20180735 Ver 1_401 Application_20180518

00_ INA r�_q c
1 ILJ_W�.7�➢
a
201 80735
Office Use Only:
Corps action ID no.
DWQ project no.
Form Versio _1.J91c,0 2008
Pre -Construction Notification PCN For
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:
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d. 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 1h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Byers Ridge
2b. County:
Guilford
2c. Nearest municipality / town:
Greensboro
2d. Subdivision name:
Byers Ridge
2e. NCDOT only, T.I.P. or state
project no:
Q
3. Owner Information
3a. Name(s) on Recorded Deed:
Sykes & Sykes Greensboro, LLC
3b. Deed Book and Page No.
007987/01653
3c. Responsible Party (for LLC if
applicable):
Arnold Sykes
3d. Street address:
621 Eugene Street, Suite 100
3e. City, state, zip:
Greensboro, NC 27401
3f. Telephone no.:
336.708-2619
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:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
S. 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):
7877404223, 7877404061 & eastern portion of
7877309196
Latitude: 36.138368 Longitude: -
1 b. Site coordinates (in decimal degrees):
79.763874
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
5.08 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Jorden Branch
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:
Two single family residences and associated out-buildings are located on the eastern portion of the site. The remainder
of the site contains mowed areas and wooded land. The site is located within a residential area of Greensboro.
3b. List the total estimated acreage of all existing wetlands on the property:
0.25 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
63 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a 22 lot 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 22 lot single family residential sub-division. In order to
construct the subdivision, it is necessary to extend Chapel Ridge Drive across the site. Chapel Ridge Drive has been
constructed south of the site and is proposed to connect to the termination point located north of the site. In order to
construct Chapel Ridge Drive across the site a wetland crossing is necessary. A small wetland would remain on the east
side of the proposed road. However, due to the road slopes and slopes from grading adjoining lots, it is necessary to fill
the wetland as it would be a safety hazard and a maintenance issue. Therefore, it is being considered a loss and being
used for a residential lot. 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 ❑ No ❑ Unknown
project (including all prior phases) in the past.
Comments: Site Visit - September 20, 2016
4b. If the Corps made the jurisdictional determination, what type
®Preliminary El 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.
January 25, 2017 - David Bailey/USACE, October 17, 2016 - Sue Homewood/NCDEQ-DWR
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
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)
Temporary T
W1 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.2
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 [:1 P ❑ T
❑ Yes
ElCorps
E]No
❑ DWQ
2g. Total wetland impacts
0.2
2h. Comments: The proposed road crossing will permanently impact 0.2 acres (10,745 SF) of wetlands associated with fill for
the proposed road crossing.
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
❑ PER
❑ Corps
❑ INT
❑ DWQ
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
3i. Comments: Impacts to the stream and associated buffers are not proposed.
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.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number -
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑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.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments: A stormwater retention pond is proposed to be constructed. The initial plan was to construct it in the location
of the stream and wetlands on the western portion of the site. In order to avoid impacts to the stream and wetlands, Sykes
and Sykes purchased an area from an adjoining property owner. Pilot observed the proposed location of the retention pond
and determined that it 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):
-0.15
5j. Size of pond watershed (acres):
-4.2
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: Jordan
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 T
impact
re wired?
131 ❑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.
The applicant has designed the proposed residential sub -division to avoid impacts to the stream, riparian buffers and .05
acres of wetlands on the site. Initial site design plans included one additional residential lot and a stormwater pond. The
applicant has reduced the proposed residential sub -division by one lot and acquired additional land to accommodate a
stormwater pond to avoid impacts to these features, avoiding impacts to 63 linear feet of intermittent stream, the associated
buffer and 0.05 acres of wetland.
The residences will utilize municipal sanitary sewer services and has been designed to avoid impact 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 Byers Ridge Drive.
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
®Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: Cripple Creek Stream and Wetland Mitigation Bank
3b. Credits Purchased (attach receipt and letter)
Type Wetland
Quantity 0.13/0.27
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments: Private Bank only has 0.13 acres available.
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
® Yes
4b. Stream mitigation requested:
0 linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
0 square feet
4e. Riparian wetland mitigation requested:
0.4 acres
4f. Non -riparian wetland mitigation requested:
0 acres
4g. Coastal (tidal) wetland mitigation requested:
0 acres
4h. Comments: We reserved 0.4 acres (2:1) of riparian wetland credits in case private bank sales credits to someone else
before obtaining a permit.
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: Buffer impacts are not proposed.
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
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: Buffers are not being impacted by the proposed project.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
54%
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:
Based on the density, a Stormwater Management Plan is required. A pond is being constructed to treat approximately
4.2 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?
Greensboro
® 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
❑ 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)
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: 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 26 .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 impact 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 Byers Ridge Drive. 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?
❑ 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 Guilford County. The USFWS identifies the following protected
species in Guilford County: bald eagle and small whorled pogonia. Based on our site observations, large water bodies
capable of supporting the bald eagle are not present on the site. Therefore the proposed project is not likely to disturb
the bald eagle. Based on our observations, suitable habitat is not present on the site for small whorled pogonia.
Therefore, we have made the determination that the proposed project will have no effect on this species.
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 (attached), 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 3710787700J & 3710787600J
Effective 6.18.07 (Drawing 4)
Michael Digitally signed by Michael Brame
DN: cn=Michael Brame, o=Pilot
Michael T. BrameBrame
Environmental, ou,
email=[e-mail], c --US
5.23.18
Date: 2018.05.2311:03:45 -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 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

aer..r
rrer
aurr.rn.rr aae - t,
Iffr
wa
.��4

Sykes & Sykes has purchased the eastern portion of this lot for the stormwater pond. The new parcel
does not show up in GIS yet.
� ,.. <�x9i<011t0+4RxC Y.aw ms'K Cam. C-�a� E•rcr. cmc.. ..i .. .... Pe �.-.e .i.nrory - vamn. eAA,«uc � a} e+J•� k'M a.+. Q•
IOanllty Map OIB C t3
Wa1Mla Owee fwcA weaM fbw vaw Cewruery cue aly llwn Pna
t
NOLS T. JEROME
2000 GLENSIDE OR
rwNfiMm.REwn saiS_. ►a+ a v. �Iry �.�. -' y$ '" +� i
Taa_/�pr�Nu1 Mlprlu4�pn
TAX Skin
Mdy i.EMs i1bN4lLPM1pfu e1 ' a . a +e� 'i � �^
REID 0045935
PIN 7917509196
Nhflory ! ~
Owner HOLST. JEROME
Mail Add— 2000 GLENSIDE DR $ ''
Malt CNy GREENSBORO
Marl State NC �n w
Man Zip 27405 ^
Properly 2000 GLENSIDE OR :~
Legal 0.91AC C P982-14
Description GLENSIDE ACRE -
Dead 11 ilf
Pial 11J14
l
Condo
4
Total Assessed 81100
Total Building 65100 ai
Value
Tolal Out 0
Building Value
Total Land 16000AY'• $"1v. h _ a. AL�-
r

I -17M
1')VdW1
aNVIAM
stuu,a.s
am YC AMi %va
ow 'JA wf w
1.0.4 CVW 11'NOW
WW -WL llow
COW "WOW9 Hiwm
axa wise on
,7 oP10mmm910 5�J�S ! S3AA4
�aeanae.a
3
,� �11SKWI
09KLb£" 9
WI Gd
WON! :s LZ(z C7"U81 'NId
70
rn
ymr affu d
No151)\Icar7
rn
�
99a2113dVH)
9196'9910L8 N
9-tim
A �
O
o%rgxwij 3
19ti6'9ZZOL9 N
s -cpm
SOL6amij 3
901rti1001.8 N i - 94m
rn
909=9 N
C'R
A c
99b'90OL9 N
94mm
0 0
70
d
70
Z
v'
—
U�
6i—+
980b IftUl 3
699:9.ZOL8 N
Z -4m
–
c7
9-m
940'0146W 3
9ZIrmL9 N
rn
O
Cr
oTd
9T69£ZZ4UI 3
£9ZL'W %g N I - 4Z -cm
0
70
�m
LZbO4LZ" 3
z 70
—
48164ZZVW 3
a o
�
£44EbZ44W 3
1Z9241Z0L8 N
01 -cm
r,
gEb'b50OL9 N
OFA
L991.'gZ4Ul 3
414ZF4OL9 N
9-0m
z
I2cX%I0L8 N
b -c+
9Z£4'IZ£4W 9
apw-ueoq-r 4'.M
611f'5U-%f;RI IG9PSLi: 9f{ "•Wd
i8B1 ViYi! jN'�q+K) Z981i •oa OldIli!'IOLZ'001>E's ')-.%I Ii9
•y•d'sairpossy pup apEM'mnaog
sJu.tan GaS
5l,lUutld
U3 VAS
siaauO�8u3 a
.001 - J I ,
I ,
.00� 100G r001 .001 10G 0 _ _ -{- — ( •
r� \
I i l LZ9ebb£9L9L ?Ua ZL '9d go 9a I
1 I 96b9K0 ... I m1ww15'W Yaw I
9L
Z1.
(1i1doRAW N900,
r���-11/W 9>�991
OSStb6�LB1 111d Z, }
a319bdWi:10 - 3� £9- WV321151N3LLIW2131NI QS9 a3a -- R717r1 I a
a319VdWl 9V OZ'0 - 3S QI9'Q 9V SZ'O - =IG Si�LbI - aNVl13M rl
.KsyWW(ls igvdWl QNB lam
'V'd ''05Sd ONV WW 'Wf12i09 Jl9 09..,- 21f15 x1313 ONV '9NI r
1V1N3WNONIAN31NOWai3d J.9 910Z '9Z 1639 NO 2V(3 -0369N aNV
SdSO9 3141 J.9 Q31AIS=-LA ONV Q1313 9141 NI 6399V13 SaNV113M
'9V QO'S 'V3?JV 1V101 �� I aWA 331 AN
1000Z< °J.VM00013 Ol '1SIa 09-4+%% °Nkl
Zb£9600 °a3a
VM 'a�3LVM
(IL119) 5-21 :%INOZ 1 _
Q£Z0 '9d QQb£ 9a 1 L99'9d £9LZ Gla
G91'98 LgbL 90 PLV 9b0I '9d OOQL 90 '3%3d3338 a33a aWA'S yNGAyl
£lli� U9L PLV190bOKLQL 'NId %00LA
10002 =.I '31V99 Ib£9b00 'a3a
d VW J• 1 1 N 7 I 'd 1 �d Q 1 15 z9' 0 KIW&WS -
--��---
r
� E
r �
r �
1
r
a
L
a 311 Z-�
I-�
I;
I-�
190b06U8L 'NId
INN"
c�V111 A�<
"�-...__... I
SkN �.�ze9d I I I
3aISIG19 I I
I I I
I986 '9d 9W 9a 999 '9d oza 9a K M
11'dObd 3ALLN(p 96M319�E/t I 411W5 Lum I I
1210V,11o0a�NWI Ib£bOaM :NId 19L£b%aa "d I \ \\
t£b93a gwo :(Q3a I Z£Kwo :61111 I I \ \
d3m91x NIM38 Ol _ \
Ny1AS INIU ?MI I —
r-mm
,� �11SKWI
09KLb£" 9
WI Gd
WON! :s LZ(z C7"U81 'NId
LZ 1 9Z 'SZ 5101
ymr affu d
No151)\Icar7
91�F-
99a2113dVH)
9196'9910L8 N
9-tim
91 rR
01 -OM
S £-Z rM 1.3345 335 Z£EZO '9d Q 9a
i '7d Oro - 35 8198 9019IM 134 1 (9I �V�M J/�6 j1Ny91�105 '15D(3 —
(MINCHb£Sb606UB1 °Nld I 3 �IG7� —
nM ���34a L9911Z00 'QI3b I g9q
N -�, � tQ1,C^ �-
t. I
1irb01 f'LOS,y1.£OS
� � I
SZI '9d b919d
lJOUIVM P11?99021 I
OZ£90iU91 °NId t c� uoR.n
1
—bS£LI .£OS qAW
—w— °
. � M �-, dJtiv _ -.,
,bNO)s53jo a'0�,�' axMcr615
ozirLz
'7N'Oe�J
001 '815'1) awbg Iz9
epem •S JPA"
ISL£ -1 'ON UOlan�1s16q
... _ P fbp wz� sm Pelmex3
'4102 'LZ 196d pam pw yd 'set xsw pw ww w a9 rq FeA m pLuIrm
o WO -14 ue sl X11014 1M 'dll S�Nlloay0 503 F1 plel! 8414
PkEg4 w wgleM 199"1ep 841 MOW 01 `� betiX.s spa 10 asodnd 841 '1sIXe NIDM)v W045
sa�tvlsp7sasno�uolln.wot4 etp PLV 8 PA pw ptwfD an tad^ epnw Nivm-m WN
WIN wdwj - dvw w)li—yT17ff34VT1W RVW sw fiq Pe. xl6lid 6&m x4110914W Fq" I
09KLb£" 9
T99'9moL8 N
ii -M
999reb£6W 3
9196'9910L8 N
9-tim
o%rgxwij 3
19ti6'9ZZOL9 N
s -cpm
SOL6amij 3
901rti1001.8 N i - 94m
ZbOb'98£4W 3
909=9 N
HIN
L66S£ZZKl 3
99b'90OL9 N
94mm
WK6 W 3
0G9LlAl-9 N
C - <P
b96£9901113
RKK00L9 N
6i—+
980b IftUl 3
699:9.ZOL8 N
Z -4m
"O.CDUI 9
48£91£-0018 N
9-m
940'0146W 3
9ZIrmL9 N
F(Fm
b19OFfZ4w 3
9b9'£400L9 N
a,"
9T69£ZZ4UI 3
£9ZL'W %g N I - 4Z -cm
M99OW 3
%9MOL9 N
11 -cm
LZbO4LZ" 3
9982460018 N
II -m
48164ZZVW 3
9999M9 N
4Z -Um
£44EbZ44W 3
1Z9241Z0L8 N
01 -cm
b9 110W 9
gEb'b50OL9 N
OFA
L991.'gZ4Ul 3
414ZF4OL9 N
9-0m
424b£44W 3
I2cX%I0L8 N
b -c+
9Z£4'IZ£4W 9
0629190019 N
b -mm
Z0699L0W 3
b989M%Q N
ZZ-+
Lb02b£44U13
0£gOL1019 N
8-()m
406016£4113
L99O9800a9 N
9 -mm
S9££'9bZ4W 3
4902190019 N
ii-om
949'4£46UI 3
Z449L£101.8 N
L -cm
b££999£4W 3
Lavg900L9 N
L -m
6015 Z W 3 69021f U N l- 5-009
$9991£4W 3
ZIL9Z900L9 N
OZOM
1£99b£44W 9
19£80101.8 N
94)M
bl9b'8L£4W 3
160V"L9 N
9-WM
1966'OlrOW 3 b99r£400L9 N 9 -OR
I£9 92RUI 9
9WIb0OL9 N
bl-cm
Wk NOW 9
9Q 10100 N
9 -cm
Zb gK+Ul 3
b£449010L9 N
G -m
£994b6Z" 3 L080140018 N 4-1
19KZ%" 3
ML Lb0i019 N
91-+m
9;91'£B44W 3
ISZ9'OWOW N
4-m
LWkZti6W 3
WU'Ob00L9 N
4-O+
4zg'mw 3 bIi20900L8 N £-oi
4Z06'U£4W 3
1968'lAaq N
LIQ
19060091W 3
92SZ'Zb00L8 N
£-Ow
b9 940W 3
4Z979900L9 N
£-cm
Wna" 3 I£9OL400L8 N Z-Oq
901-£9i£4W 9
£Z92b110L8 N
91 -Om
L904'4194W 3
Z£bL KWL8 N
Z-vm
£99 O*W 9
b9b69900L9 N
&M
WK91[0111 3 94Lb WOW N I-Oq
09106+W 3
99YOf;101.9 N
9 -um
S00 KVW 3
S9.b'6900L8 N
I-vm
Li9l'Z0S6W 9
O6ZL'K001.8 N
I"
Im F1ISDR 1Wa
-imHl?1Zf
11Wd
IM
FFEWR
W -d
I5a3
91WR
IRM
919V131VNIa?J009
319V131VNIMD09
WV3211S 1N3LLIW281NI
Y=TSV dNVl.lam
. � M �-, dJtiv _ -.,
,bNO)s53jo a'0�,�' axMcr615
ozirLz
'7N'Oe�J
001 '815'1) awbg Iz9
epem •S JPA"
ISL£ -1 'ON UOlan�1s16q
... _ P fbp wz� sm Pelmex3
'4102 'LZ 196d pam pw yd 'set xsw pw ww w a9 rq FeA m pLuIrm
o WO -14 ue sl X11014 1M 'dll S�Nlloay0 503 F1 plel! 8414
PkEg4 w wgleM 199"1ep 841 MOW 01 `� betiX.s spa 10 asodnd 841 '1sIXe NIDM)v W045
sa�tvlsp7sasno�uolln.wot4 etp PLV 8 PA pw ptwfD an tad^ epnw Nivm-m WN
WIN wdwj - dvw w)li—yT17ff34VT1W RVW sw fiq Pe. xl6lid 6&m x4110914W Fq" I

smsffms
N 810091.4091
E 614318115H
w
wa-6
N 8101083151
WETLAND AREA
ma -20
N 8100825/12
E 6743185591
mm -1
N 810088.4121
E 6143668339
ma -1
N 810313442
COORDINATE TABLE
wa-21
H 8100812064
E 17142963365
I her that the sury me entitled ►^L W DELINEATION MAP - (MIM RID6E - PH. 5
�y y � Pn'ePa'� �!
PDINT
fJORlli
E651
ME
NORTH
fA�T
P_QIN!
NORTH
EL5I
rlcl, actually made upon the ground and that t and the lnfa rdloncoursesAstarczs
stare actually exist. The pup survey Is to show the delineated wetlaxis as flagged
waa l
H 870054.7240
E 11745021647
wad
N 810064.91`15
E 6145128005
wo-6
N 81:7Ei0.4236
E 614402;344
LI .this
h the field by EGS LLP. All boudag h from
ate is taken frau
wao-2
N 870068396q
E 6144408663
Mo -2
N 810019.1432
E 614514.4087
Mo -16
N 810119.2`123
E 61430.'13108
ore, HNAS,
rletiard suvey a! Born, Wode and Associates, PA and dated August Z1, 2014.
id 1
�3
N 8100862324
E 6144515289
Mo -3
N 8100922 015
E 6745008061
no -6
N 81010 M
E 614371.4024
E 0M441OD415
raa.4
N 810090.7188
E 6144248451
rar4
N 8700908251
E M4483JO
wa4
N 810041.4512
E 6143625461
• • • • • • •
mm -5
N 8101054439
E 11143983192o-
5
N 8101019558
E 6144624343
-140
N 8100912926
E 614 39631
xec
Euted tt>Is 2 _
rdday of
Registration No. L-3131
Hamer 5. Made
621 Eugene U. Ste. 100
Greere 0' NL.
21420
w&6
N 810091.4091
E 614318115H
w
wa-6
N 8101083151
E 6144395831
ma -20
N 8100825/12
E 6743185591
mm -1
N 810088.4121
E 6143668339
ma -1
N 810313442
E 0644348413
wa-21
H 8100812064
E 17142963365
W04
N 810085D661
E M435ID404
Ma -8
N 8101105330
E 11144392097
Mo -22
N 8100686889
E 6742168402
Maa-9
N 8100615240
E 614321.4326
pia -9
N 8VI*b 51
E 674439.4955
Mo -23
N 8100532414
E IT14255.W
waa-10
N 810059.9385
E 6!4291.1469
Ma -10
N 8102142521
E 11144293443
wo-24
N 8100416658
E 17142245184
wao-U
N 8100442886
E M14214D927
Ma -11
N 8102326330
E 6144135933
ma -24 - I N 810041.1263
E 674223M
woo -12
N 8100436925
E 0M4259DM
rlab-I
N 810250.1121
E 0M441OD415
W&O
N 610031b384
E 11142503509
Mdr2
N 8102133554
E 0644119085
woo -14
N 81 03040
E 17142363469
Matra
N 8102165223
E 0M4344.t1<b
w
wao-l5
N8100%:91`*
E 6142235441
wc"
N 8702559186
E 6143804092
w
v wao-15 R N 8700WJI05 E 0642213105 wo-l3 N 810185.9616 4451 E i l 4 mm 1 '7
'••• • •• ?&14 N 8101468655 E 0M43NVISY 0
i
Ummmmmm
��rrJ�7L � ✓
_
\ \DIVE-.-
INTERMITTENT STREAM
COORDINATE TA13LE
POINT hm
E&H
W N 8100'W.4146
E 064216b499
ISo-2 N 010041Db31
E M742T1b053
840-3 N 8.100502419
E 0642588824
tsa-4 N b10041 DWI
E 0M4249b563
i5a-5 N 6100431869
E 1714140.4461
k&5 - k N 8100312062
E 6142229051
INA
Ji..."•=► _ aim . • � Ir��
mcb-2
49/w a
� I
� `- 41� 198,,14•
5'11'
TO at
dP
Uwl�''47f84.49'
Rte WETLAND - 10,145 5F - 025 AG. - 8,618 51- - 0.20 AG. IMPACTED
jr-
INTERMITTENT STREAM - 63 LF - 0 LF IMPAGTED
1310-GELL DATA
144
1 143
DRAINAGE AREA: 4.2 AG. 1
sra- ---�
BUA: ROADWAY - 028 AG.
SIDEWALKS - 0.05 AG.
LOT5 02 AG
TOTAL BUA - 225 AG. 54% DRAINAGE AREA
BMP TO BE REVIEWED/APPROVED BY THE CITY OF 6REEWA30RO
(- 6RAPHIG 5GALE
N0 PEnW OR / / --�- - -
5TREA14 DI5nR�N�/J - / / _- S
0 50' 100' 200' 300' 400'
1' = 100'
10 Engineers
DWA Planners
Surveyors
Borum, Wade and Associates, P. A.
621 Fgme Cams, SW* 100, Grabmo, NC 2740: 2711
P09•.21WG-4NCZ)a2Pl832
Psi: 336-275-001 Pm: 336-7740275
W6: w.w.:crmn-.dr.cae
N.C. t, -U: C40
\
DA16 MAY 21.2M
V I G I'N I T Y M A P
t69'43�f
5 T E DATA
o
\
\ \
\ \
SGALE: I"= 2000'
\ \ \
PIN: 18TM404061 and 1871404223
PlPM0. R
\ \
DEED REFERENCE: DB 1800 PG. 1046 and DB 10181 P(7.1653
DB 3488 P6.0235
"91ww..
WL 1 -2
U-1
ZONING: R-5 (GITY)
1
11ATE1Z%ED: WA
I
DIST. TO FLOOUWAY: )2000'
f• f
I
TOTAL AREA: 5.08 AC.
`
OETLAND5 FLAGGED IN THE FIELD AND VERIFIED BY THE GORP5
-
OL
-
AND NGDEQ-DWR ON SEPT. 2b, 2016 BY PEIDMONT ENVIRONMENTAL
r
INC. AND FIELD SURVEYED BY BORUM, WADE AND A550., PA.
'n
'n
WETLAND IMPAGT SUMMARY
o
4aIC
L�
Rte WETLAND - 10,145 5F - 025 AG. - 8,618 51- - 0.20 AG. IMPACTED
jr-
INTERMITTENT STREAM - 63 LF - 0 LF IMPAGTED
1310-GELL DATA
144
1 143
DRAINAGE AREA: 4.2 AG. 1
sra- ---�
BUA: ROADWAY - 028 AG.
SIDEWALKS - 0.05 AG.
LOT5 02 AG
TOTAL BUA - 225 AG. 54% DRAINAGE AREA
BMP TO BE REVIEWED/APPROVED BY THE CITY OF 6REEWA30RO
(- 6RAPHIG 5GALE
N0 PEnW OR / / --�- - -
5TREA14 DI5nR�N�/J - / / _- S
0 50' 100' 200' 300' 400'
1' = 100'
10 Engineers
DWA Planners
Surveyors
Borum, Wade and Associates, P. A.
621 Fgme Cams, SW* 100, Grabmo, NC 2740: 2711
P09•.21WG-4NCZ)a2Pl832
Psi: 336-275-001 Pm: 336-7740275
W6: w.w.:crmn-.dr.cae
N.C. t, -U: C40
SYM a SYM Of 6fineotao, ttc
Ino radii FLke
Caw Vb-2W
CMALL Haan SIM
DRAW M MRO
DA16 MAY 21.2M
>r
_
o
U-1
smnym
WETLAND
IMPAGT
MM
>o<
PlPM0. R
OWW%N r.W
"91ww..
WL 1 -2
U-1
LU
= <
-
OL
-
'n
'n
-
o
4aIC
L�
LU
W
w 01
iJJ
o
m
w
CLU
w
et'
x
w
06
0
SYM a SYM Of 6fineotao, ttc
Ino radii FLke
Caw Vb-2W
CMALL Haan SIM
DRAW M MRO
DA16 MAY 21.2M
FeVIS"s
smnym
WETLAND
IMPAGT
MM
PlPM0. R
OWW%N r.W
"91ww..
WL 1 -2

e- I IM
VNJMWW
maw
OWN
l9VdWi
dNVIAM
walm
vomm
WCUA%w dip
am 'K mm
Sm duw -INA"
mm-alm om
ow vwvaM7 M17g1 vavgaam
2"092a
In btl0� N Sem II am
ae+von�a�w.o
3
O
rn
rn
rn
>.
> C.
rn --4
rn O
A70 rn
-4 70
7O0 N
S
� d
> rn
70
o T d
z Xl
> v �
CN rn
H
a v9w3p---1',l'N
gee�.im.ogww :4•M
61Lf-SU9[[:� IL#SU'9(f ��9d
ZBOIOZYU JN'009M"9Me VIOd
1I12
'10[UJN, q'•+•J'001-ps%—J-.%3129
V'd Isallpossy put apeM'mnio8
/la UUtld
raaaA�8e3S
•" Jr = /1
I dVS
a31'HdWl 410 - Al 89 - W[ I&S 1N3111KS31NI
Ct310bm '7H oro - =is 8188 - *,N SZ'0 - ds Sbl'ol - a wliam
)INVns lI)dw aNvilapr
•b'd ''osGy QNb gaw 'wrd09 J.9 agk;A2m amw aw ',)N1
1b1N3W MIAN31NOHaI9d )Q 9102 '9Z lo:29 NO &4C-VW'3H arra
GdSO9 9{11.9 Q31d1*89A 04V Q191d 9il NI 6399b1d SaNbI14A
'?d 80'S
[o00Z<
d/N
(I1119) S -S
900 *9d 9w w
G91.9d 18b1 w NO 9bol '9d 00819a
>:a"U % Ptv 190"U.81
'b:Tdy 1N101
'JlbMa00ld 01 '1SIa
'9NINOZ
10002 - .I •91VOS
LI -IA
v
09+Z
0
m
9
Lry
00 08IG
ASW NIUVO'
981
91
S
•l� -1�d
oZbiZ
• • . h, b : 001
a� •.4fo�SS3•' �� �' �fIS aPold'SH
I�Lf:7'gl 4
egs
WIZ 1961Y POP Pw Yd'WIWgV Pw SM WuOG fig " PXWM
n oa,y MR 4 uolpWf1 kVPAV4 IN '01'9MllM') SN kl PIOU " 4
pill so wxriom Poiwgiep"map oi ii (ins 4m !o vocuv vqL iw (ymw wogs
w2vWw.w*mmwjm m pw 1 vB Pw pw k an uode wow Np3w sow
WOW OW fi4 pMd9A 6Am eye V41 WJ02 h4 I
SI
NIVWS
01 SCM'
30Nb
SICI
C/N
Vi LIM
v
z
9
Lry
00 08IG
ASW NIUVO'
981
91
S
•l� -1�d
oZbiZ
• • . h, b : 001
a� •.4fo�SS3•' �� �' �fIS aPold'SH
I�Lf:7'gl 4
egs
WIZ 1961Y POP Pw Yd'WIWgV Pw SM WuOG fig " PXWM
n oa,y MR 4 uolpWf1 kVPAV4 IN '01'9MllM') SN kl PIOU " 4
pill so wxriom Poiwgiep"map oi ii (ins 4m !o vocuv vqL iw (ymw wogs
w2vWw.w*mmwjm m pw 1 vB Pw pw k an uode wow Np3w sow
WOW OW fi4 pMd9A 6Am eye V41 WJ02 h4 I

Statement of Mitigation Credit Availability
Cripple Creek Stream & Wetland Mitigation Bank
April 30, 2018
Mr. David Bailey
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive
Suite 105
Wake Forest, NC 27587
Re: Availability of Compensatory Wetland Mitigation Credits
Project: Byers Ridge Subdivision
We are providing this letter in accordance with 33 CFR §332.8(r), to confirm that .13 Riparian
Wetland Mitigation Credits (Credits) from the Cripple Creek Stream & Wetland Mitigation Bank
(Bank) are currently available and all or a portion may be used, once transferred, for compensatory
mitigation relative to the Byers Ridge Subdivision project, and as proposed by Arnold Sykes, Sykes
& Sykes of Greensboro (Applicant).
The Applicant may ultimately purchase the Credits, if they are available, following Permit issuance.
Should the Applicant purchase the Credits at that time, we will complete and execute the
Compensatory Mitigation Responsibility Transfer Form (Transfer Form) within five (5) days of
receipt of the full purchase price.
We will additionally provide copies of the completed and executed Transfer Form to the Applicant,
the Bank's US Army Corps (USACE) Project Manager and, if needed, other regulatory agencies. In
addition, we will provide USACE with an updated copy of the Bank's Ledger, reflecting the
transaction. Transaction information in the updated Bank Ledger will include relevant Permit and
Applicant information as well as the number and resource type of the debited Credits.
Should your office have any questions, please contact me at 919.334.9123.
Sincerely, }
l ✓ ' tM. j�LL� 4: ti
Tiffani Bylow
Restoration Systems, LLC

April 30, 2018
Arnold Sykes
Sykes and Sykes of Greensboro, LLC
621 Eugene Street Suite 100
Greensboro, NC 27401
ROY COOPER
MICHAEL S. RE6AN
Expiration of Acceptance: 6/30/2018
Project: Byers Ridge Subdivision County: Guilford
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
Rlvor Basin Mpect Location Inspect Type Impact Quartlty
Cape Fear 03030002 Riparian Wetland 0.20
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and
15A NCAC 02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program.
If you have any questions or need additional information, please contact !felly Williams at [phone].
cc: Michael Brame, agent
Sincerely,
J e B Stanfill
As Management Supervisor
State of North Carolina I Environmental Quality I Mitigation Services
1652 Mad Service Center I Raleigb, NC 27699-1652 1 217 W. Jones Street Suite 3000
919 707 8976 T

DMS ILF Mitigation Request Statement of Compliance with §143-214.11 & 143-214.20
(link to G.S. 143-214.111
Prior to accessing the Division of Mitigation Services (DMS), all applicants must demonstrate compliance
with G.S. § 143-214.11 and 143-214.20. All requests MUST include this form signed and dated by the
permit applicant or an authorized agent. Please refer to DENR's Implementation Policy for more details.
Compliance Statement:
I have read and understand G.S. § 143-214.11
knowledge, complied with the requirements.
and 214.20 and have, to the best of my
I understand that participation in the DMS is
voluntary and subject to approval by permitting agencies.
Please check all that apply:
® Applicant is a Federal or State Government Entity or a unit of local government
meeting the requirements set forth in G.S. 143-214.11 and is not required to
purchase credits from a mitigation bank.
0 There are no listed mitigation banks with the credit type I need located in the
hydrologic unit where this impact will take place (link to DWR list)
Mitigation bank(s) in the hydrologic unit where the impacts will occur have been
contacted and credits are not currently available.
F1 The DWR or the Corps of Engineers did not approve of the use of a mitigation
bank for the required compensatory mitigation for this project.
o This is a renewal request and the permit application is under review.
credits were not available at the time the application was submitted.
Enter date permit application was submitted for review:
Bank
Note: It is the applicant's responsibility to document any inquiries made to private mitigation
banks regarding credit availability.
MTB
I have read and understand the DMS refund policies (attached)
initial here
Digitally signed by Michael Brame
Michael Brame D =mb bracheel Brame, o=Blot Env ronmental, ou, Michael Brame
emailail=[e-mail], c=US
Date: 2018.G4 30 0917:19 -04'00'
Signature of Applicant or Agent
April 30, 2018
Date
Byers Ridge Subdivision
Printed Name
Greensboro, Guilford County, NC
Project Name Location

DIVISION OF MITIGATION SERVICES (DMS)
IN -LIEU FEE REQUEST FORM Revised 4/23/2015
Complete requested information, sign and date, email to kelly.williamsancdenr.gov . Attachments are acceptable for clarification
purposes (location map, address or lat long is required). Information submitted is subject to NC Public Records Law and may be
requested by thirdarties. Review meetin s -are, held on Tuesday afternoons.
CONTACT INFORMATI............. ................. .
1. Business/Company Name Pilot Environmental, Inc. Sykes & Sykes of Greensboro, LLC
2. Contact Person
............ _... _........ _... ______ _ __
3. Street Address or P O Box
4. City, State, Zip
5. Telephone Number
6. E -Mail Address
7. Project Name
Michael Brame
._ ........ __._... _.................................... --.-- _ .._........-----
743 Park Lawn Court
Kemersville, North Carolina 27284
........ _... _...-------............. ............. -_..._......_...__...----------- --..........
[phone]
[e-mail]
PROJECT INFORMATION
Byers Ridge Subdivision
8. Project Location (nearest town, city) ;Greensboro
9. Lat-Long Coordinates or attach a map 36.138301°, -79.763866°
10. County Guilford
11. River Basin & Cataloging Unit (8 -digit) :03030002
(See Note 1) ---_ -- ._vv�------- ------ - -
y
12. Project Type "*indicate owner type and Owner Type:
write in project type (e.g. school, church, retail,
residential, apartments, road, utilities, military, Project Type:
etc.)_**
..................................................................................................................................................................................................+._------..._.........._._.......______
13. Riparian Wetland Impact (ac.) (e.g., 0.13)
Arnold Sykes
621 Eugene Street, Suite 100
Greensboro, NC 27401
................................ _. ................
[phone]
[e-mail]
0 Government 0 Private
Residential
0.2(0.4 at 2:1)
17. Riparian Buffer Impact (sq. ft.)
Include subwatershed if Jordan or Falls Lake: Zone 1: ;Zone 2:
I
18. Regulatory Agency Staff Contacts
USACE: David Bailey
... _
Check (v') below if this request is for a:
revision to a current acceptance
renewal of an expired acceptance
extension of unexpired acceptance
NCDWR:
Other: Sue Homewood
Cold
By signing below, the applicant is confirming they have
read and understand the DMS refund policy posted at
nceep.net and attached to this form.
Signature of Applicant or Authorized Agent:
Dlgitaly agned by Michael Breme
M i c h a e I B ra m e DN Mi hael B ama o=Rla[ E MUS al,
email=01804300929 3-04 ,wUS
Dete'. 2018.04.30 0919:23 -04'00'
Date: April 30, 2018
Note 1: For help in determining the Cataloging Unit, visit: www.nceep.net or contact DMS
Direct questions to Kelly Williams at 919-707-8915 or kelly.williamsna.ncdenr.gov or to the front desk at 919-707-8976

Refund Policy for Fees Paid to DMS In -Lieu Fee Programs (9/21/2009)
Purpose: The purpose of this policy is to make clear the circumstances and process under which a
permittee can obtain a refund while simultaneously balancing customer service and responsible
business practices. This policy applies to all refund requests made on or after the publication date of
this policy.
Policy Statement: The policy of DMS is to allow for refunds under certain conditions.
1. All refund requests must be made in writing to the DMS In -Lieu Fee Program Coordinator at
kelly.williams(aD_ncdenr.gov.
2. All refund requests are subject to fund availability. DMS does not guarantee fund availability for
any request.
3. The request must either come from the entity that made the payment or from an authorized agent.
Third parties requesting refunds must provide written authorization from the entity that made the
payment specifying the name and address of the authorized refund recipient.
4. Refund requests related to unintended overpayments, typographical errors or incorrect invoices
should be brought the attention of the In -Lieu Fee Program Coordinator as soon as possible. Such
requests are typically approved without delay.
5. Payments made under the incremental payment procedure are not eligible for refunds.
6. Refund requests made within nine months of payment to DMS will only be considered for requests
associated with projects that have been terminated or modified where the permittee's mitigation
requirements have been reduced. Such requests must be accompanied by written verification from the
permitting agency that the project has been cancelled, the permits have been rescinded or have been
modified, or the mitigation requirements have been reduced.
7. Refund requests made more than nine months from the payment date will only be considered for
permits that were terminated or modified to not require any mitigation. Such requests must be
accompanied by written verification from the permitting agency that the project has been cancelled, the
permits have been rescinded and/or mitigation is no longer required.
8. Refund requests not meeting the criteria specified above are not eligible for a refund.
9. Refund requests that meet the criteria above will be elevated to DMS Senior Management for
review. The following considerations apply to all refund requests:
a. availability of funds after consideration of all existing project and regulatory obligations
b. the date the payment was made
c. the likelihood DMS can use the mitigation procured using the payment to meet other
mitigation requirements
10. Once a refund has been approved, the refund recipient must provide a completed W-9 form to the
DMS In -Lieu fee Program Coordinator within two weeks in order to process the refund though the
State Controller's Office.
11. All decisions shall be final.

LEGEND
Approximate Site Boundary
'4'EC Ai FLOC) KAIARI) ARFA�, (",;FRA,) vAULCI
INUNDATION BY THE 1% ANNUAL CHANCE FLOOD EVENT la
The � 1%cn— fInxI 011-0.oho as �
0D� 11-. � kt— flood. n "' n -d
ha a E% th— d 0" MI.W � —,d1d . tryo— � Th. SWIM fl..d H-0 t
Am , ON area wb)ta w m000m by " 1% —al cK— Mod kM of 5mMw!
ftW4 Wk4e ZOnes A AE, MI A01 AR. A", V, and VE The Bou FIOW E*vebW K We
ek
--I Chante R.6
ZONE A Hood E$e�­
dn­I
ZO AE Wd rk� a,
ZO: AN food deVths 0 1 to A I -I (.w y — d PW&M); eau F"Iod
del" --N
ZONE AO Fkmd OmMs of I to 3 fim (—,gy ~ 5d.. on ~9 t-0). —W
6WJK dot­vd Fp — U fan T-d.V. -OXeres bW
der .1d
ZONE AN SOMW Flood P—d A -k—tl pa ed lie t 1% —4 Chr
nxd by a NIM contia SWM MR wm ubseqnn*J decMd*d 2Pnr AN
llda " OW "'— r.W —" system . D" --d to W -de
TXV�. I— ". III --t It— . Qr""DId
ZONE A" Areas To W PrMe ftM 1% an"` In -1 A.00 0V I K.6em n..6
..e "—Halt —0-0-, no 8— FtW Fkva0m &"nwd
ZONE VIE Ca W MXd I— e.eh WS AV h ­d Ww FbW Ekratg
OFLOODWAY AREAS IN ZONE AE
Th, R—t.4 . " 0-6 d a — Pka r dW— W60—
ft" 0 --� . trottt� 1%—,,W Chante Mood w W -Z: -t—I wOs4 W
ftw N"QM
OTHER FLOOD AREAS
ZONE X Area d 0 2% -M ch— fbM, — of 1% annW ch— Mod .0
—age d1w, .1 lets fMn 1 W . Web aaeu0r YN5 1,11 t`mn I 'W-*
W , ab reK ".ted I, I— 1— 1% ann" chance Mod
OTHER AREAS
ZONE X fin.
ZONE 0 v4d--t,
COASTAL BARRIER RESOURCES SYSTEM (CORS) AREAS
OTHERWISE PROTECTED AREAS (OPAS)
CORS seas and OPAI are —al, ImW wens a WWent W 5P.W FIWd Huard Area
- — are' fto "a-
0 2, ar±ruA Fturtre ro..P—
..................... CWS rrO 01. b.r -
EpunaFry — S,-4 fetid
*14nn S-4 It.
513 ^^^^ eau F—
iEt 9611 pax rood fkM+m +kwe .*ere aefornr .a.. rot: esear..
C—
G..V.P" 8� N -n AA
1WT (NAD
g. tch toe 11
pM awes NpN Crow Stye torr «ndeuN qvr ,...
(F)PET S20% WO. Sate � NAD 33 Nesi
all 500
Ina
OAW
WX
,"SaCis z sc'n-1—c—
"N
C
r
fir tw
AS
Drawing 4
AK* FEMA FIRM Panel Nos.
It
3710787700) & 3710787600J
Effective 6.18.07
Not to Scale
FEMA FIRM
Approximate 5.15 Acre Tract
Byers Ridge Road
Greensboro, Guilford County, NC
PEI Project 2205
Ae