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HomeMy WebLinkAbout20061725 Ver 1_COMPLETE FILE_20060112Kimley-Horn and Associates, Inc. December 20, 2006 Mr. Ian McMillan Division of Water Quality 2321 Crabtree Boulevard, Suite 250 Raleigh, NC 27604 Re: Wal-Mart Supercenter Store #2134-06 DWQ Project # 06-1725 Dear Mr. McMillan: Per your conversation with Todd St. John of Kimley-Horn on December 20, 2006; we respectfully rescind our letters of December 4, 2006 and November 9, 2006. The subject project will be designed to comply with the stormwater management requirements of the City of Charlotte. As part of the site development process, the City will review the site plans for compliance with its current stormwater design criteria and ordinances. We apologize for any confusion regarding this situation and thank you for your assistance. Please feel free to contact me if you have any questions at 704-954- 7495. Very truly yours, KIMLEY-HORN AND C Eric C. Riedinger, P.E. cc: File 015476061 file 01 a6 ATES, INC. ¦ Suite 300 4651 Charlotte Park Drive Charlotte, North Carolina 28217 TEL 704 333 5131 FAX 704 333 0845 ? ? ? Kimley-Horn and Associates, Inc. December 4, 2006 Mr. Ian McMillan Division of Water Quality 2321 Crabtree Boulevard, Suite 250 Raleigh, NC 27604 Re: Wal-Mart Supercenter Store 42134-06 DWQ Project # 06-1725 Dear Mr. McMillan: This letter is to amend a previous letter sent November 9, 2006. The previous letter stated we would design a "Water Quality pond designed to remove 85% TSS according to the latest version of DWQ's Stormwater Best Management Practices manual". After clarification of the General Certifications for a Nationwide 39 permit, it was determined that our impacts are below the threshold for this requirement. Our stonnwater plan will still meet the current stormwater requirements of the City of Charlotte. Please respond to this letter by email (tmmy.cousins@kimley-horn.com) or mail to acknowledge your receipt and acceptance of this letter. Thank you for your assistance with this matter. Please call Mr. Eric Riedinger or Mr. Tommy Cousins if you have any questions. Very truly yours, KIMLEY-HORN AND ASSOCIATES, INC. 7 Eric C. Riedinger, P.E. cc: File 015476061 01 ??? ? ?r+r'!?'tt`P ¦ Suile 300 4651 Charlotte Park Drive Charlotte, North Carolina 28217 ¦ TEL 704 333 5131 FAX 704 333 0845 v ? ? ? Kimley-Horn and Associates, Inc. ((??I'V It, "I November 9, 2006 RECEIVED suite 300 4651 Charlotte Park Drive Charlotte, North Carolina Mr. Ian McMillan 28217 Division of Water Quality 2321 Crabtree Boulevard, Suite 250 Raleigh, NC 27604 Re: Wal-Mart Supercenter Store #2134-06 DWQ Project # 06-1725 Dear Mr. McMillan: This letter is in response to the letter we received dated November 6, 2006 from the Division of Water Quality concerning the proposed development and serves as the follow-up conversation between yourself and Mr. Tommy Cousins from our office. The proposed 381-/- acre development located on N. Tryon Street in Charlotte, NC includes a Wal-Mart Supercenter, construction of a portion of University Pointe Boulevard, and five seller retained outparcels with no current development plan. The stormwater plan will be designed to accept the development's storm drainage in a regional water quality pond with the following design characteristics: Meet the current stormwater requirements of the City of Charlotte; Water Quality pond designed to remove 85% TSS according to the latest version of DWQ's Stormwater Best Management Practices manual; and Detain the difference between the pre vs. post development condition for the 2- and 10-year 24-hour rainfall events. The approval process of the City of Charlotte requires stormwater plan approval prior to any major land disturbing activity which would include impacts to the stream, wetland and open water features noted in the application. Please call Mr. Eric Riedinger or Mr. Tommy Cousins if you have any questions regarding the proposed development. i+ d lv?; ? l ;;i ZOOG 1 Vr.1L1Ali fi:i r r' ?1l.iiY ¦ fZ F1RANCt+ TEL 704 333 5131 FAX 704 333 0845 Kimley-Horn and Associates, Inc. Very truly yours, KIMLEY-HORN gANDA SOCIATES, INC. Zc Gric C. Riedingcr, P.E. cc: File 015476061 01 10, of wATF9 10? QG ? r - i-, (O J;iii;?001waor ^C Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E. Director Division of Water Quality November 14, 2006 DWQ Project # 06-1725 Mecklenburg County Wal-Mart Stores East, L.P. 2001 SE I Oth Street Bentonville, AR 72716-0550 Subject Property: Wal-Mart Store No. 2134 Ut to Doby Creek [030833, 13-17-5-3, C] Approval of 401 Water Quality Certification with Additional Conditions Dear Sir or Madam: You have our approval, in accordance with the attached conditions and those listed below, to place fill within or otherwise impact 0.04 acres of 404/ wetland, 30 linear feet of intermittent stream, and 0.25 acres of open water (pond) to construct the proposed retail shopping center, as described in your application dated October 30, 2006, and received by the Division of Water Quality (DWQ) on November 2, 2006, with additional information received on November 13, 2006. After reviewing your application, we have decided that the impacts are covered by General Water Quality Certification Number(s) 3402 (GC3402). The Certification(s) allows you to use Nationwide Permit(s) NW39, when issued by the US Army Corps of Engineers (USAGE). In addition, you should obtain or otherwise comply with any other required federal, state or local permits before you go ahead with your project including (but not limited to) Erosion and Sediment Control, and Non-discharge regulations. Also, this approval to proceed with your proposed impacts or to conduct impacts to waters as depicted in your application shall expire upon expiration of the 404 or CAMA Permit. This approval is for the purpose and design that you described in your application. If you change your project, you must notify us and you may be required to send us a new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying with all conditions. If total fills for this project (now or in the future) exceed one acre of wetland or 150 linear feet of stream, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h). This approval requires you to follow the conditions listed in the attached certification and any additional conditions listed below. The Additional Conditions of the Certification are: 1. Impacts Approved The following impacts are hereby approved as long as all of the other specific and general conditions of this Certification (or Isolated Wetland Permit) are met. No other impacts are approved including incidental impacts: Amount Approved Units Plan Location or Reference 404/Wetland 0.04 acres PCN page 4 of 8 Stream - intermittent 30 linear feet PCN page 4 of 8 Open Water (pond) 0.25 acres PCN page 4 of 8 401 Oversight/Express Review Permitting Unit 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-1786 / FAX 919-733-6893 / Internet: htto //h2o enr state nc us/ncwetlands NOf Caro ina Naturally An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper Wal-Mart Stores East, L.P. Page 2 of 4 November 14, 2006 2. No Waste, Spoil, Solids, or Fill of Any Kind No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the footprint of the impacts depicted in the Pre-Construction Notification. All construction activities, including the design, installation, operation, and maintenance of sediment and erosion control Best Management Practices, shall be performed so that no violations of state water quality standards, statutes, or rules occur. 3. Erosion and sediment control practices must be in full compliance with all specifications governing the proper design, installation and operation and maintenance of such Best Management Practices in order to protect surface waters standards: a. The erosion and sediment control measures for the project must be designed, installed, operated, and maintained in accordance with the most recent version of the North Carolina Sediment and Erosion Control Planning and Design Manual. b. The design, installation, operation, and maintenance of the sediment and erosion control measures must be such that they equal, or exceed, the requirements specified in the most recent version of the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all construction sites, borrow sites, and waste pile (spoil) projects, including contractor-owned or leased borrow pits associated with the project. c. Sufficient materials required for stabilization and/or repair of erosion control measures and stormwater routing and treatment shall be on site at all times. 4. Sediment and Erosion Control Measures Sediment and erosion control measures shall not be placed in wetlands or waters to the maximum extent practicable. If placement of sediment and erosion control devices in wetlands and waters is unavoidable, they shall be removed and the natural grade restored within six months of the date that the Division of Land Resources has released the project; 5. Protective Fencing The outside buffer, wetland or water boundary and along the construction corridor within these boundaries approved under this authorization shall be clearly marked with orange warning fencing (or similar high visibility material) for the areas that have been approved to infringe within the buffer, wetland or water prior to any land disturbing activities to ensure compliance with 15A NCAC 213.0233 and GC 3404; 6. Deed Notifications Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands, waters and protective buffers in order to assure compliance for future wetland, water and buffer impact. These mechanisms shall be put in place prior to impacting any wetlands, waters and/or buffers approved for impact under this Certification Approval and Authorization Certificate. A sample deed notification can be downloaded from the 401/Wetlands Unit web site at http://h2o.enr.state.nc.us/ncwetlands. The text of the sample deed notification may be modified as appropriate to suit to this project; i Page 3 of 4 November 14, 2006 7. Construction Stormwater Permit NCG010000 Upon the approval of an Erosion and Sedimentation Control Plan issued by the Division of Land Resources (DLR) or a DLR delegated local erosion and sedimentation control program, an NPDES General stormwater permit (NCGO10000) administered by DWQ is automatically issued to the project. This General Permit allows stormwater to be discharged during land disturbing construction activities as stipulated by conditions in the permit. If your project is covered by this permit [applicable to construction projects that disturb one (1) or more acres], full compliance with permit conditions including the sedimentation control plan, self-monitoring, record keeping and reporting requirements are required. A copy of this permit and monitoring report forms may be found at http: //h2o enr. state. nc. us/su/Forms Documents, htm. ; 8. Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required to return the attached certificate of completion to the 401 Oversight/Express Review Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. Violations of any condition herein set forth may result in revocation of this Certification and may result in criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct impacts to waters as depicted in your application and as authorized by this Certification, shall expire upon expiration of the 404 or CAMA Permit. If you do not accept any of the conditions of this Certification (associated with the approved wetland or stream impacts), you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing. Any disputes over determinations regarding this Authorization Certificate (associated with the approved buffer impacts) shall be referred in writing to the Director for a decision. The Director's decision is subject to review as provided in Articles 3 and 4 of G.S. 150B. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act and the Neuse riparian buffer protection rule as described within 15A NCAC 2B .0233. If you have any questions, please telephone Cyndi Karoly or Ian McMillan at 919-733-1786. A W K/ijm Si ely, Alan W. Klimek, P.E. Enclosures; GC3402 Certificate of Completion Wal-Mart Stores East, L.P. ?? Page 4 of 4 November 14, 2006 cc: Alan Johnson, DWQ Mooresville Regional Office USACE Asheville Regulatory Field Office File Copy Central Files Eric Riedinger, Kimley-Horn and Associates, 4651 Charlotte Park Drive, Suite 300, Charlotte, NC 28217 Filename: 061725 Wal-MartStore#2134(Mecklenburg)401 W Ar Michael F. Easley, Governor ?0?0 9Q? William G. Ross Jr., Secretary r- North Carolina Department of Environment and Natural Resources p Alan W. Klimek, P.E. Director Division of Water Quality November 6, 2006 DWQ Project # 06-1725 Mecklenburg County CERTIFIED MAIL: RETURN RECEIPT REQUESTED Wal-Mart Stores East, L.P. ' l I 2001 SE 10th Street Bentonville, AR 72716-0550 ? ?:. "EIVED Subject Property: Wal-Mart Store No. 2134 Ut to Doby Creek [030833, 13-17-5-3, C] REQUEST FOR MORE INFORMATION Dear Sir or Madam: On November 2, 2006, the Division of Water Quality (DWQ) received your "Courtesy Copy" application dated October 30, 2006 to impact 0.04 acres of 404/401 wetland, 30 linear feet of intermittent stream, and 0.25 acres of open water (pond) to construct the proposed retail shopping center. The DWQ has determined that your application was incomplete and/or provided inaccurate information as discussed below. The DWQ will require additional information in order to process your application to impact protected wetlands and/or streams on the subject property. Therefore, unless we receive the additional information requested below, we will have to move toward denial of your application as required by 15A NCAC 2H.0506 and will place this project on hold as incomplete until we receive this additional information. Please provide the following information so that we may continue to review your project. Additional Information Requested: 1. Under Section XI. - Stormwater (required by DWQ) on page 12 of 13 of your application, regarding the proposed project imperviousness your response to the question was, "N/A ". This question must be responded to and "N/A " is not an acceptable response. You are seeking approval for your project under General Water Quality Certification No. 3402 (Nationwide 39) which states, "Additional site-specific stormwater management requirements may be added to this Certification at DWQ's discretion on a case by case basis for projects that have or are anticipated to have impervious cover of greater than 30 percent. Site-specific stormwater management shall be designed to remove 85% TSS according to the latest version of DWQ's Stormwater Best Management Practices manual at a minimum." If your proposed project imperviousness will exceed 30 percent, please revise your Pre-Construction Notification (PCN) application and resubmit five (5) copies of the PCN application, your stormwater BMP plan, and the appropriate fee of $200.00 to the DWQ. Please contact the DWQ within three weeks of the date of this letter to verify that you have received this letter and that you remain interested in continuing to pursue permitting of your project and will be providing the DWQ the requested information at a later date. Please contact me in writing and Alan Johnson of the DWQ Mooresville Regional Office. If we do not hear from you within three weeks, we will assume that you no longer want to pursue this project and we will consider the project as withdrawn. 401 Oversight/Express Review Permitting Unit 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-1786 / FAX 919-733-6893 / Internet: http://h2o.enr.state.nc.us/ncwetiands None hCarof na Naturally An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper Wal-Mart Stores East, L.P. Page 2 of 2 November 6, 2006 This letter only addresses the application review and does not authorize any impacts to wetlands, waters or protected buffers. Please be aware that any impacts requested within your application are not authorized (at this time) by the DWQ. Please call Ms. Cyndi Karoly or Mr. Ian McMillan at 919-733- 1786 if you have any questions regarding or would like to set up a meeting to discuss this matter. Sincerely, Cyndi Karoly, Supervisor 401 Oversight/Express Review Permitting Unit CBK/ijm V cc: Alan Johnson, DWQ Mooresville Regional Office USACE Asheville Regulatory Field Office File Copy Central Files Eric Riedinger, Kimley-Horn and Associates, 4651 Charlotte Park Drive, Suite 300, Charlotte, NC 28217 Filename: 061725Wal-MartStore#2134(Meeklenburg)On_llold DVS # 06-1725 Wal-Mart Store #2134 Charlotte North Tryon 9. Subject: DWQ # 06-1725 Wal-Mart Store #2134 Charlotte North Tryon From: Laurie Dennison <laurie.j.dennison@ncmail.net> Date: Mon, 06 Nov 2006 11:38:19 -0500 To: eric.riedinger@kimley-horn.com Please see attached the Division of Water Quality's request for more information related to your recent application. Please note that this message is being forwarded to you electronically so that you may expedite preparation of your response. Please do not send your response as a reply to this e-mail or via fax. The hard copy is being sent via US Mail. All response correspondence is to be mailed via hard copy to the 401 Oversight and Express Permits Unit, 2321 Crabtree Blvd., Raleigh, NC, 27604 unless otherwise noted. I Content-Type: application/msword 061725Wal-MartStore Content-Encoding: base64 of 1 11/6/2006 11:38 AM Kimley-Horn and Associates, Inc. October 30, 2006 U.S. Army Corps of Engineers Asheville Regulatory Field Office Attn: Amanda Jones 151 Patton Avenue, Room 208 Asheville, NC 28801-5006 Re: Wal-Mart Store 2134 (Charlotte North Tryon) NWP # 39 Application Submittal Charlotte, Mecklenburg County, North Carolina Dear Ms. Jones: 20081 728 COURTESY Cop`;' Pl`,YI'," F N T RECEIVED Enclosed for your review is a copy of a Section 404 Pre-Construction Notification pursuant to Nationwide Permit #39 for the above referenced project. A courtesy copy of this information has also been submitted to the NC Division of Water Quality to Cyndi Karoly's attention. The following information is included as part of the application submittal: • Site Location Map • USGS Topographic Map • NRCS Soils Map • Site Aerial • Impacts Map • Site Photos • Pre-Construction Notification Form • Wetland and Stream Data Forms • Agent Authorization Form If there is any additional information you need or any way we can assist in expediting the processing of this application, please do not hesitate to contact me at (704) 319-7688 or by email at tommy.cousins@kimley-horn.com. Very truly yours, Kimley-Horn and Associates Tommy Cousins Environmental Scientist Copy: Cyndi Karoly Z1 ? i r TEL 704 333 5131 ?' ?' ZOO fi 1 '? FAX 704 333 0845 ¦ suite 300 4551 Charlolle Park Drive Charlotte, North Carolina 25217 Office Use Only: Form Version March 05 USACE Action ID No. DWQ No. 2 0 0@ 1 7 2 8 (If anv narticular item is not aDDlicable to this proiect, please enter "Not Applicable" or "N/A".) I. Processing COURTESY 1. Check all of the approval(s) requested for this project: COPY ® Section 404 Permit ? Riparian or Watershed Buffer Rules ? Section 10 Permit ? Isolated Wetland Permit from DWQ ? 401 Water Quality Certification ? Express 401 Water Quality Certification 2. Nationwide, Regional or General Permit Number(s) Requested: Nationwide 39 3. If this notification is solely a courtesy copy because written approval for the 401. Certification is not required, check here: 4. If payment into the North Carolina Ecosystem Enhancement Program (NCEEP) is proposed for mitigation of impacts, attach the acceptance letter from NCEEP, complete section VIII, and check here: ? 5. If your project is located in any of North Carolina's twenty coastal counties (listed on page 4), and the project is within a North Carolina Division of Coastal Management Area of Environmental Concern (seethe to of page 2 for further details), check h - 0) ? ! II. ApplicantInformalion ?'V , 2006 Owner/Applicant Information Name: Mailing Address: DENR - hS^?;!l cJti;+l_i'I Y AN),' 9??i! ?iT??.c?a.4hr'`.7F??2 r?rrAtuCH Bentonville AR 72716-0550 Telephone Number:. (479) 273-4000 Fax Number: (479) 204-0423 E-mail Address: 2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter must be attached if the Agent has signatory authority for the owner/applicant.) Name: Eric Riedinger - Company Affiliation: Kimley-Horn and Associates Mailing Address: 4651 Charlotte Park Drive Suite 300 Charlotte NC 28217 Telephone Number: (704) 333-5131 Fax Number: (704) 333-0845 E-mail Address: eric riedinger @kimley-horn coin Updated 11/1/2005 Page 1 of 8 III. Project Information Attach a vicinity map clearly showing the location of the property with respect to local landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property boundaries and development plans in relation to surrounding properties. Both the vicinity map and site plan must include a scale and north arrow. The specific footprints of all buildings, impervious surfaces, or other facilities must be included. If possible, the maps and plans should include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion, so long as the property is clearly defined. For administrative and distribution purposes, the USACE requires information to be submitted on sheets no larger than 11 by 17-inch format; however, DWQ may accept paperwork of any size. DWQ prefers full-size construction drawnigs rather than a sequential sheet version of the full-size plans. If full-size plans are reduced to a small scale such that the final version is illegible, the applicant will be informed that the project has been placed on hold until decipherable maps are provided. 1. Name of project: Wal-Mart Store 2134 (Charlotte North Tryon) 2. T.I.P. Project Number or State Project Number (NCDOT Only): N/A 3. Property Identification Number (Tax PIN): 04722214 and 04745201 4. Location County: Mecklenburg Nearest Town: Charlotte Subdivision name (include phase/lot number): N/A Directions to site (include road numbers/names, landmarks, etc.): From Charlotte, take 1-85 north to US 29 Bypass N Stay straight to go on N Tryon St. Site is .5 miles on the left. Site coordinates (For linear projects, such as a road or utility line, attach a sheet that separately lists the coordinates for each crossing of a distinct waterbody.) Decimal Degrees (6 digits minimum): 35.2957 ON 80.7574 °W 6. Property size (acres): 7. Name of nearest receiving body of water: Doby Creek (DWO Index 13-17-5-3) 8. River Basin: Yadkin (Note - this must be one of North Carolina's seventeen designated major river basins. The River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.) 9. Describe the existing conditions on the site and general land use in the vicinity of the project at the time of this application: Site is about 70 Mrcent forested and 30 percent open field. Updated 11/1/2005 Page 2 of 8 10. Describe the overall project in detail, including the type of equipment to be used: Typical earthmoving_equipment for site preparation and construction will be utilized to develop the 11. Explain the purpose of the proposed work: The site will be developed to build a retail shopping center. IV. Prior Project History If jurisdictional determinations and/or permits have been requested and/or obtained for this project (including all prior phases of the same subdivision) in the past, please explain. Include the USACE Action ID Number, DWQ Project Number, application date, and date permits and certifications were issued or withdrawn. Provide photocopies of previously issued pen-nits, certifications or other useful information. Describe previously approved wetland, stream and buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project, list and describe permits issued for prior segments of the same T.I.P. project, along with construction schedules. No permits have been issued for this site. V. Future Project Plans Are any future permit requests anticipated for this project? If so, describe the anticipated work, and provide justification for the exclusion of this work from the current application. No future permit requests are anticipated VI. Proposed Impacts to Waters of the United States/Waters of the State It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to wetlands, open water, and stream channels associated with the project. Each impact must be listed separately hi the tables below (e.g., culvert installation should be listed separately from riprap dissipater pads). Be sure to indicate if an impact is temporary. All proposed impacts, permanent and temporary, must be listed, and must be labeled and clearly identifiable on an accompanying site plan. All wetlands and waters, and all streams (intermittent and perennial) should be shown on a delineation map, whether or not impacts are proposed to these systems. Wetland and stream evaluation and delineation forms should be included as appropriate. Photographs may be included at the applicant's discretion. If this proposed impact is strictly for wetland or stream mitigation, list and describe the impact in Section VIII below. If additional space is needed for listing or description, please attach a separate sheet. 1. Provide a written description of the proposed impacts: A small pond (0.25 acres), a small wetland (0.04 acres) and a portion of an intermittent stream will be filled. Updated 11/1/2005 Page 3 of 8 , Aft, 2. Individually list wetland impacts. Types of impacts include, but are not limited to mechanized clearing, grading, fill, excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding. Wetland Impact Site Number (indicate on map) Type of Impact Type of Wetland (e.g., forested, marsh, herbaceous, bog, etc.) Located within 100-year Floodplain (yes/no) Distance to Nearest Stream (linear feet Area of Impact (acres) 1 Fill Forested seep No 0.04 Total Wetland Impact (acres) 0.04 3. List the total acreage (estimated) of all existing wetlands on the property: 0.04 4. Individually list all intermittent and perennial stream impacts. Be sure to identify temporary impacts. Stream impacts include, but are not limited to placement of fill or culverts, dam construction, flooding, relocation, stabilization activities (e.g., cement walls, rip-rap, crib walls, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included. To calculate acreage, multiply length X width, then divide by 43,560. Stream Impact Number (indicate on ma) Stream Name Type of Impact Perennial Intermittent? ? Average Stream Width Before Im act Impact Length (linear feet Area of Impact (acres) 1 UT to Doby Creek Fill Intermittent 1.5' 30 0.001 Total Stream Impact (by length and acreage) 30 0.001 5. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic Ocean and any other water of the U.S.). Open water impacts include, but are not limited to fill, excavation, dredging, flooding, drainage, bulkheads, etc. Open Water Impact Site Number indicate on ma) Name of Waterbody (if applicable) Type of Impact Type of Waterbody (lake, pond, estuary, sound, bay, ocean, etc, Area of Impact acres I N/A Fill Pond 0.25 Total Open Water Impact (acres) 0.25 Updated 11/1/2005 Page 4 of 8 6. List the cumulative impact to all Waters of the U.S. resulting from the project: Stream Impact (acres): 0.001 Wetland Impact (acres): 0.04 Open Water Impact (acres): 0.25 Total Impact to Waters of the U.S. (acres) 0.29 Total Stream Impact (linear feet): 30 7. Isolated Waters Do any isolated waters exist on the property? ? Yes ® No Describe all impacts to isolated waters, and include the type of water (wetland or stream) and the size of the proposed impact (acres or linear feet). Please note that this section only applies to waters that have specifically been determined to be isolated by the USACE. Pond Creation If construction of a pond is proposed, associated wetland and stream impacts should be included above in the wetland and stream impact sections. Also, the proposed pond should be described here and illustrated on any maps included with this application. Pond to be created in (check all that apply): ? uplands ? stream ? wetlands Describe the method of construction (e.g., dam/embankment, excavation, installation of draw-down valve or spillway, etc.): Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond, local stormwater requirement, etc.): Current land use in the vicinity of the pond: Size of watershed draining to pond: Expected pond surface area: VII. Impact Justification (Avoidance and Minimization) Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide information related to site constraints such as topography, building ordinances, accessibility, and financial viability of the project. The applicant may attach drawings of alternative, lower-impact site layouts, and explain why these design options were not feasible. Also discuss how impacts were minimized once the desired site plan was developed. If applicable, discuss construction techniques to be followed during construction to reduce impacts. This site will avoid all perennial streams and all but 30 feet of the intermittent streams. There is a small pond and wetland located where the main building will need to be located in order to provide outparcels, the desired number of parking spaces, and to avoid the sewer easement located behind the building. VIII. Mitigation DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC Division of Water Quality for projects involving greater than or equal to one acre of impacts to freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial streams. Updated 1111/2005 Page 5 of 8 USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide Permits, published in the Federal Register on January 15, 2002, mitigation will be required when necessary to ensure that adverse effects to the aquatic environment are minimal. Factors including size and type of proposed impact and function and relative value of the impacted aquatic resource will be considered in determining acceptability of appropriate and practicable mitigation as proposed. Examples of mitigation that may be appropriate and practicable include, but are not limited to: reducing the size of the project; establishing and maintaining wetland and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of aquatic resource functions and values by creating, restoring, enhancing, or preserving similar functions and values, preferable in the same watershed. If mitigation is required for this project, a copy of the mitigation plan must be attached iii order for USACE or DWQ to consider the application complete for processing. Any application lacking a required mitigation plan or NCEEP concurrence shall be placed on hold as incomplete. An applicant may also choose to review the current guidelines for stream restoration in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at ht!p://li2o.eilr.state.nc.us/ncwetlaiids/st irr dng e.litniL 1. Provide a brief description of the proposed mitigation plan. The description should provide as much information as possible, including, but not limited to: site location (attach directions and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet) of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view, preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a description of the current site conditions and proposed method of construction. Please attach a separate sheet if more space is needed. No mitigation is anticipated. 2. Mitigation may also be made by payment into the North Carolina Ecosystem Enhancement Program (NCEEP). Please note it is the applicant's responsibility to contact the NCEEP at (919) 715-0476 to determine availability, and written approval fi-om the NCEEP indicating that they are will to accept payment for the mitigation must be attached to this form For additional information regarding the application process for the NCEEP, check the NCEEP website at htW://h2o.enr.state.nc.us/wrp/index.htm. If use of the NCEEP is proposed, please check the appropriate box on page five and provide the following information: Amount of stream mitigation requested (linear feet): 0 Amount of buffer mitigation requested (square feet): 0 Amount of Riparian wetland mitigation requested (acres): 0 Amount of Non-riparian wetland mitigation requested (acres): 0 Amount of Coastal wetland mitigation requested (acres): 0 Updated 11/112005 Page 6 of 8 IX. Environmental Documentation (required by DWQ) 1. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? Yes ? No 2. If yes, does the project require preparation of an environmental document pursuant to the requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)? Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA coordinator at (919) 733-5083 to review current thresholds for environmental documentation. Yes ? No 3. If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a copy of the NEPA or SEPA final approval letter. Yes ? No X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ) It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to required state and local buffers associated with the project. The applicant must also provide justification for these impacts in Section VII above. All proposed impacts must be listed herein, and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a map, whether or not impacts are proposed to the buffers. Correspondence fxom the DWQ Regional Office may be included as appropriate. Photographs may also be included at the applicant's discretion. 1. Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233 (Neuse), 15A NCAC 2B.0259 (Tar-Pamlico), 15A NCAC 02B .0243 (Catawba) 15A NCAC 2B .0250 (Randleman Rules and Water Supply Buffer Requirements), or other (please identify )? Yes ? No 2. If "yes", identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer mitigation is required calculate the required amount of mitigation by applying the buffer multipliers. Zone* Impact (square feet) Multiplier Required Mitigation 1 3 (2 for Catawba) 2 1.5 Total * Zone 1 extends out 30 feet perpendicular from the top of the near bank of channel; Zone 2 extends an additional 20 feet from the edge of Zone 1. 3. If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation of Property, Riparian Buffer Restoration / Enhancement, or Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as identified within 15A NCAC 2B.0242 or.0244, or.0260. XI. 5tormwater (required by DWQ) Updated 11/1/2005 Page 7 of 8 Describe impervious acreage (existing and proposed) versus total acreage on the site. Discuss stormwater controls proposed in order to protect surface waters and wetlands downstream from the property. If percent impervious surface exceeds 20%, please provide calculations demonstrating total proposed impervious level. N/A XII. Sewage Disposal (required by DWQ) 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. XIII. Violations (required by DWQ) Is this site in violation of DWQ Wetland Rules (15A NCAC 2H.0500) or any Buffer Rules? Yes ? No Is this an after-the-fact permit application? Yes ? No XIV. Cumulative Impacts (required by DWQ) Will this project (based on past and reasonably anticipated future unpacts) result in additional development, which could impact nearby downstream water quality? Yes ? No If yes, please submit a qualitative or quantitative cumulative impact analysis in accordance with the most recent North Carolina Division of Water Quality policy posted on our website at bttp://1)2o.enr.,state.nc.us/ii.cwetlands. If no, please provide a short narrative description: The adjacent parcels are currently developed therefore it is not anticipated that this project will result in any additional development that will impact nearby streams. XV. Other Circumstances (Optional): It is the applicant's responsibility to submit the application sufficiently in advance of desired construction dates to allow processing time for these permits. However, an applicant may choose to list constraints associated with construction or sequencing that may impose limits on work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and Threatened Species, accessibility problems, or other issues outside of the applicant's control). //-/"7 e?? ? ?/? /101-3 Applicant/Agent's ature ate (Agent's signature is valid on y if an authorization letter from the applicant is provided.) Updated 11/1/2005 Page 8 of 8 c ?F Hayden-DL a.?? 0 eq wahR 485 to` 00?David-EOx- d o c O ° alp °'?. hC ? 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D°ne,4 Rss1h• . t Title Location Map Project North Tryon Wal-Mart Sitc Prepared For. Mecklenburg County, North Carolina Date Project Number Figure 10/30/06 1 P.A015476 W.1-Mart Sile('ivilAOhI Charlotte NorthTi-ronmentalArigures\rigures doc Prepared by Tommy Cousins CEn ==. `. ``t? '?,? ' ` ? r? ?r ' ? • to 9 Iti` ? - ?yy! 1 ??" ?' •!.M .. ? ? r_1 I? +4? ` i? ? ~ r. • f vk • "" _ _ 1 / 4 ` - ?1 e ' _ r • t 1% 04 .7 ?, r ay I - -• I? ?' 1?15t ,.', I I I /? a _ „ * 5,!', ?ON I ? ?M 1 f /? a 4? ?i ? ' • ' ?. ' ? ? tea, lll5 , 4'4 } - _ / ?? / + A - ? ••? r ? l + (? ! ? H? 0 Ism All, 16 It r 6.4 % - 1 - ? • ' ` , 1? ? / r` r?? ?, ?? _? 1, ?,? ?? ? r ??, ',, N - ?.s . ' { " ~ ? ? • 9'; ? - Legend r '` ? r, , i?• Project Area ? ? t Title USGS Quad Map (Derita Quad) Prepared For Project North Tryon Wal-Mart Site Mecklenburg County, North Carolina Date Project Number Figure 10/30/06 2 P:\015476 Wal-Mart SiteCivi1\061 Charlotte North\Environmental\Figurea\Figures.doc Prepared by Tommy Cousins [IIn a=. r V_??B2 .ice t a `;I i s Legend Project Area Title USDA Soil Survey 111118. J I Ur Project North Tryon Wal-Mart Site Prepared For. Mecklenburg County, North Carolina Date Project Number Figure 10/30/06 3 P:\015416 Wal-Mart SiteCivil\o61 Charlotte North\Environmentsl\Figures\Figures.doc Prepared by Tommy Cousins [NFI ,O.".1 P:\015476 Wal-Mart SiteCivil\061 Charlotte North\Environmenta[\Figures\Figures.doc Prepared by Tommy Cousins [on:r, r . r• r• r?„?? is A& 0 Wetland Impact 1 O en Water Im act 1 '`••?, `?. nO Stream impact 1 r Legend m ----? Project Area ?..f? Intermittent Stream Perennial Stream s N w I4 ® Wetland eo?s?eY? S - Pond Site Plan 25 250 500 Feet Title Site Plan and Impacts Map Prepared For Project North 'Tryon Wal-Mart Site Mecklenburg County, North Carolina Date Project Number Figure 10/30/06 5 P:\015476 Wal-Mart SiteCivin061 Charlotte North\Environmental\Figures\Figum.dm Prepared by Tommy Cousins [MI1 .ar.¦uae. r IF, 1 b ?. AF, ? F i .a ' P - t?fk? c, Wetland Title Site Photos Project Charlotte North Wal-Mart Prepared For Mecklenburg County, North Carolina Date Project Number Photo Page 10/30/06 1 P1015476 Wal-Mart SiteC.ivil\061 Charlotte North\Environmental\Figures\Photos.doc Prepared by Tommy Cousins Icon ",=.I are _I I s d f dtl. it { ?, -'y G T 1 ? { b1 ` 'T ?? r.- v 16 }} {) 91 R? +t 1 f 31 1 ? r Pond t .? T 1 1 - f 1 . 4 .w' irk 'h. r k_ ,J .? A?'Y Stream 4 Title Site Photos Project Charlotte North Wal-Mart Mecklenburg County, North Carolina Prepared For Date Project Number Photo Page 10/30/06 2 P:\015476 Wal-Mart SiteCivil\061 Charlotte North\Environmental\Figures\Photos.dm Prepared by Tommy Cousim [on .. I 'A y Stream 5 Sewer Easement (SW corner of property) Title I Site Photos Project Charlotte North Wal-Mart Prepared For Mecklenburg County, North Carolina Date Project Number Photo Page 10/30/06 3 P.\015476 Wal-Mart SiteCivil\061 Charlotte North\Environmental\Figures\Photos.doc Prepared by Tommy Cousins [111111111 ::=. 1 \ r i R Facing NW from SE corner of property sru. 1 ` '. M 1# ' S?. 1 h?1 i '1 ;1. 1- .4 h Open field facing west from N Tryon Title Site Photos Project Charlotte North Wal-Mart Prepared For Mecklenburg County, North Carolina Date Project Number Photo Page 10/30/06 4 P1015476 Wal-Mart SiteCivil\061 Charlotte North\Environmental\Figures\Photos.doc Prepared by Tommy Cousins EI¦n :H°", ='. A . _. DATA FORM ROUTINE WETLAND DETERMINATION 1987 COE Wetlands Delineation Manual ProjecVSite: North Tryon Date: 10/19/2006 Applicant/Owner: Wal-Mart County: Mecklenburg Investigator: Tommy Cousins State: NC Do Normal Circumstances exist on this site? Y Community ID: Is the site significantly disturbed (Atypical Situation?) N Transect ID: Is the area a potential Problem Area? N Plot ID: W DP 1 Vegetation Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator 1. briodendron tulipifera T FACU 9. 2. Platanus occidentalis T FACW 10. 3. Acer rubrum T FAC 11. 4. 12. 5. 13. 6. 14. 7. 15. 8. 16. Percent of Dominant Species that are OBL, FACW, or FAC (e xcluding FACU): 67 Remarks: was some overland flow through this wetland. Rained the previous two days. Hydrology: RECORDED DATA: Stream, Lake, or Tide Gauge Aerial Photographs Other X No Recorded Data Available FIELD OBSERVATIONS: Depth to Surface Water: 0 (in) Depth to Free Water in Pit: 0 (in) Depth to Saturated Soil: 0 (in) WETLAND HYDROLOGY INDICATORS: Soils saturated at the surface PRIMARY INDICATORS: X Saturated in Upper 12 inches Water Marks Drift Lines Sediment Deposits X Drainage Patterns in Wetlands SECONDARY INDICATORS: Oxidized Root Channels in Upper 12 inches Water Stained Leaves Local Soil Suvey Data Fac-Neutral Test Other .- . w 4 SOILS Map Unit Name (Series and Phrase): Enon sandy loam Drainage Class: Well drained Taxonomy (Subgroup): PROFILE DESCRIPTION Field Observations Confirm Mapped Type? (Y/N) N Depth inches Horizon Matrix Color Munsell Moist Mottle Colors Munsell Moist Mottle Abundance/Contrast Texture, Concretions, Structure, etc. 0-6 A 10YR 4/1 Sand Clay 6-15 B 10YR 4/1 10YR 4/6 75% Sand Clay HYDRIC SOIL INDICATORS Histosol Histic Epipedon Sulfidic Odor Aquic Moisture Regime Reducing Conditions X Gleyed or Low-Chroma Colors Concretions High Organic Streaking in Surface Layer in Sandy Soils Organic Streaking in Sandy Soils Listed on Local Hydric Soils List Listed on National Hydric Soils List Other (Explain in remarks) Hydric Soil Present? (Y/N) Y Remarks: WETLAND DETERMINATION (Y/N) Hydrophytic Vegetation Present? Y Wetland Hydrology Present? Y Hydric Soils Present? Y Is this sampling point a Wetland? Y Remarks d is formed by water seeping from pond dam A M _. DATA FORM ROUTINE WETLAND DETERMINATION 1987 COE Wetlands Delineation Manual Project/Site: North Tryon Date: 10/19/2006 Applicant/Owner: Wal-Mart County: Mecklenburg Investigator: Tommy Cousins State: NC Do Normal Circumstances exist on this site? Y Community ID: Is the site significantly disturbed (Atypical Situation?) N Transect ID: Is the area a potential Problem Area? N Plot ID: UDP 1 Vegetation Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator 1. Pinus taeda T FAC 9. 2. Platanus occidentalis T FACW 10. 3. Acer rubrum T FAC 11. 4. Juniperus virginiana T FACU 12. 5. 13. 6. 14. 7. 15. 8. 16. Percent of Dominant Species that are OBL, FACW, or FAC (e xcluding FACU): 75 Remarks: Hydrology: RECORDED DATA: Stream, Lake, or Tide Gauge Aerial Photographs Other X No Recorded Data Available FIELD OBSERVATIONS: Depth to Surface Water: >20 (in) Depth to Free Water in Pit: >20 (in) Depth to Saturated Soil: >20 (in) WETLAND HYDROLOGY INDICATORS: No hydrology indicators present PRIMARY INDICATORS: Inundated Saturated in Upper 12 inches Water Marks Drift Lines Sediment Deposits Drainage Patterns in Wetlands SECONDARY INDICATORS: Oxidized Root Channels in Upper 12 inches Water Stained Leaves Local Soil Suvey Data Fac-Neutral Test Other •. ' t A SOILS Map Unit Name (Series and Phrase): Enon sandy loam Drainage Class: Well drained Taxonomy (Subgroup): PROFILE DESCRIPTION Field Observations Confirm Mapped Type? (Y/N) Y Depth inches Horizon Matrix Color Munsell Moist Mottle Colors (Munsell Moist Mottle Abundance/Contrast Texture, Concretions, Structure, etc. 0-6 A 10YR 4/3 Loam 6-20 B 10YR 4/6 Loam HYDRIC SOIL INDICATORS Histosol Histic Epipedon Sulfidic Odor Aquic Moisture Regime Reducing Conditions Gleyed or Low-Chroma Colors Concretions High Organic Streaking in Surface Layer in Sandy Soils Organic Streaking in Sandy Soils Listed on Local Hydric Soils List Listed on National Hydric Soils List Other (Explain in remarks) Hydric Soil Present? (Y/N) N Remarks: WETLAND DETERMINATION (Y/N) Hydrophytic Vegetation Present? Y Wetland Hydrology Present? N Hydric Soils Present? N Is this sampling point a Wetland? N Remarks: Data point was take --10' outside of wetland seep. J_ A STREAM QUALITY ASSESSMENT WORKSHEET Provide the following information for the stream reach under assessment: Applicant's name: 3. Date of evaluation: (o " R " a ° 6 6 5. Name of stream: OT__ -1, D< 6 y (v e a-tc- 7. Approximate drainage area: 5g a C VC-s 2- Evaluator's name: 4. Time of evaluation: - 6. River basin: qo.d k,y 8. Strcam order: 9. Length of'reach evaluated: Ho o r I0. County: Me c k (zt? ?? __ 11. Site coordinates (if known): prefer in decimal degTecs. 12. Subdivision name (if any):_ N1i _-_.... LaIittide(ex 34 R723)2): Longitude (ex -77556611): ?b-. 7595 Method location determined (circle): GPS Topo Slice Ortho (Aerial) Photo/Gl they GCS Other 13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location): ?te 14. Proposed channel work (if any):IV/FF 15. Recent weather conditions: L'SJn , y 16. Site conditions at time of visit: 51^0 nL 4 `70 /- _ 17. Identify any special waterway classifications known: Section 10 --Tidal Waters -Essential Fisheries Habitat ---Trout Waters -Outstanding Resource Waters __ --Nutrient Sensitive Waters Water Supply Watershed ,___(1-IV) 18. Is there a pond or lake located upstream of the evaluation point? YE.S JC if yes, estimate the water surface area: 19. Does channel appear on USGS quad map'? Yh. NO 20. Does channel appear on USDA Soil Survey ES NO 21. Estimated watershed land use: % Residential -76 "/" Commercial % industrial _"/? Agricultural 30 % Forested Cleared / Logged % Other ( ) r 22. Bankfull width: 5 2.3 Bank height (from bed to top of bank): 3 24. Channel slope down center of stream: -----Flat (0 to 2°/.) Gentle (2 to 4%) -Moderate (4 to 101/,.) _Steep (?10%) 25. Channel sinuosity: Straight _,,._Occasional bends Frequent meander ____Very sinuous - -Braided channel Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the characteristics identified in the worksheet Scores should reflect an overall assessment of the stream reach under evaluation. if a characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the comment section. Where there are obvious changes in the character of a stream tinder review (e g., the stream flows from a pasture into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the highest quality, Total Score (from reverse): (0 3 Comments: _ Evaluator's Signature ?? Date This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream quality The total score resulting from the completion of this form is subject to USAC'F approval and does not imply a particular mitigation ratio or requirement Form subject to change - version 06/03 To Comment, please call 919-876-8441 x 26 , A%. . S1+-r ^ v' Stream Quality Assessment Worksheet # t i ti Ch Eco-re lion Point RanAe _ Score cs er arac s Coastal Piedmont Mountain I Presence of flow / persistent pilots in stream 0-3 0-4 0-5 t I `l (no flow or saturation = 0: strong flow = max Points) _ 2 Evidence of past human alteration 0.6 0-5 0-5 17 (extensive alleration = 0; nn nlteraliun = max points) _ 3 Riparian zone o-6 0- 4 0- 5 (no bufTcr- 0; conti gnus, wide buffer - max points) 4 Evidence of nutrient or chemical diseharges 0-5 0-4 0- 4 a (extensive discharges = 0; no discharges = max points) _ a 5 Groundwater discharge 0-3 n- 4 0-4 ?t (no dlschnr e = 0; spring s, seeps, wetlands, etc. - max points) U 6 Presence of adjacent noodplain 0-4 U-4 0-_ 3 y„ no flood lain = 0; extensive flood plain = max oink) 7 Entrenchment / floodplnin access 0-5 0-4 0-2 a (dec 1 entrenched == 0: frequent tloodin g = may, points) S Presence of ndjacent wetlands 0-6 0-4 0 -2 (no wetlands = 0; large adjacent wetlands - max Dints) 9 Cbnnnel sinuosity 0- 5 0-4 0-3 3 (extensive channelization = 0; natural meander = max points) 10 Sediment input 0- 5 0-4 0-4 a (extensive deposition- 0; little or no sediment = max points) _ I I Size d diversity of channel bed substrate NA* 0-4 D-5 3 (fine, homn cnous = O; lar c, diverse sizes - max points) 1 2 Evidence of channel incision or widening 0-5 0-4 0-5 a >4 (deeply incised - 0; stable bed & banks = max paints) 13 Presence of major bank failures 0-5 0-5 0 - 5 3 severe erosion = 0; no erosion, stable banks = max points) _ ro d 14 ___ Runt depth and density on hunks 0-3 0-4 0 - 5 (no visible roots = 0; dense roots throughout - max points) _ t I S impact by agriculture, livestock, or limber producilan 0-5 0-4 0 - 5 (subslanlial impact =(I; no evidence = max points) T 1 G Presence of riffle-poolfripple-pool complexes 0-3 0-5 0-6 nu rifTleshi les or pool, - 0; well-dcvclo )cd = max points) _ d 17 Habitat complexity 0-6 0-6 0-6 F (little or no habitat = 0; frc uem, varied habitats = max points), M 18 Canopy coverage over strennthed 0-5 0-5 0-5 15 (no shading vegetation = 0; continuous cane - max points) . 1 Substrate embeddedness iJA" {? _ q 0.4 (dcc I embedded - 0; loose mnuclure = max) ?? Presence of stream invertebrates (see page 4) 0 - 4 0-5 Q - S pZ (no evidence = 0: common. numerous l cs = ma% points) 21 Presence ofamphibinns 0 4 0-4 D 0 0 (no evidence = 0; common, numerous types = max points) - - 0 0 7.7 Presence of fish 0-4 0-4 0.4 (no evidence = 0: common, numerous types = max uints) ?3 Evidence of wildlife use 0-6 U - 5 0-5 3 - (no evidence - O; abundant evidence = max uints) . Total Points Possible Mn 100 I(1D TOTAL SCORE (also enter on first page) (D * These characteristics are not assessed in coastal streams k! I STREAM QUALITY ASSESSMENT WORKSHEET Provide the following information for the stream reach under assessment: 1. Applicant's name: - 2. Evaluator's name: ws?1,-5 3_ Date of evaluation: lt7 - i`>' ' out 4. Timc of evaluation, _.-0 5. Name of stream,-U( -{_ 61,6v L„, e -k- 6. River basin: y" Ar\v+ 7. Approximate drainage area: .? Qc%(cS 8. Stream order: I 9. Length of reach evaluated: K 6 10- County: Me-,"ettlk 11. Site coordinates (if known): prefer in decimal degrees 12. Subdivision name (if any):It latitude (ex 34 872312): 3 57, a9.5 U Longitude (ex -77 556611): __x5{0.75 1 Method location determined (circle): GI'S Topo Sheet rtho (Atrial) Photo iS Other GIS Other 13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location): See j Y' 14. Proposed channel work (if any):/F? 15, Recent weather conditions: 16. Site conditions at time of visit: Suvl wy 7a 17. Identify any special waterway classifications known: ,----Section 10 _Tidnl Waters Essential Fisheries Habitat Trout Waters -Outstanding Resource Waters ---Nutrient Sensitive _ -Waters Water Supply Watershed ___(I-IV) 18. Is there a pond or lake located upstream of the evaluation point?-?PNO if yes, estimate the water surface area: r.;X - Qev-eS 19. Does channel appear on USGS quad map YE NO 20. Does channel appear on USDA Soil Survey? YESCO) 21. Estimated watershed land use: % Residential % Commercial -_% Industrial ? b % Agricultural a-O % Forested % Cleated / Logged _% Other ( ) 22. Bankfull width: / S r 2.3 Bank height (from bed to top of bank):. 5 ____--- 24. Channel slope down center of stream: ----Flat (0 to 2%)Gentle (2 to 4%) KModerate (4 to 10%) Steep (>10%) 25, Channel sinuosity: k Straight _____Occasional bends -Frequent meander ___Very sinuous _-Braided channel Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion Assign points to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the comment section. Where there are obvious changes in the character of a stream under review (c g., the stream flows from a pasture into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the highest quality. Total Score (from reverse): 9 Comments: Evaluator's Signature Date-10 - ?c? - Lt 6 6 This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream quality. The total score resulting from the completion of this form is subject to USACE. approval and does not imply a particular mitigation ratio or requirement Form subject to change -- version 06/0.3 To Comment, please call 919-876-8441 x 26 ,lr I 5 fY e_ a rM Stream Quality Assessment Worksheet # Eco-re ion Point Range Score Characteristics Coastal Piedmont Mountain I Presence of flow I persistent pools in stream 0-5 0-4 0- 5 (no flow or saturation = 0: strop flow = max points) 2 Evidence of past human alteration 0.6 0-5 0-5 (extensive alteration = 0: no alteration = max points) 3 Riparian zone 0-6 0-4 0-5 02 s) (no buffer = 0; conti uous, wide buiTer - max point 4 Evidence or nutrient or chemicni discharges 0. 5 0-4 0-4 I (extensive discharges - 0: no discharges = max points) .a ^5 Groundwater discharge 0-3 0-4 0-4 a Q (no discharge - 0: springs, sce s. wetlands. etc. = m_;tx points) U 6 Presence of adjacent floodplain 0-4 0-4 0-2 t;[ (no flood lain = 0; extcnsive flood lain - max points) ? 7 Entrenchment I flood lain access p' 0-5 0-<I 0-2 3 n. (deeply entrenched - 0: frequent flooding = max points) ll Presence of adjacent wetlands 0-6 0-4 0-2 J (no wetiands = 0: tare adjacent wetlands = max points) _ 9 Channel sinuosity 0-5 0-4 0-3 / (extensive cltannch7wicn = 0: natural meander = max point,;) 10 Sediment Input 0-5 0-4 U-4 extensive deposition- 0: little or no sediment = max points) I I Size & diversity of channel bed substrate NA* 0-4 0 - 5 (tint, homogenous = 0: large. diverse sizes = max oims) 12 Evidence of channel incision or widening 0.5 0-4 0-5 ` + / (deeply Incised = U; stable bed & banks -max points) •t"., 13 Presence of major bank failures n-s v-s o-s j (severe erosion - 0: no erasion, stable banks = max points) .? Q 14 Root depth and density on banks 0-3 0-4 0.5 e!) (no visible roots = 0: dense roots throughout = max points) En 15 Impact by agriculture, livestock, or timber production 0-5 0-4 0-5 (substantial impact =0: no evidence = max inns) _ 16 Presence of riffle-paoltripple-pool complexes 0.3 U - 5 0-6 1 no riffles/ripples or orals = 0; well-develo ed = max oims) d 17 hlabital complexity 0-6 0-6 0-6 E^ (little or no habitat - 0; frequent, varied habitats = max points) Q 18 Canopy coverage over streamhcd 0-5 0-> (I-5 (no shading vegetation = 0: continuous cane = max pints) ? 19 Substrate embeddedness Nn. 0.4 0 _4 (deeply embedded = 0: louse sintcture a max) 20 Presence of stream invertebrates (sce page 4) 0.4 0-5 0- 5 (7 (no evidence - 0. common, numerous types = max inns) T V 21 Presence of antphlhinns 0.4 0-4 0-4 O O (no evidence = 0; common, numerous types = max points) ..] O 22 Presence of fish 0-4 0-4 0-4 U (no evidence = 0: common, numerous types -- max points) G7 I Evidence of wildlire use 0-6 U - 5 0-5 (no evidence - 0; abundant evidence =rnax points) Total Points Possible loo IN 100 TOTAL SCORE (also enter on first page) * These characteristics arc not assessed in coastal streams A STREAM QUALITY ASSESSMENT WORKSHEET Provide the following information for the stream reach under assessment,. 1. Applicant's name: 3. Date of evaluation: /U 5. Namc of strcam:__Vl` 7. Approximate drainage area: ( ?c s L-S 9. Length of reach evaluated: 1550 2. Evaluator's name: TO 6titK^y 6, t'S'l AS 4. Time of evaluation: 6. Riverbasin: 4dki ?r _ Stream order: 10. County: N??c klzvib ?+ - 11, Site coordinates (if known): prefer in decimal degrees 12. Subdivision name (if any): jj? 'J latitude (ex 34 872312): 3S • ?q S Longitude (ex -77556611): o ?5 7"I Method location detcmiined (circle): GPS Topo Sheck,6th. (Ac dial) Pho GIS Other GIS Othcr 13. Location of reach under evaluation (note nearr-b-y- roads and landmarks and attach map identifying stream(s) location 14. Proposed channel work (if any) : '`,114_____.?__ 15. Recent weather conditions: Li ? 0 ? ?; .L _._ __ 16. Site conditions at time of visit: s t~K w? 70 17. Identify any special waterway classifications known: Section 10 -- ---Trout Waters -Outstanding Resource Waters -Nutrient Sensitive Tidal Waters Essential Fisheries Habitat Waters Water Supply Watershed _(]-IV) 18. Is there a pond or lake located upstream of the evaluation point? YE.S(ND?If yes, estimate the water surface area: _ 19. Does channel appear on USGS quad map? YE.5LI? 20. Does channel appcar on USDA Soil Survey? YE? 21. Estimated watershed land use: - % Residential .SO % Commercial % Industrial ____% Agricultural 22, Bankfull width: ? 50_% Forested '% Cleared / Logged % Other( ) r _ 23 Bank height (from bed to top of bank): 24. Channel slope down center of stream: -Flat (0 to 2"/o) x Gentle (2 to 4'%j) -_Moderate (4 to 10%) -Steep (>10%) 25. Channel sinuosity: _Straight X-Occasional bonds __Frequent meander _ -Very sinuous -Braided channel Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on location, terrain, vegetation, stream classification, ctc Every characteristic must be scored using the same ecoregion. Assign points to each characteristic within the ranee shown for the ecoregion. Page 3 provides a brief description of how to review the characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the comment section. Where there are obvious changes in the character of a stream under review (e g., the stream flows fiom a pasture into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the highest quality Total Score (from reverse): __',5,, Comments: - Evaluator's Signature Date /0-.AO - o 6 This channel evaluation form is intended to be used only as a guide to assist landowners and environmental prolbssionals in gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of- stream quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a particular mitigation ratio or requirement Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26. SfV- e --, wt Stream Quality Assessment Worksheet # EOon Point Ran e Score Characteristics Piedmont Mountain Presence of flow i persistent pools in stream nu flow or saturation = 0: slron flow = max oints) r Evidence of past human alteration U • 5 0 - .S (extensive alteration = 0: no allegation = max uints) Riparian zone 0-4 0-5 y (no buffer = 0. conk uous, wide buffer max points) 4 Evidence or nutrient or chemical discharges 0-5 0-4 0-4 (extensive discharges = 0: no discharges = max points) .] 5 Groundwater discharge 0-3 0-4 0-4 (no dischar e = 0; springs. seeps. wetlands. etc. = max points) G Presence or adjacent noodplain 0-4 0-4 0-2 a (no flood lain = 0: extensive flood fain - max points) Entrenchment / noodplain access 0-5 0-4 0-2 f Q, (deeply entrenched - 0: rre uent Iloodin = max point s) __ _ o S Presence of adjacent wetlands 0-6 0-4 0-2 e7 (no wetlands = 0; large adjacent wetlands = max oink) 9 Channel sinuosity 0-5 0-4 0-3 3 (extensive channelization = 0; natural meander= max paints l0 Sediment Input 0- 5 0- 4 0- 4 (extensive de osition- 0; little or no scdlmenl = max nints) l1 Size & diversity of channel bed substrate NA' 0-4 0 - 5 (fine, homogenous = 0: lar ac, diverse sizes = max points) 12 Evidence of channel incision or widening 0-5 0-4 0-5 (deeply incised = 0: stable bed b:: hanks = max points) k f il P f b 13 ati a ures resence o major 0-5 0-5 0 - 5 severe erosion = 0; no erosion, stable banks = max points) M 4 1 Root depth and density on books 0-3 0-4 0-5 3 (no visible mots - U: dense roots throu hoot = max points) to I S Impact by agriculture, livestock, or timber production 0. 5 0 - 4 0 - 5 (substantial impact =0; no evidence - max points) T 116 Presence of riffle-pool/ripple-pool complexes 0-3 n- 5 0-6 3 (no riMes/ripples or pools - 0; well-developed = max points) I Habitat complexity 0-6 0-6 0-6 q F little or no habitut = 0; frequent, varied habitats - max points) Q 18 Canopy covernge over streambed 0-5) 0-5 0-5 5 (no shadin vegetation = 0; continuous canopy a max oink) 19 Substrate embeddedness NA' 0-4 U-4 (deeply embedded = 0; loose structure = max) _ 20 Presence of stream invertebrates (sec pace 4) 0-4 0-5 0-5 „ max'aints) numcro us tYecs {no evidence = D; connnon, ,_- r C7 ., 2I T _ Presence of amphibians 0 _ q 0 - 4 U - 4 O (no evidence - 0: common, numerous types = max points) a O 22 Presence or Gsb 0.q 0-4 0-4 O (no evidence = 0; common, numerous t es = max points) ? 2 3 Evidence of wildlife use 0_ G 0- 5 U 5 (no evidence = 0; abundant evidence = mux points) Total Points Possible IN 100 1 00 -TOTAL SCORE (also enter on first page) ?j oZ * These characteristics are riot assessed in coastal streams. -5+r e- w, q STREAM QUALITY ASSESSMENT WORKSHEET Provide the following information for the stream reach under assessment: Uy?jn C u5 •?5 ?__ 1. Applicant's name: 2. Evaluator's name: 3. Date of evaluation: 10 - II - <?6 e G 5, Name of stream: OT -1-o DJ - by eve'-k 7. Approximate drainage area: f'7 q(: rn 9. L,cngth of reach evaluated: o-0, 11. Site coordinates (if'known): prefer in decimal degrees L.atitudc (ex 34972312): 3r.. ?? ? 7 4. -rime of evaluation: /6;6- -1 6. River basin: V111 lc-, ' --- 8. Stream order. 10• County: -- 12- Subdivision name (if any):- r?rrt Longitude (ex -77 556611):,__-.j_0_7? 7q Method location determined (circle): GPS fopo Shee Ortho (Aerial) Photo/Gi Other GIS Other 13. 1_.ocation of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location): Set- Cot,•c(i-A- 6X,,5 M°IP - _ --- - 14, Proposed channel work (if any): Al A 15. Recent weather conditions: L ? - /t? (Qi _ _._. __. __- 16. Site conditions at time of visit: SU n n 70' f 17. Identify any special waterway classifications known: -Section 10 --Tidal Waters -Essential Fisheries Habitat Trout Waters ?-outstanding Resource Waters ----..-Nutrient Sensitive Waters Water Supply Watershed _(i-1V) 18. Is there a pond or lake located upstream of the evaluation point? YES(-N-0 If yes, estimate the water surface area: _ 19. Does channel appear on USGS quad map? YES !O 20. Does channel appear on USDA Soil Survey? YECO 21. Estimated watershed land use: _ % Residential SC) % Commercial ?% Industrial _% Agricultural ?;o % Forested % Cleared / Logged _% Other ( ) r 22. Bankfull width: 23 Bank height (from bed to top of bank): 3 24. Channel slope down center of stream: --Flat (0 to 2%).!-Gcntle (2 to 4%) -Moderate (4 to 10%) -Steep (>l0%) 25. Channel sinuosity: Straight -Occasional bends `4 Frequent meander Very sinuous Braided channel Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on locution, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points to each characteristic within the range shown for the ecoregion Page 3 provides a brief description of how to review the characteristics identified in the worksheet Scores should reflect an overall assessment of the stream reach under evaluation if a characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the continent section Where there are obvious changes in the character of'a stream under review (e g., the stream flows from a pasture into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the highest quality. Total Score (from reverse): '-? H Comments: Evaluator's Signature Date Its ?n - ao c? This channel evaluation form is intended to be used only as a guide to assist landowners and environmental protessionals in gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream quality. The total score resulting from the completion of this form is subject to USACI: approval and does not imply a particular mitigation ratio or requirement. Form subject to change - version 06/03 To Comment, please call 919-876-8441 x 26 'A. Stream Quality Assessment Worksheet i Eco-region Point Range s Characterist cs core astal Piedmont Mountain ^ ? Presence of flow / persistent pools in stream - 5 0-4 0-5 i I (no flow or saturation = 0: strong Ilow = max points) F a Evidence of past human alteration - G O 0- 5 0- 5 (extensive allerntion = 0; no alteration = max oints) 3 Riparian zone G - 0. 4 0- 5 L, (no buffer= 0; contiguous, wide buncr - max points) 4 Evidence of nutrient or chemical discharges 0-5 0-4 0-4 (extensive discharges - 0; no discharges = max points) 5 Groundwaler discharge 0 _3 U- 4 U• 4 (no dlseltT orE¢ O?rings, seeps, wetlands, cic. = max points) _ U U G Presence of adjacent floodplain 0-4 0-4 0- 2 (no flood lain - 0; extensive flood lain - max oints) _ x 7 Entrenchment / noodplain access 0-5 0-4 0. 2 p+ (deeply entrenched = 0; frequent Ikwdin = max points) 8 Presence or adjacent wetlands 0-6 0-4 0-2 Q no wetlands = 0; large adlacenl wetlands = max points) 9 Channel sinuosity 0-5 U-4 0-3 extensive channelirnlion = 0; natural meander = max oims) 10 Sediment Input 0- 5 0-4 0-4 (extensive deposition= U; little or no sediment = max points) I I Size & diversity of channel tied suhstrale NA' 0-4 0-5 (fine, homo enous = 0; lar gc. diverse sizes _= max points) I4 Evidence of channel incision or widening 0-5 0-4 n - 5 -7 7 (deeply incised = 0; stable bed & banks = max points) 13 Presence of major bank failures 0-5 0-5 0-5 t? .`4. severe erosion - 0; no erosion, stable hanks = max points) _ 14 Root depth and density on hanks ll - 3 _ Il 7 0 5 F (nu visible roots = 0; dense roots throughout = max points to 15 Impact by agriculture, livestock, or timber production 0-5 0-4 0 -5 (substantial impact = 0; no evidence = max points) _ 1G Presence of riffle-pool/ripple-poul complexes U-3 0-5 0•G F )__ (no ri nles/ri les or ools = 0; well-developed - max points Q 17 Habitat complexity 0-6 0-6 0-6 F- (little or no habitat = 0; frequent, varied habitats = max points) C1 Q 18 Canopy coverage over streambed 0 5 0-5 0 - 5 5- (no shading ve elation = 0; continuous canopy = max points) 19 Substrate embeddedness NA 0-4 0 -4 (deeply embedded = 0; loose structure - max) 20 Presence of stream invertebrates (see page 4) 0-4 (1-5 0.5 U >r no evidence - 0; common, numerous types = max C7 21 Presence of amphibians o-4 0-4 0-4 n O (no evidence = 0; common, numerous ( es = max points) 'l O 22 Presence of fish 0-4 0-4 0-4 Q ? (no evidence = 0; common, numerous types max pints) ?; Evidence of wildlife use 0-6 0-5 0-5 (no evidence = 0; abundant evidence = max mints) v Total Points Possible lob 100 too r TOTAL SCORE (also enter on first page) * These characteristics are not assessed in coastal streams A.. , J??2?vvt 5 STREAM QUALITY ASSESSMENT WORKSHEET Provide the following information for the stream reach under assessment: Applicant's name: 3. Date of evaluation: e - (`T -C)6 _ 5. Name of stream: U7 4, 0o l v ?•?? ?? 7. Approximate drainage area: 13 ccre 9. 1-ength of reach evaluated: 160 11. Site coordinates (if'known): prefer in decimal degrees L atitudc (ex 34872312); 35 - _S - _.-_...W_....-.._ 2. E.valuator's name: ?d j t w La uSr?y 4. Time of evaluation: 10 : Yo 6. River basin:- y` ?K!"_ 8. Stream order: 10. County:_ ML,-k-le tc k 12. Subdivision name (if any): N/!4 Longitude (ex -77 556611): "RU . 7? 7 Method location determined (circle): GPS Topo SheeylF`ho (Aerial) P mit GIS Other GIS Other _- 13. 1_ocation of reach under evaluation (note nearby toads and landmarks and attach snap identifying stream(s) location): S? ??;3?,'>1.R Ca ?to??•+I?vts Mari - -----___-- __ 14. Proposed channel work (if any): MIA 15. Recent weather conditions: !^11' i^4 (`c+,` r, t r 16. Site conditions at time of visit: :5 kN -y 70 17. Identify any special waterway classifications known: Section 10 _-Tidal Waters -----Essential Fisheries Habitat Trout Waters -Outstanding Resource Waters Nutrient Sensitive -____Waters Water Supply Watershed ____(I-1V) 18. Is there a pond or lake located upstream of the evaluation point? YES Of yes, estimate the water surface area: 19. Does channel appear on USGS quad map'? YES No 20. Does channel appear on USDA Soil Survey? YI3S 1L0 21. Estimated watershed land use: _ % Residential 5-0 % Commercial _% Industrial __% Agricultural 5-6 % Forested _% Cleared / Logged ?% Other ( ) 22. Bankfull width: 1? •S 23. Bank height (from bed to top of bank): d 24. Channel slope down center of stream: -----Flat (0 to 2%) X Gentle (2 to 4%) -Moderate (4 to 10%) -Steep (>10%) 25. Channel sinuosity: -Straight /Occasional bends ___Frequent meander Very sinuous -Braided channel Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on location, terrain, vegetation, stream classification, etc Every characteristic must be scored using the same ecoregion. Assign points to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the comment section. Where there are obvious changes in the character of a stream under review (e.g , the stream flows from a pasture into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each reach -file total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the highest quality.. Total Score (from reverse): W Comments: Evaluator's Signature?t g bate /u ?u 0 -This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream quality The total score resulting from the completion of this form is subject to USACE approval and does not imply a particular mitigation ratio or requirement Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26. 5five"vv. Stream Quality Assessment Worksheet Ch t i ti Eco-re ion Point Range o s arac er s cs Consist) Piedmont mountain c re 1 Presence of nosv / persistent pools in stream 0 - 5 0-4 0-5 (no flow or saturation = U; strong flow= mix joims) I Evidence of pus) human alteration 0-G 0-5 U-5 (extensive alteration - 0; no alteration - max points) 3 Riparian zone 0-6 0-4 U- 5 (no buffer = 0; contiguous, wide buffer mux points) 4 Evidence of nutrient or chemical discharges U _ 5 0 •4 0 - 4 (extensive discharges = U; no dischar es = max points) _ .a 5 Groundwater discharge p- 3 0-4 0-4 r U (no dischar c = 0: springs, seeps, wcUands. ctc. = max points) _ U 6 Presence of adjacent Iloodplaln 0- 4 0-4 U- (no flood lain - 0; extensive flood lain - max points) _ Entrenchment / floodplain access U- 5 U- 4 0- 3 0. (dcc 1 entrenched = 0: frequent flooding. = max points) f3 Presence of adjacent wetlands O G U-4 0-2 O (no wetlands - 0; large adiaceni wetlands = max points) 9 Channel sinuosity 0- 5 0-4 0-3 (extensive channehiation - 0: natural mermdcr - max oink) 10 Sediment Input 0 -' 0 •4 0-4 (extensive do oshion= 0; little or no sediment = max points) II Size & diversity of channel bed substrate NA 0.4 0.5 1 (fine.. homogenous = 0; )urge, diverse sizes = mpxpoints)_ 12 Evidence of channel incision or widening 0-5 0-4 0 - 5 (deeply incised = 0; stable hed &. banks = max points) --- F- 13 Presence of major bank failures 0-5 0-5 0-5 3 ..l (severe erosion - 0; no erosion, stable banks = max points) M d 14 Root depth and density on banks 0-3 0-4 0-5 i (no visible roots = 0; dense roots throw Jtout = max points) v i 15 Impact by agriculture, livestock, or timber production 0-5 U-4 0.5 (substantial impact =0: no evidence - max points) _ 16 Presence of riffle-pooUrlpple-pool complexes 0-3 0-5 0-6 (no riftlcs/ri les or pools - U; well-developed - max points) etr 17 Habitat complexity 0-15) 0-6 0-6 tW (little or no habitat = 0; Frequent. varied habitats = max points) 18 Canopy coverage over streambed 0 -5 0.5 0-5 t f (no shading vc etation - 0; continuous canopy = max points) _ ? 19 Substrate embeddedness NA• 0 1 0-4 (deeply embedded - 0; loose structure - max) 20 Presence of stream invertebrates (sec page 4) 0-4 0-5 0 - 5 (no evidence = 0; common, numerous types = max points) 21 Presence of amphibians 0.4 0- 4 0-4 U O (no evidence = 0• common, numerous types = max points) _ O 22 Presence of fish 0-4 o••t 0-4 D ? Oro evidence = 0; common, numerous types = max points) 23 Evidence of wildlife use 0-6 0-5 0 -5 (no evidence = 0; abundant evidence = max poin(s) Total Points Possible --- 100 100 100 TOTAL SCORE (also enter on first page) * These characteristics are not assessed in coastal streams A., Real Estate and Enginconng-East Wal-Mart Stores, Inc. Bentonvite,AR72716--0550 On Line: www.wal-nWt.com J. Chris Callaway, Asst. Vice President Wal-Malt Frank Pampolone, Director Design & Construction Stores East, L.P. Phone: 479=2734921 Phone: 479-273-8277 E-Mail: FfauLPampalone@ivval-man.com E-Mall: chris.callaw -mart.com 'Mail..::.; ?:illl i L`4''4ti ? l i.' S •!?'I ,;.P?p,. :.i:: W79'? ?:O.;t. lia : gl?t?st.uu October 25, 2006 Re: CERTIFICATION OF AUTHORI7ATION FOR WETLANDS PERMITS Wal-Mart Store #2134-06 Charlotte (N), NC/38 acre site located west of North Tryon Street between Brookside Lane and Clark Boulevard. I, j ari'S 6a11&t..Jas. , hereby certify that I have authorized Eric Riedinger of Kimley Horn to act on be alf of Wal-Mart Stores East, L.P. and take all actions necessary to the processing, issuance; and acceptance of wetland permits for this store only and any and all standard and special conditions attached. We hereby certify that the information submitted in this application is true and accurate to the best of our knowledge. Wal-Mart Stores, Inc. assx6Lan.L vi of Wal-Mart Stores East, L.P. i Mocwmtc emd SamiglVnaftV W Se*gATamporory Im m FpWQUWV4 eit Lgner.doc