20171523 Ver 2_401 Application_20190228

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Corps action ID no.
o r DWQ project no.
'J Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Peq$
1 b. Specify Nationwide Permit (NWP) number: NWP 39 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Uwharrie Charter Middle School
2b. County:
Randolph
2c. Nearest municipality / town:
Asheboro
2d. Subdivision name:
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Uwharrie Green School, Inc.
3b. Deed Book and Page No.
002484/00880
3c. Responsible Party (for LLC if
applicable):
Mr. Van Hurley
3d. Street address:
5326 Highway 220 Business South
3e. City, state, zip:
Asheboro, NC 27205
3f. Telephone no.:
336.610.0813
3g. Fax no.:
336.610.0815
3h. Email address:
[e-mail]
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Bradley S. Luckey
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4997
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
7658355370
1 b. Site coordinates (in decimal degrees):
Latitude: 35.63001 Longitude: - 79.82940
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
40 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Big Branch
proposed project:
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Yadkin
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 is developed with a middle school, parking aras and landscaped areas. The remainder of the site consists of
undeveloped wooded land. The site is located in a residential and mixed use area of Asheboro, Randolph County, North
Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
—2 Acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=-1,900LF
3d. Explain the purpose of the proposed project:
The purpose of the project is to provide access to a proposed middle school.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of development of the site with a middle school. In order to provide safe access to the site
and the proposed middle school, an access road and two stream and one wetland crossings are necessary. To facilitate
development of the site and construction of the proposed stream/wetland crossing, clearing and grading the site is
necessary. Graders, haulers, excavators and other heavy equipment will be used during site construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
®Preliminary ❑Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Davidl Brame/Brad Luckey
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
4.20.18
Page 3 of 11
PCN Form —Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for
® Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
The applicant received a NWP 39 Verification (SAW -2017-01797, dated 4.20.18) and 401 WQC (20171523, dated
3.27.18) for the proposed impacts:
Crossing #1 - 95 LF permanent fill culvert, 7 LF permanent fill rip -rap fill and 10 LF temp pump around.
Crossing #2 - 47 LF permanent fill culvert, 7LF permanent fill rip -rap, 10LF temp pump around and 1,600 SF of wetland
fill.
The applicant constructed Crossing 1 with an additional 15 LF of permanent impact from keyed in rip -rap and Crossing 2
with an additional 9 LF of permanent impact from keyed in rip -rap.
6. Future Project Plans
6a. Is this a phased project?
® Yes ® No
6b. If yes, explain.
The project is not part of a phased project. Impacts to streamstwetlands, outside of those proposed in this appilication,
are not anticipated as a result of the proposed project.
Page 4 of 11
PCN Form —Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 SPOT
Fill
Bottomland
Hardwood
® Yes
❑ No
® Corps
El
0.04
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ No
❑ Corps
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.04
2h. Comments: Impact Area #2 will permanently impact 0.04 acres (1,600 SF) of wetlands by fill from assoicated road way.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 SPOT
Culvert/Rip-
Rap/Pump Around
Unnamed
❑ PER
® INT
® Corps
❑ DWQ
4
95/22/10
S2 SPOT
Culvert/Rip-
Rap/Pump Around
Unnamed
❑ PER
® INT
® Corps
❑ DWQ
4
47/16/10
S3 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ INT
❑ Corps
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
142/38/20
3i. Comments: Impact Area #1 will permanently impact 95 linear feet of stream by culvert/sideslope fill and 22 linear feet of
stream by associated keyed in rip -rap energy dissipater. Additionally, 10 linear feet of stream channel will be temporarily
disturbed by associated pump around. Impact Area #3 will permanently impact 47 linear feet of stream by culvert/sideslope fill
and 16 linear feet of impact from keyed in rip -rap energy dissipater. Area #3 will temporarily impact 10 linear feet of stream
channel with pump around.
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

The rip -rap energy dissipaters will be keyed in to existing beds and banks will not result in net loss to streams. Areas of
temporary impact will be restored to similair pre -construction conditions and matted, seeded and planted.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number —
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4L Total open water impacts
4g. Comments: Open water impacts are not being proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K Total
5g. Comments: Construction of pondsAakes are not proposed.
5h. Is a dam high hazard permit required?
❑ Yes No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar -Pamlico ®Other: Yadkin
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number -
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
B1 ❑P❑T
-required.
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffer impacts are not proposed.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the development and use of the site as a middle school, several access roads must be constructed to provide safe
access to the site.Several alternatives were evaluated for the road crossing location. The road crossing locations were
selected in areas of the stream that were relative straight and free of meanders. Crossing locations #2 and #3 were selected
to be as far up -gradient as possible to reduce impact to larger areas of wetlands further down -gradient. Initial desgins were
located farther down -gradient then the proposed crossing locations and would have resulted in additional impacts to wetlands.
There are approximately 2.0 acres of wetlands and 1,900 linear feet of intermittent stream located on the site. The remaining
approximate 1.94 acres of wetlands and 1,727 linear feet of intermittent stream channel are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The impact and clearing limits will be staked and silt fence or other sediment retention devices will be used. Temporary coffer
dams will be installed up -gradient of the proposed culverts. During construction, water will be pumped around the construction
footprint. Appropriate bank protection will be provided in the channels during construction and all excess excavated material
will be immediately removed from the crossing areas and stockpiled in upland locations. Upon completion of the culvert
installations, the temporary sand bag coffer dams will be removed and flow will be diverted through the culverts. Following
construction, disturbed banks will be restored to similar pre -construction conditions, matted and seeded/live staked.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
❑Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version

3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8of11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments: There is no proposed discharge into a regulated buffer.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
12.9%
2b. Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
SW management Plan approval attached.
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
® DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
❑ Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
® Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c. If you answered 'fres" 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 ® No
or Riparian Buffer Rules (15A NCAC 213 .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered 'yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
We are not aware of additional development that will impact nearby downstream water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Wastewater generated by the proposed facility will be treated by municial services. Impacts to features from wastewater
generation are not proposed.
Page 10 of 11
PCN Form —Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Pilot consulted the USFWS Randolph County list, dated 9.13.17 to identify protected species that could occur within the
proposed project area. The USFWS list of protected species identifies the Cape Fear shiner (E) and Schweinitiz's
sunflower. Based on our observations, the proposed road crossing locations would not contain suitable habitat for these
species. Therefore, it is our opinion that the proposed project would have no effect to federally protected species.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA EFH Mapper
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Pilot reviewed the NC SHPO Historic Properties website to determine impact to historic or archeological resources
(attached). Potentially eligible or listed National Registar properties are not located on or within 800 feet of the site.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM 3710765800J
/ Digitally signed by Bradley S. Luckey
DN: cn=Bradley S. Luckey, o=Pilot
Bradley S. Luckey
y r, Environmental, Inc.,ou,
` email=[e-mail], r --US
2.24.19
Date: 2019.02.2415:28:11 -05'00'
Applicant/Agent's Signature
Applicant/Agent's Printed Name
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: V.S TT v)
iA_ koro c_
Owner Information:
Address: Sia LIS
2 7a nS
Telephone Number:
Fax Number:
E-mail Address; lJGch _ hw. ��►,�L, Uwl,o,,,,:-cYw,,4c...ar�,
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
VO -Y\ 1-�.. l z--,,
Print Name
Capacity: Owner Authorized Agent
Date
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LEVEL SPREADER
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pr permanent oullnl or dikes pts divonione conabbng of an excwoled cnanrlel construaletl of zero Brad° acrvcs o lope Mal wnwrts concent,te0
noon to enact flow arm rebleed it onto oroaa eWWheee by exbdnB negdtobon. sediment -leas, I.W. _a_bowg__1 be am°tea loworae level ew.ad.,.
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Lrv,oders FouN bs comtraal.d In anabwroea a. s that are smbiczed by exietn9 vageWa .14 Mn cancan n -al Bowe a antill0led t° cur" Diversion
channels all fora alable outlet for c entroled storm ewaier flows. The level spreader n be used for We purpose if the runoff is relatrvery fr of sediment.
If properyc conetructea, the Iewl apnoaer will egnifiwnty reduce title velocity of concentrated storm wale, ana apreod it unirprmy war o stable undiatuAeO urea.
Tde efp of the lavel spreader Mould c mist If a permanent NO BeirMor[anent Nat (TRY) able W
e 11.nd 5 -Il shear ed,aa. - TRN e -le extend 10 -feat `­tfr lip cad de --I at
levet 6 -inches I; in tM spratd- and extend at bast 12-ln beyond the lip nn the outside of theapneas,.
rt
C be
Inealbllorc kvt token oaring convtruction to ensure Int, lower lip of tM in -l- Ia al.
If Mem any aepreeerone in tM lip. flee elll land t° c nc I'de at Ihsae paints and endo will oc dliry In loft", of Me outlet. T d p -em may a
awidet by using a grade boon, a grovel lip pr a nat along M° I., xp of tM Yvel ep_.,.n
If c iRN ie us W, it ehoul0 exlentl 10 -feet ti the lip Ind be buried of team 5-11- within the spreader, and extend of lintel 12 i-ee beyond the lip on
Me outage of Me aprtad.,
me grade at the clrmnel tmnvitlon for the lag 20 -feet idea, entering the Iwel apreaaer should be Ina Man or equal to I percent.
TM creat of the averrlaw should be Iwel (0 psora, B,de) M emu, uniform apnadinq of runoff.
Mme s� ea ana uol l le n
111 aprnad, Mould De apectna wary ae en days and w1Mia 24 -Feu, axter seen minfoN ween tlnt produces
Theinches t , ah ld :,,cid the p to en rc Mat xis eW arming correcley.
The controctar Mould avoid Me placomenl of any molargl on Dro xlrucWm or prevent comtruction eralik
If the cpmeder a ftn,". by ii at -d- t,exe. it snouts be Immadbtely epoi
LEVEL SPREADER
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LEVEL SPREADER
THE
RAINS GROUP
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EX4

ROY COOPER
Governor
MICHAEL S. REGAN
secretary
Energy, Mineral
and Land Resources TRACY DAVIS
ENVIRONMENTAL QUALITY
Director
September 5, 2017
LETTER OF APPROVAL
Hubrich Contracting, Inc.
Steve Hubrich
4321 Medical Park Dr. Suite 100
Durham, NC 27704
RE: Project Name: UWHARRIE CHARTER MIDDLE SCHOOL
Acres Approved: 19.39
Project ID: RANDO-2018-008
County: Randolph, City: Asheboro
Address: Us 220 Hwy.
River Basin: cf
Stream Classification: other
Submitted By: The Rains Group
Date Received by LQS: August 17, 2017
Plan Type: Institutional
Dear Sir or Madam:
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to
be acceptable and hereby issue this Letter of Approval. The enclosed Certificate of Approval
must be posted at the job site. This plan approval shall expire three (3) years following the date
of approval, if no land -disturbing activity has been undertaken, as is required by Title 15A
-NCAC 4B .0129.
Please be aware that your project will be covered by the enclosed NPDES Construction
Stormwater General Permit NCGO10000. Please become familiar with all the requirements and
conditions of this permit in order to achieve compliance.
Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion control plan be on file
at the job site. Also, this letter gives the notice required by G.S. 113A -61.1(a) of our right of
periodic inspection to insure compliance with the approved plan.
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105• Phone: [phone] - FAX: [phone]
Internet: http://DortW.nodenr.ora/webAr/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper

Letter of Approval
Hubrich
9/5/17
Page 2 of 2
North Carolina's Sedimentation Pollution Control Act is performance -oriented, requiring
protection of existing natural resources and adjoining properties. If, following the
commencement of this project, the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 113A-51 through 66), this office may require revisions to the plan and implementation of
the revisions to insure compliance with the Act.
Acceptance and approval of this pian is conditioned upon your compliance with Federal and
State water quality laws, regulations, and rules. In addition, local city or county ordinances or
rules may also apply to this land -disturbing activity. This approval does not supersede any other
permit or approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form, which you provided. You are requested to file an amended form
if there is any change in the information included on the form. In addition, it would be helpful if
you notify this office of the proposed starting date for this project. Please notify us if you plan to
have a preconstruction conference.
Your cooperation is appreciated.
Sincerely,
Scott Sink
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
NPDES Permit
cc: The Rains Group
1139 Hernitage Rd.
Rock Hill, SC 29732
R;; sadORl""011

CERTIFICATE OF PLAN APPROVAL
The posting of this certificate certifies that an erosion and sedimentation control plan has been
approved for this project by the North Carolina Department of Environmental Quality in
accordance with North Carolina General Statute 113A — 57 (4) and 113A — 54 (d) (4) and North
Carolina Administrative Code, Title 15A, Chapter 4B.0107 (c). This certificate must be posted
at the primary entrance of the job site before construction begins and until establishment of
permanent groundcover as required by North Carolina Administrative Code, Title 15A,
Chapter 4B.0127 (b).
A
40 /-4 b ljoe0`7
Date of lan Approval
Ener
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I LEGEND
. Site Boundary
Drawing 1 USGS Topographic Map
USGS Topographic Mapt' Uwharrie Charter Middle School
Asheboro and Seagrove,'i Approximate 40 Acre Tract
Asheboro, Randolph County, NC
NC Quadrangles pI�T
Scale: 1" = 2,000' PILO' '" AON"IK TAL.jNC Pilot Project 2964

r�
Drawing 2A
USDA Soil Survey
of Randolph County, NC
Published 2006, Sheets 13 and 18
Not to Scale
pi�or "
I: O T ! N V, R 0 N M I N T A L. I N C
TIM
r" --A
+
LEGEND
Site Boundary
Published Soil Map
Uwharrie Charter Middle School
Approximate 40 Acre Tract
Asheboro, Randolph County, NC
Pilot Project 2964

Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 500'
f
PILOTi^.r._._
PILO? INVIRONMIIN T A L. INC
LEGEND
P" -Site Boundary
ti Freshwater Emergent
ti Freshwater Forested/shrub
ti Estuarine and Marine Deepwater
ti Estuarine and Marine
Freshwater Pond
ti Lake
Riverine
Other
NWI Map
Uwharrie Charter Middle School
Approximate 40 Acre Tract
Asheboro, Randolph County, NC
Pilot Project 2964

N
11
LEGEND
Site Boundary
01%Annual Chance Flood Hazard
Regulatory Flood&@)/
■ Special Flood,v p/
Areaof Undetermined Flood Hazard
ry ,' 0.2% Annual Chance Flood Hazard
Future Conditions 1°I Annual Chance Flood Hazard
IFA Area with Reduced Risk Due to Levee
Drawing 4 ; FEMA FIRM
t'. i; Uwharrie Charter Middle School
National Flood Hazard Layer
Approximate 40 Acre Tract
from FEMA Web Map Service A'
S Asheboro, Randolph County, NC
Scale: 1" = 500' PILOT
FI,OT TAL
"` Pilot Project 2964

WAA 1-38
8P
DP -1
t5
1
WA 1-49
WBA 1-19
WB 1-21
LEGEND
Site Boundary
......E Intermittent Stream
Perennial Stream
Wetlands
SA 1-5 1 Flag Number
DP -1 • Data Point
— Verification Change
FLAG NUMBERS/INFO
WC 25-35
WCA 1-13
r W 1-7
W 8-18 -♦
a
ISCA
NOT FLAGGED
(SURVEYOR
LOCATE)
Perennial Stream
Determined by
NCDEQ-DWR
ISc
NOT FLAGGED
(SURVEYOR
LOCATE)
WETLAND FLAGS —_ THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE
STREAM FLAGS = APPROXIMATE. THEY WERE VERIFIED BY MR. ANDY
Stream Flags = 28 WILLIAMS WITH THE USACE ON 9.19.17 AND MS. SUE
Wetland Flags = 172 HOMEWOOD WITH THE NCDEQ-DWR ON 1.3.18. THEY
Total Flags = 200 HAVE NOT BEEN SURVEYED OR GEOLOCATED.
Drawing 5
Aerial Imagery from ESRI
and Pilot Field Notes
Scale: 1" = 300'
Date: 1.9.18
P I L O l E N V I R 0 N M E N T A L I N C F%
Wetland Flag Map
Uwharrie Charter Middle School
Approximate 40 Acre Tract
Asheboro, Randolph County, NC
Pilot Project 2964

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
A. REPORT COMPLETION DATE FOR PJD: April 20, 2018
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: David S. Brame, Pilot Environmental, Inc., PO
Box 128, Kemersville, NC 27285
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Raleigh Regulatory Field Office, Uwharrie Middle,
SAW -2017-01797
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: Located south of Asheboro in Randolph
County. Site contains wooded land. Was timbered two to five years ago.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Randolph City: Asheboro
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.630582° Long.: -79.829621'
Universal Transverse Mercator: WGS 84
Name of nearest waterbody: Big Branch
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
® Office (Desk) Determination. Date: April 20, 2018
® Field Determination. Date(s): September 19, 2017
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
SA
35.6305950
79.8307780
500 Lf
on -wetland waters
Section 404
SC
35.6290820
79.8268200
750 Lf
on -wetland waters
Section 404
SCA
35.6299910
79.8279920
650 Lf
on -wetland waters
Section 404
A
35.6305950
79.8307780
1.4 ac
Wetland
Section 404
B
35.6291020
79.8311280
0.1 ac
Wetland
Section 404
C
35.6299420
79.8282580
0.5 ac
Wetland
Section 404

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre-
construction notification" (PCN), or requests verification for a non-reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant's acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there "may be"waters of the U.S. and/or that there "may be" navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: 1" = 2,000'— Asheboro and Seagrove
® Natural Resources Conservation Service Soil Survey. Citation: Soil Survey of Randolph County,
Published 2006, Sheet 13 and 18
®National wetlands inventory map(s). Cite name: USFWS NWI Wetlands Mapper
❑ State/local wetland inventory map(s):
® FEMA/FIRM maps: National Flood Hazard Layer From FEMA Web Map Service
❑100 -year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
®Photographs: ® Aerial (Name & Date):
or ❑ Other (Name & Date):
❑Previous determination (s). File no. and date of response letter:
RJOther information (please specify): September 19, 2017 site visit by Corps.
Digitally signed by
WILLIAMSANDRE W.E.1244561655
DN: c=US, o=U.S. Govemment, ou=DoD,
ou=PKI, ou=USA,
cn=W ILLIAMSANDRE W.E.1244561655
Date: 2018.04.2017:20:36 -04'00'
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

WAA 1-38
SA 1-28
DP -2
O
O
DP -1
WA 1-49
W BA 1-19
WB 1-21
WC 25-35
WCA 1-13
WC 1-16 --�
W 1-7
W8-18 -►
FLAG NUMBERS/INFO
WETLAND FLAGS =
STREAM FLAGS =
Stream Flags = 28
Wetland Flags = 172
Total Flags = 200
Drawing 5
Aerial Imagery from ESRI
and Pilot Field Notes
Scale: 1" = 300'
Date: 1.9.18
TSCA
NOT FLAGGED
(SURVEYOR
LOCATE)
Perennial Stream
Determined by
NCDEQ-DWR
ISC
NOT FLAGGED
(SURVEYOR
LOCATE)
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE
APPROXIMATE. THEY WERE VERIFIED BY MR. ANDY
WILLIAMS WITH THE USACE ON 9.19.17 AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON 1.3.18. THEY
HAVE NOT BEEN SURVEYED OR GEOLOCATED.
P I L 0 1 E N V I R 0 N M E N T A L I N C
Wetland Flag Map
Uwharrie Charter Middle School
Approximate 40 Acre Tract
Asheboro, Randolph County, NC
Pilot Project 2964
LEGEND
Site Boundary
.......
Intermittent Stream
Perennial Stream
Wetlands
SA 1-5
Flag Number
DP -10
Data Point
SAS
Verification Change
WC 25-35
WCA 1-13
WC 1-16 --�
W 1-7
W8-18 -►
FLAG NUMBERS/INFO
WETLAND FLAGS =
STREAM FLAGS =
Stream Flags = 28
Wetland Flags = 172
Total Flags = 200
Drawing 5
Aerial Imagery from ESRI
and Pilot Field Notes
Scale: 1" = 300'
Date: 1.9.18
TSCA
NOT FLAGGED
(SURVEYOR
LOCATE)
Perennial Stream
Determined by
NCDEQ-DWR
ISC
NOT FLAGGED
(SURVEYOR
LOCATE)
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE
APPROXIMATE. THEY WERE VERIFIED BY MR. ANDY
WILLIAMS WITH THE USACE ON 9.19.17 AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON 1.3.18. THEY
HAVE NOT BEEN SURVEYED OR GEOLOCATED.
P I L 0 1 E N V I R 0 N M E N T A L I N C
Wetland Flag Map
Uwharrie Charter Middle School
Approximate 40 Acre Tract
Asheboro, Randolph County, NC
Pilot Project 2964