20180756 Ver 1_00_Statesville_Greenway Complete_20180604

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder Assign Action ID Number in ORM
1. Project Name [PCN Form A2a]:
2. Work Type: Private Institutional Government Commercial
3. Project Description / Purpose [PCN Form B3d and B3e]:
4. Property Owner / Applicant [PCN Form A3 or A4]:
5. Agent / Consultant [PNC Form A5 – or ORM Consultant ID Number]:
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location – Coordinates, Street Address, and/or Location Description [PCN Form B1b]:
8. Project Location – Tax Parcel ID [PCN Form B1a]:
9. Project Location – County [PCN Form A2b]:
10. Project Location – Nearest Municipality or Town [PCN Form A2c]:
11. Project Information – Nearest Waterbody [PCN Form B2a]:
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form B2c]:
Authorization: Section 10 Section 404 Section 10 and 404
Regulatory Action Type:
Pre-Application Request
Unauthorized Activity
Compliance
Standard Permit
Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request No Permit Required
Revised 20150602

kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

May 24, 2018

Ms. Catherine Janiczak
Asheville Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, NC 28801-5006

Ms. Karen Higgins
NC DWR, 401 & Buffer Permitting Branch
512 North Salisbury Street
Raleigh, NC 27604

Re: Pre-Construction Notification (NWP #14) &
Preliminary Jurisdictional Determination Request
Statesville Greenway (TIP# EB-5818)
Statesville, Iredell County, NC

Dear Ms. Janiczak and Ms. Higgins:

On behalf of our client, City of Statesville Recreation & Parks Department, Kimley-Horn (KH)
is submitting the enclosed joint Section 404/401 Preconstruction Notification for the above
referenced project for your review pursuant to Nationwide Permits 14 and General 401
Water Quality Certification numbers 4135 as well as a Preliminary Jurisdictional
Determination (JD) request package for your review for the above referenced project.
Authorization is requested to construct a 12-foot multi-use trail (i.e. greenway) along Fourth
Creek. The center of the project corridor is located at 34.809727°N, -80.877364°W. The
following information is included as part of this application submittal:
 Project Summary Sheet
 Pre-Construction Notification Form
 Project Site Figures
 Figure 1 – Vicinity
 Figure 2 – USGS 7.5’ Topo (Statesville West Quadrangle)
 Figure 3 – Iredell. Co. SSURGO Soils (2017 Iredell. Co. Aerial)
 Figure 4 – PJD Field Sketch (2017 Iredell Co. Aerial)
 Figure 5 – Proposed Conditions
 Figure 5a – Proposed Conditions
 Figure 5b – Proposed Conditions
 Statesville Greenway Plan Set
 Jurisdictional Determination Request Form
 Field Data Forms
 NCDWR Stream Identification Forms
 NCSAM Field Assessment Forms and Rating Sheets
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kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

 Project Site Photographs
 Agency Correspondence
 NCDMS In-Lieu Fee Mitigation Request Letter

Project Background
This project corridor generally parallels Fourth Creek, beginning at Pump Station Road and
connects to the existing greenway east of Turnersburg Highway (US HWY 21), Iredell
County, North Carolina (Figure 1). The approximately 2,200 linear foot corridor (1.9-acres) is
predominately made of maintained right-of-way, sanitary sewer easements and power-line
easements. A small portion of the corridor along the north bank of Fourth Creek, upstream
of the US Hwy 21 bridge, includes a very narrow buffer area consisting of hardwood canopy
species and dense layer of invasive species in the understory.

The Statesville Greenway trail will connect parks, landmarks, and major employment centers
and will serve both passive and active recreational opportunities for greenway users, while
maintaining and preserving the natural aspects of the corridor. The Statesville Greenway
segment includes the construction of 0.5 mile of 12-foot wide greenway trail along Fourth
Creek. This segment of trail will tie into the existing Statesville Greenway. In general, the
corridor will utilize existing and maintained sanitary sewer easement corridors in order to
reduce clearing impacts, however, the Statesville Greenway is heavily constrained by a
number of factors including topography, access, grade-separation issues, aerial and above-
ground utilities and private commercial/residential properties.

Existing Conditions
The Preliminary JD information reflects site conditions evaluated by Kimley-Horn staff (Chris
Tinklenberg, PWS) on July 15, 2017. The delineation was performed using a Trimble
Geo7X sub-meter GPS to locate data form locations. Stream centerlines, edge of water and
Ordinary High Water Marks (OHWM) were obtained from survey.

North Carolina Division of Water Resources (NCDWR) stream identification methodology
was used to identify potentially jurisdictional streams. Complete stream forms, including
NCDWR Methodology for Identification of Intermittent and Perennial Streams and Their
Origins, Version 4.11 (NCDWR, September 2010) were completed for each stream.
NCDWR Stream Classification Forms representative of Streams 1 & 2 are attached.

Jurisdictional Delineation Results
On-site jurisdictional waters drain to and include Fourth Creek. Fourth Creek is part of the
Yadkin-Pee Dee River Basin (HUC 03040103and is classified as “Class C Waters” by the
NCDWR. According to the NCDWR, Class C Waters are defined as: “Waters protected for
uses such as secondary recreation, fishing, wildlife, fish consumption, aquatic life including
propagation, survival and maintenance of biological integrity, and agriculture.”

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kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

Potential Non-Wetland Waters of the US (Perennial Streams)

The results of the on-site field investigation indicate that there are two potential non-wetland
waters of the US (Streams 1 & 2) located within or intersecting the project corridor (Figure
4). The project corridor is largely situated within the upland areas along the left bank and
above the OHWM of Stream 1 (Fourth Creek). Stream 1 enters the project corridor south of
Pump Station Rd., at the location of the proposed pedestrian bridge, and flows south for
approximately 23 lf. Flow continues east, beyond the project limits and intersects the project
corridor again for approximately 427 lf, at the US Hwy 21 bridge over Fourth Creek. Stream
2 (UT to Fourth Creek) originates off site in the eastern portion of the project corridor and
flows southwest, through the project corridor for approximately 32 lf to the offsite confluence
with Stream 1 (Fourth Creek).

No potential wetland waters of the US are present within the project corridor.

Agency Correspondence
Cultural Resources

A review of the NCSHPO HPOWEB online GIS database was performed for the project corridor on
April 5, 2018. No sites of architectural, historic, or archaeological significance were identified within
the project corridor. The bridge over Fourth Creek, just outside of the project corridor along Pump
Station Road, (Bridge #177, HPO Site ID: ID0900) has been surveyed but is not listed on the national
register. No work on the bridge is proposed as part of this project.

Protected Species

A data review was conducted using North Carolina Natural Heritage Program (NCNHP)
Data Explorer on October 6, 2018 to determine the presence of any federally-listed,
candidate endangered, threatened species, or critical habitat located within the project
corridor. Based on the NCNHP review, there are no records of federally-protected species,
or their habitats, within the project limits or within a mile of the project site. A copy of the
data review report is attached.

Proposed Impacts to Jurisdictional Waters
A total loss of channel bed and stream function is not proposed by this project – only minor
bank/bed impacts on one side, as the trail runs parallel and below OHWM in a few locations
(due to constraints).

The overall project includes the construction of approximately 2,200 linear feet of a 12-foot
wide greenway trail. Streamside impacts below OHWM have been reduced to the maximum
extent practicable to minimize impacts to stream functions already degraded by the urban
watershed. One section of greenway will necessitate rip-rap below the OHWM resulting in
240 linear feet of permanent – no net loss of WoUS impacts in order to construct the trail
running parallel along the edge of water, including applicable retaining walls, grading, and
bank stabilization. This section includes existing rip-rap bank stabilization which was
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kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

installed during the US Highway 21 bridge replacement. Beneath the bridge, the stream
channel is over-wide due to erosion. Installation of a boulder wall and additional rip-rap
below the bridge seeks to match the existing baseflow width of the up and downstream
sections of Fourth Creek.

Installation of rip-rap is necessary to stabilize the stream banks below the proposed
prefabricated pedestrian bridge over Fourth Creek. The rip-rap bank stabilization will result
in 10 linear feet of permanent – no net loss of WoUS impacts.

Due to the highly-constrained project corridor, it is necessary for a portion of the
construction activities to be conducted within the channel bed of Fourth Creek. Due to the
size and drainage area of Fourth Creek, it is not feasible to utilize measures, i.e. impervious
dikes and pumped diversions, in order to work in dry conditions. 187 linear feet of
temporary stream impacts are requested to conduct construction activities including
tracked back-hoe access, where greenway construction from the banks is not feasible.
Temporary impacts have been minimized to the greatest extent practicable in order to meet
the needs of the project and do not pose adverse alterations to the existing channel bed. An
application to work in the wet will be submitted to NCDWR, Sediment and Erosion control
which is typical for these types of projects.

Compensatory Mitigation
Based on recommendations by the USACE, Kimley-Horn conducted an NC SAM evaluation
in order to qualitatively assess the existing conditions within the areas of proposed stream-
side impacts. In addition, an assessment of these areas in the proposed condition was
completed to determine what sub functions might be degraded, if any, as a result of the
greenway construction. Based on the results of the qualitative assessment, KH
implemented a methodology utilized on other similar projects intended to interpolate a
quantitative value based on the qualitative assessment. The results of the quantitative
assessment were then utilized in determining the appropriate compensatory mitigation
requirements for impacts associated with the project. The following rationale was used to
support the compensatory mitigation proposal:
 To meet the needs of the project, 250 linear feet of permanent stream-side area
impacts are proposed. Although, stream-side area impacts do not constitute a
complete loss of waters and construction will focus primarily along only one bank (left
bank) in these sections, we assume that from a functional perspective, it’s possible
that each reach could experience some level of degradation from the proposed
construction activities, therefore, 250 linear feet sets the baseline for the
calculations;
 Since the NC SAM qualitative assessment score results in a high, medium or low
functional grade, each primary function class is viewed as one-third of the overall
score. The overall LOW score does not change in the hydrology or habitat primary
function classes in the existing versus proposed condition. The water quality primary
function class is reduced from a medium score to low score in the proposed
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kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

condition; therefore, we assume one-third of the existing condition stream function
may be lost in the proposed condition. Results in 83 linear feet of functional loss;
 There are eight (8) secondary sub functions considered in this assessment. Of the
eight, only one sub function (streamside area vegetation) was reduced from medium
to low in the proposed condition or 12.5% of the total. Results in 11 linear feet of
functional loss.

Based on the results of the NC SAM evaluation and methodology for calculating
compensatory mitigation to offset stream-side area impacts, 11 stream credits will be
purchased from the North Carolina Division of Mitigation Services (NCDMS) for offsetting
impacts (nominal degradation to thermoregulation) associated with this project. Based on
the current rate schedule of $394 per linear foot, the project proposes mitigation payment in
the amount of $4,334. A credit reservation letter from NCDMS is attached, indicating that
credits are available for purchase.

Please feel free to contact me at [phone] if you have any questions or if additional
information is necessary.

Sincerely,

KIMLEY-HORN AND ASSOCIATES, INC.

Chris Tinklenberg, PWS
Environmental Scientist

Attachments
Project Summary Sheet
kimley-horn.com 200 South Tryon Street, Suite 200, Charlotte, NC 28202 704-333-5131

Project Name: Statesville Greenway (TIP# EB-5818)

Applicant Name and Address: POC: Mr. Larry Pressley
City of Statesville
PO Box 1111
Statesville, NC 28687
Telephone Number: [phone]
Type of Request: Nationwide PCN (NWP # 14) Individual Permit Application

Jurisdictional Determination Other:
Included Attachments: Project Plans USGS Map NRCS Soil Survey
Agent Authorization Delineation Sketch Delineation Survey
Data Forms (Up & Wet) NCDWR Stream Forms USACE Stream Forms
NCDMS Confirmation Aerial Photo Site Photos
Agency Correspondence Other: Other:
Check if applicable: CAMA County Trout County Isolated Waters
Section 7, ESA Section 106, NHPA EFH
Mitigation Proposed ( NC EEP On-Site Off-Site Other)
County: Iredell Nearest City/Town: Statesville
Waterway: Fourth Creek River Basin: Yadkin; NCDWR 03-07-06
H.U.C.: 03040102 USGS Quad Name: Statesville West; Statesville East
Property Size (acres): 1.9 (Project Corridor) Approx. Size of Jurisdiction on Site (acres): 0.18
Site Coordinates (in decimal degrees): 34.809727 °N -80.877364 °W
Project Location: The project area begins at Pump Station Road and connects to the existing greenway east of
Turnersburg Highway (US HWY 21), Iredell County, North Carolina.

Site Description: The project proposed to construct a greenway on new location beginning at the existing greenway at Pump
Station Road and continuing east under the Tonewood Street and US 21 bridges to the existing greenway located east of US 21.
The proposed paved greenway will be approximately 2,200 feet long and 12-foot wide. The proposed greenway will also include
2' wide crushed stone shoulders as well as an 80-foot prefabricated pedestrian bridge over Fourth Creek and a 40-foot
prefabricated pedestrian bridge over a tributary to Fourth Creek. A small parking lot will be constructed on Pump Station Road
to provide access for greenway users. Skidsteers, excavators, pavers, and other equipment typical of greenway projects will be
used during construction.

Impact Summary (if applicable): The proposed greenway will result in 250 linear feet of permanent, no-net loss of waters
of the US impacts from construction of the greenway (240 lf) and rip-rap stabilization below a pedestrian bridge (10 lf).
187 linear feet of temporary stream impacts are necessary to conduct construction activities within areas of constraints.

NWP
#
Open Water
(acres)
Wetland
(acres)
Stream Channel
Intermittent and/or Unimportant
Aquatic Function
Perennial and/or Important
Aquatic Function
Temp. Perm. Temp. Perm. Temp. Perm. Temp. Perm.
lf ac lf ac lf ac lf Ac
14 187 0.12 250 0.06
Total 187 0.12 250 0.06
Total Permanent (No Net Loss) Impact to Waters of the U.S. 250 lf (0.06ac)

Kimley-Horn Contact: Chris Tinklenberg, PWS Direct Number: [phone]
Email: [e-mail]

Page 1 of 12
PCN Form – Version 1.3 December 10, 2008 Version
Office Use Only:
Corps action ID no. _____________
DWQ project no. _______________
Form Version 1.3 Dec 10 2008
Pre-Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
Corps: Section 404 Permit Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 14 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
1e. 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

1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? Yes No
2. Project Information
2a. Name of project: Statesville Greenway
2b. County: Iredell County
2c. Nearest municipality / town: Statesville
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state
project no: EB-5818
3. Owner Information
3a. Name(s) on Recorded Deed: City of Statesville, Right of Entry Agreements
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:

Page 2 of 12
PCN Form – Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: Agent Other, specify: Public Agency
4b. Name: Larry Pressley
4c. Business name
(if applicable): City of Statesville, City Manager
4d. Street address: PO Box 1111
4e. City, state, zip: Statesville, NC 28687
4f. Telephone no.: [phone]
4g. Fax no.: N/A
4h. Email address: [e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name: Chris Tinklenberg, PWS
5b. Business name
(if applicable): Kimley-Horn and Associates, Inc.
5c. Street address: 200 South Tryon Street, Suite 200
5d. City, state, zip: Charlotte, NC 28202
5e. Telephone no.: 704-409-1802
5f. Fax no.:
5g. Email address: [e-mail]

Page 3 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): City of Statesville, Right of Entry Agreements
1b. Site coordinates (in decimal degrees): Latitude: 35.809448 Longitude: -80.878129
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: 1.9 acres (Project Boundary)
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project: Forth Creek
2b. Water Quality Classification of nearest receiving water: Class C
2c. River basin: Yadkin-Pee Dee (HUC 03040102)
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:
This project corridor generally parallels Fourth Creek, beginning at Pump Station Road and connects to the existing
greenway east of Turnersburg Highway (US HWY 21), Iredell County, North Carolina (Figure 1). The approximately 2,200
linear foot corridor (1.9-acres) is predominately made of maintained right-of-way, sanitary sewer easements and power-
line easements. A small portion of the corridor along the north bank of Fourth Creek, upstream of the US Hwy 21 bridge,
includes a very narrow buffer area consisting of hardwood canopy species and dense layer of invasive species in the
understory.
3b. List the total estimated acreage of all existing wetlands on the property:
No wetlands were identified within the project boundary.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
The total length of all on-site streams is approximately 482 linear feet
3d. Explain the purpose of the proposed project:
The purpose of the project is to construct a greenway trail connector on new location in order to provide connectivity
between two existing sections of the Statesville Greenway.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project proposed to construct a greenway on new location beginning at the existing greenway at Pump Station Road
and continuing east under the Tonewood Street and US 21 bridges to the existing greenway located east of US 21. The
Statesville Greenway segment includes the construction of 0.5 mile of 12-foot wide greenway trail along Fourth Creek.
The proposed greenway will also include 2' wide crushed stone shoulders as well as an 80-foot prefabricated pedestrian
bridge over Fourth Creek and a 40-foot prefabricated pedestrian bridge over a tributary to Fourth Creek. A small parking
lot will be constructed on Pump Station Road to provide access for greenway users. Skidsteers, excavators, pavers, and
other equipment typical of greenway projects will be used during construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments: A Preliminary Jurisdictional Determination
request has been included as part of this application.
Yes No Unknown
4b. If the Corps made the jurisdictional determination, what type
of determination was made? Preliminary Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.

Page 4 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.

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
Wetlands Streams - tributaries Buffers
Open Waters Pond Construction

Page 5 of 12
PCN Form – Version 1.3 December 10, 2008 Version

2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact number –
Permanent (P) or
Temporary (T)
2b.

Type of impact
2c.

Type of
wetland
(if known)
2d.

Forested

2e.
Type of
jurisdiction
(Corps - 404,
10
DWQ – non-
404, other)
2f.

Area of
impact
(acres)
W1 P T Yes
No
Corps
DWQ
W2 P T Yes
No
Corps
DWQ
W3 P T Yes
No
Corps
DWQ
W4 P T Yes
No
Corps
DWQ
W5 P T Yes
No
Corps
DWQ
W6 P T Yes
No
Corps
DWQ
2g. Total wetland impacts
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact number -
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial
(PER) or
intermittent
(INT)?
3e.
Type of
jurisdiction
(Corps -
404, 10
DWQ –
non-404,
other)
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 (Fourth Creek)
Impact 1
P T
Rip-rap bridge abutment along
banks Fourth Creek PER
INT
Corps
DWQ 15 10
S1 (Fourth Creek)
Impact 2
P T
Construction activities Fourth Creek PER
INT
Corps
DWQ 15 94
S1 (Fourth Creek)
Impact 3
P T
Stream-side area impact for
greenway construction Fourth Creek PER
INT
Corps
DWQ 25 240
S1 (Fourth Creek)
Impact 4
P T
Construction activities Fourth Creek PER
INT
Corps
DWQ 15 93
3h. Total stream and tributary impacts 437

Page 6 of 12
PCN Form – Version 1.3 December 10, 2008 Version

3i. Comments: The proposed greenway will result in 250 linear feet of permanent, no-net loss of waters of the US impacts
from construction of the greenway (240 lf) and rip-rap stabilization below a pedestrian bridge (10 lf). 187 linear feet of
temporary stream impacts are necessary to conduct construction activities within areas of constraints.
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 (T)
4b.
Name of waterbody
(if applicable)
4c.

Type of impact
4d.

Waterbody type
4e.

Area of impact (acres)
O1 P T
O2 P T
O3 P T
O4 P T
4f. Total open water impacts
4g. Comments: No open water impacts will occur as a result of the proposed project
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.

Pond ID
number
5b.

Proposed use or purpose
of pond

5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
5f. Total
5g. Comments: No lakes or ponds are proposed for construction as part of the proposed project.
5h. Is a dam high hazard permit required?
Yes No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:

Page 7 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.
Project is in which protected basin?
Neuse Tar-Pamlico Other:
Catawba Randleman
6b.
Buffer impact
number –
Permanent (P) or
Temporary (T)
6c.

Reason
for
impact
6d.

Stream name
6e.

Buffer
mitigation
required?
6f.

Zone 1 impact
(square feet)
6g.

Zone 2 impact
(square feet)
B1 P T Yes
No
B2 P T Yes
No
B3 P T Yes
No
6h. Total buffer impacts
6i. Comments:
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Two prefabricated pedestrian bridges will be utilized to avoid stream impacts associated with the installation of box culverts.
Rip-rap outfalls associated with the storm drainage network have been configured well above the OHWM of Fourth Creek and
are intended to meet non-erosive design criteria to prevent erosion. In spite of a highly constrained project corridor, impacts
associated with the trail are limited to stream-side area impacts, only in the vicinity of the US Hwy 21 bridge which are
necessary to avoid a dangerous pedestrian at-grade crossing over the bridge and meet the project purpose of providing a
connection between two existing greenways.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
All work, excluding the permanent impacts areas, will be conducted within uplands, along the left bank of Fourth Creek.
Special care and consideration will be implemented, to the greatest extent practicable, in areas immediately adjacent to the
creek in order to prevent incidental fallback.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
Yes No

2b. If yes, mitigation is required by (check all that apply): DWQ Corps
2c. If yes, which mitigation option will be used for this
project?
Mitigation bank
Payment to in-lieu fee program
Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity

Page 8 of 12
PCN Form – Version 1.3 December 10, 2008 Version

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: 11 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: Based on the results of the NC SAM evaluation and methodology for calculating compensatory mitigation to
offset stream-side area impacts, 11 stream credits will be purchased from the North Carolina Division of Mitigation Services
(NCDMS) for offsetting impacts (nominal degradation to thermoregulation) associated with this project. Based on the current
rate schedule of $394 per linear foot, the project proposes mitigation payment in the amount of $4,334. A credit reservation
letter from NCDMS is attached, indicating that credits are available for purchase.
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 9 of 12
PCN Form – Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified
within one of the NC Riparian Buffer Protection Rules? Yes No
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: Yes No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? <5 %
2b. Does this project require a Stormwater Management Plan? Yes No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Linear public transportation projects are
required to treat stormwater runoff to the Maximum Extent Practicable in accordance with the practices described in the
NCDOT Best Management Practices (BMP) Manual. Diffuse flow will be implemented to provide proper drainage and water
treatment.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:

2e. Who will be responsible for the review of the Stormwater Management Plan?
Certified Local Government
DWQ Stormwater Program
DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government’s jurisdiction is this project?
3b. Which of the following locally-implemented stormwater management programs
apply (check all that apply):
Phase II
NSW
USMP
Water Supply Watershed
Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
attached?
Yes No
4. DWQ Stormwater Program Review
4a. Which of the following state-implemented stormwater management programs apply
(check all that apply):
Coastal counties
HQW
ORW
Session Law 2006-246
Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? Yes No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements? Yes No
5b. Have all of the 401 Unit submittal requirements been met? Yes No

Page 10 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
use of public (federal/state) land? Yes No
1b. 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
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
Yes No
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.)
Comments: The signed Categorical Exclusion is attached.
Yes No
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,
or Riparian Buffer Rules (15A NCAC 2B .0200)?
Yes No
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
additional development, which could impact nearby downstream water quality? Yes No
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.
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.

Page 11 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
habitat? Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? Yes No
5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh
Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A data review was conducted using North Carolina Natural Heritage Program (NCNHP) Data Explorer on October 6, 2018 to
determine the presence of any federally-listed, candidate endangered, threatened species, or critical habitat located within the
project corridor. Based on the NCNHP review, there are no records of federally-protected species, or their habitats, within the
project limits or within a mile of the project site. A copy of the data review report is attached. Additionally, NLEB coordination
through the CE process demonstrates that USFWS was consulted and that due to the lack of known occurrences,
hibernacula, or roosting sites, the biological conclusion of "may affect, not likely to adversely affect" has been rendered for
NLEB for this project. Email correspondence from the Division 12 DEO, Trish Beam, reaffirms this conclusion. A copy of that
correspondence is attached.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat? Yes No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
North Carolina Natural Heritage Program Database
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
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
A review of the NCSHPO HPOWEB online GIS database was performed for the project corridor on April 5, 2018. No
sites of architectural, historic, or archaeological significance were identified within the project corridor. The bridge over
Fourth Creek, just outside of the project corridor along Pump Station Road, (Bridge #177, HPO Site ID: ID0900) has been
surveyed but is not listed on the national register. No work on the bridge is proposed as part of this project.

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

8. Flood Zone Designation (Corps Requirement) A flood impact analysis report, no-rise certification, and individual
floodplain development permit will be submitted to Iredell County for review and approval prior to construction activities.
The results of the flood impact analysis show that there is no net increase in base flood elevations.
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? FIRM Panel 4745 (Effective March 18, 2008); Flood
Risk Information System (FRIS)

Chris Tinklenberg, PWS
Applicant/Agent's Printed Name

_______________________________
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
05/24/2018
Date

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Jurisdictional Determination Request
Version: May 2017
Page 1
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.army.mil/Missions/RegulatoryPermitProgram/Contact/CountyLocator.aspx ,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE& CHARLOTTE REGULATORY
FIELDOFFICES
US ArmyCorps of Engineers
151 Patton Avenue,Room 208
Asheville, North Carolina28801-5006
GeneralNumber: [phone]
Fax Number: [phone]
RALEIGHREGULATORYFIELDOFFICE
US ArmyCorps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina27587
GeneralNumber: [phone]
Fax Number: [phone]
WASHINGTONREGULATORYFIELDOFFICE
US ArmyCorps of Engineers
2407 West Fifth Street
Washington, North Carolina27889
GeneralNumber: [phone]
Fax Number: [phone]
WILMINGTONREGULATORYFIELDOFFICE
US ArmyCorps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
GeneralNumber:910-251-4633
Fax Number: [phone]
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D – PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
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 also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Jurisdictional Determination Request
Version: May 2017
Page 2
A. PARCEL INFORMATION
Street Address: _______________________________________________
City, State: _______________________________________________
County:
Parcel Index Number(s) (PIN):
B. REQUESTORINFORMATION
Name:
Mailing Address:
_________________________________________
Telephone Number: _________________________________________
Electronic Mail Address: ________________________________________
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant
1
Interested Buyer or Under Contract to Purchase
Other, please explain. ________________________________________
__________________________________________________________
C. PROPERTY OWNER INFORMATION
2
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Jurisdictional Determination Request
Version: May 2017
Page 3
D. PROPERTY ACCESS CERTIFICATION
3,4
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.
Print Name
Capacity: Owner Authorized Agent5
Date
Signature
E. REASON FOR JD REQUEST:(Check as many as applicable)
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources underCorpsauthority.
Iintendto construct/develop a project or perform activities on this parcelwhich may
require authorization from the Corps, andthe JDwould beusedto avoid and minimize
impacts tojurisdictional aquatic resources and as aninitialstep in a future permitting
process.
I intendto construct/develop a project or perform activities on this parcelwhich may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
Iintendto construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:___________________________________________________________________
_______________________________________________________________________
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Jurisdictional Determination Request
Version: May 2017
Page 4
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be “waters of the United States” or “navigable waters of the United States”on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional “waters of
the United States”. PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
“preliminary” in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approvedJD for the property identifiedherein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional “waters of the United States” or “navigable waters of the United
States” are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other “affected
party” (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Propertyor Project Area. This Map must clearly depict the boundaries of the
review area.
Size of Property or Review Area acres.
The property boundary (or review area boundary) is clearly physically marked on the site.
Jurisdictional Determination Request
Version: May 2017
Page 5
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: ______________________
Longitude: ______________________
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
North Arrow
Graphical Scale
Boundary of Review Area
Date
Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non-jurisdictional (i.e.
“Isolated”, “No Significant Nexus”, or “Upland Feature”). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
____________________________________________________________________________
6 Please refer to the guidance document titled “Survey Standards for Jurisdictional Determinations” to ensure that the
supplied map meets the necessary mapping standards.http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
Jurisdictional Determination Request
Version: May 2017
Page 6
Completed appropriate Jurisdictional Determination form
PJDs,please complete a Preliminary Jurisdictional Determination Form7 and include the
Aquatic Resource Table
AJDs, please complete an Approved Jurisdictional Determination Form
8
Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
_____________________________________________________________________________
7 www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
8 Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose:The information thatyou provide will beusedinevaluating your requestto determine
whether there are any aquatic resources within the project areasubjecttofederaljurisdictionunder the regulatory
authorities referencedabove.
Routine Uses:This information maybeshared with the Department of Justice andother federal, state,and local
government agencies, and the public,and maybe made available aspartof a public notice as required byfederal
law. Your nameand property location where federal jurisdiction is to bedetermined will beincluded in the
approved jurisdictional determination (AJD),which will bemade available tothe public on the District's website
andonthe Headquarters USAGEwebsite.
Disclosure:Submission ofrequested information is voluntary; however, ifinformation is notprovided, the
requestforanAJD cannot beevaluated norcananAJD be issued.
Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A.REPORT COMPLETION DATE FOR PJD:
B.NAME AND ADDRESS OF PERSON REQUESTING PJD:
C.DISTRICT OFFICE, FILE NAME, AND NUMBER:
D.PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: County/parish/borough: City:
Center coordinates of site (lat/long in degree decimal format):
Lat.:Long.:
Universal Transverse Mercator:
Name of nearest waterbody:
E.REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH “MAY BE”SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non-wetland
waters)
Geographic authority
to which the aquatic
resource “may be”
subject (i.e., Section
404 or Section 10/404)
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: ________________.
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: _________.
Natural Resources Conservation Service Soil Survey. Citation: __________.
National wetlands inventory map(s). Cite name: ________.
State/local wetland inventory map(s): ____________.
FEMA/FIRM maps: ________________.
100-year Floodplain Elevation is: ____.(National Geodetic Vertical Datum of 1929)
Photographs: Aerial (Name & Date): ______.
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.
Signature and date of Signature and date of
Regulatory staff member person requesting PJD
completing PJD (REQUIRED, unless obtaining
the signature is impracticable)
1
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor 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.
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:41.5
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30
A. Geomorphology Subtotal = Absent Weak Strong Score
0 1 3 3
0 1 3 2
0 1 3 2
0 1 3 2
0 1 3 3
0 1 3 3
0 1 3 3
0 1 3 0
0 0.5 1.5 0.5
0 0.5 1.5 1.5
3
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 11.5
0 1 3 3
0 1 3 1
1.5 1 0 1.5
0 0.5 1.5 1.5
0 0.5 1.5 1.5
3
C. Biology Subtotal = 7
3 2 0 3
3 2 0 3
0 1 3 0
0 1 3 0
0 0.5 1.5 1
0 0.5 1.5 0
0 0.5 1.5 0
0 0.5 1.5 0
0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Major urban stream channel
Minimal buffer along banks
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5; Other = 0
23. Crayfish 1
24. Amphibians 1
25. Algae 1
20. Macrobenthos (note diversity and abundance)2
21. Aquatic Mollusks 2
22. Fish 1
19. Rooted upland plants in streambed 1
14. Leaf litter 0.5
15. Sediment on plants or debris 1
16. Organic debris lines or piles 1
17. Soil-based evidence of high water table?No = 0 Yes = 3
18. Fibrous roots in streambed 1
13. Iron oxidizing bacteria 2
8. Headcuts 2
9. Grade control 1
10. Natural valley 1
11. Second or greater order channel No = 0 Yes = 3
12. Presence of Baseflow 2
5. Active/relic floodplain 2
6. Depositional bars or benches 2
7. Recent alluvial deposits 2
2. Sinuosity of channel along thalweg 2
3. In-channel structure: ex. riffle-pool, step-pool, ripple-
pool sequence 2
4. Particle size of stream substrate 2
1a. Continuity of channel bed and bank 2
North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
Statesville Greenway/ S1 -
Fourth Creek 34.809727
Chris Tinklenberg Iredell -80.877364
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:
Statesville East;
Statesville West
23 Moderate
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:36.5
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30
A. Geomorphology Subtotal = Absent Weak Strong Score
0 1 3 3
0 1 3 2
0 1 3 2
0 1 3 3
0 1 3 3
0 1 3 2
0 1 3 2
0 1 3 0
0 0.5 1.5 0.5
0 0.5 1.5 1.5
0
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 11.5
0 1 3 3
0 1 3 2
1.5 1 0 1.5
0 0.5 1.5 1
0 0.5 1.5 1
3
C. Biology Subtotal = 6
3 2 0 3
3 2 0 3
0 1 3 0
0 1 3 0
0 0.5 1.5 0
0 0.5 1.5 0
0 0.5 1.5 0
0 0.5 1.5 0
0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Flow from 48" CMP
Hydrology largely influenced by drainage from urbanized watershed
Rip-rap abutments present beneath existing bridge
1a. Continuity of channel bed and bank 2
North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
Statesville Greenway/ S2-
UT - Fourth Creek 34.809727
Chris Tinklenberg Iredell -80.877364
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:
Statesville East;
Statesville West
19 Moderate
2. Sinuosity of channel along thalweg 2
3. In-channel structure: ex. riffle-pool, step-pool, ripple-
pool sequence 2
4. Particle size of stream substrate 2
5. Active/relic floodplain 2
6. Depositional bars or benches 2
7. Recent alluvial deposits 2
13. Iron oxidizing bacteria 2
8. Headcuts 2
9. Grade control 1
10. Natural valley 1
11. Second or greater order channel No = 0 Yes = 3
12. Presence of Baseflow 2
19. Rooted upland plants in streambed 1
14. Leaf litter 0.5
15. Sediment on plants or debris 1
16. Organic debris lines or piles 1
17. Soil-based evidence of high water table?No = 0 Yes = 3
18. Fibrous roots in streambed 1
20. Macrobenthos (note diversity and abundance)2
21. Aquatic Mollusks 2
22. Fish 1
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5; Other = 0
23. Crayfish 1
24. Amphibians 1
25. Algae 1
USACE AID #:NCDWR #:
PROJECT / SITE INFORMATION:
1. Project name (if any):2. Date of evaluation:
3. Applicant/owner name:
5. County:6. Nearest named water body
7. River Basin: on USGS 7.5-minute quad:
8. Site coordinates (decimal degrees, at lower end of assessment reach):
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map):10. Length of assessment reach evaluated (feet):
11. Channel depth from bed (in riffle, if present) to top of bank (feet):Unable to assess channel depth.
12. Channel width at top of bank (feet):13. Is assessment reach a swamp stream?Yes No
14. Feature type:Perennial flow Intermittent flow Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone:Mountains (M)Piedmont (P)Inner Coastal Plain (I)Outer Coastal Plain (O)
16. Estimated geomorphic
valley shape (skip for a b
Tidal Marsh Stream):(more sinuous stream, flatter valley slope)(less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 mi2)Size 2 (0.1 to < 0.5 mi2)Size 3 (0.5 to < 5 mi2)Size 4 (≥ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated?Yes No If Yes, check all that appy to the assessment area.
Section 10 water Classified Trout Waters Water Supply Watershed (I II III IV V)
Essential Fish Habitat Primary Nursery Area High Quality Waters/Outstanding Resource Waters
Publicly owned property NCDWR riparian buffer rule in effect Nutrient Sensitive Waters
Anadromous fish 303(d) List CAMA Area of Environmental Concern (AEC)
Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached?Yes No
1.Channel Water – assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
B No flow, water in pools only.
C No water in assessment reach.
2.Evidence of Flow Restriction – assessment reach metric
A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
B Not A
3.Feature Pattern – assessment reach metric
A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
B Not A.
4.Feature Longitudinal Profile – assessment reach metric
A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5.Signs of Active Instability – assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
A < 10% of channel unstable
B 10 to 25% of channel unstable
C > 25% of channel unstable
6.Streamside Area Interaction – streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
A A Little or no evidence of conditions that adversely affect reference interaction
12'
50'
NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2
Rating Calculator Version 2
INSTRUCTIONS:Attach a sketch of the assessment area and photographs.Attach a copy of the USGS 7.5-minute topographic
quadrangle,and circle the location of the stream reach under evaluation.If multiple stream reaches will be evaluated on the same
property,identify and number all reaches on the attached map,and include a separate form for each reach.See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
Statesville Greenway March 1, 2018
35.809908, -80.875675
Reach 1 - Left Bank ~300'
City of Statesville 4. Assessor name/organization:C. Tinklenberg/Kimley-Horn
Iredell
Yadkin-PeeDee Fourth Creek
B B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
C C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7.Water Quality Stressors – assessment reach/intertidal zone metric
Check all that apply.
A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
B Excessive sedimentation (burying of stream features or intertidal zone)
C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
D Odor (not including natural sulfide odors)
E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F Livestock with access to stream or intertidal zone
G Excessive algae in stream or intertidal zone
H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
I Other:(explain in "Notes/Sketch" section)
J Little to no stressors
8.Recent Weather – watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream – assessment reach metric
Yes No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10.Natural In-stream Habitat Types – assessment reach metric
10a.Yes No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b.Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
A Multiple aquatic macrophytes and aquatic mosses F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent H Low-tide refugia (pools)
vegetation I Sand bottom
C Multiple snags and logs (including lap trees)J 5% vertical bank along the marsh
D 5% undercut banks and/or root mats and/or roots K Little or no habitat
in banks extend to the normal wetted perimeter
E Little or no habitat
11.Bedform and Substrate – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a.Yes No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11b.Bedform evaluated. Check the appropriate box(es).
A Riffle-run section (evaluate 11c)
B Pool-glide section (evaluate 11d)
C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c.In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach – whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but ≤ 10%, Common (C) = > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
Bedrock/saprolite
Boulder (256 – 4096 mm)
Cobble (64 – 256 mm)
Gravel (2 – 64 mm)
Sand (.062 – 2 mm)
Silt/clay (< 0.062 mm)
Detritus
Artificial (rip-rap, concrete, etc.)
11d.Yes No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12.Aquatic Life – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.Yes No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. No Water Other:
Trash/Debris Input
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************Check for TidalMarsh Streamsonly
12b.Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to “individuals” for size 1 and 2 streams and “taxa” for size 3 and 4 streams.
Adult frogs
Aquatic reptiles
Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
Beetles (including water pennies)
Caddisfly larvae (Trichoptera [T])
Asian clam (Corbicula )
Crustacean (isopod/amphipod/crayfish/shrimp)
Damselfly and dragonfly larvae
Dipterans (true flies)
Mayfly larvae (Ephemeroptera [E])
Megaloptera (alderfly, fishfly, dobsonfly larvae)
Midges/mosquito larvae
Mosquito fish (Gambusia ) or mud minnows (Umbra pygmaea)
Mussels/Clams (not Corbicula )
Other fish
Salamanders/tadpoles
Snails
Stonefly larvae (Plecoptera [P])
Tipulid larvae
Worms/leeches
13.Streamside Area Ground Surface Condition – streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and
upland runoff.
LB RB
A A Little or no alteration to water storage capacity over a majority of the streamside area
B B Moderate alteration to water storage capacity over a majority of the streamside area
C C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14.Streamside Area Water Storage – streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
A A Majority of streamside area with depressions able to pond water ≥ 6 inches deep
B B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
C C Majority of streamside area with depressions able to pond water < 3 inches deep
15.Wetland Presence – streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the
normal wetted perimeter of assessment reach.
LB RB
Y Y Are wetlands present in the streamside area?
N N
16.Baseflow Contributors – assessment reach metric (skip for size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
A Streams and/or springs (jurisdictional discharges)
B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
E Stream bed or bank soil reduced (dig through deposited sediment if present)
F None of the above
17.Baseflow Detractors – assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
C Urban stream (≥ 24% impervious surface for watershed)
D Evidence that the stream-side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
F None of the above
18.Shading – assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider “leaf-on” condition.
A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19.Buffer Width – streamside area metric (skip for Tidal Marsh Streams)
Consider “vegetated buffer” and “wooded buffer” separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
A A A A ≥ 100-feet wide or extends to the edge of the watershed
B B B B From 50 to < 100-feet wide
C C C C From 30 to < 50-feet wide
D D D D From 10 to < 30-feet wide
E E E E < 10-feet wide or no trees
20.Buffer Structure – streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
A A Mature forest
B B Non-mature woody vegetation or modified vegetation structure
C C Herbaceous vegetation with or without a strip of trees < 10 feet wide
D D Maintained shrubs
E E Little or no vegetation
21.Buffer Stressors – streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
A A A A A A Row crops
B B B B B B Maintained turf
C C C C C C Pasture (no livestock)/commercial horticulture
D D D D D D Pasture (active livestock use)
22.Stem Density – streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
A A Medium to high stem density
B B Low stem density
C C No wooded riparian buffer or predominantly herbaceous species or bare ground
23.Continuity of Vegetated Buffer – streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10-feet wide.
LB RB
A A The total length of buffer breaks is < 25 percent.
B B The total length of buffer breaks is between 25 and 50 percent.
C C The total length of buffer breaks is > 50 percent.
24.Vegetative Composition – First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25.Conductivity – assessment reach metric (skip for all Coastal Plain streams)
25a.Yes No Was a conductivity measurement recorded?
If No, select one of the following reasons. No Water Other:
25b.Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
A <46 B 46 to < 67 C 67 to < 79 D 79 to < 230 E ≥ 230
Notes/Sketch:
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In-stream Habitat
(2) Stream-side Habitat
(3) Stream-side Habitat
(3) Thermoregulation
(2) Tidal Marsh In-stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In-stream Habitat
(2) Intertidal Zone Habitat
Overall LOW
LOW
LOW
LOW
LOW
LOW
LOW
NA
NA
LOW
LOW
LOW
LOW
LOW
NA
NA
NA
NA
LOW
HIGH
LOW
LOW
NA
NA
HIGH
NA
(4) Tidal Marsh Channel Stability
(3) Tidal Marsh Channel Stability
(3) Streamside Area Attenuation
Function Class Rating Summary
(1) Hydrology
NA
LOW
HIGH
MEDIUM
LOW
NA
YES
NA
NA
(2) Flood Flow
C. Tinklenberg/Kimley-Horn
March 1, 2018
NO
YES
YES
Perennial
(2) Baseflow
Stream Category Assessor Name/Organization
LOW
LOW
Pa4
Stream Site Name Statesville Greenway Date of Evaluation
LOW
HIGH
Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 1
Rating Calculator Version 1
LOW
LOW
USACE/
All Streams
NCDWR
Intermittent
USACE AID #:NCDWR #:
PROJECT / SITE INFORMATION:
1. Project name (if any):2. Date of evaluation:
3. Applicant/owner name:
5. County:6. Nearest named water body
7. River Basin: on USGS 7.5-minute quad:
8. Site coordinates (decimal degrees, at lower end of assessment reach):
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map):10. Length of assessment reach evaluated (feet):
11. Channel depth from bed (in riffle, if present) to top of bank (feet):Unable to assess channel depth.
12. Channel width at top of bank (feet):13. Is assessment reach a swamp stream?Yes No
14. Feature type:Perennial flow Intermittent flow Tidal Marsh Stream
STREAM RATING INFORMATION:
15. NC SAM Zone:Mountains (M)Piedmont (P)Inner Coastal Plain (I)Outer Coastal Plain (O)
16. Estimated geomorphic
valley shape (skip for a b
Tidal Marsh Stream):(more sinuous stream, flatter valley slope)(less sinuous stream, steeper valley slope)
17. Watershed size: (skip Size 1 (< 0.1 mi2)Size 2 (0.1 to < 0.5 mi2)Size 3 (0.5 to < 5 mi2)Size 4 (≥ 5 mi2)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated?Yes No If Yes, check all that appy to the assessment area.
Section 10 water Classified Trout Waters Water Supply Watershed (I II III IV V)
Essential Fish Habitat Primary Nursery Area High Quality Waters/Outstanding Resource Waters
Publicly owned property NCDWR riparian buffer rule in effect Nutrient Sensitive Waters
Anadromous fish 303(d) List CAMA Area of Environmental Concern (AEC)
Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
Designated Critical Habitat (list species):
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached?Yes No
1.Channel Water – assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
A Water throughout assessment reach.
B No flow, water in pools only.
C No water in assessment reach.
2.Evidence of Flow Restriction – assessment reach metric
A At least 10% of assessment reach in-stream habitat or riffle-pool sequence is adversely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impounded on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates).
B Not A
3.Feature Pattern – assessment reach metric
A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
B Not A.
4.Feature Longitudinal Profile – assessment reach metric
A Majority of assessment reach has a substantially altered stream profile (examples: channel down-cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
B Not A
5.Signs of Active Instability – assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down-cutting (head-cut), active widening, and artificial hardening (such as concrete, gabion, rip-rap).
A < 10% of channel unstable
B 10 to 25% of channel unstable
C > 25% of channel unstable
6.Streamside Area Interaction – streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
A A Little or no evidence of conditions that adversely affect reference interaction
Statesville Greenway (Proposed)March 1, 2018
35.809908, -80.875675
Reach 1 - Left Bank ~300'
City of Statesville 4. Assessor name/organization:C. Tinklenberg/Kimley-Horn
Iredell
Yadkin-PeeDee Fourth Creek
property,identify and number all reaches on the attached map,and include a separate form for each reach.See the NC SAM User
Manual for detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if any supplementary
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
measurements were performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2
Rating Calculator Version 2
INSTRUCTIONS:Attach a sketch of the assessment area and photographs.Attach a copy of the USGS 7.5-minute topographic
quadrangle,and circle the location of the stream reach under evaluation.If multiple stream reaches will be evaluated on the same
12'
50'
B B Moderate evidence of conditions (examples: berms, levees, down-cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
C C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7.Water Quality Stressors – assessment reach/intertidal zone metric
Check all that apply.
A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
B Excessive sedimentation (burying of stream features or intertidal zone)
C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
D Odor (not including natural sulfide odors)
E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in the "Notes/Sketch"
section.
F Livestock with access to stream or intertidal zone
G Excessive algae in stream or intertidal zone
H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc.)
I Other:(explain in "Notes/Sketch" section)
J Little to no stressors
8.Recent Weather – watershed metric
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
C No drought conditions
9 Large or Dangerous Stream – assessment reach metric
Yes No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10.Natural In-stream Habitat Types – assessment reach metric
10a.Yes No Degraded in-stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in-stream hardening [for example, rip-rap], recent dredging, and snagging)
(evaluate for size 4 Coastal Plain streams only, then skip to Metric 12)
10b.Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
A Multiple aquatic macrophytes and aquatic mosses F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)G Submerged aquatic vegetation
B Multiple sticks and/or leaf packs and/or emergent H Low-tide refugia (pools)
vegetation I Sand bottom
C Multiple snags and logs (including lap trees)J 5% vertical bank along the marsh
D 5% undercut banks and/or root mats and/or roots K Little or no habitat
in banks extend to the normal wetted perimeter
E Little or no habitat
11.Bedform and Substrate – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a.Yes No Is assessment reach in a natural sand-bed stream? (skip for Coastal Plain streams)
11b.Bedform evaluated. Check the appropriate box(es).
A Riffle-run section (evaluate 11c)
B Pool-glide section (evaluate 11d)
C Natural bedform absent (skip to Metric 12, Aquatic Life)
11c.In riffles sections, check all that occur below the normal wetted perimeter of the assessment reach – whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain Streams and Tidal Marsh Streams). Not Present (NP) =
absent, Rare (R) = present but ≤ 10%, Common (C) = > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP R C A P
Bedrock/saprolite
Boulder (256 – 4096 mm)
Cobble (64 – 256 mm)
Gravel (2 – 64 mm)
Sand (.062 – 2 mm)
Silt/clay (< 0.062 mm)
Detritus
Artificial (rip-rap, concrete, etc.)
11d.Yes No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12.Aquatic Life – assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
12a.Yes No Was an in-stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. No Water Other:
Trash/Debris Input
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************Check for TidalMarsh Streamsonly
12b.Yes No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check
all that apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to “individuals” for size 1 and 2 streams and “taxa” for size 3 and 4 streams.
Adult frogs
Aquatic reptiles
Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
Beetles (including water pennies)
Caddisfly larvae (Trichoptera [T])
Asian clam (Corbicula )
Crustacean (isopod/amphipod/crayfish/shrimp)
Damselfly and dragonfly larvae
Dipterans (true flies)
Mayfly larvae (Ephemeroptera [E])
Megaloptera (alderfly, fishfly, dobsonfly larvae)
Midges/mosquito larvae
Mosquito fish (Gambusia ) or mud minnows (Umbra pygmaea)
Mussels/Clams (not Corbicula )
Other fish
Salamanders/tadpoles
Snails
Stonefly larvae (Plecoptera [P])
Tipulid larvae
Worms/leeches
13.Streamside Area Ground Surface Condition – streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and
upland runoff.
LB RB
A A Little or no alteration to water storage capacity over a majority of the streamside area
B B Moderate alteration to water storage capacity over a majority of the streamside area
C C Severe alteration to water storage capacity over a majority of the streamside area (examples include: ditches, fill,
soil, compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14.Streamside Area Water Storage – streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
A A Majority of streamside area with depressions able to pond water ≥ 6 inches deep
B B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
C C Majority of streamside area with depressions able to pond water < 3 inches deep
15.Wetland Presence – streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the
normal wetted perimeter of assessment reach.
LB RB
Y Y Are wetlands present in the streamside area?
N N
16.Baseflow Contributors – assessment reach metric (skip for size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
A Streams and/or springs (jurisdictional discharges)
B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
C Obstruction that passes some flow during low-flow periods within assessment area (beaver dam, bottom-release dam)
D Evidence of bank seepage or sweating (iron oxidizing bacteria in water indicates seepage)
E Stream bed or bank soil reduced (dig through deposited sediment if present)
F None of the above
17.Baseflow Detractors – assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
B Obstruction not passing flow during low flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
C Urban stream (≥ 24% impervious surface for watershed)
D Evidence that the stream-side area has been modified resulting in accelerated drainage into the assessment reach
E Assessment reach relocated to valley edge
F None of the above
18.Shading – assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider “leaf-on” condition.
A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
B Degraded (example: scattered trees)
C Stream shading is gone or largely absent
19.Buffer Width – streamside area metric (skip for Tidal Marsh Streams)
Consider “vegetated buffer” and “wooded buffer” separately for left bank (LB) and right bank (RB) starting at the top
of bank out to the first break.
Vegetated Wooded
LB RB LB RB
A A A A ≥ 100-feet wide or extends to the edge of the watershed
B B B B From 50 to < 100-feet wide
C C C C From 30 to < 50-feet wide
D D D D From 10 to < 30-feet wide
E E E E < 10-feet wide or no trees
20.Buffer Structure – streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
A A Mature forest
B B Non-mature woody vegetation or modified vegetation structure
C C Herbaceous vegetation with or without a strip of trees < 10 feet wide
D D Maintained shrubs
E E Little or no vegetation
21.Buffer Stressors – streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
A A A A A A Row crops
B B B B B B Maintained turf
C C C C C C Pasture (no livestock)/commercial horticulture
D D D D D D Pasture (active livestock use)
22.Stem Density – streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
A A Medium to high stem density
B B Low stem density
C C No wooded riparian buffer or predominantly herbaceous species or bare ground
23.Continuity of Vegetated Buffer – streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10-feet wide.
LB RB
A A The total length of buffer breaks is < 25 percent.
B B The total length of buffer breaks is between 25 and 50 percent.
C C The total length of buffer breaks is > 50 percent.
24.Vegetative Composition – First 100 feet of streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes
to assessment reach habitat.
LB RB
A A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native
species, with non-native invasive species absent or sparse.
B B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear-cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
C C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non-characteristic species or communities inappropriately composed of a single species or no vegetation.
25.Conductivity – assessment reach metric (skip for all Coastal Plain streams)
25a.Yes No Was a conductivity measurement recorded?
If No, select one of the following reasons. No Water Other:
25b.Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
A <46 B 46 to < 67 C 67 to < 79 D 79 to < 230 E ≥ 230
Notes/Sketch:
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
(4) Floodplain Access
(4) Wooded Riparian Buffer
(4) Microtopography
(3) Stream Stability
(4) Channel Stability
(4) Sediment Transport
(4) Stream Geomorphology
(2) Stream/Intertidal Zone Interaction
(2) Longitudinal Tidal Flow
(2) Tidal Marsh Stream Stability
(3) Tidal Marsh Stream Geomorphology
(1) Water Quality
(2) Baseflow
(2) Streamside Area Vegetation
(3) Upland Pollutant Filtration
(3) Thermoregulation
(2) Indicators of Stressors
(2) Aquatic Life Tolerance
(2) Intertidal Zone Filtration
(1) Habitat
(2) In-stream Habitat
(3) Baseflow
(3) Substrate
(3) Stream Stability
(3) In-stream Habitat
(2) Stream-side Habitat
(3) Stream-side Habitat
(3) Thermoregulation
(2) Tidal Marsh In-stream Habitat
(3) Flow Restriction
(3) Tidal Marsh Stream Stability
(4) Tidal Marsh Stream Geomorphology
(3) Tidal Marsh In-stream Habitat
(2) Intertidal Zone Habitat
Overall
LOW
HIGH
Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 1
Rating Calculator Version 1
LOW
LOW
USACE/
All Streams
NCDWR
Intermittent
NA
NA
(2) Flood Flow
C. Tinklenberg/Kimley-Horn
March 1, 2018
NO
YES
YES
Perennial
(2) Baseflow
Stream Category Assessor Name/Organization
LOW
LOW
Pa4
Stream Site Name Statesville Greenway (Proposed)Date of Evaluation
(4) Tidal Marsh Channel Stability
(3) Tidal Marsh Channel Stability
(3) Streamside Area Attenuation
Function Class Rating Summary
(1) Hydrology
NA
LOW
HIGH
LOW
LOW
NA
YES
LOW
LOW
NA
NA
HIGH
NA
NA
NA
NA
NA
LOW
HIGH
LOW
LOW
LOW
LOW
LOW
LOW
LOW
NA
NA
LOW
LOW
LOW
LOW
LOW
Photo Page 1

Photo 1 - Stream 1 (Fourth Creek) facing downstream (south) from Pump Station Road
from the start of the project corridor.

Photo 2 – Stream 1 (Fourth Creek) facing upstream (north) towards Pump Station Road.

Title Photo Pages
Prepared For
Project
TIP# EB-5818
Statesville Greenway
Statesville, Iredell County, North Carolina
Prepared By

Date Project Number
5/24/18 08115002
Photo Page 2

Photo 3 – Stream 1 (Fourth Creek) facing upstream (west) towards the
confluence with Morrison Creek.

Photo 4 – Stream 1 (Fourth Creek) facing downstream (east), east of the
confluence with Morrison Creek.
Title Photo Pages
Prepared For
Project
TIP# EB-5818
Statesville Greenway
Statesville, Iredell County, North Carolina
Prepared By

Date Project Number
5/24/18 08115002
Photo Page 3

Photo 5 – Stream 1 (Fourth Creek) facing downstream (east), beneath the southbound lane
of Hwy 21 from the proposed permanent stream-side area impact location.
Notice mid-channel bar formation and over-widened channel bed.

Photo 6 – Stream 1 (Fourth Creek) facing upstream (west), beneath the northbound
lane of Hwy 21 from the proposed permanent stream-side area impact location.
Title Photo Pages
Prepared For
Project
TIP# EB-5818
Statesville Greenway
Statesville, Iredell County, North Carolina
Prepared By

Date Project Number
5/24/18 08115002
Photo Page 4

Photo 7 – Stream 1 (Fourth Creek) facing upstream (west), east of the Hwy 21 bridge. Notice over-widened
channel bed. The proposed condition will reestablish the normal baseflow width beneath the bridge to match
upstream and downstream baseflow widths.

Photo 8 – Stream 1 (Fourth Creek) facing downstream (east) from beneath the
northbound lane of Hwy 21.
Title Photo Pages
Prepared For
Project
TIP# EB-5818
Statesville Greenway
Statesville, Iredell County, North Carolina
Prepared By

Date Project Number
5/24/18 08115002
Photo Page 5

Photo 9 - Stream 2 (UT to Fourth Creek) facing downstream (southwest)
beneath existing pedestrian bridge (to be replaced).

Photo 10 - Stream 2 (UT to Fourth Creek) facing upstream (northeast) at
the 48-inch corrugated metal pipe outlet.
Title Photo Pages
Prepared For
Project
TIP# EB-5818
Statesville Greenway
Statesville, Iredell County, North Carolina
Prepared By

Date Project Number
5/24/18 08115002

NCNHDE-2324
October 6, 2016
Chris Tinklenberg
Kimley-Horn
200 South Tryon St.
Charlotte, NC 28202
RE: Statesville Greenway Project
Dear Chris Tinklenberg:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information
about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates that there are
no records for rare species, important natural communities, natural areas, or conservation/managed areas
within the proposed project boundary. Please note that although there may be no documentation of natural
heritage elements within the project boundary, it does not imply or confirm their absence; the area may not have
been surveyed. The results of this query should not be substituted for field surveys where suitable habitat exists.
In the event that rare species are found within the project area, please contact the NCNHP so that we may
update our records.
The attached ‘Potential Occurrences’ table summarizes rare species and natural communities that have been
documented within a one-mile radius of the property boundary. The proximity of these records suggests that
these natural heritage elements may potentially be present in the project area if suitable habitat exists and is
included for reference. Tables of natural areas and conservation/managed area within a one-mile radius of the
project area, if any, are also included in this report.
Please note that natural heritage element data are maintained for the purposes of conservation planning, project
review, and scientific research, and are not intended for use as the primary criteria for regulatory decisions.
Information provided by the NCNHP database may not be published without prior written notification to the
NCNHP, and the NCNHP must be credited as an information source in these publications. Maps of NCNHP
data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a Dedicated Nature
Preserve (DNP), Registered Heritage Area (RHA), Clean Water Management Trust Fund (CWMTF) easement,
or Federally-listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance, please
contact Suzanne Mason at [e-mail] or 919.707.8637.
Sincerely,
NC Natural Heritage Program
Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One-mile Radius of the Project Area
Statesville Greenway Project
October 6, 2016
NCNHDE-2324
Element Occurrences Documented Within a One-mile Radius of the Project Area
Taxonomic
Group
EO ID Scientific Name Common Name Last
Observation
Date
Element
Occurrence
Rank
Accuracy Federal
Status
State
Status
Global
Rank
State
Rank
Vascular Plant 24006 Trifolium reflexum Buffalo Clover 1935-05-20 H 3-Medium ---Threatened G3G4 S1S2
No Natural Areas are Documented Within a One-mile Radius of the Project Area
Managed Areas Documented Within a One-mile Radius of the Project Area
Managed Area Name Owner Owner Type
Iredell County Open Space Iredell County: multiple local government Local Government
Iredell County Open Space Iredell County: multiple local government Local Government
Iredell County Open Space Iredell County: multiple local government Local Government
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.org/content/help. Data query generated on October 6, 2016; source: NCNHP, Q2 June 2016. Please resubmit your
information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3
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1
Tinklenberg, Chris
Subject:RE: [External] U-6039 Draft NRTR
From: "Beam, Patricia" <[e-mail]> 
Date: January 30, 2018 at 2:29:48 PM EST 
To: "Hardy, Tad" <tad.hardy@kimley‐horn.com> 
Cc: "Sowell, Bryan K" <[e-mail]>, "McSwain, Jacqueline" <[e-mail]>, "Poe, Michael L" 
<[e-mail]>, "chris.tinklenberg@kimley‐horn.com" <chris.tinklenberg@kimley‐horn.com> 
Subject: RE: [External] U‐6039 Draft NRTR 
Tad, 

Sorry it has taken so long to get back to you on this.  My only comment is regarding the biological 
conclusion for the Northern Long Eared Bat.   

Based upon guidance from the Asheville office U.S. Fish and Wildlife (USFWS) personnel, the biological 
conclusion for Northern Long Eared Bat (NLEB) is a “may affect not likely to adversely affect” call for any 
counties in Division 12.  This is due to the fact that these counties are located in the white nose 
syndrome area, but since there is no known hibernacula nor roosting trees in Division 12,  the criteria for 
the 4(d) rule has been met and any associated take is exempt.  I will complete and submit a USFWS NLEB 
4(d) rule streamlined consultation form at later date. 

Let me know if you have any questions.  

Thank you   

Trish Beam 
Division 12 Environmental Supervisor 

980 552 4218 office 
[e-mail] 

PO Box 47 
Shelby, NC 28151-0047 

<image001.png> 

From: Hardy, Tad [mailto:tad.hardy@kimley‐horn.com]  
Sent: Tuesday, January 16, 2018 4:25 PM 
To: Beam, Patricia <[e-mail]> 
Cc: Sowell, Bryan K <[e-mail]>; McSwain, Jacqueline <[e-mail]>; Poe, Michael 
L <[e-mail]>; Tinklenberg, Chris <Chris.Tinklenberg@kimley‐horn.com> 
Subject: [External] U‐6039 Draft NRTR 

CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an 
attachment to [e-mail]. 

Trish, 

2
We have completed the Draft U‐6039 NRTR and uploaded it to the Connect site for your review. The 
document can be accessed using the link below. 

https://connect.ncdot.gov/site/Preconstruction/division/div12/U‐6039/Natural%20Environment/U‐
6039_Draft%20NRTR_Reduced.pdf 

Please let me or Chris know if you have any questions or comments. 

Thanks, 
Tad 

 Tad Hardy, P.E. (NC, SC)
Kimley-Horn | 200 South Tryon Street, Suite 200, Charlotte, NC 28202
Direct: [phone] | Main: [phone] 

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Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties.