20181507 Ver 1_401 Application_20181105

WE PG
Preliminary ORM Data Entry Fields for New Actions Wetlands and Environmental Planning Group
Leonard S. Rindner. PLLC.
SAW — 2017 - 02345 BEGIN DATE [Received Date]:
Prepare file folder ❑
1. Project Name [PCN Form A2a]: Twin Lakes
2. Work Type: PrivateInstitutional F-1
Assign Action ID Number in ORMFI
ftD
Government ❑ Com
3. Project Description / Purpose [PCN Form 133d and Be]:
PCN request for residential development
a0i81507
4. Property Owner / Applicant [PCN Form A3 or A4]: Denis Moser, The Moser Group, Inc.
5. Agent / Consultant [PCN Form A5 — or ORM Consultant ID Number]: Leonard S. Rindner, PLLC / WEPG
6. Related Action ID Number(s) [PCN Form 65b]:
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form B1b]:
35.0221 N / -80.6981 W; Intersection of Beulah Church Rd and Waxhaw Indian Trail R
8. Project Location - Tax Parcel ID [PCN Form B1a]: D
multiple parcels -see atta p
v 0 6 2016
9. Project Location — County [PCN Form A2b]: Union ND
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Weddington
11. Project Information — Nearest Waterbody [PCN Form 62a]: West Fork Twelvemile Creek
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 132c]: 03050103- Catawba
Authorization: Section 10 ❑ Section 404 W(I Section 10 & 404 ❑
Regulatory Action Type:
eStandard Permit
✓ Nationwide Permit # 18,29
❑ Regional General Permit #
❑ Jurisdictional Determination Request
Pre -Application Request
Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

Wetlands and Environmental Planning Group
October 24, 2018
Mr. Bryan Roden -Reynolds
U.S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Asheville, NC 28801-5006
Mr. Alan Johnson
NCDEQ
Division of Water Resources
610 East Center Street, Suite 301, Moorseville, NC 28115
Ms. Karen Higgins
NCDEQ
Division of Water Resources
Wetlands & Storm Water Branch
512 North Salisbury Street, Raleigh, NC 27604
Mr. Byron Hamstead
U.S. Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street, Asheville, NC 28801
Leonard S. Rindner, PLLC.
Subject: SAW -2017-02345; Pre -Construction Notification for NWP 18 & 29 for the Twin
Lakes Site, Weddington, Union County.
Ms. Higgins and Messrs. Roden -Reynolds, Johnson, and Hamstead,
Enclosed is a request for a Nationwide Permit #'s 18 & 29 for the approximate 97 -acre site
known as the Twin Lakes site located northwest of the intersection of Beulah Church Rd and
Waxhaw Indian Trail Road in Weddington, NC. The site is a proposed residential development
and consists of five streams, six wetlands, and two open water ponds. A preliminary
jurisdictional determination was submitted on August 27, 20187 (SAW -2017-02345). Please
refer to the Jurisdictional Determination section for information on onsite surface waters.
As shown on the attached exhibits, the proposed project will include permanent impacts to one
intermittent stream for a road crossing and one wetland for a sanitary sewer installation. Overall
impacts to site surface waters associated with the proposed development were limited through
site selection location, design, location/orientation of the proposed lots, associated parking areas
and access routes. Total permanent impacts proposed are to 0.008 acres of wetland (Wetland O)
and 65 linear feet of intermittent stream (Stream A).
Charlotte Office: www.wetlands-epg.com Asheville Office:
10612-D Providence Rd. 1070 Tunnel Rd., Bldg. I
PMB 550 Suite 10, PMB 283
Charlotte, NC 28277 Asheville, NC 28805
[phone] 1
len. ri [e-mail]

Wetlands and Environmental Planning Group
Leonard S. Rindner. PLLC.
Efforts of impact minimization were implemented during the design to preserve the existing
channel hydrology and limit adverse effects to existing, onsite habitat. This project is proposed
as a `low impact development' with less than 24% impervious surface overall. Directional boring
is proposed for two additional sewer crossings to avoid additional impacts to streams and
wetlands. The pond will be used for stormwater detention but not treatment. The applicant has
demonstrated substantial avoidance and minimization efforts in which 97% of the 2,366 linear
feet of streams and 99 % of the 1.13 acres of wetlands onsite will be avoided on the project.
The single road crossing is proposed where an existing 60 -ft long serviceable culvert is located.
The NCDOT is requiring this road to meet the requirements of a "Connector" with a minimum
width of 35' and has requested that retaining walls not be used. Within these constraints, impacts
have been minimized by moving the sidewalks as close the road as possible and using 2:1 slopes
from the top of the headwalls. Temporary impacts for dewatering and construction access will be
restored to original conditions as detailed in the stabilization plan included.
The sanitary sewer installation below the existing dam was originally proposed as an aerial
crossing but this was rejected by Union County Public Works. Due to the elevations of the tie-in
sanitary sewer, it is not possible to bore under the wetlands at this location. Union County Public
Works agreed to a compromise whereby the proposed sewer line can be placed behind the dam
with a minimum amount of fill placed over the pipe along the dam to meet local ordinances. This
results in a small impact to the wetland at this location. One other sewerline crossing will require
a temporary open cut that will be restored to original conditions as detail on the plans.
Elsewhere, directional boring is proposed wherever possible to avoid additional impacts.
This project setting is in a relatively rural area along the outskirts of the 8 -digit watershed and is
not subject to the same development pressure as other areas in this HUC. Due to the relatively
small amount of impact to the intermittent stream and relatively low -quality wetland, no
mitigation for these impacts are proposed. Please see the North Carolina Wetland Assessment
Method (NCWAM) form attached for further details.
Also enclosed is a copy of our Threatened/Endangered Species Evaluation for the site. No listed
species were identified within the project area and we believe that there will be no effect on
listed species or their critical habitat as designated under Section 7 of the Endangered Species
Act. Please refer to the Threatened and Endangered Species Evaluation Section for additional
details on the terrestrial species evaluation. Thank you for your consideration and please contact
me if you have any questions, [phone] or email at [e-mail].
Sincerely,
Daniel Kuefler
Environmental Scientist
Len Rindner, PWS
Principal
Charlotte Office: www.wetiands-epg.com Asheville Office:
10612-D Providence Rd. 1070 Tunnel Rd., Bldg. I
PMB 550 Suite 10, PMB 283
Charlotte, NC 28277 Asheville, NC 28805
[phone] 2
[e-mail]

Permit Application

00FyWjA TF�9 pG
O Nii� Y
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 18 & 29 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
X❑ 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 X❑ No
For the record only for Corps Permit:
❑ Yes NX 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 ❑X No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
N Yes X❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes X❑ No
2.
Project Information
2a.
Name of project:
Twin Lakes
2b.
County:
Union
2c.
Nearest municipality / town:
Weddington
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Twin Lakes Farm, LLC
3b.
Deed Book and Page No.
6713-162
3c.
Responsible Party (for LLC if
applicable):
Denis Moser, Member Manager
3d.
Street address:
231 Post Office Drive, STE B8
3e.
City, state, zip:
Indian Trail, NC, 28079
3f.
Telephone no.:
704-882-1700
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑X Other, specify: Developer
4b.
Name:
Denis Moser
4c.
Business name
(if applicable):
The Moser Group, Inc.
4d.
Street address:
231 Post Office Drive, Ste B8
4e.
City, state, zip:
Indian Trail, NC, 28079
4f.
Telephone no.:
704-882-1700
4g.
Fax no.:
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Daniel Kuefler
5b.
Business name
(if applicable):
Leonard S. Rindner, PLLC - Wetlands & Environmental Planning Group
5c.
Street address:
10612-D Providence Road, PMB 550
5d.
City, state, zip:
Charlotte, NC 28227
5e.
Telephone no.:
336-554-2728
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
multiple parcels - see attached map
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.0221 Longitude: -80.6981
1 c.
Property size:
97 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
West Fork Twelvemile Creek
2b. Water Quality Classification of nearest receiving water:
C
2c.
River basin:
03050103 - Catawba
3.
Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site consists of a mosaic of disturbed forest cover, agricultural fields and open water lakes. General land use in the vicinity consists of residential
and commercial developments.
3b.
List the total estimated acreage of all existing wetlands on the property: 1.13
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 2,366
3d.
The
Explain the purpose of the proposed project:
project consists of one road crossing, grading, fill &dry detention basin for a residential development.
3e. Describe the overall project in detail, including the type of equipment to be used:
Excavation and grading of the site will use standard equipment - excavator, dump trucks, track hoe, etc.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
(includingall prior phases)in the past?
❑X Yes ❑ No ❑ Unknown
Comments: PJD Request submitted 08/27/18 (SAW -2018-02345).
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): Nic Nelson
Agency/Consultant Company: WEPG
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A Preliminary Jurisdictional Determination request was submitted on 011/08/17 (SAW -2018-02345). The PJD boundary included a small area in the
NE corner that has been removed from the current proposed project boundary. This area is indicated by a grey line on the attached delineation map.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑X No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Bottomland Hardwood Forest
Yes/No
Corps
0.008
W2 T
Excavation
Bottomland Hardwood Forest
Yes/No
Corps
0.01
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
W5 -
Choose one
Choose one
Yes/No
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.018
2h. Comments:
Temporary impacts included a temporary open -cut for sanitary sewer installation that will be restored to pre-existing conditions.
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
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert
Stream A
INT
DWQ
3
65
S2 T
Dewatering
Stream A
INT
DWQ
3
40
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
105
3i. Comments:
Temporary impacts include coffer dams and dewatering for construction access and will be restored to pre-existing conditions.
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 indivii ually 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)
01
Choose one
Choose
O2
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the 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
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
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:
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 ❑ Catawba ❑ Randleman ❑ Other:
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 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the location of the on site streams and wetlands, opportunities to avoid these areas were limited. Impacts to site surface waters associated with
the proposed development were limited through site selection location, design, location/orientation of the proposed lots and access routes. The only
proposed road crossing is at the location of a previously installed culvert for an access trail unpaved trail. Headwalls and 2:1 slopes will be used to
minimize the crossing width and avoid use of riprap. Sewer crossings will be conducted via bores wherever practicable.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction techniques will implement approved erosion control methods to avoid/minimize impacts to onsite/adjacent offsite receiving conveyances.
At stream A the NCDOT required a minimum crossing width of 35' and no retaining walls, so impacts are minimized by grading at 2:1 slopes from the
headwalls. At Wetland O, Union Co. would not allow an aerial crossing. A small amount of wetland is being graded and filled only for sewer installation
and not to aid in dam stability - the dam conditions are stable and will not be compromised by the sewer installation (dam safety letter is included).
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 ❑X 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
El 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: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
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: No mitigation is proposed
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.
Page 6 of 10
PCN Form — Version 1.4 January 2009

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?
YesXQ 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 7 of 10

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 X❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
23.9%
2b.
Does this project require a Stormwater Management Plan?
❑x Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
Storm
water on the site will be handled by facilities shown on the attached plans. The stormwater plan has
not yet been submitted to NCDEQ but will
be designed to meet their criteria. This project is being proposed as a low-density residential subdivision. Supporting Documentation is included.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
NCDEQ
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
NCDEQ
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑Yes ❑X No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes 0 No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
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 0 No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
El Yes 0 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
El Yes 0 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.
facility
Wastewater
generated on the site will be transported to the nearest treatment via sewer lines.
Page 9 of 10
PCN Form — Version 1.4 January 2009

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 X❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A threatened/Endangered species assessment was conducted in which no species were identified. Please refer to the enclosed report.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes X❑ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
No essential fish habitat in this region.
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 ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO's website: http://gis.nedcr.gov/hpoweb/
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑X YesX❑ No
8b. If yes, explain how project meets FEMA requirements:
Some minor impacts are proposed in the floodplain for the installation of a sanitary sewer. A no -rise certification will be obtained prior to construction.
8c. What source(s) did you use to make the floodplain determination?
http://gis-web.co.union.nc.us; www.fema.gov
Daniel Digitally signed by Daniel Kuefler
DN: cn=Daniel Kuefler, o=WEPG,
ou, email=danielAuefler@wetlands-
c=l)S
Ku I
Daniel Kuefler
of Date: 20101 8.10.24 14:43:37 -04'00'
e r Date:
10-24-2018
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.
Page 10 of 10

. Wetlands and Environmental Planning Group
Anent Authorization Letter
Leonard S. Rindner, PLLC.
The purpose of this form is to authorize our firm to act on your behalf in matters related to aquatic
resource (i.e. stream/wetlands) identification/mapping and regulatory permitting. The
undersigned, who are either registered property owners or legally authorized to conduct due
diligence activities on the property as identified below, do hereby authorize associates of
Leonard S. Rindner, PLLC, Wetlands and Environmental Planning Group (WEPG) to act on my
behalf and take all actions necessary for the processing, issuance, and acceptance of applicable
permit(s) and/or certification(s).
Project/Site Name: Twin Lakes
Property Address: 113.6 Acres on Beulah Church Road, Weddington, NC 28104
Parcel Identification Number (PIN): 06042001F, 06042001E, 06042001A, 0604200IG and 06042001H
Select one: 1 am the current property owner
Name: Dennis Moser
Company: The Moser Group, Inc.
Mailing Address: 231 Poste Office Drive, Ste. B8, Indian Trial, NC 28079
Telephone Number: 704-882-1700
Electronic Ail Address: [e-mail]
altr�tnt � uw . r
l Interested Buyer* / Other
Date
* The Interested Buyer/01her acknowledges that an agreement and/or formal contract to purchase and/or conduct
due diligence activities exists between the current property owner and the signatory of this authorization in cases
where the property is not owned by the signatory.
Charlotte Office: www.wedands-epg.com
Asheville Office:
10612-D Providence Rd.
1070 Tunnel Rd., Bldg. I
PMB 550
Suite 10, PMB 283
Charlotte. NC 28277
Asheville, NC 28805
[phone]

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Wetlands and Environmental Planning Group
Leonard S. Rindner, PI -LC.
len. [e-mail]
[phone]
www.wetlands-epg.com

r WEST FORK_ - "r '' 4• •'
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USGS QUAD LOCATION .� +
Matthews, NC Lat: 35.022 °N
APPROXIMATE Long: -80.6981 °W
ACREAGE HUC:03050103 # t
97 ac LOWER CATAWBA
FIGURE NO. TWIN LAKES FARM Drawn By: Reviewed By:
3 WFPCI Union Co., NC DCK -SR
DATE:
USGS MAP — WATERS OF THE U.S.
EXISTING CONDITIONS STUDY 10/01/18
SUBJECT TO USACE/NCDEQ VERIFICATION

w
M
PROJECT BOUNDARY
STUDY LIMITS
I
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FIGURE NO. TWIN LAKES FARM
4 kA/C7r)f"4 Union Co., NC
SOIL MANUSCRIPT MAP — WATERS OF
THE U.S.
EXISTING CONDITIONS STUDY
SUBJECT TO USACE/NCDEQ VERIFICATION
I
Drawn By: Reviewed By:
HAC -SR
DATE:
1/i$/17

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Wetlands and Environmental Planning Group
Leonard S. Rindner• PLLC.
len. ri [e-mail]
[phone]
www.wetlands-epg.com

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PID# 06042001H
PID# 06042001E
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PID# 06042001A
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FIGURE NO.
7
TWIN LAKES farm
Union Co., NC
ALL PARCELS OWNED BY:
TWIN LAKES FARM, LLC
31 POST OFFICE DRIVE, STE B8 ?T
INDIAN TRAIL, NC 28079
J
41)
g�uiah=G_h.�'t
Drawn By: I Reviewed By:
HAC LSR
DATE:
PARCEL MAP — WATERS OF THE U.S. 1/18/17
EXISTING CONDITIONS STUDY
SUBJECT TO USACE/NCDEQ VERIFICATION Updated 9/26/2018
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1g
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Drawn By: I Reviewed By:
HAC LSR
DATE:
PARCEL MAP — WATERS OF THE U.S. 1/18/17
EXISTING CONDITIONS STUDY
SUBJECT TO USACE/NCDEQ VERIFICATION Updated 9/26/2018

Flow Path: Jurisdictional features on the site flow into an unnamed Y .,
tributary to West Fork Twelvemile Creek, to West Fork Twelvemile ,'. r f N
Creek, then to Twelvemile Creek (TNW).Jill V
y
4t
4*1 .,.
Legend
Project Boundary
,
0 0.5 t ?
- Miles,
" 7-A,
FIGURE NO. TWIN LAKES FARM Drawn By: Reviewed By:
8 1 A/C Dr` union Co., NC HAC LSR
DATE:
Navigation Pathway Map 1/18/17
*Approximate boundary

I 7
PERENNIAL STREAM H
ON-SITE LENGTH = 325'
(0.035 AC)
1% ANNUAL
FLOODPLAIN
WETLAND O
(2797 SQ FT)
(0.064 AC)
�
OPEN WATER POND R l 221189 SQ FT)
PERENNIAL STREAM P C (5.08 AC)
ON-SITE LENGTH = 43'
(0.005 AC)
�..
PROJECT BOUNDARY
(TYP)
PROJECT BOUNDARY
(TYP)
EX. 50' POWER
EASEMENT
INTERMITTENT STREAM J
LENGTH = 550'
(0.029) AC
WETLAND K
WETLAND N (550 SQ FT)
(1906 SQ FT) (0.013 AC)
(0.044 AC)
OPEN WATER POND Q
(254608 SQ FT) (5.85 AC)
WETLAND M
(725 SQ FT)
�••\
(0.017 AC) .\ j�� `;
i
/
EX. CULVERT /'� •' WETLAND B \
CROSSING . f?'"• , �� (1853 SQ FT) "�.,
J c:
cn
(60 LF) f✓� (0.043 AC)
O
-0
Z
0
INTERMITTENT STREAM A
j I
J
ON-SITE LENGTH = 1061' j 1 A
�I \I \.\ \1
(0.119 AC) j \
I
O NU
/
PERENNIAL STREAM S
� LENGTH = 387' /i I_ -J-_ j --L...
--
ate+ LL
N
(0.029) AC ---.._--- --
--------- i
Y c:C7
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-- - --------' ----'`
—
U m
-- ---'-7 i •1 i
C C J
-- i ii• .\ j
WETLAND
� C
N
L i•
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x(41511 SQ FT) / i
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250' 0' 250' 500' 1000'
SCALE: I " = 500'
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1% ANNUAL
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PROPOSED WETLAND IMF
--SEE SHEET 11
`100 LAKE BUFFER
(5.08 AC)
x'_--
/-100' STREAM BUFFER
lc (0.98 AC)
1
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—PROJECT BOUNDARY'�(,
(TYP)-'- SPRY j i F.
EX. 50' POWER \•\ Jr_��7-NG ogksi i
EASEMENT
D
NO STREAM/LAKE IMPACT --' \ / PROPOSED ROAD CROSSING
SEE SHEETS 9-10I\x`
STREAM IMPACT
/ I C SEE SHEETS 4 TO 6
\ \' PROP. SEWER BORING
NO STREAM/LAKE IMPACT
SEE SHEETS 7-8
I }.
�ROJECTBOUNDARY
50' LAKE BUFFER -- _ _— ---I E
(3.66 AC)
LEGEND:
I ON-SITE BUFFER
L -----J (13.36 AC)
WETLANDS
"' — "' — STREAM CENTERLINE
o.
4
/
50'STREAM BUFFER _
i (3.64 AC)
Lu
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250' 0' 250' 500' 1000' 0
SCALE: I" = 500' a
a
Z N
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PROP. WATERLINE /
j 638
(TYP)
0�b � m- WETLAND M
z2 NO IMPACT PROPOSED
\ PROP. STORM (0.043 AC) ' r
— i DRAINAGE (TYP)
/ \ WETLAND M
4 NO IMPACT PROPOSED-
(0.017 AC)
�/. PROP. SANITARY \ co\
?Q 636 SEWER (TYP)
i
� r
PROP. 30' SANITARY a _
SEWER EASEMENT (TYP) ' / • 50' STREAM BUFFER
�// �� %•
(12.24 AC)
+ +
EXIST. STREAM +' + EXIST. STREAM
CENTERLINE i JI �� TOP OF BANK
632 + �' c,
9 1 PROP. ROAD CROSSING TO IMPACT
INTERMITTENT STREAM A INTERMITTENT STREAM A
626
SEE SHEETS 4 TO 6
PERENNIAL STREAMS+% + +r +++
CD
WETLAND L i
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—"'—"'— STREAM CENTERLINE � �' m o Q)
SCALE: I" = 100' Q < a LL

44 PROP. PIPE LINE
�\
I
LENGTH: 60 FT
LENGTH: 125 FT
PROP. 125 LF 66" RCP CULVERT
\
\ (BURIED 1')
\,
638 (65 LF NEW STREAM IMPACTS)
PERMANENT IMPACTS: 125 LF
\ PROP. HEADWALL
(65 LF OF NEW IMPACTS)
(DESIGN BY OTHERS)
a0 °m
o'
H
(INV: 1614.00)
/ +
\
0
PROP. COFFER DAM
�+
(OR APPROVED EQUAL)
+
(20 LF TEMP STREAM IMPACT)
+
20 LF TEMPS REAM IMPACT +
FOR DEWATERING
o w a
(SEE RESTORATION EXHIBITS) / +
'
PROP. PUMP
DISCHARGE LOCATION n �'
INTERMITTENT STREAM A
15" R�
632 EXIST, STREAM
TOP OF BANK
628
00
E99r'MERZ
r �
L — _ — — _ J
ON-SITE BUFFER
(13.36 AC)
WETLANDS
STREAM CENTERLINE
15" RCP t'
15"RCP
+ + _ /
1 �
+i
\ EXIST. STREAM
CENTERLINE
NOTE:
CONTRACTOR SHALL LIMIT ALL
TEMPORARY IMPACTS TO WATERS
OF THE U.S. TO LESS THAN 90 DAYS.
+ + • ",
PROP. PUMP 50'STREAM BUFFER
. INLET LOCATION (12.24 AC)
20 LF TEMP. STREAM IMPACT FOR DEWATERING
(SEE RESTORATION EXHIBITS)
PROP. COFFER DAM (OR APPROVED EQUAL) ti
(20 LF TEMP STREAM IMPACT)
(INV: ±615.00)
2:1 SLOPE
PROP. 125 LF 60" RCP CULVERT
15" RCP
1*
EXISTING CULVERT
1 - 36" CMP
1 - 60" RCP, 1 - 66" RCP
LENGTH: 60 FT
LENGTH: 125 FT
UPSTREAM INV: 614.67
UPSTREAM INV: 614.67
DOWNSTREAM INV: 614.00
DOWNSTREAM INV: 614.00
PERMANENT IMPACTS: 60 LF
PERMANENT IMPACTS: 125 LF
co
(65 LF OF NEW IMPACTS)
25' 0' 25' 50' 100'
SCALE: I " = 50'
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APPLICATION TRACKING NUMBER:
SAC -
Date: 10/10/2018
Scale: AS SHOWN
Project #: 1017398
Figure 13
N � N W W
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Twin Lakes
Union County, NORTH CAROLINA
Twin Lakes Farms, LLC, Indian Trail, NC
INTERMITTENT STREAM A - CROSS SECTION
332
V: 704,333,0325 F 704.332.3246

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APPLICATION TRACKING NUMBER:
SAC-
Date: 10/10/2018
Twin Lakes
Scale:AS SHOWN
Union County, NORTH CAROLINA
LandDesign
Project#:
Figure
1017398
14
Twin Lakes Farms, LLC,
Indian Trail, NC
223 N Gnh= Stmt Charlotte. NC 28202
INTERMITTENT STREAM A - PROFILE VIEW'"���
V: 701.333.0325 F 701.332.3246

\ / EXIST. STREAM /
_ INTERMITTENT CENTERLINE
W STREAM J
0
— — — s _
�N EXIST. CULVERT
N
Structure -95
8" PVC Pipe o
624 8" PVC Pipe �, 612 u m e
PROP.
.30'SNITARY
(TYP) EXIST. STREAM
2g SEWER N35'(L) x 1 BORING PITT) FLO \ / TOP OF BANK
i
structure - sa
±100 LF OF 16" STEEL
/ ENCASING PIPE (t=0.375")
8" Ductile Iron Pipe �
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\ \
�8' PVC Pipe � � '�Jp� Z i
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16 \ 11p / ` 11211 Z Z
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SEWER(TYP) 624 '� Q' _j Z
/ - / \ /, p O
/ 6o j / / \ ��,ti\ 8" PVC Pipe / N C w
/ OPEN WATER POND O _ / �` LL
/ (254608 SO FT) (5.85 AC \ O� _ ~
) Q
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LEGEND: Ca
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L J (13.36 AC) Y
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WETLANDS �
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STREAM CENTERLINE 25 0 25 50, 100,
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SCALE: I" = 50' a �'

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ar
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f CO PROP. 20' STORM
DRAINAGE EASEMENT 3Z
/ \ / 8" Ductile Iron Pipe
±100 LF OF 16" STEEL
ENCASING PIPE (t=0.375') + �.
612 RECIEVING D)
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PROP. SANITARY
SEWER (TYP) \ ��LOyy
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PROP. 30' SANITARY ::i N R
SEWER EASEMENT (TYP) — O
a
50'BUFFER
I \
\
1 '
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(12.8 AC)
I
6'i
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/
Z
L
616
\
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WETLAND L
(NO IMPACT PROPOSED)
/
/
C
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Q
(
\
OPEN WATER POND O
(254608 SO FT) (5.85 AC)
/
j
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W
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LEGEND:
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ON-SITE BUFFER
0
L -----J
(13.36 AC)
Y
WETLANDS0
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STREAM CENTERLINE
25' 25' So, 100'Lm
a
SCALE: I" = 50'
a Q
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P.ISSMH -12
1" INV '.Ik09 JR L�SM - 1. 1
APPLICATION TRACKING NUMBER
SAC -
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N
CJ1
Date: 10/10/2018 Twin Lakes
Scale: AS SHOWN Union County, NORTH CAROLINA L
Project* 1017398 Twin Lakes Farms, LLC, Indian Trail, NC
,Figure 18 223 NGah—Street Charlotte. NC 28702
v: 701.333.0325 F: 7M4332.3216
OPEN WATER POND Q - CROSS SECTION ww.v do.'8�.tom

100'STREAM BUFFER
\ I \ \ I I \ \ PROJECT BOUNDARY
(TYP)
I
'T--fi-�
I\'•\ �'-, � \ /,\ I I I 1 ice\ � �
\ Al / I LAKE OUTLET STRUCTURE 0
i 670
624
100' LAKE BUFFER
(12.8 AC)
see
%ANNUAL
• . � �•, A 1 I ,�. � ♦ �
FLOODPLAIN (TYP) I I
- OUTLET STRUCTURE OUTFALL 7v-
'00 V '00
\ PERENNIAL STREAM P
/ (NO IMPACT PROPOSED) II e 0 . ♦
1 _ PROP. 30' SANITARY \
� J
Sr ♦ SEWER EASEMENT (TYP)
WETLAND 0
,TO HAVE TEMPORARY IMPACT FOR
01 / 'OPEN -CUT INSTALLATION OF PUBLIC
/ y/� • h SANITARY SEWER
ANTI -SEEP COLLAR TO BE INSTALLED 10'
PAST WETLAND
// .� •Q��/ i' /../ '�';(���_-•.� '%/ ,� (0.01 AC)
/
' / /,' L ♦ \ WETLAND O
/ ;� / �' �� \ TO BE PARTIALLY FILLED FOR INSTALLATION
/ // ' �. 40/ Q� / \ OF PUBLIC SANITARY SEWER
��
yQQ // 4 moo' (0.008 AC PERMANENT IMPACT)
i / G• �� h o� ANTI -SEEP COLLAR TO BE INSTALLED 10'
596 / PAST WETLAND
45
i
(j
PROP. SANITARY
fl SEWER (TYP)
588
LEGEND:
F -1 ON-SITE BUFFER
L L (13.36 AC)
WETLANDS
STREAM CENTERLINE
50' 0' S0' 100' 200'
SCALE: I" = 100'
W
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NOIt5L-F 5 vAM-FLANK-STAE31UZ,&-TM
1 UPCYJ COMFLEnOM (7F STREAM CRO551NG I0". CONTRACTOR 91ALL DACKFkL
ANO MECHANICALLY TAMP (NO `PCOFIC OENSITY) SOILS NV PLACE AND DRESS
DISTURBED SURFACES
2. NEfJNNING AT A PCLINT Y A90VF WATER 'AAWAQ F4F.VATICA. C31ASS C*SR1RITEO
AREAS (SEFO. FFRIILIZER II STRAW MUILCH) STREAM RANK. TnP OF 9ANK ANn
DISTURBED AREAS UPLAND fT STREAM
T. INSTALL COO FTRETI NET/WAT STARTINC WNIMUM 12' (*LGIN *ATR SUWACE
ELEVAIION AN) EXU NOIMC A MINIIALIM 5 RF.YOW) TOP U1 RAW, MINIMUM
SPECIFICATIONS FOR OOR F43LR hET/UAT AS FOL.LO115
MIN THICKNESS OF 030 INCHES
1001 COCONUT FIBER AND WOAN INTO TINE
AVG PEO IT OF 20 WNICLS/50. W.
4. COIR *LS NET/MAT 91ALL BE SECURELY HLLO IN PLACE wnl USE OF w000EN
STAKM AND WIRE STAPLES (AS NEEDED)
5 NSTAL LIVE STAKES BEGINNING At WMER "FACE ELEVARON MLU EXLiNOLNG
2 VERTN".AE Frrr UP THE STREAM RANK. 5FE UME STAKE DETAIL FM
ADDITICHAL REOUIREMENIS.
6 INSTALL SLT FENCE W/MMiE ROW04MMENT ALO1M TOP OF OArx (A)JACnHT Til
END OF COR FIRFR NFTIMAT) FOR IDM (TF DSDIRI*!) SOUS
WAT£R SURFACE FLEVAIOII
FIGURE NO.
20
CUR !iAk1 NLI/MAT
GRASS (';ETI. MIAZN NL FERTILIZE) -
REMAICING OcSTURHFD STREAM BANK
AREAS NCt.110tNG COPS OF RAMC
(L#"R CXYR WIAAAT)
LIVE STACF (011.011105 OR -
SPECtES APPROVFn RY
COW/CKC) FOR FIRST N'
ABONC NORMAL WATER
SURFACL ELEVATICN
3
12'A
(,QVC tiTFAK 11Fl:AIL
EXTM CDR TIER MAT
S' REYDA TOP OF -IANC ._
�J 1
MSTAI L SRT FTNCF
R9NFORCEO IMTH kK1'
WE AT TOP OF BANK
(EDGE OF 1:00 PIzFR
NFI/MAT)
Uni: N1AJc twin uK 1MI'ln<I I
kY BE USED TO REFORM
(REAM &AW (STACKED} IA'
AL SHALL COVFR S11#AM
OE FACE OF ROCK STACK-
ISE
TACKISE OF ROCK TO 4140/dN BANS
OPTIONAL)
FXIFM COR FIBER NET/4AT
12' BELOW MAfLR SURFACE
klt VAIMIN
5 0 2.5 5 1020 0 10 20 40
VERTICAL GRAPHIC SCALK HORIZONTAL GRAPHIC SCALE
TWIN LAKES FARM
Union Co., NC
STREAM BANK STABILIZATION DETAIL
TYPICAL DETAIL — N.T.S.
Drawn By: Reviewed By:
DCK LSR
DATE:
10/01/18
i. L.VE STAKES SHALL BE VONC)LIMAIELY 24' IN LE0#GTH
% I:VE STANF.S SHALL 3 0.S'-1.5' N OIAW TER At IME 'IPS
OF PLANTING
a LIVE STAKCS 91ALL BE BLACK OLLOW OR SPECEN
SPCOM BY COE/lDMEC OR CC)NRATAftT
K
v
C SPOCI S 94AU at OORMANY AT LM[ T.IIE (X ACOlNUT"
^
AND PLANTING AMU LOCALLY 6R011INMARYESTED
3. IJW STAKES 4/ALL Or SPACED Y O.C.
e. UVE STAKES RtALL AE FLAMED A WINIMuM OF le' IN
�.
DEPTH wiM NO IOORE THAN 4'-6' OF STA11i MOSM
(,QVC tiTFAK 11Fl:AIL
EXTM CDR TIER MAT
S' REYDA TOP OF -IANC ._
�J 1
MSTAI L SRT FTNCF
R9NFORCEO IMTH kK1'
WE AT TOP OF BANK
(EDGE OF 1:00 PIzFR
NFI/MAT)
Uni: N1AJc twin uK 1MI'ln<I I
kY BE USED TO REFORM
(REAM &AW (STACKED} IA'
AL SHALL COVFR S11#AM
OE FACE OF ROCK STACK-
ISE
TACKISE OF ROCK TO 4140/dN BANS
OPTIONAL)
FXIFM COR FIBER NET/4AT
12' BELOW MAfLR SURFACE
klt VAIMIN
5 0 2.5 5 1020 0 10 20 40
VERTICAL GRAPHIC SCALK HORIZONTAL GRAPHIC SCALE
TWIN LAKES FARM
Union Co., NC
STREAM BANK STABILIZATION DETAIL
TYPICAL DETAIL — N.T.S.
Drawn By: Reviewed By:
DCK LSR
DATE:
10/01/18

C-
0
.4-J
c�
.E
4
N
w
,Jurisdictional
Determination Information

LEGEND
Project boundary study limits ***Note that the PCN project area boundary (black line)
N Waters of the US Stream is smaller than the total area boundary that was
Waters of the US Wetland
.Landscape photo/direction submitted with the approved PJD (grey dashed line)***
FIGURE NO.
21
TWIN LAKES
Union Co., NC
DELINEATION MAP
-WATERS OF THE U.S.-
EXISTING CONDITIONS STUDY
SUBJECT TO USACE/NCDEQ VERIFICATION
Drawn By: Rcvicwcd
NRN LSR
DATE:
1/5/18
Updated 9/26/18

STREAM REACH EVALUATION FORM
Data Point:
Name: Int A
Date:
10/18/17 1 Evaluator: I WEPG
Eastin : - 80.69658 W
Project:
I Twin Lakes: Intermittent Stream A
Northing: 35.02035 N
Total Points:
0
Stream is at least intermittent if > 19 or perennial if > 30*
27.5
-(right-click the purple number and left -click Update Field to summarizepoints)
3
A. Geornorphology Geomorphology
Absent
Weak
Moderate
Strong
SCORE
1a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
3
3. In -channel structure: riffle- / step- pool sequence
0
1
2
3
2
4. Particle size of stream substrate
0
1
2
3
2
5. Active/relic floodplain
0
1
2
3
2
6. Depositional bars or benches
0
1
2
3
1
7. Recent alluvial deposits
0
1
2
3
1
8. Headcuts
0
1
2
3
1
9. Grade controls
0
0.5
1
1.5
1
10. Natural valley
0
0.5
1
1.5
1.5
11. Second or greater order channel
No
= 0
Yes = 3
0
Geomorphology
Subtotal
17.5
a Man-made ditches are not rated: see discussion in NCDWQ Manual
B. Hvdroloav
12. Presence of Baseflow
0
1
2
3
0
13. Iron Oxidizing Bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
1
15. Sediment on plants or debris
0
0.5
1
1.5
0.5
16. Organic debris lines or piles Wrack lines
0
0.5
1
1.5
0.5
17. Soil -based Evidence of high water table?
0.5
No = 0
Yes = 3
3
23.
Crayfish
0
Hydrology
Subtotal
5.0
C. Bioloav
18.
Fibrous roots in streambed
3
2
1
0
2
19.
Rooted upland plants in streambed
3
2
1
0
3
20.
Macrobenthos note diversity and abundance
0
1
2
3
0
21.
Aquatic Mollusks
0
1
2
3
0
22.
Fish
0
0.5
1
1.5
0
23.
Crayfish
0
0.5
1
1.5
0
24.
Amphibians
0
0.5
1
1.5
0
25.
Algae
0
0.5
1
1.5
0
26.
Wetland plants in streambed
FACW= 0.75, OBL= 1.5, Other= 0
0
Biol2o
Subtotal
5.0_ --
perennial streams may also be identified usinq other methods. See paqe 35 of NCDWQ manual.
Notes:
Dry channel, no flow at time of survey.
Adapted from NCDWQ: Methodology for Identification of Intermittent and Perennial Streams and their
(version 4.11)
Origins.

STREAM REACH EVALUATION FORM
Date: 2/2/17 1 Evaluator: I NRN/HAC Eastin : -80.6988
Project: Twin Lakes: Perennial Stream H Northing: 35.0257
Total Points:
Stream is at least intermittent if > 19 or perennial if > 30* 33.5
(riaht-click the ourDle number and left -click Update Field to summarize points)
A. Geomorphology
Absent
Weak
Moderate
Strong
SCORE
1a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
2
3. In -channel structure: riffle- / step- pool sequence
0
1
2
3
2
4. Particle size of stream substrate
0
1
2
3
2
5. Active/relic floodplain
0
1
2
3
1
6. Depositional bars or benches
0
1
2
3
1
7. Recent alluvial deposits
0
1
2
3
2
8. Headcuts
0
1
2
3
3
9. Grade controls
0
0.5
1
1.5
0
10. Natural valley
0
0.5
1
1.5
1.5
11. Second or greater order channel
No = 0
Yes = 3
0
Geomor h logy
Subtotal
17.5
a Man-made ditches are not rated: see discussion in NCDWQ Manual
B. Hydrology
12. Presence of Baseflow
0
1
2
3
2
13. Iron Oxidizing Bacteria
0
1
2
3
1
14. Leaf litter
1.5
1
0.5
0
1.5
15. Sediment on plants or debris
0
0.5
1
1.5
1.0
16. Organic debris lines or piles Wrack lines
0
0.5
1
1.5
1.5
17. Soil -based Evidence of high water table?
No = 0
1
Yes
= 3
3
Crayfish
0
0.5
Hydrology
Subtotal
10.0
C. Biology
18.
Fibrous roots in streambed
3
2
1
0
3
19.
Rooted upland plants in streambed
3
2
1
0
3
20.
Macrobenthos note diversity and abundance
0
1
2
3
0
21.
Aquatic Mollusks
0
1
2
3
0
22.
Fish
0
0.5
1
1.5
0
23.
Crayfish
0
0.5
1
1.5
0
24.
Amphibians
0
0.5
1
1.5
0
25.
Algae
0
0.5
1
1.5
0
26.
Wetland plants in streambed
FACW=
0.75, OBL= 1.5, Other= 0
0
Biology Subtotal
" perennial streams may also be identified usinq other methods. See paqe 35 of NCDWQ manual.
Notes:
Adapted from NCDWQ: Methodology for Identification of Intermittent and Perennial Streams and their
Origins.
(version 4.11)

NC WAM FIELD ASSESSMENT FORM
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations -Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d) -listed stream or a tributary to a 303(d) -listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch s 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
®C ®C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B El Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot
Accompanies user manual version tim
USACE AID #
NCDWR#
Project Name
Twin Lakes
Date of Evaluation
10022018
Applicant/Owner Name
Moser Group
Wetland Site Name
Wetland O
Wetland Type
Riverine Swamp Forest
Assessor Name/Organization
H. Caldwell / WEPG
Level III Ecoregion
Piedmont
Nearest Named Water Body
West Fork Twelvemile Creek
River Basin
Catawba
USGS 8 -Digit Catalogue Unit
03050103
County
Union
NCDWR Region
Raleigh
I-1 Yes Fa No
Precipitation within 48 hrs?
Latitude/Longitude (deci-degrees)
35.0211, -80.7041
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations -Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d) -listed stream or a tributary to a 303(d) -listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch s 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
®C ®C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B El Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4! Soil Texture/Structure - assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ❑A Soil ribbon < 1 inch
®B Soil ribbon >- 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland - opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub). Examples
of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
❑A ®A Little or no evidence of pollutants or discharges entering the assessment area
®B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
El ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use - opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment area (5M),
and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
❑A ❑A ❑A > 10% impervious surfaces
❑B ❑B ❑B Confined animal operations (or other local, concentrated source of pollutants
❑C ❑C ❑C >_ 20% coverage of pasture
❑D ❑D ❑D >- 20% coverage of agricultural land (regularly plowed land)
®E ®E ®E >- 20% coverage of maintained grass/herb
❑F ❑F ❑F >_ 20% coverage of clear-cut land
❑G ❑G ❑G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer- assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
®Yes ❑No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
®A >_ 50 feet
❑B From 30 to < 50 feet
❑C From 15 to < 30 feet
❑D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
®<_ 15 -feet wide ❑> 15 -feet wide ❑ Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
®Yes ❑No
7e. Is stream or other open water sheltered or exposed?
®Sheltered - adjacent open water with width < 2500 feet and no regular boat traffic.
❑Exposed - adjacent open water with width >- 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area - wetland type/wetland complex condition metric (evaluate WT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column for riverine wetlands only. Select the average width for the wetland type at the assessment area (WT) and
the wetland complex at the assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
❑A ❑A >_ 100 feet
❑B ❑B From 80 to < 100 feet
❑C ❑C From 50 to < 80 feet
❑D ❑D From 40 to < 50 feet
❑E ❑E From 30 to < 40 feet
OF OF From 15 to < 30 feet
❑G ❑G From 5 to < 15 feet
❑H ❑H < 5 feet

9.
Inundation Duration - assessment area condition metric (skip for non -riparian wetlands)
>_ 500 acres
Answer for assessment area dominant landform.
®B
❑A
Evidence of short -duration inundation (< 7 consecutive days)
❑C
®B
Evidence of saturation, without evidence of inundation
❑D
❑C
Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10.
Indicators of Deposition - assessment area condition metric (skip for non -riparian wetlands and all marshes)
OF
Consider recent deposition only (no plant growth since deposition).
Wetland type has a poor or no connection to other natural habitats
®A
Sediment deposition is not excessive, but at approximately natural levels.
❑B
Sediment deposition is excessive, but not overwhelming the wetland.
❑C
Sediment deposition is excessive and is overwhelming the wetland.
11.
Wetland Size - wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT
WC FW (if applicable)
❑A
❑A ❑A >- 500 acres
❑B
❑B ❑B From 100 to < 500 acres
❑C
❑C ❑C From 50 to < 100 acres
❑D
❑D ❑D From 25 to < 50 acres
❑E
❑E ❑E From 10 to < 25 acres
OF
OF ❑F From 5 to < 10 acres
❑G
❑G ❑G From 1 to < 5 acres
❑H
❑H ❑H From 0.5 to < 1 acre
❑I
❑I ❑I From 0.1 to < 0.5 acre
®J
®J ®J From 0.01 to < 0.1 acre
❑K
❑K ❑K < 0.01 acre or assessment area is clear-cut
12.
Wetland Intactness - wetland type condition metric (evaluate for Pocosins only)
❑A
Pocosin is the full extent (>_ 90%) of its natural landscape size.
❑B
Pocosin type is < 90% of the full extent of its natural landscape size.
13.
Connectivity to Other Natural Areas - landscape condition metric
13a.
Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility line
corridors the width of a four -lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A
❑A
>_ 500 acres
❑B
®B
From 100 to < 500 acres
❑C
❑C
From 50 to < 100 acres
❑D
❑D
From 10 to < 50 acres
®E
❑E
< 10 acres
OF
OF
Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect - wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >- 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
®B 1 to 4
❑C 5to8
15. Vegetative Composition - assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
®C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity - assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
®B Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑C Vegetation is dominated by exotic species (> 50 % cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
T
o ®A ®A Canopy closed, or nearly closed, with natural gaps associated with natural processes
M ❑B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
T
o ❑A
❑A
Dense mid-story/sapling layer
❑B
❑B
Moderate density mid-story/sapling layer
®C
®C
Mid-story/sapling layer sparse or absent
❑A
❑A
Dense shrub layer
L ❑B
❑B
Moderate density shrub layer
Cn ®C
®C
Shrub layer sparse or absent
❑A
❑A
Dense herb layer
T_ EB
®B
Moderate density herb layer
❑C
❑C
Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
®B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
❑C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
®B Not
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ®D
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
❑A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
®C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
Wetland at toe of slope of lake dam. Confined by adjacent dam, roadway and residential area.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name Wetland O Date of Assessment 10022018
Wetland Type Riverine Swamp Forest Assessor Name/Organization H. Caldwell / WEPG
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) NO
Wetland is intensively managed (Y/N) NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub -function Ratina Summa
Function Sub -function
Metrics
Rating
Hydrology Surface Storage and Retention
Condition
LOW
Sub -surface Storage and
LOW
Retention
Condition
LOW
Water Quality Pathogen Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Particulate Change
Condition
MEDIUM
Hydrology
Condition/Opportunity
MEDIUM
LOW
Opportunity Presence (Y/N)
NO
Soluble Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Physical Change
Condition
MEDIUM
Condition
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Habitat
Physical Structure
Condition
MEDIUM
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition
LOW
Function Rating Summary
Function
Metrics
Rating
Hydrology
Condition
LOW
Water Quality
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Habitat
Condition
LOW
Overall Wetland Rating LOW

Photo Log

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Threatened & Endangered Species
Report

Wetlands and Environmental Planning Group Leonard S. Rindner, PLLC.
Threatened / Endangered / Protected Species
Evaluation
For: Twin Lakes
Union County, North Carolina
By: Lisa R. Gaffney
February 25, 2018
Charlotte Office: www.wetlands-epg.com Asheville Office:
10612-D Providence Rd. 1070 Tunnel Rd., Bldg. I
PMB 550 Suite 10, PM 283
Charlotte, NC 28277 Asheville, NC 28805
[phone]
[e-mail]

Twin Lakes - Threatened / Endangered / Protected Species Evaluation
GENERAL LANDSCAPE DESCRIPTION:
The Twin Lakes site is +/- 156.6 acres located just west of Waxhaw Indian Trail
Road, and just north of Beulah Church Road, in Union County, North Carolina.
It can be found on the Matthews NC USGS Topographic Quadrangle Map;
latitude is 35.0220 N, longitude is 80.6981 W. The site is a mosaic of disturbed
forest cover, agricultural fields, and open water lakes. There is a large overhead
power line bisecting the northern section of the site. The topography is gently to
moderately sloped with the elevation ranging from 600 to 650 ft. (Figure 1).
Figure 1:
FIGURE NO.
3
�J
TWIN LAKES FARM Dirawn By: Reviewed By:
Union Co., NC HAc I LSR
DATE:
USGS MAP— WATERS OF THE U.S.
EXISTING CONDITIONS STUDY 1/16/17
SUBJECT TO USACE/NCOEO VERIFICATION
Wetlands and Environmental Planning Group Leonard S. Rindner, PLLC.

1')rin l.clkcE - 7-171-c alcn"cl f I.,111iu1ioll
METHODOLOGY:
The US Fish and Wildlife Service website
http://www.fws.gov/raleigh/species/cntylist/union.htmI was referenced to
determine the occurrence of Threatened, Endangered and Protected species for
Union County North Carolina, the results of which are listed below (Table 1).
Maps and aerial photographs were assembled and the site was investigated on
December 22, 2017 and February 16, 2018
Table 1: Threatened / Endangered / Protected Species listed for
Union County
County: Union, NC
*Source: US Fish & Wildlife Service
**Data search on December 22, 2017
Group Name
Clams Carolina heelsplitter
(Lasmigona decorata)
Flowering Schweinitz's sunflower
Plants (Helianthus schweinitzii)
Flowering Michaux's sumac (Rhus
Plants michauxii
Birds Bald Eagle (Haliaeetus
leucoce,ohalus)
Sfafnc
Endangered
Endangered
Endangered
Protected under the Bald and
Golden Eagle Protection Act
Wetlands and Environmental Planning Group T� _ Leonard S. Rindner, PLLC.

Tarin Lakes - Threatened / Endangered / Protected Species Evaluation
Two plant species with federal protection are listed as potentially occurring in
Union County:
• Schweinitz's Sunflower (Helianthus schweinitzit), listed as Federally
Endangered, is typically found in open habitats which historically have
been maintained by wildfires and grazing bison and elk herds. Now most
occurrences are limited to roadsides, woodland and field edges, and utility
rights-of-way (ROW).
• Michaux's Sumac (Rhus michauxii), listed as Federally Endangered,
requires habitat of sandy forests and woodland edges. This species
requires periodic fire as a part of its ecology.
Two animal species with federal protection are listed as potentially occurring in
Union County:
• Bald Eagle (Haliaeetus leucocephalus), protected by the Bald and
Golden Eagle Protection Act, typically inhabits forested areas near large
bodies of open water such as lakes, marshes, seacoasts and rivers,
where there are suitable fish populations and tall trees for nesting and
roosting.
Carolina Heelsplitter (Lasmigona decorata), listed as Federally
Endangered, is restricted to cool, clean, well -oxygenated water. Stable,
silt- free stream beds are required for this species. Typically, stable areas
occur where the stream banks are well -vegetated with trees and shrubs.
RESULTS:
The site is a mosaic of disturbed forest cover, agricultural fields, semi -open
scrub/shrub, transitional areas, and open water lakes. The site appears to have
been managed as a hunting and fishing reserve in part. The large agricultural
fields have most recently been planted in soybeans. The lakes have mostly
wooded buffers dominated by Loblolly Pines (Pinus taeda). The eastern part of
the site is covered by disturbed mixed hardwood forest that is laced by old road
and trail cuts and shooting lanes. There is a large overhead power line bisecting
the northern section of the site with scrub/shrub thickets. Parts of these areas
appear to have been bushogged.
The disturbed mixed hardwoods are dominated by White Oak (Quercus alba),
with American Ash (Fraxinus americana), Northern Red Oak (Quercus rubra),
Southern Red Oak (Quercus falcata), Black Oak (Quercus velutina), Mockernut
Hickory (Carya tomentosa), Sweet Gum (Liquidambar styraciflua), and Tulip
Poplar (Liriodendron tulipifera var. tulipifera). Subcanopy trees present are
Wetlands and Environmental Planning Group Leonard S. Rindner, PLLC.

Tarin Lakes - Tht•eatened / Endangered / Protected Species Evaluation
American Beech (Fagus grandifolia), Sourwood (Oxydendrum arboreum), Red
Maple (Acer rubrum var. rubrum), Red Cedar (Juniperus virginiana), Flowering
Dogwood (Cornus florida), Persimmon (Diospyros virginiana), Black Gum (Nyssa
sylvatica), Black Cherry (Prunus serotina), Redbud (Cercis canadensis), and
American Holly (Ilex opaca). The sparse shrub layer includes Blueberry
(Vaccnium sp.), and Chinese Privet (Ligustrum sinense). Vines present are
Japanese Honeysuckle (Lonicera japonica), Catbrier (Smilax spp.), Virginia
Creeper (Parthenocissus quinquefolia), Muscadine (Vitis rotundifolia), and
Poison Ivy (Toxicodendron radicans). The herb layer includes Christmas Fern
(Polystichum acrostichoides), and Japanese Stiltgrass (Microstegium vimineum).
The large power line and the open corridors of dirt roads and shooting lanes
have a mix of grass and forb dominated cover interspersed with thickets of
scrub/shrub vegetation dominated by Blackberries (Rubus spp.), and Composites
(Asteraceae). Parts of these areas appear to have been bushogged. Other
typical species in these areas and also in the transitional areas include
Broomsedge (Andropogon virginiana), Russian Olive (Elaeagnus umbellate),
Chinese Privet (Ligustrum sinense), Smooth Sumac (Rhus glabra), Groundsel
Tree (Baccharis halimifolia). Johnson Grass (Sorghum halepense), Plume Grass
(Erianthus contortus), Sericea Lespedeza (Lespedeza cuneata), Pokeweed
(Phytolacca americana), Rabbit Tobacco (Gnapthalium obtusifolium), Tickseed
(Coreopsis major), Ragweed (Ambrosia artemisiifolia), Goldenrod (Solidago sp.),
Beggars Ticks (Desmodium sp.), and Thoroughwort (Eupatorium sp.).
Part of the roadside along Beulah Church Road has been recently regraded,
matted, and seeded as part of ongoing road improvements. The rest of the
roadside has been recently mowed and is dominated by Fescue turf grass
(Festuca sp.), and common weedy and transitional species including Johnson
grass, Sericea Lespedeza, Broomsedge, Purple Top (Tripsacum dactyloides),
Dock (Rumex spp.), Ragwort (Packera sp.) Goldenrod and Dogfennel
(Eupatorium capillifolium).
Threatened & Endangered/Protected Species Results
• All potential habitats for Schweinitz's Sunflower and Michaux's Sumac
along the roadside corridor and woods edges were closely examined and
neither of these species was present.
There is no bald eagle habitat on site, and no eagles or eagle's nests were
observed.
• The on-site streams do not have the habitat characteristics required to
support populations of the Carolina Heelsplitter. Based on existing
documentation, Carolina Heelsplitter populations have not been previously
Wetlands and Environmental Planning Group
Leonard S. Rindner. PLLC.

Tarin Lakes - Threatened / Endanlgered / Protected Species Evaluation
identified within this basin. No individuals were observed during the survey
nor would any be expected on-site.
RECOMMENDATIONS:
Based on the site investigation and the review of available data, WEPG did not
identify any protected species occurring on the subject property. No further
investigation of the presence of protected species on this site is recommended at
this time.
Respectfully submitted,
i
Lisa R. Gaffney
Biologist
February 25, 2018
Wetlands and Environmental Planning Group Leonard S. Rindner, PLLC.

Twin Lakes - Threatened / Endangwred / Protected Species Evaluation
Curriculum Vitae for:
Lisa R. Gaffney
Biologist / Botanist
B.S. Biology, University of North Carolina at Charlotte
Ms. Gaffney is a classically trained Botanist and natural resources Biologist, and has
conducted field work and investigative studies covering thousands of cumulative acres in
both North and South Carolina since 1996, including:
• Cabarrus County NC Natural Heritage Inventory 1997-1998. Organized,
directed, and worked in field survey of natural areas in Cabarrus County for the
North Carolina Natural Heritage Program.
• Lincoln County NC Natural Heritage Inventory 2000-2001. Organized, directed,
and worked in field survey of natural areas in Lincoln County for the North
Carolina Natural Heritage Program.
• Threatened and Endangered Species Surveys and Natural Communities
Evaluation for over 45,000 acres in North and South Carolina, 1996 - present.
• Located and identified at least six previously unreported populations of Federally
Endangered Schweinitz's Sunflower (Helianthus schweinitzi►).
• Located and identified four previously unreported populations of
Threatened Dwarf Heartleaf (Hexastylis naniflora).
• Located a previously unknown population of Federally Endangered Schweinitz's
Sunflower at Redlair Farm in Gaston County, NC. This discovery led (in part) to
the purchase of the site by the State of North Carolina Plant Conservation
Program, now called Redlair Preserve. This population has become a Recovery
Site for the species.
• Participated in numerous Piedmont Prairie restoration projects in Mecklenburg,
Union, Cabarrus and Gaston Counties, North Carolina.
Wetlands and Environmental Planning Group Leonard S. Rindner, PLLC.

V)
4-J
N
E
U
O
w
Supporting
Documents

Low Density Residential Subdivisions with Curb Outlet Swales
Deed Restrictions & Protective Covenances
In accordance with Title 15 NCAC 2H.1000 and S.L. 2006-246, the Stormwater Management Regulations,
deed restrictions and protective covenants are required for Low Density Residential Subdivisions with curb
outlet swales, where lots will be subdivided and sold. Deed restrictions and protective covenants are
necessary to ensure that the development maintains a "built -upon" area consistent with the applicable
regulation governing the density level.
I, Dennis W. Moser, MAI acknowledge and affirm by my signature below, that I will cause the
following deed restrictions and protective covenants to be recorded for Twin Lakes
to the sale of any lot:
prior
The following covenants are intended to ensure ongoing compliance with State Stormwater
Management Permit Number as issued by the Division of Water Quality under the
Stormwater Management Regulations.
2. The State of North Carolina is made a beneficiary of these covenants to the extent necessary to
maintain compliance with the stormwater management permit.
3. These covenants are to run with the land and be binding on all persons and parties claiming under
them.
The covenants pertaining to storm water may not be altered or rescinded without the express written
consent of the State of North Carolina, Division of Water Quality.
5. Alteration of the drainage as shown on the approved plan may not take place without the concurrence
of the Division of Water Quality.
6. The maximum allowable built -upon area per lot is 6,585 square feet. This allotted amount
includes any built -upon area constructed within the lot property boundaries, and that portion of the
right-of-way between the front lot line and the edge of the pavement. Built upon area includes, but is not
limited to, structures, asphalt, concrete, gravel, brick, stone, slate, and coquina, but does not include
raised, open wood decking, or the water surface of swimming pools.
7. In the case of a lot within CAMA's regulated AEC, where the Division of Coastal Management
calculates a different maximum allowable built -upon area for that lot than is shown herein, the
governing maximum built -upon area for that lot shall be the most restrictive of the two.
8. This project proposes a curb outlet system. Each designated curb outlet swale shown on the approved
plan must be maintained at a minimum of 100' long with 5:1 (H:V) side slopes or flatter, have a
longitudinal slope no steeper than 5%, carry the flow from a 10 year storm in a non-erosive manner,
and maintain a dense vegetated cover.
9. Filling in or piping of any vegetative conveyances (ditches, swales, etc.) associated with the
development except for average driveway crossings, is strictly prohibited by any persons.
10. Each lot will maintain a 30* foot wide vegetated buffer between all impervious areas and surface
waters.
11. All roof drains shall terminate at least 30* foot from the mean high water mark of surface waters.
12. Filling in, piping or altering any designated 5:1 curb outlet swale associated with the development is
prohibited by any persons.
*50 foot for projects located in the 20 coastal counties.
Form DRPC-6 Rev' 05Nov2009 Page I of 2

Sign
Low Density Residential Subdivisions with Curb Outlet Swales
Deed Restrictions & Protective Covenances
�-! Tr"I P✓
: q - /f. /T
a Notary Public in the
State of County of
do hereby certify that firl/1 YWS u __personally appeared
before me this the day ofAZdZTV-�—,201f , and acknowledge
the due execution of the foregoing instrument. Witness my hand and official seal,
SEAL
81'ignure RAENAE H. LITTLE
NOTARY PUBLIC
G - Z Z
My Commission expires Stanly CountyNorth Carolina
My Commission Expires April 16, 2022
Form DRPC-6 Rev2 05Nov2009 Page 2 of 2

Operation & Maintenance Agreement
Project Name:
Project Location:
Twin Lakes
Union County, North Carolina
Cover Page
Maintenance records shall be kept on the following BMP(s). This maintenance record shall be kept in a log in a known set location.
Any deficient BMP elements noted in the inspection will be corrected, repaired, or replaced immediately. These deficiencies can
affect the integrity of structures, safety of the public, and the pollutant removal efficiency of the BMP(s).
The BMP(s) on this project include (check all that apply & cc
Bioretention Cell Quantity
Dry Detention Basin
Grassed Swale
Green Roof
Infiltration Basin
Infiltration Trench
Level SpreaderNFS
Permeable Pavement
Proprietary System
Rainwater Harvesting
Sand Filter
Stormwater Wetland
Wet Detention Basin
Disconnected Impervious Area
User Defined BMP
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Quantity:
Present:
Present:
onding
O&M tables will
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
Location(s):
1
19
No
No
be added automatically):
North Side of Development
South Side of Develo emnt Draining to Ex
I acknowledge and agree by my signature below that I am responsible for the performance of the maintenance procedures listed for
each BMP above, and attached O&M tables. I agree to notify NCDENR of any problems with the system or prior to any changes to
the system or responsible party.
" Responsible Party:
Title & Organization:
Street address:
City, state, zip:
Phone number(s):
Email:
Dennis W. Moser, MAI
President - Twin Lakes Farm, LLC
231 Post Office Drive, Suite 138
Indian Trail, NC 28079
704-576-0022
[e-mail]
et� , a Notary Public for the State of
County of (,(/KI "*J A, do hearby ce -fy that
personally appeared before me this day of -
acknowledge the due execution of the-C*rations and Mai
Witness my hand and official seal,
RAENAE H. LITTLE
NOTARY P JBLIC
Stanly Cc unty
North Car Ana
My Commission Expir s April 16, 2022
My commission expires
STORM -EZ
Version 1.4
�- !/o- 2- -2,
O&M Manual
Date: !Y- /6 ` le
n V
_ and Z.,0 11?
9/5/2018
Page 1 of 5

Dry Detention Pond Maintenance Requirements
Important maintenance procedures:
The drainage area will be managed to reduce the sediment load to the dry extended detention basin.
Immediately after the dry extended detention basin is established, the vegetation will be watered twice weekly if needed
until the plants become established (commonly six weeks).
No portion of the dry extended detention pond will be fertilized after the first initial fertilization that is required to establish
the vegetation.
The vegetation in and around the basin will be maintained at a height of approximately six inches.
- If cracks, seepage, or woody vegetation is present, consult a dam safety expert for a dam inspection.
The measuring device used to determine the sediment elevation shall be such that it will give an accurate depth reading and not
readily penetrate into accumulated sediments.
After the dry detention basin is established, it will be inspected quarterly. Inspection activities shall be performed as follows and any
problems identified will be remediated immediately per the table below.
BMP element:
Potential problem:
How to remediate the problem:
The entire BMP
Trash/debris is present.
Remove the trash/debris.
The perimeter of the BMP
Areas of bare soil and/or
erosive gullies have formed.
Regrade the soil if necessary to remove the gully, and then plant a
ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The inlet device
The pipe is clogged.
Unclog the pipe. Dispose of the sediment off-site.
The pipe is cracked or
Replace the pipe.
otherwise damaged.
Erosion is occurring in the
Regrade the swale if necessary to smooth it over and provide erosion
swale.
control devices such as reinforced turf matting or riprap to avoid future
problems with erosion.
Stone verge is clogged or
Remove sediment and replace with clean stone.
covered in sediment (if
applicable).
The forebay
Trash/debris is present.
Remove the trash/debris.
Erosion has occurred or riprap
Provide additional erosion protection such as reinforced turf matting or
is displaced.
riprap if needed to prevent future erosion problems.
Weeds are present.
Remove the weeds, preferably by hand. If pesticides are used, wipe
them on the plants rather than spraying.
STORM -EZ 9/5/2018
Version 1.4 O&M Manual Page 2 of 5

Dry Detention Pond Maintenance Requirements (continued)
BMP element:
Potential problem:
How to remediate the problem:
The main treatment area
Sediment has accumulated
and reduced the depth to 75%
Search for the source of the sediment and remedy the problem if
possible. Remove the sediment and dispose of it in a location where it
of the original design depth
will not cause impacts to streams or the BMP. Revegetate disturbed
(per pond design data sheet)
areas immediately with sod (preferred) or seed protected with securely
staked erosion mat.
Water is standing more than 5
Check outlet structure for clogging. If it is a design issue, consult an
days after a storm event.
appropriate professional.
Weeds and noxious plants are
Remove the plants by hand or by wiping them with pesticide (do not
growing in the main treatment
spray).
area.
The embankment
Shrubs or trees have started
Remove shrubs or trees immediately.
to grow on the embankment.
Grass cover is unhealthy or
Restore the health of the grass cover — consult a professional if
eroding.
necessary.
Signs of seepage on the
Consult a professional.
downstream face.
Evidence of muskrat or beaver
Use traps to remove muskrats and consult a professional to remove
activity is present.
beavers.
An annual inspection by an
Make all needed repairs.
appropriate professional
shows that the embankment
needs repair.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the sediment off-site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
STORM -EZ 9/5/2018
Version 1.4 O&M Manual Page 3 of 5

Dry Detention Pond Design Summary
Dry Pond Diagram
DRY POND ID FOREBAY MAIN POND
1 Temporary Pool EI: N/A Temporary Pool EI: M628
Clean Out Depth: #VALUE! Clean Out Depth:
Pretreatment No Sediment Storage El: N/A Sediment Storage El:
Has Veg. Filter No Bottom Elevation: N/A Bottom Elevation:
STORM -EZ 9/5/2018
Version 1.4 O&M Manual Page 4 of 5

Grassed Swale Maintenance Requirements
Important maintenance procedures:
The drainage area of the grassed swale will be carefully managed to reduce the sediment load to the grassed
swale.
- After the first-time fertilization to establish the grass in the swale, fertilizer will not be applied to the grassed swale.
The grassed swale will be inspected once a quarter. Records of operation and maintenance will be kept in a known set location anc
will be available upon request.
Inspection activities shall be performed as follows. Any problems that are found shall be repaired immediately.
BMP element:
Potential problem:
How to remediate the problem:
The perimeter of the BMP
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then plant a
erosive gullies have formed.
ground cover and water until it is established. Provide lime and a one-
time fertilizer application.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The entire length of the
Trash/debris is present.
Remove the trash/debris.
swale
Areas of bare soil and/or
Regrade the soil if necessary to remove the gully, and then re -sod (or
erosive gullies have formed.
plant with other appropriate species) and water until established.
Provide lime and a one-time fertilizer application.
Sediment covers the grass at
Remove sediment and dispose in an area that will not impact streams
the bottom of the swale.
or BMPs. Re -sod if necessary.
Vegetation is too short or too
Maintain vegetation at a height of approximately six inches.
long.
The outlet device
Clogging has occurred.
Clean out the outlet device. Dispose of the sediment off-site.
The outlet device is damaged
Repair or replace the outlet device.
The receiving water
Erosion or other signs of
Contact the local NC Department of Environment and Natural
damage have occurred at the
Resources Regional Office.
outlet.
STORM -EZ 9/5/2018
Version 1.4 O&M Manual Page 5 of 5

Permit No.
(to be provided by DEMLR)
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
LOW DENSITY SUPPLEMENT
This form may be photocopied for use as an original
A low density project is one that meets the appropriate criteria for built upon area and transports stormwater
runoff primarily through vegetated conveyances. Low density projects should not have a discrete stormwater
collection system as defined by 15A NCAC 2H .1002(18). Low density requirements and density factors can be
found in Session Law 2008-211, 15A NCAC 2H .1000, Session Law 2006-246 and the State of North Carolina
Stormwater Best Management Practice Manual. Curb and gutter systems are allowed provided they meet the
requirements in 15A NCAC 2H .1008(g).
I. PROJECT INFORMATION
Project Name : Twin Lakes
Contact Person: Kris Rowe, P.E. Phone Number: ( 704 )333-0325
Number of Lots:87 Allowable Built Upon Area (BUA) Per Lot*:6,585
Number of Dwelling Units Per Acre**:0.99
Low Density Development (check one): ❑ without curb & gutter ® with curb & gutter, outlets to (check one):
® Swales ❑ Vegetated Area
*If lot sizes are not uniform, attach a table indicating the number of lots, lot sizes and allowable built upon area for each lot.
The attachment must include the project name, phase, page numbers and provide area subtotals and totals. BUA shall be
shown in units of square feet.
**(Phase II Post -Construction [non -SA] only)
II. BUILT UPON AREA
Refer to DEMLR's forms and applications website for specific language that must be recorded in the deed
restrictions for all subdivided projects.(http://portal.ncdenr.org/web/Ir/state-stonmwater-forms docs)
Complete the following calculation in the space provided below where:
• SA Site Area - the total project area above Mean High Water.
• DF Density Factor - the appropriate percent built upon area divided by 100.
• RA Road Area - the total impervious surface occupied by roadways.
• OA Other Area - the total area of impervious surfaces such as clubhouses, tennis courts, sidewalks, etc.
• No. of Lots - the total number of lots in the subdivision.
• BUA per Lot - the computed allowable built upon area for each lot including driveways and impervious
surfaces located between the front lot line and the edge of pavement.
• Total allowable lot BUA - the computed allowable built upon area for all lots combined.
• Total BUA from lot listing - the sum of built upon area allocated for each lot on the list of non-uniform lots.
Form SW401-Low Density-Rev.3-2/10/09 Page 1 of 5

Calculation:
For uniform lot sizes:
(SA: 3,739,705 ft2 x DF: 0.24) — (RA: 252,169 ft2) — (OA: 72,448 ft2) = BUA per Lot = 6,585 ft2
(No of Lots: 87)
For non-uniform lot sizes:
a. (SA: ft2 x DF: ) — (RA: ft2) — (OA: ft2) = Total allowable lot BUA = ft2
b. Total BUA from lot listing: sf. b must be < a
III. DESIGN INFORMATION
Complete the following table. If additional space is needed the information should be provided in the same
format as Table 1 and attached to this form. Rainfall intensity data can be found in Appendix 8.03 of the State
of North Carolina Erosion and Sediment Control Planning and Design Manual or at
http://hdsc.nws.noaa.gov/hdsc/pfds/
Table 1. Swale design information based on the 10-vear storm.
Swale No.
Drainage
Area ac
Impervious
Area ac
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Area ac)
C
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1
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4
5
6
7
8
SEE
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9
10
11
12
13
14
15
16
17
18
19
20
Form SW401-Low Density-Rev.3-2/10/09 Page 2 of 5

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IV. REQUIRED ITEMS CHECKLIST
The following checklist outlines design requirements per the North Carolina Administrative Code Section 15A
NCAC 2H .1000, NCDENR BMP Manual (2007), Session Law 2006-246, and Session Law 2008-211.
Please indicate the page or plan sheet numbers where the supporting documentation can be found. An
incomplete submittal package will result in a request for additional information. This will delay final
review and approval of the project. Initial in the space provided to indicate that the following requirements
have been met and supporting documentation is provided as necessary. If the applicant has designated an agent
on the Stormwater Management Permit Application Form, the agent may initial below. If any item is not met,
then justification must be attached. Only complete items n through p for projects with curb outlets.
Page/Plan
Initials Sheet No.
N/A a. tFor projects in the 20 coastal counties
Per NCAC 2H.1005, a 50 foot wide vegetative buffer is
provided adjacent to surface waters. For Redevelopment projects, a 30' wide vegetative
buffer adjacent surface waters is provided.
N/A b. tFor HQW or ORW projects outside the 20 coastal counties: A 30 foot wide vegetative buffer is
provided adjacent to surface waters.
C200 c. t For Phase II Post -Construction projects: All built upon area is located at least 30 feet
landward of all perennial and intermittent surface waters.
d. Deed restriction language as required on form SWU-101 shall be recorded as a restrictive
covenant. A copy of the recorded document shall be provided to DWQ within 30 days of
platting and prior to the sale of any lots.
Ii v C205 e. Built upon area calculations are provided for the overall project and all lots.
moi? N/A f. Project conforms to low density requirements within the ORW AEC. (if applicable per
15A NCAC 2H.1007)
VPP CALC BOOK PG 131, C419 g. Side slopes of swales are no steeper than 3:1; or no steeper than 5:1
for curb outlet swales.
CALC BOOK PG 131, C419 h. Longitudinal slope of swales is no greater than 5%; for non -curb
outlet projects, calculations for shear stress and velocity are provided if slope is greater than
5%.
CALC BOOK PG 25-27,131 i. At a minimum, swales are designed to cavy the 10 year storm
velocity at a non-erosive rate.
CALC BOOK PG 131 (FES -120) j. Swales discharging to wetlands are designed to flow into and
through the wetlands at a non-erosive velocity (for this flow requirement into wetlands, non-
erosive is velocity < 2 ft/s).
C419 k. Swale detail and permanent vegetation is specified on the plans.
C419 1. Swale detail provided on plans; includes grass type(s) for permanent vegetative cover.
C401 -C404 m. Swales are located in recorded drainage easements.
_ C401 -C404 n.tt Length of swale or vegetated area is at least 100 feet for each curb outlet.
Form SW401-Low Density-Rev.3-2/10/09 Page 3 of 5

C405 -C409 o.tt The system takes into account the run-off at ultimate built -out
potential from all surfaces draining to the system (delineate drainage area for each swale).
C406 -C409 p.tt Curb outlets direct flow to a swale or vegetated area.
t Projects in the Neuse, Tar -Pamlico, Catawba River basins, and Randleman Lake may require additional buffers.
tt Only complete these items for projects with curb outlets.
Form SW401-Low Density-Rev.3-2/10/09 Page 4 of 5

V. SWALE SYSTEM MAINTENANCE REQUIREMENTS
Mowing will be accomplished as needed according to the season. Grass height will not exceed six inches at
any time; and grass will not be mowed too close to the ground or "scalped".
2. Swales will be inspected monthly or after every runoff producing rainfall event for sediment build-up,
erosion, and trash accumulation.
3. Accumulated sediment and trash will be removed as necessary. Swales will be reseeded or sodded
following sediment removal.
4. Eroded areas of the swales will be repaired and reseeded. Swales will be revegetated as needed and in a
timely manner based on the monthly inspections. Side slopes must be maintained at the permitted slope.
5. Catch basins, curb cuts, velocity reduction devices, and piping will be inspected monthly or after every
significant runoff producing rainfall event. Trash and debris will be cleared away from grates, curb cuts,
velocity reduction devices and piping.
6. Swales will not be altered, piped, or filled in without approval from NCDENR Division of Energy, Mineral
and Land Resources.
I acknowledge and agree by my signature below that I am responsible for the performance of the six
maintenance procedures listed above. I agree to notify DEMLR of any problems with the system or prior to
any changes to the system or responsible party.
Print Name and Title:Dennis W. Moser, MAI (President)
Address:
Phone
Signature:
Date: I - /Q • 14
Note: The legally responsibliKty should not be a homeowners association unless more than 50% of the lots have been sold and
a resident of the subdi i ion has been named the president.
I, //'- a Notary Public for the
/State of County , County of
do hereby certify that Pinnif l/a- /R�Sey personally appeared before me this
day of ZO / Ortand acknowledge the due execution of the forgoing Swale maintenance requirements.
Witness my (and and official seal,
Notary signature
RA�E�ON�}AEE H. LITTLE
WT Y PUBLIC
ly County
North Carolina
My Commission Expires April 16, 2022
My commission expires Ii/ / 6 • ZZ -
Form SW401-Low Density-Rev.3-2/10/09 Page 5 of 5

DEMLR USE ONLY
Date Received Fee Paid Permit Number
Applicable Rules: ❑ Coastal SW -1995 ❑ Coastal SW - 2008 ❑ Ph II - Post Construction
(select all that apply) ❑ Non -Coastal SW- HQW/ORW Waters ❑ Universal Stormwater Management Plan
❑ Other WQ Mgmt Plan:
State of North Carolina
Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
STORMWATER MANAGEMENT PERMIT APPLICATION FORM
This form may be photocopied for use as an original
I. GENERAL INFORMATION
1. Project Name (subdivision, facility, or establishment name - should be consistent with project name on plans,
specifications, letters, operation and maintenance agreements, etc.):
Twin Lakes
2. Location of Project (street address):
Buelah Church Road
City:Indian Trail County:Union Zip:28104
3. Directions to project (from nearest major intersection):
From the roundabout at Buelah Church Road and Waxham Indian Trail Road, head west on Buelah Church
Road approximately 800 feet. The project will be located on your right (north side of Buelah Church Road).
4. Latitude:35° 1' 8" N Longitude: -80'41'57" W of the main entrance to the project.
II. PERMIT INFORMATION:
1. a. Specify whether project is (check one): ®New ❑Modification ❑ Renewal w/ Modificationt
tRenewals with modifications also requires SWU-102 - Renewal Application Form
b. If this application is being submitted as the result of a modification to an existing permit, list the existing
permit number , its issue date (if known) , and the status of
construction: NNot Started ❑Partially Completed* ❑ Completed* *provide a designer's certification
2. Specify the type of project (check one):
NLow Density ❑High Density ❑Drains to an Offsite Stormwater System ❑Other
3. If this application is being submitted as the result of a previously returned application or a letter from
DEMLR requesting a state stormwater management permit application, list the stormwater project number,
if assigned, and the previous name of the project, if different than currently
proposed,
4. a. Additional Project Requirements (check applicable blanks; information on required state permits can be
obtained by contacting the Customer Service Center at 1-877-623-6748):
❑LAMA Major NSedimentation/Erosion Control: 36.0 ac of Disturbed Area
❑NPDES Industrial Stormwater ®404/401 Permit: Proposed Impacts Stream Crossing
b. If any of these permits have already been acquired please provide the Project Name, Project/ Permit Number,
issue date and the type of each permit:
5. Is the project located within 5 miles of a public airport? [-]No ®Yes
If yes, see S.L. 2012-200, Part VI: htW://yortal.ncdenr.org/web/lr/rules-and-regulations
Form SWU-101 Version Oct. 31, 2013 Page 1 of 6

III. CONTACT INFORMATION
1. a. Print Applicant / Signing Official's name and title (specifically the developer, property owner, lessee,
designated government official, individual, etc. who owns the project):
Applicant/Organization:Twin Lakes Farm, LLC
Signing Official & Title:Dennis W. Moser, MAI (President)
b. Contact information for person listed in item 1a above:
Street Address:231 Post Office Drive, Suite B8
City:Indian Trail State:NC Zip:28079
Mailing Address (if applicable):
City:
Phone: (704 ) 576-0022
Email:[e-mail]
State: Zip:
Fax: )
Please check the appropriate box. The applicant listed above is:
® The property owner (Skip to Contact Information, item 3a)
❑ Lessee* (Attach a copy of the lease agreement and complete Contact Information, item 2a and 2b below)
❑ Purchaser* (Attach a copy of the pending sales agreement and complete Contact Information, item 2a and
2b below)
❑ Developer* (Complete Contact Information, item 2a and 2b below.)
2. a. Print Property Owner's name and title below, if you are the lessee, purchaser or developer. ('This is the
person who owns the property that the project is located on):
Property Owner/ Organization:
Signing Official & Title:
b. Contact information for person listed in item 2a above:
Street Address:
City:
Mailing Address (if applicable):
City:
Phone: ( )
Email:
State:
State:
Fax:
Zip:
Zip:
3. a. (Optional) Print the name and title of another contact such as the project's construction supervisor or other
person who can answer questions about the project:
Other Contact Person/Organization:Codv Turner
Signing Official & Title:Cody Turner, Project Manager
b. Contact information for person listed in item 3a above:
Mailing Address:231 Post Office Drive, Suite B8
City:Indian Trail State:NC Zip:28079
Phone: (704 ) 576-0022 Fax: ( )
Email:[e-mail]
4. Local jurisdiction for building permits: Union County
Point of Contact:Building Code Enforcement Phone #: (704 ) 283-3816
Form SWU-101 Version Oct. 31, 2013 Page 2 of 7

IV. PROJECT INFORMATION
1. In the space provided below, briefly summarize how the stormwater runoff will be treated.
Out -of -street stormwater either sheet flows or runs into vegetated swales that feed into the piped storm
drainage system. stormwater that falls into the road goes directly into the piped stormwater system. Multiple
outfalls convey water into vegetated swales which then drain to nearby lakes / streams. For a small northern
portion of the development the stormwater is treated by the dry detention basin.
2. a. If claiming vested rights, identify the supporting documents provided and the date they were approved:
❑ Approval of a Site Specific Development Plan or PUD Approval Date:
❑ Valid Building Permit Issued Date:
❑ Other: Date:
b. If claiming vested rights, identify the regulation(s) the project has been designed in accordance with:
❑ Coastal SW -1995 ❑ Ph II - Post Construction
3. Stormwater runoff from this project drains to the Catawba River basin.
4. Total Property Area: 97.00 acres
5. Total Coastal Wetlands Area: 0.0 acres
6. Total Surface Water Area: 11.15 acres
7. Total Property Area (4) - Total Coastal Wetlands Area (5) - Total Surface Water Area (6) = Total Project
Area+:85.85 acres
+ Total project area shall be calculated to exclude the following: the normalpool of impounded structures, the area
between the banks of streams and rivers, the area below the Normal High Water (NHM line or Mean High Water
(MHW) line, and coastal wetlands landward from the NHW (or MHKq line. The resultant project area is used to
calculate overall percent built upon area (BUA). Non -coastal wetlands landward of the NHW (or MHW) line may
be included in the total project area.
8. Project percent of impervious area: (Total Impervious Area / Total Project Area) X 100 = 23.99 %
9. How many drainage areas does the project have?1 (For high density, count 1 for each proposed engineered
stormwater BMP. For low density and other projects, use 1 for the whole property area)
10. Complete the following information for each drainage area identified in Project Information item 9. If there
are more than four drainage areas in the project, attach an additional sheet with the information for each area
provided in the same format as below.
Foran SWU-101 Version Oct. 31, 2013 Page 3 of 7

and the associated fees. Contact the appropriate regional office Express Permit Coordinator for
additional information and to schedule the required application meeting.) i
5. A detailed narrative (one to two pages) describing the stormwater treatment/ management for-{�-(�-
6. A USGS map identifying the site location. If the receiving stream is reported as class SA or the
receiving stream drains to class SA waters within 1/2 mile of the site boundary, include the 1/2
mile radius on the map.
7. Sealed, signed and dated calculations (one copy)._
8. Two sets of plans folded to 8.5" x 14" (sealed, signed, & dated), including:_
a. Development/ Project name.
b. Engineer and firm.
c. Location map with named streets and NCSR numbers.
d. Legend.
e. North arrow.
f. Scale.
g. Revision number and dates.
h. Identify all surface waters on the plans by delineating the normal pool elevation of
impounded structures, the banks of streams and rivers, the MHW or NHW line of tidal
waters, and any coastal wetlands landward of the NHW or NHW lines.
• Delineate the vegetated buffer landward from the normal pool elevation of impounded
structures, the banks of streams or rivers, and the NIHW (or NHW) of tidal waters.
i. Dimensioned property/ project boundary with bearings & distances.
j. Site Layout with all BUA identified and dimensioned.
k. Existing contours, proposed contours, spot elevations, finished floor elevations.
1. Details of roads, drainage features, collection systems, and stormwater control measures.
m. Wetlands delineated, or a note on the plans that none exist. (Must be delineated by a
qualified person. Provide documentation of qualifications and identify the person who
made the determination on the plans.
n. Existing drainage (including off-site), drainage easements, pipe sizes, runoff calculations.
o. Drainage areas delineated (included in the main set of plans, not as a separate document).
p. Vegetated buffers (where required).
9. Copy of any applicable soils report with the associated SHWT elevations (Please identify
elevations in addition to depths) as well as a map of the boring locations with the existing
elevations and boring logs. Include an 8.5"x11" copy of the NRCS County Soils map with the
project area clearly delineated. For projects with infiltration BWs, the report should also
include the soil type, expected infiltration rate, and the method of determining the infiltration rate.
(Infiltration Devices submitted to WiRO: Schedule a site visit for DEMLR to verify the SHVv F prior
to submittal, [phone].) ��
10. A copy of the most current property deed. Deed book: 6713 Page No: 162
11. For corporations and limited liability corporations (LLC): Provide documentation from the NC
Secretary of State or other official documentation, which supports the titles and positions held
by the persons listed in Contact Information, item 1a, 2a, and/or 3a per 15A NCAC 2H.1003(e).
The corporation or LLC must be listed as an active corporation in good standing with the NC
Secretary of State, otherwise the application will be returned.
http: / /www.secretaly.state.nc.us/Corporations/CSearch.aspx
VII. DEED RESTRICTIONS AND PROTECTIVE COVENANTS
For all subdivisions, outparcels, and future development, the appropriate property restrictions and protective
covenants are required to be recorded prior to the sale of any lot. If lot sizes vary significantly or the proposed
BUA allocations vary, a table listing each lot number, lot size, and the allowable built -upon area must be
provided as an attachment to the completed and notarized deed restriction form. The appropriate deed
restrictions and protective covenants forms can be downloaded from hBR://vortal.ncdenr.orgtweb/lz/state-
stormwater-forms docs. Download the latest versions for each submittal.
In the instances where the applicant is different than the property owner, it is the responsibility of the property
owner to sign the deed restrictions and protective covenants form while the applicant is responsible for ensuring
that the deed restrictions are recorded.
By the notarized signature(s) below, the permit holder(s) certify that the recorded property restrictions and
protective covenants for this project, if required, shall include all the items required in the permit and listed
on the forms available on the website, that the covenants will be binding on all parties and persons claiming
under them, that they will run with the land, that the required covenants cannot be changed or deleted
without concurrence from the NC DEMLR, and that they will be recorded prior to the sale of any lot.
Form SWU-101 Version Oct. 31, 2013 Page 5 of

Basin Information
Drainage Area 1 Drainage Area _ Drainage Area Drainage Area
Receiving Stream Name
572,895
Stream Class *
252,169
Stream Index Number
--
Total Drainage Area (so
3,739,705
On-site Drainage Area (sf)
3,739,705
Off-site Drainage Area (sf)
N/A
Proposed Impervious Area*`(so
897,512
% Impervious Area" (total)
23.99%
Impervious— Surface Area
Drainage Area 1 Drainage Area _ Drainage Area _ Drainage Area _
On-site Buildings/Lots (so
572,895
On-site Streets (so
252,169
On-site Parkin (so
--
On-site Sidewalks (so
72,448
Other on-site (so
Future (so
--
Off-site (so
-
Existing BUA*** (sf)
--
Total (so:
897,512
* Stream Class and Index Number can be determined at: h!W.,- portal.ncdenr.2Mg vebfwq[ps/csu/classi cations
* Im ervious area is defined as the built upon area including, but not limited to, buildings, roads, parking areas,
sidpewalks, gravel areas, etc.
***Report only that amount of existing BUA that will remain after development. Do not report any existing BUA that
is to be removed and which will be replaced by new BUA.
11. How was the off-site impervious area listed above determined? Provide documentation. N/A
Projects in Union County: Contact DEMLR Central Office staff to check if the project is located within a Threatened &
Endangered Species watershed that may be subject to more stringent stormwater requirements as per 15A NCAC 02B. 0600
V. SUPPLEMENT AND O&M FORMS
The applicable state stormwater management permit supplement and operation and maintenance (O&M) forms
must be submitted for each BMP specified for this project. The latest versions of the forms can be downloaded
from http://Rortal.ncdenr.org,/web/wg/ws/su/bmp-manual.
VI. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the Division of Energy, Mineral and
Land Resources (DEMLR). A complete package includes all of the items listed below. A detailed application
instruction sheet and BMP checklists are available from
http://portal.ncdenr.org/web/wq/ws/su/statesw/`forms docs. The complete application package should be
submitted to the appropriate DEMLR Office. (The appropriate office may be found by locating project on the
interactive online map at hgR:/ /portal.ncdenr.or web/wq/ws/su/maps.)
Please indicate that the following required information have been provided by initialing in the space provided
for each item. All original documents MUST be signed and initialed in blue ink. Download the latest versions
for each submitted application package from http://portal.ncdenr.org/web/wg/ws/su/statesw/forms docs.
InitL-ds
1. Original and one copy of the Stormwater Management Permit Application Form. WY
2. Original and one copy of the signed and notarized Deed Restrictions & Protective Covenants
Form. (if required as per Part VII below)
3. Original of the applicable Supplement Form(s) (sealed, signed and dated) and O&M _
agreement(s) for each BMP.
4. Permit application processing fee of $505 payable to NCDENR. (For an Express review, refer to }�
http://www.envhelp.org/pages/onestopexpress.html for information on the Express program
Form SWU-101 Version Oct. 31, 2013 Page 4 of 7

VIII. CONSULTANT INFORMATION AND AUTHORIZATION
Applicant: Complete this section if you wish to designate authority to another individual and/or firm (such as a
consulting engineer and/or firm) so that they may provide information on your behalf for this project (such as
addressing requests for additional information).
Consulting Engineer:Kris Rowe
Consulting Firm: LandDesign
Mailing Address:223 North Graham Street
City:Charlotte
Phone: (704 ) 333-0325
Email:[e-mail]
State:NC Zip:28202
Fax: ( 1
IX. PROPERTY OWNER AUTHORIZATION (if Contact Information, item 2 has been filled out, complete this
section)
I, (print or type name of person listed in Contact Information, item 2a) certify that I
own the property identified in this permit application, and thus give permission to (print or type name of person
listed in Contact Information, item 1a) with (print or hfpe name of organization listed in
Contact Information, item la) to develop the project as currently proposed. A copy of
the lease agreement or pending property sales contract has been provided with the submittal, which indicates the
party responsible for the operation and maintenance of the stormwater system.
As the legal property owner I acknowledge, understand, and agree by my signature below, that if my designated
agent (entity listed in Contact Information, item 1) dissolves their company and/or cancels or defaults on their
lease agreement, or pending sale, responsibility for compliance with the DEMLR Stormwater permit reverts back
to me, the property owner. As the property owner, it is my responsibility to notify DEMLR immediately and
submit a completed Name/Ownership Change Form within 30 days; otherwise I will be operating a stormwater
treatment facility without a vali permit. I understand that the operation of a stormwater treatment facility
without a valid permit is a viol ti n of NC General Statue 143-215.1 and may result in appropriate enforcement
action including the assessmcivil penalties of up to $25,000 per day, pursuant to NCGS 143-215.6.
,qwt
Date: 4 - If. If
I, 4_<_AI I -`.P/ )a e, Ak k h � , a Notary Public for the State
nof� - n /� , County of
W� l (1%% do hereby certify that , ex, rl l s b • 1' ►' A S �iY personally appeared
before me this,fQay of 291d , and ledge the due xecutignoff the application for
a stormwater permit. Witness my hand and official seal,
RAENAE H. LITTLE
NOTARY PUBLIC
Stanty County
North Carolina
My Commission Expires Apr016, 2022
Form SWU-101 Version Oct. 31, 2013
SEAL
commission expires
Page 6 of 7

X. APPLICANT'S CERTIFICATION
I, (print or type name of person listed in Contact Information, item 1a) Dennis W. Moser, MAI
certify that the information included on this permit application form is, to the best of my knowledge, correct and
that the project will be constructed in conformance with the approved plans, that the required deed restrictions
and protective covenants will b ecorded, and that the proposed project complies with the requirements of the
applicable stormwater rules l r 15A NCAC 21-1.1000 and any other applicable state stormwater requirements.
Date: l /J,. a
I, �P.1' l to,,' . ,�� , a Notary Public for the State C—� County of
do hereby certify that1)(D-5e41 personally appeared
before me this) Tay of f Z91d , an c owledge the due xecutio f�the application for
a stormwater permit. Witness my hand and official seal,
RAENAE H. LITTLE
NOTARY PUBLIC
Stanly County
North Carolina
My Commission Expires April 16, 2022
SEAL
My commission expires
Form SWU-101 Version Oct. 31, 2013 Page 7 of 7
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Figure 22

Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
June 26, 2018
Mr. Dale C. Stewart, PE
LandDesign, Inc.
223 N. Graham Street
Charlotte, North Carolina 28202
RE: Cloer Dam
Union County
State Dam ID: UNION -062
Dear Mr. Stewart:
ROY COOPER
Govemor
MICHAEL S. REGAN
Secretary
WILLIAM E. TOBY VINSON, JR.
Interim Director
A request for jurisdictional determination for the above referenced dam was received in this office
on May 30, 2018. Land Quality Section personnel from the Mooresville Regional Office conducted
an inspection of the existing dam site on June 8, 2018. Based on observations made during the site
inspection and a review of the information submitted with your request, our office has determined
that a Class B intermediate hazard classification is presently warranted.
Based on a review of the provided drawings and information, the proposed dam height and
maximum storage capacity are 19.5 feet and 26.6 acre-feet, respectively. In order for a dam to be
subject to the Dam Safety Law (NCGS 143-215.23) the impoundment must be both 25 feet in
height or taller AND impound 50 acre-feet or more OR be located where failure will likely cause
loss of life or serious damage to homes, industrial and commercial buildings, important public
utilities, primary highways or major railroads. Since this structure is less than the required height
and there is no apparent potential damage to downstream areas, the subject dam as proposed will
remain classified as EXEMPT from the requirements of the Dam Safety Law.
However, the following comments are offered.
Our office encourages the owner of any dam to construct their dam using the same
standards as would be applied if it were under the jurisdiction of the Dam Safety Law.
2. If the dam is constructed in such a way that it is 25 feet in height or greater as measured
from the highest point on the crest of the dam to the lowest point on the downstream toe
and will impound 50 acre-feet or more at the highest point on the crest of the dam, this
dam will no longer be considered exempt. In this case, engineering certification, along with
record drawings and specifications, will be required, as well as application processing fees.
State of North Carolm I Environmental Quality I Energy, Mineral and Land Resources
1612 Mail Service Center I Raleigh, North Carolina 27699
919 707 9220 T

Mr. Dale C. Stewart, PE
Notice of Exemption
June 26, 2018
Page 2 of 2
Cloer Dam
UNION -062
3. If future downstream development occurs which would be impacted by a failure of the
dam, then the hazard classification may be reassessed and may change from intermediate
to high hazard classification. Please note that in accordance with NCGS §143-
215.25A(a)(6), dams which are determined to be high hazard are subject to the provisions
of the Dam Safety Law of 1967 regardless of height or impoundment capacity.
The Army Corps of Engineers and the Water Quality Section of this Department should be
contacted to determine if additional permits are required. Also, the erosion and sediment control
program having jurisdiction should be contacted to determine permit requirements. In any case,
sediment must be prevented from entering the waters of the state or flowing onto neighboring
property.
Please contact Mr. Zahid Khan, CPM, CPESC, CPSWQ, Regional Supervisor, Land Quality
Section, 610 E. Center Avenue, Suite 301, Mooresville, North Carolina 28115, telephone number
[phone], or a staff member of the Dam Safety Section at telephone number (919) 707-
9220 should you have any questions concerning this matter.
Sincerely,
o s
1�6
State Dam Safety Engineer
ATB/jmp
cc: Mr. Zahid Khan, CPM, CPESC, CPSWQ, Land Quality Regional Supervisor, MRO
Mr. Robb J. Klauk, LandDesign, Inc.
State of North Carolina I Environmental Quality I Energy, Mineral end Land Resources
1612 Mail Service Center 1 Raleigh, North Carolina 27699
919 707 9220 T