20180658 Ver 1_401 Application_20180518

O�OF VV � T �9QG
o ` PAID
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-ConstrucH tion (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: NWP 29 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
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Oxford Ridge Subdivision
2b. County:
Forsyth
2c. Nearest municipality / town:
Kernersville
2d. Subdivision name:
Oxford Ridge
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Gregory Michael CienerVM
3b. Deed Book and Page No.
002254-02293
3c. Responsible Party (for LLC if
applicable):
Greg Ciener M
S
3d. Street address:
P.O. Box 830 P
P
3e. City, state, zip:
Kernersville, NC 27285
3f. Telephone no.:
336.345-3677
3g. Fax no.:
3h. Email address:
[e-mail]
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:
4b. Name:
David Michaels
4c. Business name
(if applicable):
Windsor Investments, LLC
4d. Street address:
P.O. Box 9147
4e. City, state, zip:
Greensboro, NC 27249
4f. Telephone no.:
336 207-8003
4g. Fax no.:
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Michael T. Brame
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4620
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):
6886-29-8387.00 & 6886-39-5400.00
Latitude: 36.133953 Longitude: -
1 b. Site coordinates (in decimal degrees):
80.073348
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
12.5 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Cane Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS -V; Nutrient Sensitive Waters (NSW)
2c. River basin:
Cape Fear
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 wooded land. A paved walking trail crosses the central portion of the site. Structures are not located on
the site. The site is located in a mixed use area of Kemersville, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
0.304 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
361 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a residential sub -division.
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 residential sub -division. The residential subdivision will
contain 33 single family residences and 16 duplexes. In order to develop the site, the site must be graded. Several roads
will be constructed on the site to provide access to the residences. Municipal water and sewer services will be used at
the site. A stormwater pond will be constructed on the southern portion of the site that will treat surface water runoff on
the site. To facilitate development of the site and construction of the proposed stream crossing, clearing and 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 E] No 171 Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
® 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
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
SAW -2018-00396, 4.2.18
S. 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 streamstwetlands, outside of those proposed in this application,
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)
Tem ora
W1 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.033
Hardwood
❑ No
❑DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
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
0.033
2h. Comments: In order to grade the site for the proposed development and create slopes that are safe and can be
maintained it is necessary to permanently impact 0.033 acres (1,448 SF) of wetlands by fill.
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 ®P ❑ T
French Drain/Fill
Unnamed
❑ PER
® INT
® Corps
❑ DWQ
3
81
S2 ®P ❑ T
French Drain/Fill
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
4
49
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑INT
❑ DWQ
S6 ElP ElT
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
130
3i. Comments: In order to grade the site for the proposed development and create slopes that are safe and can be maintained,
it is necessary to fill 130 linear feet of stream channel.
Page 5 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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 ❑ PEI T
03 ❑P❑T
04 ❑P❑T
4E 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
Stormwater
0.24
P2
5f. Total
5g. Comments: A stormwater retention pond is proposed to be constructed on the site. The retention pond will not impact
surface waters or wetlands.
5h. Is a dam high hazard permit required?
❑ Yes ®No If yes, permit ID no:
5i. Expected pond surface area (acres):
0.24
5j. Size of pond watershed (acres):
11
5k. Method of construction:
Excavated in high ground.
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:
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
im act
required?
131 ❑P❑T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑ PEI T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffer impacts are not proposed.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Initially, the applicant had planned to develop the entire site. The stormwater pond was designed to be located on the
southeastern portion of the site, in the area of the site with the lowest elevation. This would have impacted all of the streams
and wetlands on the site. The site was redesigned and the stormwater pond was moved to the west to avoid the streams and
wetlands. Six duplexes were removed from the site development as a result.
In order to develop the site and make the proposed project economically feasible and create slopes that are safe and
maintainable, it is necessary to impact 130 linear feet of stream channel and 0.033 acres of wetland. The majority of the
stream being impacted (81 linear feet) is intermittent. The stream characteridstics and aquatic habitat are poor in this portion
of the stream. The applicant has designed the proposed residential sub -division to avoid impacts to 231 linear feet of
perennial stream and 0.271 acres of wetland.
The residences will utilize municipal sanitary sewer services and has been designed to avoid additional impacts to
jurisdictional features associated with sewer line connection. The sanitary sewer services will connect to existing sewer lines
located within the right of way of Piney Grove Road.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. A stormwater pond will prevent sediment from being discharged
into down -gradient streams or wetlands.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

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).
6h. Comments:
Page 8 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
la. 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:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
38.7%
2b. Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
A Stormwater Management Plan is required. A pond is being constructed to treat approximately 11 acres of surface
water runoff. The pond is being constructed in high ground.
® 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?
Kemersville
® Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
EI 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
❑ HOW
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
❑ Yes ❑ 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 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. 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)?
1c. 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: A NEPA or SEPA is not required as part of this project.
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.
The residences will utilize municipal sanitary sewer services and has been designed to avoid impacts to jurisdictional
features associated with sewer line connection. The sanitary sewer services will connect to existing sewer lines located within
the right-of-way of Piney Grove Road. The sewer lines will not impact additional surface waters or wetlands.
Page 10 of 12
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 ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El 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?
Pilot consulted the USFWS List of Protected Species for Forysth County. The USFWS identifies the following protected
species in Forsyth County: bog turtle (T=S/A), NLEB (T) and small anthered bittercress (E). The site is not located within
1/4 mile of known NLEB hibemacula or 15OLF of known NLEB summer roost tree. Therefore, the applicant will rely on
the final f(d) rule for NLEB. Based on our observations, suitable habitat for bog turtle and small anthtered bittercress is
not located on the site.
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?
According to the NC SHPO Historic Properties website (Drawing 1), eligible or listed resources are not located within the
proposed project area.
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 FIRMS 3710688600J,
Effective 1.2.2009 (Drawing 2)
Digitally
Michael DNcnMlchael Brame,i� Broome
Environmental, ou,
Michael T. Brame
email=[e-mail],
5.11.18
Brame n=U5
Applicant/Agent's Printed Name
Harp• 7m n or r i i n•n•ns 4U-pp
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

Proposal for Environmental Services
Pilot Proposal 3295
December 14, 2017
AGENT AUTHORIZATION
This form authorizes Pilot 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. PD
Property Address: 7b (� 5 i�l'IJ" 60 -OV C A-14 r
RID&C .
Owner Information:
Address:
Telephone Number:
Fax Number:
E-mail Address:
Cl 4J"2
vilIe. P& �7�S�
3,5&-- 3�W-3177
i7CZ e -MAD -u_ _ C -MA
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described forthe purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
-'DivtD Ktc.rlfl-IF,t CPN
Print Name
Capacity: —Owner Zthorized Agent
12- 1 I 't 11-7

Proposol far Environmental Services
Pilot Proposal 3295.1
April 9, 2018
AGENT AUTHORIZATION
This form authorizes Pilot 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: c7V_M"'F7- wo J_ e vL'uhi 147
Owner Information:
Address: PQ F3DK `33J
Telephone Number: —346.— S to` l q
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Gem c'r u7N C -
Print Name
Capacity: % Owner Authorized Agent
1+ g �
Date
Signature
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PROPERTY INFORMATION
OWNER:: WINDSOR INVESTMENT, INC
5603 NEW GARDEN VILLAGE DR.
GREENSBORO, NC 27410
PHONE: [phone]
PARCEL ID NUMBER(PIN):
6886-29-8387 & 6886-39-5400
EXISTING ZONING: RSQ—S
EXISTING USE: VACANT
PROPOSED USE:
"RESIDENTIAL BUILDING, SINGLE FAMILY"
AND "RESIDENTIAL BUILDING, TWIN HOMES"
PROPOSED NUMBER OF LOTS:
33 SINGLE FAMILY—DETACHED
16 SINGLE FAMILY—ATTACHED
49 TOTAL UNITS
I LEV.1 4 ELEV:1003 LEV:1 2 ELEV:1 1 II \ IIj \ ~1--:------:::...
�"�• i I v o o . .; . \ 1 I SOILS: VoB; CcB; Wh
i �&v
I �� MON \ '"" `� WATERSHED: EAST BELEWS CREEK
/
I 1 I I�r I\ z
1 �_---_ --- -II/� I i IJ I / a
J
w it J IJ ' I
I
OVERALL SITE MAP
X'
FOR
I 'I ►1 v ` III i I I �` '; �� ' I' /
\. I j i► I Ir I i r j I ti OXFORD RIDGE
BETHANIA TOWNSHIP FORSYTH COUNTY
STREAM AND WETLAND KERNERSVILLE, NORTH CAROLINA
IMPACTS, SEE MAP 2 MAY 10, 2018
GRAPHIC SCALE
100 0 50 100 200 400
( IN FEET )
1 inch = 100 ft.
DWG: H:\DRAW1NGS\Windsor\PINEY GROVE\DRAWINGS \Oxford—Ridge—Stream—Impact-05—O8-18.dwg

�BROWN RD.
� � \ � .
1 , RjbpE
i \ UN1jYLNSITE
oxFoRo1 \
PUBLIC) COURTC1 \
I
\ N r
W. BODENHAMER S d
V --V
I �
MAP
.01 � \� 'NELSON ST.
PROPERTY INFORMATION
9
OWNER:: WINDSOR INVESTMENT, INC
9 \ i 5603 NEW GARDEN VILLAGE DR.
GREENSBORO, NC 27410
PHONE: [phone]
PARCEL ID NUMBER(PIN):
\\ N \ \\ / / \ ^ Q 6886-29-8387 & 6886-39-5400
EXISTING ZONING: RSQ—S
EXISTING USE: VACANT
�>� `\ , PROPOSED USE:
"RESIDENTIAL BUILDING, SINGLE FAMILY"
AND "RESIDENTIAL BUILDING, TWIN HOMES"
INTERMITTENT STREAM PROPOSED NUMBER OF LOTS:
1 33 SINGLE FAMILY—DETACHED
I I S1 IMPACT = 81 LF 16 SINGLE FAMILY—ATTACHED
49 TOTAL UNITS
END INTERMITTENT
i � I I �\ � � SOILS: VaB; Cc6; Wh
STREAM, BEGIN I WATERSHED: EAST BELEWS CREEK
/ PERENNIAL STREAM. / / I FRENCH DRAIN (SEE
/ , , I I DETAIL) TO BE INSTALLED
�___ -I �/ _ I I i I IN INTERMITTENT AND STREAM BE
PERENNIAL STREAM BED
1 - ' THAT IS TO BE FILLED
11 ` ,FRENCH DRAIN IN STREAM BED
f I ; �` •�. r• (4" PERFORATED PVC TO BE
WRAPPED IN 6" CLEAN STONE W/
FILTER FABRIC CLOTH)
PERENNIAL STREAM
/ — �� I
\
IMPACT = 49 LF
\
lj�S
' I
\
STREAM IMPACT MAP
�
�\ FOR
\ OXFORD RIDGE
WETLANDS IMPACT = - Z
�
\ BETHANIA TOWNSHIP FORSYTH COUNTY
- _ c�
1448 SF = 0.033 AC 'I
KERNERSVILLE, NORTH CAROLINA
EI TI - r 2�
`� ��
GRAPHIC SCALE MAY 10, 2018
WETLANDS
RIP RAP PAD
9 �� \
20 0 10 20 40 ao
W=14'
Thickness=1.2'
�- \
"B"
`�
``
( IN FEET )
- - - • - - - CLASS STONE
- •� \-
- - - •� - - D50=6"
1 inch = 20 ft.
�-
DWG: H: \DRAWINGS\win dsor\PINEY GROVE \DRAWIN GS\Oxford— Ridge— Stream —Impact-05-08-18.dwg

v
ilk'
LEGEND
�•vSite Boundary
�1Annual Chance Flood Hazard
Regulatory Floodway
{ , �SpeaalFlood�+ray
Area of Undetermined Flood Hazard
0.'4%Annual Chance Flood Hazard
`Future Conditions 1V.Annual Chance Flood Hazard
/A Area with Reduced Risk Due to Levee
Drawing 2 FEMA FIRM
National Flood Hazard Layer " � Oxford Ridge
Approximate 12.5 Acre Tract
Scale: 1 = 400�
From FEMA Web Map Service Kernersville, Forsyth County, NC
�'
P I LOT ENVI RON M ENTAL . I N C Pilot Project 3295

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW -2018-00396 County: Forsyth U.S.G.S. Quad: NC-Belews Creek
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner: Windsor Homes
David Michaels
Address: 5603 New Garden Villaae Drive
Greensboro, NC 27410
Telephone Number: 336-207-8003
E-mail: dmichaelsna,windsorinvestments.com
Size (acres) 12.5 Nearest Town Kernersville
Nearest Waterway East Belews Creek River Basin Roanoke
USGS HUC 03010103 Coordinates Latitude: 36.134017
Longitude: -80.073534
Location description: The review area is located on the south side of Brown Road, approximately 0.1 miles west of the
intersection of Brown Road and Piney Grove Road. PINs: 6886-29-8387 and 6886-39-7453. Reference review area description
shown in Jurisdictional Determination Packaee entitled "Drawing 5 Wetland Map" and Printed Date of 12/21/2017.
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters including wetlands, on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters including wetlands, have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. The approximate boundaries of these waters are shown on the enclosed delineation map dated 12/21/2017. Therefore
this preliminary jurisdiction determination may be used in the permit evaluation process, including determining compensatory
mitigation. For purposes of computation of impacts, compensatory mitigation requirements, and other resource protection
measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that would be affected in any
way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may
request an approved JD, which is an appealable action, by contacting the Corps district for further instruction.
❑ There appear to be waters including wetlands, on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403).
However, since the waters including wetlands, have not been properly delineated, this preliminary jurisdiction determination
may not be used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is
merely an effective presumption of CWA/RHA jurisdiction over all of the waters including wetlands, at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters
including wetlands, on your project area/property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waters including wetlands, on the above described project area/property 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 recommend you have the waters including wetlands, on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.

SAW -2018-00396
❑ The waters including wetlands, on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated MAP DATE. If you
wish to have the delineation surveyed, the Corps can review and verify the survey upon completion. Once verified, this survey
will provide an accurate depiction of all areas subject to CWA and/or RHA 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.
❑ The waters including wetlands, have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below on SURVEY SIGNED DATE. 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/property 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, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Bryan Roden -Reynolds at 704-510-1440 or
bryan.roden-reynolds(&usace.army.mil.
C. Basis For Determination: Basis For Determination: See the preliminary jurisdictional determination
form dated 04/02/2018.
D. Remarks: None.
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 1OM15
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 Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
RODEN REYNOLDS.BRYAN.KENNETH.1263385574�'Ypµ`'�'��a��3
Corps Regulatory Official:
Date of JD: 04/02/2018 Expiration Date of JD: Not applicable

SAW -2018-00396
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.anny.mil/cm—apex/Vp=l 36:4:0
Copy furnished:
Agent:
Pilot Environmental, Inc.
Michael Brame
Address:
P.O. Box 128
Kernersville, NC 27284
Telephone Number:
336-310-4527
E-mail:
mbrameAyilotenviro.com

SAW -2018-00396
NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Windsor Homes David Michaels File Number: SAW -2018-00396 Date: 3/29/2018
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
MI 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 or hqp://www.usace.artny.mil/Missions/CivilWorks/Reg.ulatoryProgramandPerm.its.as x
or the 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.

SAW -2018-00396
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: Bryan Roden -Reynolds
CESAD-PDO
Asheville Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 1OM15
151 Patton Avenue, Room 208
Atlanta, Georgia 30303-8801
Asheville, North Carolina 28801
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 opportuni to participate in all site investiations.
Date:
Telephone number:
Signature of appellant oragent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Bryan Roden -Reynolds, 69 Darlington Avenue, Wilmington, North
Carolina 28403
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]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 3/29/2018
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Windsor Homes, David, Michaels, 5603 New Garden
Village Drive, Greensboro, NC, 27410
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Oxford Ridge Subdivision, SAW -
2018 -00396
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The review area is located on the south side
of Brown Road, approximately 0.1 miles west of the intersection of Brown Road and Piney Grove Road. PlNs: 6886-29-
8387 and 6886-39-7453. Reference review area description shown in Jurisdictional Determination Package entitled
"Drawing 5 Wetland Map" and Printed Date of 12/21/2017.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Forsyth City: Kernersville
Center coordinates of site (lat/long in degree decimal format): Latitude: 36.134017 Longitude: -80.073534
Universal Transverse Mercator:
Name of nearest waterbody: East Belews Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
® Field Determination. Date(s): 10/17/2017
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Estimated amount of
Geographic authority to
Type of aquatic
aquatic resources in
which the aquatic resource
Latitude (decimal
Longitude (decimal
resources (i.e.,
Site Number
review area (acreage
"may be" subject (i.e.,
degrees)
degrees)
wetland vs. non -
and linear feet, if
Section 404 or Section
applicable
wetland waters)
10/404)
Stream SA
36.133598
-80.071921
390 linear feet
Non -wetland
404
Stream
36.133418
-80.071876
85 linear feet
Non -wetland
404
SAA
Wetland
36.133659
-80.072169
0.35 acres
Wetland
404
WA

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review
area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an
approved JD (AJD) for that review area based on an informed decision after having discussed the
various types of JDs and their characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General
Permit (NWP) or other general permit verification requiring "pre- construction notification" (PCN), or
requests verification for a non -reporting NWP or other general permit, and the permit applicant has
not requested an AJD for the activity, the permit applicant is hereby made aware that: (1) the permit
applicant has elected to seek a permit authorization based on a PJD, which does not make an official
determination of jurisdictional aquatic resources; (2) the applicant has the option to request an AJD
before accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being required or
different special conditions; (3) the applicant has the right to request an individual permit rather than
accepting the terms and conditions of the NWP or other general permit authorization; (4) the applicant
can accept a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without requesting an AJD
constitutes the applicant's acceptance of the use of the PJD; (6) accepting a permit authorization (e.g.,
signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a PJD constitutes agreement that all aquatic resources in the review area
affected in any way by that activity will be treated as jurisdictional, and waives any challenge to such
jurisdiction in any administrative or judicial compliance or enforcement action, or in any
administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD
or a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered individual
permit (and all terms and conditions contained therein), or individual permit denial can be
administratively appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic jurisdiction exists over
aquatic resources in the review area, or to provide an official delineation of jurisdictional aquatic
resources in the review area, the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in the
review area that could be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Parcel Map (ID 6886-29-8387) and Parcel Map (ID 6886-39-5400)
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ 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: Drawing 1 USGS Topographic May, 1"=2.000' Belews
Creek and Kernersville
® Natural Resources Conservation Service Soil Survey. Citation: Drawing 2 Web Soil May, Soil Survey of Forsyth
County and Drawing 2A Published Soil May, Soil Survey of Forsyth County, Sheet 26 Dated 1976
® National wetlands inventory map(s). Cite name: Drawing 3 NWI Man, USFWS NWI Mapper
❑ State/local wetland inventory map(s):
® FEMA/FIRM maps: Drawing 4 FEMA FIRM, FIRM No. 3710688600J Dated 01/02/2009
❑ 100 -year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): Drawing 5 Wetland May, Aerial Imagery from ESRI
or ❑Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corps and should not be relied upon for later jurisdictional determinations.
RO D E N Digitally signed by RODEN
REYNOLDS.BRYAN.KEN NETH.1263385574
REYNOLDS.BRYAN.KE ou=PK1`,,ou= SA,cnVRODENt,ou=DoD,
NNETH.1263385574 REYNOLDS.BRYAN.KENNETH.1263385574
Date: 2018.03.29 15:21:39 -04'00'
Signature and date of Regulatory
staff member completing PJD
04/02/2018
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an
action.

LEGEND
Site Boundary
...... Intermittent Stream
Olt Perennial Stream
Wetlands
ISA 1-5
11115 LF
r
WA 1-29
(WA 18-20 Removed) SA 1-22
0.35 Ac. 4� 275 LF
DP -1 0
DP -2 0
SAA 1-3 /►k`�
85LF
FLAG NUMBERS/INFO
WETLAND FLAGS =
STREAM FLAGS =
Stream Flags = 17
Wetland Flags = 26
DP -1 9 Data Point . td Total Flags = 43
THE LOCATIONS OF WETLANDS SHOWN ON THIS MAP ARE PRELIMINARY AND APPROXIMATE. THEY WERE VERIFIED BY THE USACE ON
MARCH 28, 2018. THEY HAVE NOT BEEN SURVEYED OR GEOLOCATED.
Drawing 5
Aerial Imagery from ESRI
and Pilot Field Notes
Scale: 1" = 200'
Date: 2.15.18
P 1 L O T E N V R O N M E N T A L I N C
Wetland Map
Oxford Ridge
Approximate 12.5 Acre Tract
Kernersville, Forsyth County, NC
Pilot Project 3295