
A.R.S.
EXHIBIT
3

U
ro
n
PLAIN VIEW
approved
�— dewatering device
�- discharge hoses
dewatering pump
flow
i
sediment dike /
-- pumps should discharge
onto a stable velocity
dissipator made of rip rap
orsandbags
intake hose
clean water dike --,
work area —
length notio exceed
that which can be
completed in one day
SECTION A -A
stream
diversion pumps
P intake
hose
�A-
Flow
sump -hole
—,__-_ter pool
(12' to 18" deep
2' dia.)
Impervious sheeting --_--
base flow + 1 foot
work area p - (2 foot minimum)
oross section of sandbag dke
PUMP AROUND DETAIL
NOTES:
I . PUMP AROUND DIKES SHALL NOT BE SET OUTSIDE OF THE DISTUREBED/IMPACT
LIMITS SHOWN ON THE PLANS.
2 INSTALL PUMP -AROUND DIVERISON AND DEWATER THE CONSTRUCTION ZONE
THROUGH THE DEWATERING DEVICE. THE CONTRACTOR SHALL STAGE THE LIMITS OF
THE PUMP-AROJND FLOW DIVERSION TO DEWATER ONLY THAT SECTION SCHEDULED
FOR THAT DAY'S WORK. AT THE END OF EACH WORK DAY, THE WORK AREA SHALL BE
STABILIZED, THE PUMP AROUND PRACTICE REMOVED, AND THE FLOW RESTORED TO
THE CHANNEL. WORK SHALL BE COMPLETED ONLY DURING FORECAST PERIODS OF
DRY WEATHER,
PLAN VIEW
straw bale dike or berm
__ C_ 1.5 ft
6 -ft (1.8-m) (0.45 m)
minimum
I
6 -ft (2.8-m)
1 minimum
B A
---------- 3- ft ..
0.9 mr i3
A stone outlet
structure
SECTION A -A
1.5 ft
(0.45 m) Y.
__ 2:1
(H:V)
V
flow
+ryPm
+-- filter fabric
-------------
4
__
4 to 6 -in (10 to
15 cm) riprap
SECTION B -B
2 to 3 -ft (0.6 to 0.9-m)
rebar or stakes for
straw bales
6 inches
(15 cm)
minimum
minimum depth
DEWATERING BASIN DETAIL
DITCH RESTORATION NOTES:
1. RESTORE ANY TEMPORARY DISTURBANCE
TO THE DITCH TO ITS PRE -CONSTRUCTION
STATE.
2. PLANTS USED IN THE RESTORATION SHALL
BE OF A NATIVE SPECIES SIMILAR TO THE
PLANTS SURROUNDING THE DISTURBED
AREA.
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BALLENTINE
ASSOCIATES,
PA
221 PROVIDENCE ROAD,
(919) 929 - 0481
CHAPEL HILL, N.C. 27514
(919) 489 - 4789
SCALE:
AS NOTED
DATE:
12 SEP 17
JOB
NUMBER:
114064.08
DRAWN BY:
Z.H.G.
REVIEWED BY:
A.R.S
EXHIBIT
4

United States Department of the Interior
Michael Brame
Pilot Environmental Inc.
PO Box 128
Kernersville, NC 27285
FISH AND WILDLIFE SERVICE
Raleigh ES Field Office
Post Office Box 33726
Raleigh, North Carolina 27636-3726
June 9, 2017
Re: County Home Solar Farm (Additional Area) — Richmond County, NC
Dear Mr. Brame:
This letter is in response to your request for information on your proposed solar project, listed
above. Our comments are submitted pursuant to, and in accordance with, provisions of the
Endangered Species Act (the Act).
Based on the information provided and other information available, it appears that the proposed
action is not likely to adversely affect any federally -listed endangered or threatened species, their
formally designated critical habitat, or species currently proposed for listing under the Act at
these sites. We believe that the requirements of section 7(a)(2) of the Act have been satisfied for
your project. Please remember that obligations under section 7 consultation must be
reconsidered if: (1) new information reveals impacts of this identified action that may affect
listed species or critical habitat in a manner not previously considered; (2) this action is
subsequently modified in a manner that was not considered in this review; or, (3) a new species
is listed or critical habitat determined that may be affected by the identified action.
However, the Service is concerned about the potential impacts the proposed action might have
on aquatic species. Aquatic resources are highly susceptible to sedimentation. Therefore. we
recommend that all practicable measures be taken to avoid adverse impacts to aquatic species,
including implementing directional boring methods and stringent sediment and erosion control
measures. An erosion and sedimentation control plan should be submitted to and approved by
the North Carolina Division of Land Resources, Land Quality Section prior to construction.
Erosion and sedimentation controls should be installed and maintained between the construction
site and any nearby down -gradient surface waters. We recommend maintaining natural,
vegetated buffers on all streams and creeks adjacent to the project site.
In addition, we encourage the use of natural vegetation management practices (such as sheep
grazing) and the planting or seeding of native pollinator plant species where possible on the site.
If you are interested in pursuing these and other efforts to improve habitat for various species
(such as bird houses and bat boxes), please feel free to contact us.

In general, the Service recommends that solar facilities be sited in areas that are previously-
disturbed, or sites that do not impact mature forest, wetlands, or streams. The North Carolina
Wildlife Resources Commission has developed a Guidance Memorandum (a copy can be found
on our website at (http://w°wr%.fws.gov/raleigh) to address and mitigate secondary and
cumulative impacts to aquatic and terrestrial wildlife resources and water quality. We
recommend that you consider this document in the development of your projects and in
completing an initiation package for consultation (if necessary).
The Service has established an on-line project planning and consultation process which assists
developers and consultants in determining whether a federally -listed species or designated
critical habitat may be affected by a proposed project. For future projects, please visit the
Raleigh Field Office's project planning website at haps•//vmw.fws.g_ov/raleigh/pp.html. If you
are only searching for a list of species that may be present in the project's Action Area, then you
may use the Service's Information, Planning, and Consultation System (IPaC) website to
determine if any listed, proposed, or candidate species may be present in the Action Area and
generate a species list. The IPaC website may be viewed at https.//ecos.fws-2ov/ipaci. The
IPaC web site contains a complete and frequently updated list of all endangered and threatened
species protected by the provisions of the Endangered Species Act of 1973, as amended (16
U.S.C. 1531 et seq.)(Act), a list of federal species of concern' that are known to occur in each
county in North Carolina, and other resources.
If you have any questions or comments, please contact Kathy Matthews of this office at (919)
856-4520 ext. 27.
Sincerely,
Pete Benjamin
Field Supervisor
' The term "federal species of concern" refers to those species which the Service believes might be in need of
concentrated conservation actions. Federal species of concern receive no legal protection and their designation does
not necessarily imply that the species will eventually be proposed for listing as a federally endangered or threatened
species. However, we recommend that all practicable measures be taken to avoid or minimize adverse impacts to
federal species of concern.
2

COUNTY: RICHMOND
NORTH CAROLINA STATE CLEARINGHOUSE
DEPARTMENT OF ADMINISTRATION
INTERGOVERNMENTAL REVIEW n
STATE NUMBER: 15-E-4600-0329
DATE RECEIVED: 12/10/2014 J
AGENCY RESPONSE: 01/05/2015 Q
REVIEW CLOSED: 01/09/2015 (�
LL
LL
a
All:ENERGY RELATED
FACILITIES/ACTIVITIES
MS RENEE GLEDHILL•-EARLEY
CLEARINGHOUSE COORDINATOR
DEPT OF CULTURAL RESOURCES
STATE HISTORIC PRESERVATION OFFICE
MSC 4617 - ARCHIVES BUILDING
RALEIGH NC
REVIEW DISTRIBUTION
CC&PS - DIV OF EMERGENCY MANAGEMENT
DENR LEGISLATIVE AFFAIRS
DEPT OF AGRICULTURE
DEPT OF CULTURAL RESOURCES
DEPT OF TRANSPORTATION
LUMBER RIVER COG
PROJECT INFORMATION
APPLICANT: N.C. Department of Commerce
TYPE: State Environmental Policy Act
Environmental Review
Hui
3,
rZ 014
C,kk
DESC: Application of County Home Solar, LLC for Certificate to construct a 4.99 MW
Solar Photovoltaic Electric Generating Facility in Richmond Co. Docket ##SP -4666,
Sub 0. - View document at
http://starwi.ncuc.net/NCUC/portal/ncuc/page/Dockets/portal.aspx, Type SP -4666
Sub 0 in the Docket Number search line.
Located off County Home Road, Rockingham, NC
The attached project has been submitted to the N. C. State Clearinghouse for
intergovernmental review. Please review and submit your response by the above
indicated date to 1301 Mail Service Center, Raleigh NC 27699-1301.
If additional review time is needed, please contact this office at [phone].
AS A RESULT OF THIS REVIEW THE FOLLOWING IS SUBMITTED: T NO COMMENT 7 COMMENTS ATTACHED
SIGNED BY: DATE: Ila Ga a - F
DEC I ? 2014

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW -2015-01260 County: Richmond U.S.G.S. Quad: NC -HAMLET
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner: Jerry Goodman
Mirage Enterprises Inc
361 Ledbetter Road
Rockingham, NC, 28379
Agent: Brad Luckey
Pilot Environmental
PO Box 128
Kernersville, NC 27285
Size (acres) 45 Nearest Town Rockingham
Nearest Waterway South Prong Falling Creels River Basin Lower Pee Dee
USGS HUC 03040201 Coordinates Latitude: 34.9228743133856
Longitude: -79.7256295577256
Location description: Site is located on the south side of Country Home Road (PIN#: 748201379614) in Rockingham,
Richmond County, NC.
Indicate Which of the Following Apply:
A. Preliminary Determination
_ Based on preliminary information, there may be waters of the U.S. including wetlands on the above described project area
. We strongly suggest you have this property inspected to determine the extent of Department of the Army (DA)
jurisdiction. To be considered final, a jurisdictional determination must be verified by the Corps. This preliminary
determination is not an appealable action under the Regulatory Program Administrative Appeal Process (Reference 33
CFR Part 331). If you wish, you may request an approved JD (which may be appealed), by contacting the Corps district
for further instruction. Also, you may provide new information for further consideration by the Corps to reevaluate the
JD.
B. Approved Determination
There are Navigable Waters of the United States within the above described project area subject to the permit requirements
of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law
or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of
this notification.
X There are waters of the U.S, including wetlands on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the waters of the U.S. including wetlands on your project area delineated. Due to the
size of your property and/or our present workload, the Corps may not be able to accomplish this wetland delineation in a
timely manner. For a more timely delineation, you may wish to obtain a consultant. To be considered final, any
delineation must be verified by the Corps.
X_ The waters of the U.S. including wetlands on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years.
Page 1 of 2

_ The waters of the U.S. including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on . Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to
determine their requirements.
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact Brennan Dooley at 910-251-4694 or
Brennan.J.Doolev(a,usace.armv.mil.
C. Basis For Determination: The site exhibits wetland criteria as described in the 1987 Corps Wetland
Delineation Manual and appropriate Regional Supplement. These wetland areas are directly abutting RPWs that are
UTs to South Prong Falline Creek, which flows into Falling Creek, which flows into Hitchcock Creek, which flows into
the Pee Dee River, a TNW. The stream channel in the project area exhibits ordinary high water marks as indicated by
the absence of vegetation in the stream channel and the presence of bed and bank.
D. Remarks:
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request. The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room 10M 15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP.
Should you decide to submit an .RFA form, it must be received at the above address by 10/15/15.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.
r
Corps Regulatory Official:
Date: 08/17/15 Expiration Date: 08/17/20

The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
http://regulatory.usacesurvey.coin/.

SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at http://www.usace.ariny.mii/Missions/CivilWorks/RegulatoiyProgramandPermits.aspx or
Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Jerry Goodman
Mirage Enterprises Inc
File Number: SAW -2015-01260 Date: 08/17/15
Attached is: See Section below
❑
INITIAL PROFFERED PERMIT Standard Permit or Letter ofpermission)
A
❑
PROFFERED PERMIT (Standard Permit or Letter ofpermission)
B
❑
PERMIT DENIAL
C
®
APPROVED JURISDICTIONAL DETERMINATION
D
F11
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at http://www.usace.ariny.mii/Missions/CivilWorks/RegulatoiyProgramandPermits.aspx or
Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division,
Mr. Jason Steele, Administrative Appeal Review Officer
Attn: Brennan Dooley
CESAD-PDO
U.S. Army Corps of Engineers, South Atlantic Division
60 Forsyth Street, Room l OM 15
Atlanta, Georgia 30303-8801
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the o portuni to participate in all site investigations.
Date.
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Brennan Dooley,
For Permit denials, Proffered Permits and approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Jason Steele,
Administrative Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): 08/17/15
B. DISTRICT OFFICE, FILE NAME, AND NUMBER: SAW -2015-01260 (Country Home Road—Norman Bland—Jerry Goodman)
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State:NC County/parish/borough: Richmond City: Rockingham
Center coordinates of site (lat/long in degree decimal format): Lat. 34.92279°)V, Long. -79.72549° W.
Universal Transverse Mercator:
Name of nearest waterbody: South Prong Falling Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Pee Dee River
Name of watershed or Hydrologic Unit Code (HUC): 03040201
® Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
0 Check if other sites (e.g., offsite mitigation sites, disposal sites, etc... ) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
El Office (Desk) Determination. Date:
® Field Determination. Date(s): 7/8/15
SECTION H: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There j4re no "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Are "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): '
TNWs, including territorial seas
Wetlands adjacent to TNWs
® Relatively permanent waterS2 (RPWs) that flow directly or indirectly into TNWs
rj Non-RPWs that flow directly or indirectly into TNWs
® Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
J] Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
❑, Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
[] Impoundments of jurisdictional waters
[] Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non -wetland waters: 9501inear feet: 4width (ft) and/or acres.
Wetlands: 5 acres.
c. Limits (boundaries) of jurisdiction based on::1987 Delineation Manual.
Elevation of established OHWM (if known):
2. Non-regulated watershvetlands (check if applicable):3
Q Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
1 Boxes checked below shall be supported by completing the appropriate sections in Section III below.
2 For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
3 Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section HI.A.1 and Section IH.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent':
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non -navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section IH.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section HI.B.1 for
the tributary, Section HLB.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through Pick List tributaries before entering TNW.
Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Fick List aerial (straight) miles from TNW.
Project waters are Pick List aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNWS:
Tributary stream order, if known:
' Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into INW.

(b) General Tributary Characteristics (check all that apply):
Tributary is: ❑ Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man -altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: Pick List.
Primary tributary substrate composition (check all that apply):
❑ Silts ❑ Sands
❑ Cobbles ❑ Gravel
❑ Bedrock ❑ Vegetation. Type/0/6 cover:
❑ Other. Explain:
❑ Concrete
❑ Muck
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: Pick List
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for: Pick List
Estimate average number of flow events in review area/year: Pick List
Describe flow regime:
Other information on duration and volume:
Surface flow is:.?ickLls . Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed:
Tributary has (check all that apply):
❑ Bed and banks
❑ OHWM6 (check all indicators that apply):
❑ clear, natural line impressed on the bank
❑
the presence of litter and debris
❑ changes in the character of soil
❑
destruction of terrestrial vegetation
❑ shelving
❑
the presence of wrack line
❑ vegetation matted down, bent, or absent
❑
sediment sorting
❑ leaf litter disturbed or washed away
❑
scour
❑ sediment deposition
❑
multiple observed or predicted flow events
❑ water staining
❑
abrupt change in plant community
❑ other (list):
❑ Discontinuous OHWM.7 Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
❑ High Tide Line indicated by: ❑ Mean High Water Mark indicated by:
❑ oil or scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings/characteristics ❑ vegetation lines/changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor. Characteristics (type, average width):
❑ Wetland fringe. Characteristics:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Pick List. Explain:
Surface flow is: Pick List
Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain:
❑ Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) miles from TNW.
Flow is from: Fick List.
Estimate approximate location of wetland as within the Pick Lisf floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width):
❑ Vegetation type/percent cover. Explain:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: 30 (or more)
Approximately ( ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III.D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
E] TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial: Feature SA -1 was observed during a site visit and had an OFIWM, sinuosity, bed and bank, and
intercepted the water table throughout the reach. Feature SA -1 has a significant contributing watershed, and is low enough in
the watershed to be considered perennial.
Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally:

Provide estimates for jurisdictional waters in the review area (check all that apply):
® Tributary waters: 950 linear feet4width (ft).
❑ Other non -wetland waters: acres.
Identify type(s) of waters:
Non-RPWss that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
El Tributary waters: linear feet width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW: There are no barriers between the wetland and the RPW, it is abutting. Surface water
flow was evident between the wetland and RPW.
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section III.13 and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: 5 acres.
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
[( Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a'INW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
❑ Demonstrate that impoundment was created from "waters of the U.S.," or
Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA -STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes.
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
El which are or could be used for industrial purposes by industries in interstate commerce.
Interstate isolated waters. Explain:
"See Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CIVA Act Jurisdiction Following Rapanos.

Other factors. Explain:
Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
El Other non -wetland waters: acres.
Identify type(s) of waters:
Wetlands: acres.
F. NON -JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "S[,VANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
HWaters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
❑ Non -wetland waters (i.e., rivers, streams): linear feet width (ft).
F] Lakes/ponds: acres.
El Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
El Non -wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes/ponds: acres.
�] Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the appl icant/consultant:P i lot Environmental.
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
�] Corps navigable waters' study:
U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name: 1:20000 Hamlet, NC.
® USDA Natural Resources Conservation Service Soil Survey. Citation: Web Soil Survey - Richmond County.
National wetlands inventory map(s). Cite name:USFWS Wetlands Mapper.
® State/Local wetland inventory map(s):
FEMA/FIRM maps:2007.
100 -year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date):Googe Earth 2014.
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
�] Applicable/supporting case law:
Applicable/supporting scientific literature:
Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:

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Drawing 1
USGS Topographic Map
County Home Solar
USGS Topographic Map
Approximate 97 acre Tract
Hamlet, NC Quadrangle
Rockingham, Richmond County,NC
Scale: 1"=2,000' PILOT ENV IRO NMENTAL.INC Pilot Project 1480.4

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WCB
oB
29 72
LEGEND
Pit
Site Boundary
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Web Soil Map
Drawing 2
County Home Solar
USDA Web Soil Survey
of Richmond County NC Approximate 97 Acre Tract
„t�®1'_ Rockingham, Richmond County, NC
Scale: 1 =600 PILOT ENVIRONMENTAL, INC Pilot Project 1480.4

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Drawing 2A
USDA Soil Survey
of Richmond County, NC
Published 1999, Sheet 8
Not to Scale
PI LOT ENV I RONM EN TA I.I NC
LEGEND
Site Boundary f
.ASB
Published Soil Map
County Home Solar
Approximate 97 Acre Tract
Rockingham, Richmond County, NC
Pilot Project 1480.4

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Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 600'
Published Soil Map
County Home Solar
Approximate 97 Acre Tract
Rockingham, Richmond County, NC
Pilot Project 1480.4
. PILOT EN V I RO N M E NTAL, INC
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Published Soil Map
County Home Solar
Approximate 97 Acre Tract
Rockingham, Richmond County, NC
Pilot Project 1480.4

ME
40
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LEGEND
1 f II Site Boundary
1 %Annual Chance Flood Hazard
R egulatory Floodvay
Special Flood"ay
*�' ,^• Area ofUndetermired FloodHazard
+_ 0.21/.Annual Chance Flood Hazard
.� If 'Faure Conditions I%Annual Chance Flood Hazard
IL Ij Are2 with Reduced Risk Due to Levee
Drawing 4 FEMA FIRM
County Home Solar
National Flood Hazard Layer Approximate 97 Acre Tract
From FEMA Web Map Service ..,
_ "� 1.�,.�� Rockingham, Richmond County, NC
Scale: 1"
-1,000 PILOT ENVI RONIV ENTAL,INC Pilot Project 1480.4

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Q DP -1
O DP -2
/WC
Site Boundary
Perennial Stream
Wetlands
DP -1 O Data Point
TRACT A - THE LOCATIONS OF FEATURES SHOWN ON TRACT A WERE PREVIOUSLY VERIFIED BY USACE JD SAW -2015-01260. TRACT A
INCLUDES A SURVEY OF DELINEATED FEATURES.
TRACT B - THE LOCATIONS OF FEATURES SHOWN ON TRACT B WERE FIELD VERIFIED BY MR. DAVID BAILEY WITH THE USACE AND MR. CHAD
TURLINGTON WITH THE NCDEQ-DWR ON 8.8.17. TRACT B INCLUDES A SURVEY OF DELINEATED FEATURES.
TRACT C - THE LOCATIONS OF FEATURES SHOWN ON TRACT C WERE FIELD VERIFIED BY MR. DAVID BAILEY WITH THE USACE AND MR. CHAD
TURLINGTON WITH THE NCDEQ-DWR ON 8.8.17. TRACT C INCLUDES GPS LOCATION OF DELINEATED FEATURES.
Drawing 5
Aerial Imagery from ESRI
and Pilot GPS Data
Scale: 1" = 600'
Date: 8.8.17
P I LOT ENVIRO N M E NTA L. I N C
Wetland Map
County Home Solar
Approximate 97 Acre Tract
Rockingham, Richmond County, NC
Pilot Project 1480.4