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Home My WebLink About20090689 Ver 1_401 Application_20090609o ECS CAROLINAS, LLP Geotechnical • Construction Materials • Environmental 09-0689 Ms. Cyndi Karoly North Carolina Division of Water Quality, 401 Wetlands Unit 2321 Crabtree Blvd. Suite 250 Raleigh, North Carolina 27604 Subject: Pre-Construction Notification Application Request for Nationwide Permit 14 Proposed Kernersville Medical Parkway Kernersville, Forsyth County, North Carolina ECS Project 09-14891 G Dear Ms. Karoly: June 8, 2009 L JUN 1 5 2048 k7lAJDSARDWATER OIJ"V ITY STpR Y4TERBk%C e ?Avg Please find five copies of the Pre-Construction Notification Application for the above referenced site. The site is located in Kernersville (Figure 1) and consists of an approximate 6.11 acre tract. The tract contains commercially developed land, wooded land, graded land and a roadway. The site is being evaluated with a roadway that will connect Macy Grove Road to NC Hwy 66. The tract contains tributaries to the West Deep Fork River. In order to develop a roadway to connect Macy Grove Road to NC Hwy 66, three crossings must be made. Crossing #1 will impact 640 square feet (0.015 acres) of wetlands and 292 linear feet of perennial stream channel, Crossing #2 will impact 264 linear feet of perennial stream channel and Crossing #3 will impact 72 linear feet of intermittent stream channel. Since this is a linear transportation project, Mr. John Thomas with the U.S. Army Corps of Engineers has indicated that a separate Nationwide Permit 14 will be issued to authorize each of the three crossings. On behalf of Trade Street Dev. and the Town of Kernersville, I am requesting that a 401 Water Quality Certification be issued to authorize the impact to 628 linear feet of stream channel and 0.015 acres of wetland. There are no other stream or wetland impacts associated with this project. We propose payment on a 1:1 basis to the EEP for mitigation for the impact to 556 linear feet of perennial stream channel. The EEP acceptance letter is attached. 4811 Koger Boulevard • Greensboro, NC 27407 • (336) 856-7150 • Fax (336) 856-7160 Pre-Construction Notification Application Request for Nationwide Permit 14 Proposed Kernersville Medical Parkway Kernersville, Forsyth County, North Carolina ECS Project 09-14891 G Please feel free to contact me at (336) 856-7150 if you have any questions concerning this request or if additional information is required. Thank you in advance for your timely consideration of this matter. Sincerely, ECS Carolinas, LLP Denise M. Poulos, LSS Principal Scientist Attachment: Pre-Construction Notification Application 401 Water Quality Certification Fee -$570.00 Stormwater Management Plan 2 Proposal for Environmental Services Kernersville Medical Parkway Kemersville, North Carolina ECS Proposal 14826-P March 16, 2009 ECS Carolinas, LLP AGENT AUTHORIZATION Proposal No. 14826-P Scope of Work: Permitting Services Location: Kernersville Medical Parkway Kernersville, North Carolina This form authorizes ECS to act as our agent in stream/wetland matters including U.S. Army Corps of Engineers and North Carolina Division of Water Quality field verification and permit application. Property Address: Owner Information: Name: Address: Telephone Number: Fax Number: E-mail Address: Proposed Kernersville Medical Parkway 1550 Brookford Road (Vacinity) Kernersville, NC 27284 Town of Kernersville P.O. Box 728 Kernersville, NC 27285 336/992-0305 336/996-4822 Signature: Gt? Date: 5 Proposal for Environmental Services Kernersville Medical Parkway Kemersvtlie, North Carolina ECS Proposal 54826-P March 1S, 2005 ECS Carolinas, LLP AGENT AUT1.1OR17-ATION Proposal No. 14826-P Scope of Work: Permitting services Location: Kernersville Medical Parkway Kernersville, North Carolina This form authorizes ECS to act as our agent in stream/wetland matters including U.S. Army Corps of Engineers and North Carolina Division of Water Quality field verification and permit application. Property Address: Owner trtformation: Name: Address: Telephone Number: Fax Number, E-mail Address: Sign _ 4 j ar L -?C ?C ?- l?tif Carh 4-l -C) 6 09-0689 OaO?_ W AT ?qQ G M Office Use Only: Corps action ID no. DWQ project no. Form Version November 2008 Pre-Construction Notification (PCN) Form um? A. Applicant Information A 1, E n' 1. Processing a. Type(s) of approval sought from the 1 Corps: Section 404 Permit F-1 Section 10 Permit ® 1 b. 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 1 e. Is this notification solely for the record because written approval is not required? For the record only for DWQ 401 Certification: ? Yes ® No For the record only for Corps Permit: ? Yes ® No If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu fee program. ® Yes ? No 1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h below. ? Yes ® No Th. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No 2. Project Information 2a. Name of project: Proposed Kernersville MedicalParkway 2b. County: g LS Ulm Forsyth 2c. Nearest municipality / town: Kernersville 2d. Subdivision name: 2e. NCDOT only, T.I.P. or state project no: UENR-WATER QUALITy MVLA*S-AND STORMWA ER B 3. Owner Information 3a. Name on Recorded Deed: Crossing #1 Sandra Riddle, Crossing #2 L.E. Pope Building Co.,Crossing #3 Linville Family, LLC 3b. Deed Book and Page No. Crossing #1 975-394, Crossing #2 2681-234, Crossing #3 2204-4150 3c. Responsible Party (for LLC if applicable): Sandra Riddle L.E. Pope Building Co. Linville Family, LLC 3d. Street address: 2444 Allgood Rd. 1349 Park Dr. S Apt.C PO Box 2824 3e. City, state, zip: Yadkinville, NC 27055 Kernersville, NC27284 South Padre Island TX 78597 3f. Telephone no.: 3g. Fax no.: 3h. Email address: Page 1 of 13 PCN Form - November 2008 Version Section A. Applicant Information, continued 4. Applicant Information (if different from owner) 4a. Applicant is: ® Agent ? Other, specify: 4b. Name: James H. Perkins and the Town of Kernersville 4c. Business name (if applicable): Trade Street Dev. Town of Kernersville 4d. Street address: 807 N. Trade Street P.O. Box 728 4e. City, state, zip: Winston Salem, North Carolina Kernersville, North Carolina 27285 4f. Telephone no.: 336-831-3737 336-992-0305 4g. Fax no.: 336-725-9080 336-996-4822 4h. Email address: 5. Agent/Consultant Information (if applicable) 5a. Name: Denise Poulos 5b. Business name (if applicable): ECS Carolinas, LLP 5c. Street address: 4811 Koger Blvd. 5d. City, state, zip: Greensboro, North Carolina 27407 5e. Telephone no.: 336-856-7150 5f. Fax no.: 336-856-7160 5g. Email address: dpoulos@ecslimited.com Page 2 of 13 PCN Form - November 2008 Version B. Project Information and Prior Project History 1. Property Identification Crossing #1 6885-93-5644 Crossing #2 6885-72-9838 1a. Property identification no. (tax PIN or parcel ID): Crossing #3 6885-62-8880 1b. Site coordinates (in decimal degrees): 36.089861'N - 80.052867'W 1 c. Property size: 6.11 acres 2. Surface Waters 2a. Name of nearest body of water (stream, river, etc.) to West Fork Deep River proposed project: 2b. Water Quality Classification of nearest receiving water: WS-IV 2c. River basin: Cape Fear 3. Project Description 3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application: A roadway that will connect NC Highway 66 and Macy Grove Road will be constructed. The proposed roadway crosses commercially developed land, wooded land, graded land, a roadway (Brookford Road) and a sewer line. 3b. List the total estimated acreage of all existing wetlands on the property: Crossing #1-0.015 acre, Crossing #2 -0.0 acre, Crossing #3-0.0 acre 3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: Crossing #1- 292 linear feet, Crossing #2-264 linear feet, Crossing #3 - 72 linear feet. 3d. Explain the purpose of the proposed project: The purpose of the project is to connect Macy Grove Road and NC Hwy 66 with a road (Kernersville Medical Parkway). 3e. Describe the overall project in detail, including the type of equipment to be used: in order to connect Macy Grove Road with NC Hwy 66, a road (Kernersville Medical Parkway) will be constructed. Trucks, pans, trackhoes, bulldozers, cranes and loaders will be used to construct the roadway. There will be three stream crossings and minor wetland impacts (0.015 acres) asscoiated with the road crossings. One road crossing will impact 292 linear feet of the West Fork Deep River. A double-barrell box culvert, each box measuring 11 feet by 10 feet, will be installed. The boxes have been sized to accommodate a 100 year flood event. A 0.015 acre linear wetland will also be impacted by the crossing. A second road crossing will impact 264 linear feet of an unnamed tributary to the West Fork Deep River. A 72 inch reinforced corrugated pipe will be installed. There are no wetlands that will be impacted at the second culvert crossing. A third road crossing will impact 72 linear feet of intermittent stream. There are no wetland impacts at this location. 4. Jurisdictional Determinations 4a. Have jurisdictional wetland or stream determinations by the Corps or State been requested or obtained for this property / ? Yes ® No ? Unknown project (including all prior phases) in the past? 4b. If the Corps made the jurisdictional determination, what type ? Preliminary ? Final of determination was made? 4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company: ECS Carolinas, LLP Name (if known): ECS Carolinas, LLP Other: 4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. Page 3 of 13 PCN Form - November 2008 Version B. Project Information and Prior Project History 5. Project History 5a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? ? Yes ®No El Unknown 5b. If yes, explain in detail according to "help file" instructions. 6. Future Project Plans 6a. Is this a phased project? ®Yes ? No 6b. If yes, explain. The road will be constructed in two phases. Page 4 of 13 PCN Form - November 2008 Version C. Proposed Impacts Inventory 1. Impacts Summary 1 a. Which sections were completed below for your project (check all that apply): ® Wetlands ® Streams - tributaries ? Buffers ? Open Waters ? Pond Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. 2b. 2c. 2d. 2e. 2f. Wetland impact Type of Type of wetland Forested Type of Area of impact (acres) number- impact (if known) jurisdiction Permanent (P) or (Corps - 404, Temporary (T) DWQ - non- 404, other W1 ®P ? T Culvert) Fill Riparian ®Yes ? No ® Corps [:1 DWQ 0.015 W2 ? P ? T ?Yes ? No ? Corps ? DWQ no wetlands impacts just streams see S2 W3 ? P ? T ? Yes ? No ? Corps ? DWQ no wetlands impacts just streams see S2 W4 ? P ? T ? Yes ? No ? Corps ? DWQ W5 ? P r-1 T ? Yes E] No El Corps ? DWQ W6 ? P ? T ? Yes ? No ? Corps ? DWQ Total wetland impacts 0.015 Comments: 3. Stream Impacts If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted. 3a. 3b. 3c. 3d. 3e. 3f. Stream impact Type of Stream name Perennial (PER) or Average stream width (feet) Impact length number - impact intermittent (INT)? (linear feet) Permanent (P) or Temporary (T) S1 ®P ? T Culvert/ West Fork Deep ® PER ? INT 10 292 Rip Rap River S2 ®P ? T Culvert/ Unnamed ® PER ? INT 5 264 RipRap S3 ® P ? T Culvert/ Unnamed ? PER ® INT 2 72 RipRap S4 ? P ? T ? PER ? INT S5 ? P ? T ? PER ? INT S6 ? P ? T ? PER ? INT Total stream and tributary impacts 628 Comments: The intermittent section is unmitigable in our opinion. We propose 1:1 mitigation for the impacts to the perennial streams. Page 5 of 13 PCN Form - November 2008 Version C. Proposed Impacts Inventory, continued 4. Buffer Impacts (for DWQ) 4a. Will the project impact a protected ® Yes ? No riparian buffer? ? Neuse ? Tar-Pamlico 4b. If yes, which basin? ? Catawba ® Randleman ? Other: 4c. If yes, then individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of this form. Buffer impact Buffer number - Permanent (P) Reason t f i Stream name mitigation uired? re Zone 1 impact (square feet) Zone 2 impact (square feet) or Temporary mpac or q T B1 ®P ? T Road West Fork Deep ? Yes ® No 17,520 11,680 River B2 ® P ? T Road Unnamed ? Yes ® No 15,840 10,560 B3 ® P ? T Road Unnamed ? Yes ® No 6,900 4,600 B4 ?P?T ?Yes ?No B5 ?P?T ?Yes ?No B6 ?P?T ?Yes ?No Total buffer impacts Comments: There are buffer impacts associated with road crossings. Buffer mitigation is not required. 5. 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 individual) list all open water impacts below. Open water Name of impact number - Permanent waterbody Type of impact Waterbody type Area of impact (acres) (P) or (if applicable) Temporary T 01 ?P?T 02 ?P?T 03 ?P?T 04 ?P?T Total open water impacts Comments: There are no open water impacts. Page 6 of 13 PCN Form - November 2008 Version C. Proposed Impacts Inventory, continued 6. Pond or Lake Construction lake construction proposed, then complete the chart below. 6a. Open water 76b. sed use or 6c. Wetland (acres) 6d. Stream (feet) 6e. Upland (acres) impac numb se of pond Flooded Filled Excavated Flooded Filled Excavated Flooded P1 P2 P3 P4 Total Comments: Neither a pond or a lake will be constructed. 6f. Is a dam high hazard permit required? ? Yes ? No If yes, permit ID no: 6g. Expected pond surface area (acres): 6h. Size of pond watershed (acres): 6i. Method of construction: Page 7 of 13 PCN Form - November 2008 Version D. Impact Justification and Mitigation 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project. ECS performed a wetland delineation on all of the properties that the proposed roadway will cross. The stream and wetland flags were surveyed. The corrider was chosen to limit the impact to streams by using the straighest part of streams where possible. Wetland areas were avoided to keep impacts to under one-tenth of an acre. 1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques. Maximum allowable slopes (2:1 side slopes) and headwalls are being used to minimize impacts to the streams at each of the crossings. 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 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: 556 linear feet 4c. If using stream mitigation, stream temperature: warm warm, cool, cold 4d. Buffer mitigation requested (DWQ only): 0.0 square feet 4e. Riparian wetland mitigation requested: 0.0 acres 4f. Non-riparian wetland mitigation requested: 0.0 acres 4g. Coastal (tidal) wetland mitigation requested: 0.0 acres 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. i Page 8 of 13 PCN Form - November 2008 Version D. Impact Justification and Mitigation, continued 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 Reason for impact Total impact (square feet) Multiplier Required mitigation (square feet) Zone 1 3 (2 for Catawba) Zone 2 1.5 Total buffer mitigation required: 6c. 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). 6d. Comments: Buffer mitigation is not required. Page 9 of 13 PCN Form - November 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 ® Yes ? No within one of the NC Riparian Buffer Protection Rules? 1 b. If yes, then is a diffuse flow plan included? ® Yes ? No 2. Determination if the Project Requires a Stormwater Management Plan 2a. Does the project require a Non-404 Jurisdictional General Permit? ? Yes ® No 2b. Is the project subject to General Certification 3704 or 3705? ® Yes ? No 3. Determination of Stormwater Review Jurisdiction 3a. Is this project subject to any of the following state-implemented stormwater ? Coastal counties management programs (check all that apply)? ? HQW ? ORW If so, attach one copy of the approval letter from the DWQ and one copy of the ? Session Law 2006-246 approved stormwater management plan. ? Other: 3b. In which local government's jurisdiction is this project? Kernersville 3c. Is this local government certified to implement a state stormwater program? ® Yes ? No If so, attach one copy of the approval letter from the local government and one copy of the approved stormwater management plan (or one copy of the approved Stormwater management plan stamped as approved). 4. Information Required for DWQ 401 Unit Stormwater Review 4a. What is the overall percent imperviousness according to the most current site plan? 65% 4b. Does this project contain any areas that meet the criteria for "high density" per ® Yes ? No General Certifications 3704 and 3705? 4c. If the site is over 24% impervious and/or contains high density areas, then provide a brief narrative description of the stormwater management plan. The SWM plans consist of biorentention cells for both Phases I and II. The plan include grading/erosion control plans showing the final grading of the biorentention cells; details showing plan and profiles of the bioretention cell, filtering media, outfall structure including the diffusing plans (plunge pool), and specifications.The BMP supplement form is included in the SWM narrative under bioretention cell calculations. Two copies of the plan are attached. 4d. Has a completed BMP Supplement Form with all required items been submitted TO Yes ? No for each stormwater BMP? Page 10 of 13 PCN Form - November 2008 Version F. Supplementary Information 1. Environmental Documentation (DWQ Requirement) 1a. Does the project involve an expenditure of public (federal/state/local) funds or the ? Yes ® No use of public (federal/state) land? 1 b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State ? Yes ® No (North Carolina) Environmental Policy Act (NEPA/SEPA)? 1 c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.) ? Yes ® No Comments: 2. Violations (DWQ Requirement) 2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? Yes ® No or Riparian Buffer Rules (15A NCAC 2B .0200)? 2b. Is this an after-the-fact permit application? ? Yes ® No 2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): 3. Cumulative Impacts (DWQ Requirement) 3a. Will this project (based on past and reasonably anticipated future impacts) result in ? Yes ® No additional development, which could impact nearby downstream water quality? 3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWQ policy. If you answered "no," provide a short narrative description. 4. Sewage Disposal (DWQ Requirement) 4a. Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from the proposed project, or available capacity of the subject facility. The project will not generate wastewater. Page 11 of 13 PCN Form - November 2008 Version F. Supplementary Information, continued 5. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a. Will this project occur in or near an area with federally protected species or ? Yes ® No habitat? 5b. Have you checked with the USFWS concerning Endangered Species Act ? Yes ® No impacts? ? Raleigh 5c. If yes, indicate the USFWS Field Office you have contacted. ille ? A h s ev 5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? We have reviewed the North Carolina Natural Heritage Program list for federally listed threatened and endangered species that have been identified on the Kernersville, NC Quadrangle (the quadrangle that contains the site). No federally protected endangered or threatened species have been identified on the Kernersville, NC Quadrangle. 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? The site is located in an area that has been classified by the NCDENR as WS-IV. There is no information indicating that the waters are outstanding resource waters or trout waters. There are no federally listed endangered or threatened fish species that have been identified in waters in the vicinity of the site. To the best of our knowledge, the streams on the site that will be impacted by the proposed project are not considered essential fish habitat. 7. Historic or Prehistoric Cultural Resources (Corps Requirement) 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation ? Yes ® No status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)? 7b. What data sources did you use to determine whether your site would impact historic or archeological resources? We have not contacted the State Historic Preservation Office. To the best of our knowledge, properties or structures that will be impacted by the proposed project have not been designated as having historic or cultural preservation status. 8. Flood Zone Designation (Corps Requirement) 8a. Will this project occur in a FEMA-designated 100-year floodplain? ® Yes ? No 8b. If yes, explain how project meets FEMA requirements: The West Fork Deep River is located in a FEMA designated 100- year flood plain. An 11 foot by 10 foot (2) double barrel box culvert will be installed to accommodate water received during a 100-year flood. 8c. What source(s) did you use to make the floodplain determination? We reviewed the FEMA Flood Insurance Rate Map to make the determination. Imo- ",00,6 9 Applicant/Agent's Printed Name Applicant/Agent's Signat re (Agent's signature is valid only if an authorization letter from the applicant Date Page 12 of 13 PCN Form - November 2008 Version IN- caiNs em_ PROGRAM April 29, 2009 Hank Perkins Trade Street Development Corp. 807 North Trade Street Winston-Salem, NC 27101 Project: Kernersville Medical Parkway Expiration of Acceptance: January 29, 2010 County: Forsyth The purpose of this letter is to notify you that the North Carolina Ecosystem Enhancement Program (NCEEP) is willing to accept payment for impacts associated with the above referenced project. Please note that this decision does not assure that the payment will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility of the applicant to contact these agencies to determine if payment to the NCEEP will be approved. You must also comply with all other state federal or local government permits, regulations or authorizations associated with the proposed activity including SL 2008-152• An Act to Promote Compensatory Mitigation by Private Mitigation Banks This acceptance is valid for nine months from the date of this letter and is not transferable. If we have not received a copy of the issued 404 Pernut1401 Certification/CAMA permit within this time frame, this acceptance will expire. It is the applicant's responsibility to send copies of the permits to NCEEP. Once NCEEP receives a copy of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must be made prior to conducting the authorized work. The amount of the In Lieu Fee to be paid to NCEEP by an applicant is calculated based upon the Fee Schedule and policies listed at www.nceep.net. Based on the information supplied by you the impacts that may require compensatory mitigation are summarized in the following table. River Basin CU Location Stream {feet} Wetlands (acres) Buffer I (Sq. Ft.) Buffer 11 (Sq. Ft.) Cold Cool Warm Riparian Non-Riprian Coastal Marsh Impact Cape Fear 03030003 0 0 800 0.5 0 0 0 0 Credits Cape Fear 03030003 0 0 1,600 1.0 0 0 0 0 Upon receipt of payment, EEP will take responsibility for providing the compensatory mitigation. If the regulatory agencies require mitigation credits greater than indicated above, and the applicant wants NCEEP to be responsible for the additional mitigation, the applicant will need to submit a mitigation request to NCEEP for approval prior to permit issuance. The mitigation will be performed in accordance with the Memorandum of Understanding between the N.C. Department of Environment and Natural Resources and the U.S. Army Corps of Engineers dated November 4, 1998. If you have any questions or need additional information, please contact Valerie Mitchener at (919) 715-1973 or Kelly Williams at (919) 716-1921. Sincerely, William D. Gilmore, PE Director cc: Cyndi Karoly, NCDWQ Wetlands/401 Unit John Thomas, USAGE- Raleigh Sue Homewood, NCDWQ- Winston-Salem Denise Poulos, agent File RPJStDYI.`C9... ... PYDte &;1r ?5 ow ,Sfta& Asp NCDENR North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, NC 27699-1652 / 919-715-0476 / www.nceep.net - M r "i` t k' ?;. ?? ? ?' i ach cn? ? _ •: , ? 4 ; r buk , c- 1?? Irk r r N FIGURE I .r SOURCE: s SITE LOCATION MAP USGS TOPOGRAPHIC MAP PROPOSED KERNERSVILLE MEDICAL PKWY KERNERSVILLE, NORTH CAROLINA HWY 66 TO MACY GROVE RD QUADRANGLE DATED 1969 REVISED 1994 KERNERSVILLE NORTH CAROLINA , SCALE: F'= 2,000' CAROLINAS ECS PROJECT NO. 09-14891G � P co' f SCu Cc8 Wh.. -4-WkF� \ \ CeC2 PcF2 T \\\ Ch CcB Gu pcF . c PcFz Q Mas McE2._ ' ? Southern Pili Ce82 " t2i a' C liege � -�� Mab � P . - 4211 o' CeC2 PCC3 w ' CcC I CCB i CeC2 Ge I \ CcC ;4 P 2 • , PaB MaB CCB . Pas P.eE3... Ap6 CcB WeB VaB �2 a p B CeC2 :.R; ' PaC ;' � � 40 Pah Cu WN Ccs \ QeFeG h j ti \ Pa MCE2 r O PaC CcB CA ' WeB. �' PaB \ r cC C2. cB f �- Cc D 241 Cc8 a h'' Pe02 F 0 L" Qe� ' PeE3 la. ■ VaB 1 APB Ccc APB PaB \ Cc8 PaC i G1 CD2 PaD j pco / APB; ` iNaD" CCB SITE PcC3 �� \ l cp Va8 Cc8 CcB pe 3 CcB 3 m A CeF. r APB Cu PeE3 °�� .:. �, Gu Mcc2 f , r/ °6 C'� Cc APc Gu ;' McD2 G° • �� PcF2 c Pc02 ... __z... Ma � � 1/ e�2 fir RaD GCC i .0 • I " PeE3 GPf Gu Gu 2 — CCB II CCC c cCCB �G : ' f M62 �' ' McB2 CcB ' aDPcF2 / 6 Wh �� VaB Pac r / a Cef32 PcD2 .l a' ,� Q� McD2 �PaB v CcB PaB PaC Pa8 • • \ Gam/ 4 ' -� Pc 32 Cc6 PGG2 Cc6 �� M2C • PcCZ ■ "PCS` $ CD APB" Gu Wh Ceti? C •$ Pas ' p PeE3 �� P 0 PcD.2 McC2 4~PcD2 aea C116d :PaC"' O �" {`; �. +• % CcB APB CBS, Wh p CcB N wr SOURCE; FIGURE 2 S USDA SOIL SURVEYS OF SOIL MAP GUILFORD COUNTY (SHEET NOS. 19 & 25) PROPOSED KERNERSVILLE MEDICAL PKWY HWY 66 TO MACY GROVE RD AND FORSYTH COUNTY (SHEET NO. 33) KERNERSVILLE, NORTH CAROLINA NOT TO SCALE CAROLINAS ECS PROJECT NO. 09-14891G ryLEGEND '- Perennial Stream +;.2 k . •¦ ¦ Intermittent Stream.' Ephemeral Channel ,-R- / Linear Wetland Seep K? k? 0 DP- I Approximate Location of Data Point x 1 f Y _ qr? P 5? ST -4 0? I 4 • :, IL - A `- t Ji?l 'k .a --? k LL .I4 P i . , V. s FFFFF? r u aP 1 r y??? DP-3 0 % i ?. -4- IZQ 3 1 5p n s + s a z 1"' *7_'7 _ N .f SOURCE: FIGURE 3 s AERIAL PHOTOGRAPH FROM STREAMIWETLAND LOCATION MAP THE FORSYTH COUNTY GEO-DATA EXPLORER PROPOSED KERNERSVILLE MEDICAL PKWY WEBSITE AND FIELD NOTES UY HWY 66 TO MACY GROVE RD PREPARED BY ECS PERSONNEL KERNERSVILLE, NORTH CAROLINA SCALE 1 "=400' CAROLINAS ECS PROJECT NO. 09-1489I G DATA FORM ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site: Proposed Kernersville Medical Parkway Project No: Date: September 3, 2008 Applicant/Owner: Trade Street Development Corp County: Forsyth Investigators: ECS Carolinas, LLP 09-14891G State: North Carolina Plot ID: DP-1 Do Normal Circumstances exist on the site? Yes No Community ID: Wooded Land Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Transect ID: Is the area a potential Problem Area? ?Yes ® No Field Location: View Figure 3 (If needed, explain on the reverse side) VEGETATION Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator Fraxinus pennsylvanica Green ash Tree/Sap FACW Acer rubrum Red maple Tree/Sap FAC Eulalia viminea Microstegum Herb FAC+ Boehmeria cylindrica Fasle nettle Herb FACW+ Percent of Dominant Species that are OBL, FACW or FAC: 100% (excluding FAC-) FAC Neutral: 100% Numeric Index: Remarks: The dominant vegetation is hydrophytic. HYDROLOGY Recorded Data (Describe in Remarks): ? Stream, Lake or Tide Gauge ? Aerial Photographs ? Other ® No Recorded Data Field Observations Depth of Surface Water: NA Depth to Free Water in Pit: >12" Depth to Saturated Soil: >12" Wetland Hydrology Indicators Primary Indicators ? Inundated ? Saturated in Upper 12 Inches ? Water Marks ? Drift Lines ? Sediment Deposits ? Drainage Patterns in Wetlands Secondary Indicators ? Oxidized Root Channels in Upper 12 Inches ? Water-Stained Leaves ? Local Soil Survey Data ? FAC-Neutral Test ? Other (Explain in Remarks) Remarks: Wetland hydrology indicators are not present. (Wetform) Page 1 of 2 DATA FORM ROUTINE WETLAN D DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site: Proposed Kernersville Medical Parkway Project No: Date: September 3, 2008 Applicant/Owner: Trade Street Development Corp County: Forsyth Investigators: ECS Carolinas, LLP 09-14891G State: North Carolina Plot ID: DP-1 Map Unit Name (Series and Phase): Wehadkee Map Symbol: Wh Mapped Hydric Inclusion? ®Yes ? No Drainage Class: poorly drained Field Observations Confirm Mapped Type: []Yes ®No Taxonomy (Subgroup): Fluvaquentic Endoaquepts Profile Description Depth Matrix Color Mottle Color Mottle (inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Texture, Concretions, Structure, etc. 0-12" 5YR 4/6 Loam Hydric Soil Indicators: ? Histosol ? Concretions ? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils ? Sulfidic Odor ? Organic Streaking in Sandy Soils ? Aquic Moisture Regime ? Listed on Local Hydric Soils List ? Reducing Conditions ? Listed on National Hydric Soils List ? Gleyed or Low Chroma Colors ? Other (Explain in Remarks) Remarks: Hydric soil indicators are not present. WETLAND DETERMINATION Hydrophytic Vegetation Present? NYes U No Is the Sampling Point within the Wetland? UYes N No Wetland Hydrology Present? ?Yes ® No Hydric Soils Present? nYes N No Remarks: Wetland hydrology indicators and hydric soils are not present. The sampling point is not located within a wetland. (Wetform) Page 2 of 2 DATA FORM ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site: Proposed Kernersville Medical Parkway Project No: Date: September 3, 2008 Applicant/Owner: Trade Street Development Corp County: Forsyth Investigators: ECS Carolinas, LLP 09-14891G State: North Carolina Plot ID: DP-2 Do Normal Circumstances exist on the site? Yes No Community ID: Wooded Land Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Transect ID: Is the area a potential Problem Area? ?Yes ® No Field Location: View Figure 3 (If needed, explain on the reverse side) VEGETATION Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator Carpinus caroliniana Musclewood Tree/Sap FAC Toxicodendron radicans Poison ivy Herb FAC Prunis serotina Black cherry Tree/ Sap FACU Carya tomentosa Mockernut hickory Tree NI Percent of Dominant Species that are OBL, FACW or FAC: 50% (excluding FAC-) FAC Neutral: 100% Numeric Index: Remarks: 50% of the dominant vegetation is hydrophytic. HYDROLOGY Recorded Data (Describe in Remarks): ? Stream, Lake or Tide Gauge ? Aerial Photographs ? Other ® No Recorded Data Field Observations Depth of Surface Water: NA Depth to Free Water in Pit: >12" Depth to Saturated Soil: >12" Wetland Hydrology Indicators Primary Indicators ? Inundated ? Saturated in Upper 12 Inches ? Water Marks ? Drift Lines ? Sediment Deposits ? Drainage Patterns in Wetlands Secondary Indicators ? Oxidized Root Channels in Upper 12 Inches ? Water-Stained Leaves ? Local Soil Survey Data ? FAC-Neutral Test ? Other (Explain in Remarks) Remarks: Wetland hydrology indicators are not present. (Wetform) Pagel of2 DATA FORM ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site: Proposed Kernersville Medical Parkway Project No: Date: September 3, 2008 Applicant/Owner: Trade Street Development Corp County: Forsyth Investigators: ECS Carolinas, LLP 09-14891G State: North Carolina Plot ID: DP-2 Map Unit Name (Series and Phase): Pacolet fine sandy loam Map Symbol: PaF Mapped Hydric Inclusion? ?Yes ® No Drainage Class: Well drained Taxonomy (Subgroup): Typic Kanhapludults Field Observations Confirm Mapped Type: v,\ F71 ? No Profile Descri tion Depth Matrix Color Mottle Color Mottle (inches) Horizon (Mansell Moist) (Mansell Moist) Abundance/Contrast Texture, Concretions, Structure, etc. 0-12" 5YR 4/6 Loam Hydric Soil Indicators: ? Histosol ? Concretions ? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils ? Sulfidic Odor ? Organic Streaking in Sandy Soils ? Aquic Moisture Regime ? Listed on Local Hydric Soils List ? Reducing Conditions ? Listed on National Hydric Soils List ? Gleyed or Low Chroma Colors ? Other (Explain in Remarks) Remarks: Hydric soil indicators are not present. WETLAND DETERMINATION Hydrophytic Vegetation Present? Yes ® No Is the Sampling Point within the Wetland? Yes No Wetland Hydrology Present? Yes No Hydric Soils Present? nYes M No Remarks: Wetland hydrology indicators and hydric soils are not present. The sampling point is not located within a wetland. (Wetfonn) Page 2 of 2 DATA FORM ROUTINE WETLAND DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site: Proposed Kernersville Medical Parkway Project No: Date: September 3, 2008 Applicant/Owner: Trade Street Development Corp County: Forsyth Investigators: ECS Carolinas, LLP 09-14891G State: North Carolina Plot ID: DP-3 Do Normal Circumstances exist on the site? Yes No Community ID: Wooded Land Is the site significantly disturbed (Atypical Situation:)? ?Yes ® No Transect ID: Is the area a potential Problem Area? ?Yes ® No Field Location: View Figure 3 (If needed, explain on the reverse side) VEGETATION Dominant Plant Species (Latin/Common) Stratum Indicator Plant Species (Latin/Common) Stratum Indicator Quercus alba White oak Tree/Sap FACU Fagus grandifolia American beech Tree/Sap FACU Acer rubrum Red maple Tree/Sap FAC Liquidambar styraciflua Sweet gum Tree/Sap FAC+ Parthenocissus quinquefolia Virginia creeper Herb FAC Percent of Dominant Species that are OBL, FACW or FAC: 60% T (excluding FAC-) A C Neutral: 100% umeric Index: ils Remarks: The dominant vegetation is hydrophytic. HYDROLOGY Recorded Data (Describe in Remarks): Wetland Hydrology Indicators ? Stream, Lake or Tide Gauge Primary Indicators ? Aerial Photographs ? Inundated ? Other ? Saturated in Upper 12 Inches ? Water Marks ® No Recorded Data ? Drift Lines ? Sediment Deposits Field Observations ? Drainage Patterns in Wetlands Secondary Indicators Depth of Surface Water: NA ? Oxidized Root Channels in Upper 12 Inches ? Water-Stained Leaves Depth to Free Water in Pit: >12" ? Local Soil Survey Data ? FAC-Neutral Test Depth to Saturated Soil: >12" ? Other (Explain in Remarks) Remarks: Wetland hydrology indicators are not present. (Wetform) Page 1 of 2 DATA FORM ROUTINE WETLAN D DETERMINATION (1987 COE Wetlands Delineation Manual) Project/Site: Proposed Kernersville Medical Parkway Project No: Date: September 3, 2008 Applicant/Owner: Trade Street Development Corp County: Forsyth Investigators: ECS Carolinas, LLP 09-14891G State: North Carolina Plot ID: DP-3 Map Unit Name (Series and Phase): Pacolet fine sandy loam Map Symbol: PaB Drainage Class: Well drained Mapped Hydric Inclusion? ?Yes ® No Field Observations Confirm Mapped Type: ®Yes ? No Taxonomy (Subgroup): Typic Kanhapludults Profile Descri tion Depth Matrix Color Mottle Color Mottle (inches) Horizon (Munsell Moist) (Munsell Moist) Abundance/Contrast Texture, Concretions, Structure, etc. 0-12" 10YR 4/4 Loam Hydric Soil Indicators: ? Histosol ? Concretions ? Histic Epipedon ? High Organic Content in Surface Layer in Sandy Soils ? Sulfidic Odor ? Organic Streaking in Sandy Soils ? Aquic Moisture Regime ? Listed on Local Hydric Soils List ? Reducing Conditions ? Listed on National Hydric Soils List ? Gleyed or Low Chroma Colors ? Other (Explain in Remarks) Remarks: Hydric soil indicators are not present. WETLAND DETERMINATION Hydrophytic Vegetation Present? ZYes U No Is the Sampling Point within the Wetland? UYes IZI No Wetland Hydrology Present? ?Yes ® No Hydric Soils Present? nYes 171 No Remarks: Wetland hydrology indicators and hydric soils are not present. The sampling point is not located within a wetland. (Wetform) Page 2 of 2 Stimmel 601 N. Trade Street Suite n date: 05/07/09 o b#: 08.012 n Salem, NC Winsto project: NOVANT KERNERSVILLE Landscape Architecture 27101-2916 sca le: 1 "=60' sheet 1 Of 3 Civil Engineering P: 336.723.1067 Stimmel Associates, PA Land Planning F: 336.723.1069 description: KERNERSVILLE MEDICAL PARKWAY hi bi l CULVERT STREAM IMPACT EXHIBIT ex t SANDRA S. RIDDLE DB 975, PG 394 TAX LOT 5644-29D 640 SF OF IMPACT o \ 292 LF OF CULVERT ° BO STREAM IMPACT O f F r ?? ?_ by •.. 870 `-- - ------------ ? -RIPRAP - JAFRON - - - INV I 8 8 INV. OUT -- --- APRON - - . 867.14 10+00 11+00 12+00 13+00 14+00 601 N. Trade Street date: 04/13/09 job #: 08-012 St i m m e l Suite 200 Winston Salem, NC project: NOVANT KERNERSVILLE Landscape Architecture 27101-2916 Civil Engineering SCa le: 1 "=60' sheet 2 of 3 P: 336.723.1067 Stimmel Associates, PA Land Planning F: 336.723.1069 description: KERNSERVILLE MEDICAL PARKWAY exhibit L CULVERT TWO STREAM IMPACT EXHIBIT CECIL S LITTLE AND PAMICIA J LITTLE DB 2415 PG 3968 TAX LOT 5644-105P 10+ X b ! / ? l / / \ HORIZ 1 °=60' '41W PROFILE SCALE HORIZ. 1 "=60' VERT 1 . PROPOSED ROADWAY 930 _ LA PROPOSED RCP ULV 920 i r ? 910 - - - ^? EXISTING ? - - 'STREAM _ . - - X908 00 PAD _- 10+00 11+00 12+00 13+00 9301 3201 ?101 Stimmel 601 N. Trade Street date: 06/08/09 job #: 08-012 `Suite 200 Winston Salem, NC project: NOVANT KERNERSVILLE Landscape Architecture 27101-2916 Civil Engineering P: 336.723.1067 scale: 1"=60' sheet 3 of 3 Stimmel Associates, PA Land Planning F: 336.723.1069 description: KERNERSVILLE MEDICAL PARKWAY exhibit 3 STREAM IMPACT EXHIBIT