20190602 Ver 1_401 Application_20190503

Staff Review
Does this application have all the attachments needed to accept it into the review process?
r Yes r No
ID#*
20190602
Version* 2
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Sue Homewood:eads\slhomevtood
Select Reviewing Office:* Winston-Salem Regional Office - [phone]
Submittal Type:*
401 Application
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
*
owed? r $570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: r New Project
r Pre -Application Submittal
r More Information Response
r Other Agency Comments
r For the Record Only (Courtesy Copy)
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
Name: Brandon Fulton
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Project Name: Trinity Middle School
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Randolph
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach docurrent
49-8352-B - Trinity Middle School PCN.pdf 8.46MB
Only pdf or k rm files are accepted.
Describe the attachments:
V By checking the box and signing box below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes

(the "Uniform Electronic Transactions Act');
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
I intend to electronically sign and submit the online form."
Signature:
Submittal Date: May 3, 2019
Is filled in autorratically.

ECS SOUTHEAST, LLP
Geotechnical . Construction Materials . Environmental
1812 Center Park Drive, Suite D
Charlotte, North Carolina 28217
Telephone [phone] Fax [phone]
To: Mr. Andy Williams
Regulatory Project Manager
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
We are sending you the following items via email:
LETTER OF TRANSMITTAL
Date: May 3, 2019 Project No. 49: 8352-B
Trinity Middle School
0 Surrett Drive
Trinity, Randolph County, North Carolina
COPIES DATED DESCRIPTION
1 5/3/2019 Nationwide Permit 39 — PCN Submittal — Trinity Middle School
These are transmitted as checked below:
X For your use
As requested
REMARKS
Please find the attached PCN Request for verification of use of Nationwide Permit 39 for the proposed Trinity Middle
School in Trinity, Randolph County, North Carolina. If you have any questions please contact Brandon Fulton at (704)
525-5152 or at [e-mail]
SIGNED: 5/3/2019
COPY TO: Sue Homewood (NCDWR)

E t� %, i 7d*-
ECS SOUTHEAST, LLP "Setting the Standard for Service"
+... Geotechnical • Construction Materials - Environmental - Facilities Reo, ,ere, `n rieer:na Firm F-1 _i7.
May 3, 2019
Mr. Andy Williams
Regulatory Project Manager
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Reference: Pre -Construction Notification Application
Request for Nationwide Permit 39 (Commercial and Institutional Developments)
& Water Quality Certification General Condition No. 4139
Trinity Middle School
0 Surrett Drive
Trinity, Randolph County, North Carolina
ECS Project No.: 49: 8352-B
Dear Mr. Williams,
On behalf of Randolph County Board of Education, please find the attached Pre -Construction
Notification Form for verification of NWP 39, and request for use of Water Quality Certification
(WQC) 4139 for the approximate 75 acre site located at 0 Surrett Drive, Trinity, North Carolina.
The purpose of the project is to construct a new middle school to serve the regions expanding
education system needs.
Background
The Trinity Middle School site is located on Surrett Drive in Trinity, Randolph County, North
Carolina (Figure 1). According to the Randolph County Online Geographic Information System
(GIS) website, the subject property is identified as Parcel Identification Number (PIN)
7708118367. The Project Study Area (PSA) is approximately 75 acres in size. The PSA
consists of undeveloped wooded land and is to include an area outlined along Surrett Drive.
According to the United States Geological Survey (USGS) Topographic map, a portion of an
unnamed tributary to the Uwharrie River is depicted within the western and southern portions of
the PSA (Figure 2).
ECS met with Mr. Andy Williams, Project Manager with the USACE, and Sue Homewood with
the NCDWR on February 26, 2019 to verify our findings.
Project Description
The purpose of the project is to construct a new Middle School to serve the academic needs of
the growing region. The Middle School will have a capacity of approximately 800 students.
Impacts & Mitigation
The Site was intentionally designed in such a way as to minimize stream and wetland impacts
throughout the Property as much as possible while still providing the site program required by
Randolph County Schools. Due to the limited site access, the stream impact for the car loop
ECS Capitol Services. PLLC • ECS Florida, LLC • ECS Mid -Atlantic, LLC • ECS Midwest. LLC • ECS Southeast, LLP , ECS Texas, LLP
,vv;,, ecsiimifi-d Cnr

Pre -Construction Notification Application
Request for Nationwide Permit 39 (Commercial and Institutional Developments)
& Water Quality Certification General Condition No. 4139
Trinity Middle School
0 Surrett Drive
Trinity, Randolph County, North Carolina
ECS Project No.: 49: 8352-B
crossing is unavoidable; however, it has been minimized by the use of retaining walls on each
side of the road. The other stream impact is for the road crossing to the baseball and football
fields. This crossing is necessary in order to provide accessible parking adjacent to the Football
and Baseball Fields as well as to provide a pedestrian connection to these fields. This drive
also provides ingress and egress to emergency vehicles, providing direct access to the fields in
the event of an emergency. The drive also provides a strong connection from the school
building to the athletic programmatic elements for students, staff and visitors.
Disturbance of the stream and wetlands shall be minimized to the extent practicable in order for
the proper installation of the facility. The construction techniques shall be conducted in
accordance with NCDENR standards. Temporary and additional erosion control measures shall
be maintained throughout the construction process. Silt fencing will be placed at the bottom of
the slopes to deter sediment and erosion control during roadway development activities.
Temporary erosion, sedimentation, and pollution controls will be installed prior to and
maintained during the entire construction duration and until final stabilization is established. All
runoff from the developed site will be collected and detailed using dry detention ponds. The
proposed stormwater management improvements will meet or exceed the City of Trinity's Water
Supply Watershed requirements.
Based on the current site layout, the proposed permanent impacts include 168 LF of
jurisdictional stream and < 0.01 acre of jurisdictional wetlands. Based on the NCSAM score of
Low for Stream D (Stream impact 1), 1:1 mitigation ratio is proposed; based on the
NCSAM score of Medium for Stream E (Stream impact 2), a 1.5:1 mitigation ratio is
proposed. Total proposed wetland impacts are very minimal; therefore, wetland mitigation is
not proposed as part of the permit application.
ECS contacted Ms. Kelly Williams, In -Lieu Fee Program Coordinator, with the DMS. On May 2,
2019, ECS received the NCDMS Mitigation Credit Approval letter in order to reserve the
appropriate mitigation credits to mitigate for the proposed impacts on site. A signed copy of the
the NCDMS Mitigation Credit Approval letter is attached to this permit application.
061

Pre -Construction Notification Application
Request for Nationwide Permit 39 (Commercial and Institutional Developments)
& Water Quality Certification General Condition No. 4139
Trinity Middle School
0 Surrett Drive
Trinity, Randolph County, North Carolina
ECS Project No.: 49: 8352-8
Closing
On behalf of the Randolph County Board of Education, ECS respectfully requests the use of
NWP 39 to authorize the permanent impacts of 168 linear feet of stream and <0.01 acre of
wetland. The attached permit application and associated exhibits provide details pertaining to
the proposed project impacts.
Please feel free to contact me at 704.525.5152 if you have any questions concerning this
request of if additional information is required. Thank you in advance for your timely
consideration of this matter.
Sincerely,
David E. Valentine, REM, PWS
Senior Environmental Project Manager
dvalentine(a-)-ecslimited.com
704.525.5152
Attachments: Preliminary ORM Form
Pre -Construction Notification Application
Appendices
Signed Owner Authorization
Exhibits/Impact Maps (C1 -C13)
Approved JD Waters Map (Figures 6-8)
NCSAM Forms
NCDMS Mitigation ILF Approval Letter
NHP Response Letter
SHPO GIS Map
Randolph County Parcel Info
Stream Determination Letter
Stormwater Approval Letter (City of Trinity)
W. Brandon Fulton, L , PSC, PWS
Environmental Principal
bfulton(a-ecslimited.com
704.409.7744

Preliminary ORM Data Entry Fields for New Actions
ACTION ID 9: SAW -
Prepare file folder ❑
1. Project Name [PCN Form A2a]: Trinity Middle School
Begin Date (Date Received):
Assign Action ID Number in ORM ❑
2. Work Type: ❑Private ❑✓ Institutional ❑✓ Government ❑ Commercial
3. Project Description/ Purpose [PCN Form B3d and B3e]:
The Trinity Middle School site is located on Surrett Drive in Trinity, Randolph County, North Carolina. According to the Randolph
County Online Geographic Information System (GIS) website, the subject property is identified as Parcel Identification Number (PIN)
7708118367. The Project Study Area (PSA) is approximately 75 acres in size. The PSA consists of undeveloped wooded land and is to
include an area outlined along Surrett Drive. According to the United States Geological Survey (USGS) Topographic map, a portion of
an unnamed tributary to the Uwharrie River is depicted within the western and southern portions of the PSA.
4. Property Owner / Applicant [PCN Form A3 or A41: Randolph County Board of Education
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
ECS; Brandon Fulton
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
35.892691, -80.006114
0 Surrett Drive, Trinity, NC
8. Project Location —Tax Parcel ID [PCN Form Bla]: 7708118367
9. Project Location — County [PCN Form A2b]: Randolph
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Trinity
11. Project Information — Nearest Waterbody [PCN Form B2a]: Uhwarrie River
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form B2c]: 03040103
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
✓ Nationwide Permit 9 39
Regional General Permit 9
Jurisdictional Determination Request
Section 10 and 404 ❑
❑ Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

R Nk� Y
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes ❑X No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes ❑X 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.
❑X Yes ❑ No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 In
below.
❑ Yes NX No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes NX No
2.
Project Information
2a.
Name of project:
Trinity Middle School
2b.
County:
Randolph
2c.
Nearest municipality / town:
Trinity
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Randolph County Board of Education (Marty Trotter - Superintendent)
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
2222-C South Fayetteville Street
3e.
City, state, zip:
Asheboro, NC 27205
3f.
Telephone no.:
336-633-5183
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑X Other, specify: Owner
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:
Brandon Fulton
5b.
Business name
(if applicable):
ECS Southeast, LLP
5c.
Street address:
1812 Center Park Drive, Suite D
5d.
City, state, zip:
28217
5e.
Telephone no.:
704-525-5152
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1 a.
Property identification no. (tax PIN or parcel ID):
7708118367
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.892691 Longitude: -80.006114
1 c.
Property size:
75 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Uwharrie River
2b.
Water Quality Classification of nearest receiving water:
WS III
2c.
River basin:
Yadkin Pee Dee
3.
Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site consists of mix pine and hardwoods, with few outbuildings on the eastern portion.
3b.
List the total estimated acreage of all existing wetlands on the property: 7.03
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 6,144
3d. Explain the purpose of the proposed project:
See Appendices
3e. Describe the overall project in detail, including the type of equipment to be used:
See Appendices
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property / project (including allriorhases in the past?
❑X Yes ❑ No ❑ Unknown
Comments: Site visit, USACE and DWR, February26, 2019
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑X Preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): Kevin Ferguson
Agency/Consultant Company: ECS Southeast, LLP
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
USACE to provide PJD upon issuance of permit. Stream Determination Letter Attached.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes ❑X No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X Streams —tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1
Choose one
Choose one
Yes/No
-
W2
Choose one
Choose one
Yes/No
W3 P
Fill
Headwater Wetland
Yes
Corps
0.005
W4 P
Fill
Headwater Wetland
Yes
Corps
0.0004
W5
Choose one
Choose one
Yes/No
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.0054
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert
Stream D
INT
Corps
3
122
S2 P
Outlet Protection
Stream E
PER
Corps
4
46
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
168
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
O2
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require miti ation, then vou MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
See Appendices
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
See Appendices
2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.
Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑X Yes ❑ No
2b.
If yes, mitigation is required by (check all that apply):
❑X DWQ ❑X Corps
2c.
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑X Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
3b.
Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑X Yes
4b.
Stream mitigation requested:
168 linear feet
4c.
If using stream mitigation, stream temperature:
warm
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: Proposed mitigation ratio for Stream Impact 1 (Stream E) = 1.5:1; Stream Impact 2 (Stream D) 1:1
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) —required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ❑X No
buffer mitigation?
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.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
11.93%
2b.
Does this project require a Stormwater Management Plan?
❑X Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
Stormwater
management plan will meet or exceed the City of Trinity's Water Supply Watershed requirements.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
City of Trinity
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
❑ Phase II
❑ NSW
3b.
Which of the following locally-implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑X Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑X 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):
❑X Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ❑X 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 ❑X No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after-the-fact permit application?
❑ Yes ❑X 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
F1 Yes ❑X No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of wastewater generated from
the proposed prol'ect or available capacity of the subject facility.
�andolph
The
project will be served by County sanitary sewer.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NCNHP and site habitat assessment. See Appendices.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Essential Fish Habitat 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 ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCSHPO GIS Viewer. See attached SHPO GIS map.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM Map Service GIS Viewer, included in map attachments.
W. Brandon Fulton
05-03-2019
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

t / J
ECS SOUTHEAST, LLP
"Setting the Standard for Service"
Geotechnical - Construction Materials • Environmental - Facilities `O+`-ngirr_Fnrg Firm F-1_7`
Appendices:
B. Project Information and Prior Project History
3d. Explain the purpose of the project:
The purpose of the project is to construct a new Middle School to serve the academic needs of
the growing region. The Middle School will have a capacity of approximately 800 students.
3e. Describe the overall project in detail, including the type of equipment to be used:
The Middle School Building will be approximately 96,855 SF, with a proposed greenhouse
(1,800 SF), maintenance building (783 SF), and a restroom/concessions building (1,130 SF).
Athletic fields are also included within the scope of the project. Associated parking for the school
includes 5 parking spaces, plus 1 parking space per classroom, employee, and staff member.
Total proposed parking spaces are 141, while 13 bus parking spaces are required. Typical
grading and mechanized equipment will be utilized during site construction.
D. Impact Justification and Mitigation
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in
designing project:
The Site was intentionally designed in such a way as to minimize stream and wetland impacts
throughout the Property as much as possible while still providing the site program required by
Randolph County Schools. Due to the limited site access, the stream impact for the car loop
crossing is unavoidable; however, it has been minimized by the use of retaining walls on each
side of the road. The other stream impact is for the road crossing to the baseball and football
fields. This crossing is necessary in order to provide accessible parking adjacent to the Football
and Baseball Fields as well as to provide a pedestrian connection to these fields. This drive
also provides ingress and egress to emergency vehicles, providing direct access to the fields in
the event of an emergency. The drive also provides a strong connection from the school
building to the athletic programmatic elements for students, staff and visitors.
Based on the current site layout, the proposed permanent impacts include 168 LF of
jurisdictional stream and 0.005 acre of jurisdictional wetlands. Based on the NCSAM score of
Low for Stream D (Stream impact 1), 1:1 mitigation ratio is proposed; based on the
NCSAM score of Medium for Stream E (Stream impact 2), a 1.5:1 mitigation ratio is
proposed. Total proposed wetland impacts are very minimal; therefore, wetland mitigation is
not proposed as part of the permit application.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through
construction techniques:
Disturbance of the stream and wetlands shall be minimized to the extent practicable in order for
the proper installation of the facility. The construction techniques shall be conducted in
accordance with NCDENR standards. Temporary and additional erosion control measures shall
be maintained throughout the construction process. Silt fencing will be placed at the bottom of
the slopes to deter sediment and erosion control during roadway development activities.
ECS Capitol Services- PLLC • ECS Florida, LLC - ECS MEd -Atlantic- LLC • ECS Mics=gest. LLC - ECS Southeast. LLP - ECS Texas, LLP

Temporary erosion, sedimentation, and pollution controls will be installed prior to and
maintained during the entire construction duration and until final stabilization is established. All
runoff from the developed site will be collected and detailed using dry detention ponds. The
proposed stormwater management improvements will meet or exceed the City of Trinity's Water
Supply Watershed requirements.
F. Supplementary Information
5d. What data sources did you use to determine whether your site would impact Endangered
Species or Designated Critical Habitat?
Site Reconnaissance
ECS conducted a field reconnaissance on December 18 and 19, 2018 to determine potential
threatened and endangered species habitat. The site consists of mixed pine hardwood species,
three outbuildings, and several wetland and stream features.
Database Review
ECS reviewed the USFWS Endangered Species Database to identify federally protected
threatened and endangered species in Randolph County, North Carolina. Threatened or
endangered invertebrate animals, non-vascular plants, and lichens were not identified on the
list. The following federally protected Threatened and Endangered species are listed in
Randolph County, North Carolina:
Common Name
Scientific name
Federal Status
Record Status
Vertebrate
Bald Eagle
Haliaeetus leucocephalus
BGPA
Current
Cape Fear Shiner
Notropis mekistocholas
E
Current
Vascular Plant
Schweinitz's Sunflower
Helianthus schweinitzii
E
Current
E = Endangered BGPA = Bald and Golden Eagle Protection Act
Species/Habitat Description
Bald Eagle
Description: A large raptor (bird of prey), the bald eagle has a wingspread of 51/2 to 8 feet.
Adults have a dark brown body and wings, white head and tail, and a yellow beak. In flight, the
bald eagle often soars or glides with the wings held at a right angle to the body. Juvenile bald
eagles have mottled brown and white plumage, gradually acquiring their dark brown body and
distinctive white head and tail as they mature. Bald eagles generally attain adult plumage by 5
years of age. Adults weigh 8 to 14 pounds, occasionally reaching 16 pounds in Alaska. Those in
the northern range grow larger than those in the south, and females are somewhat larger than
males.
061

Habitat: Bald eagles generally nest near coastlines, rivers, large lakes or streams that support
an adequate food supply. They often nest in mature or old-growth trees; snags (dead trees);
cliffs; rock promontories; rarely on the ground; and with increasing frequency on human -made
structures such as power poles and communication towers. In forested areas, bald eagles often
select the tallest trees with limbs strong enough to support a nest that can weigh more than
1,000 pounds. Nest sites typically include at least one perch with a clear view of the water
where the eagles usually forage. Shoreline trees or snags located near reservoirs provide the
visibility and accessibility needed to locate aquatic prey. Eagle nests are constructed with large
sticks, and may be lined with moss, grass, plant stalks, lichens, seaweed, or sod. Nests are
usually about 4-6 feet in diameter and 3 feet deep, although larger nests exist.
Conclusion: The site consists of mixed pine hardwood species, three outbuildings, and several
wetland and stream features. Large bodies of water and a steady food support base are not
present on the site or in surrounding areas.
Based on our knowledge and site observations, suitable habitat for the Bald Eagle is not located
on the site.
Cape Fear Shiner
Description: The Cape Fear Shiner (Notropis mekistocholas) was first described as a new
species in 1971. It is a small, yellowish minnow with a black band along the sides of its body.
The shiner's fins are yellow and somewhat pointed. It has a black upper lip, and the lower lip
bears a thin black bar along its margin. The Cape Fear shiner is known to consume plant and
animal material. However, unlike most other minnows in the genus Notropis, the Cape Fear
shiner's digestive tract is modified primarily for a plant diet by having an elongated, convoluted
intestine.
Habitat: The Cape Fear shiner is generally associated with gravel, cobble, and boulder
substrates, and has been observed in slow pools, riffles, and slow runs. These areas
occasionally support water willow (Justicia americana), which may be used as cover or
protection from predators (e.g. flathead catfish (Pylodictis olivaris), bass (Micropterus spp.) and
crappie (Pomoxis spp.)). The Cape Fear shiner can be found swimming in schools of other
minnow species but is never the most abundant species. During the spawning season, May
through July, the Cape Fear shiner adults move to slower flowing pools to lay eggs on the rocky
substrate. Juveniles are often found in slack water, among large rock outcrops of the
midstream, and in flooded side channels and pools. Cape Fear shiners are sexually mature
after their first year, and are known to live up to 6 years in captivity.
Conclusion: With the exception of the stream located near the western property boundary, the
remaining streams contained low flow, shallow, or silted conditions. Minor impacts are proposed
to streams onsite that do not contain habitat for the Cape Fear Shiner. Cape Fear Shiner and
other fish species were not observed during the site visit.
Based on our knowledge and site observations, the project should have no effect on the Cape
Fear Shiner.
Schweinitz's Sunflower
Description: Schweinitz's sunflower is a perennial that regularly grows approximately 6.5 feet
tall and can occasionally reach heights of 16 ft. It has thickened roots that are used by the plant

to store starch. The stem is purplish in color, and the upper third bears secondary branches at
45 -degree angles. The leaves are arranged in pairs on the lower part of the stem but usually
occur singly (or alternate) on the upper parts. Leaves are attached to the stem at right angles,
and the tips of the leaves tend to droop. The leaves are thick and stiff, with a rough upper
surface. The upper leaf surfaces have broad spiny hairs that are directed toward the tip and soft
white hairs cover the underside. The plant produces small yellow flowers from late August until
frost. This species is able to colonize through the dispersal of seeds that readily germinate
without a dormant period.
Habitat: Schweinitz's sunflower occurs in full to partial sun and is found in areas with poor soils,
such as thin clays that vary from wet to dry. It is believed that this species once occurred in
natural forest openings or grasslands. Many of the remaining populations occur along
roadsides.
Conclusion: Lightly dense to moderately dense understory vegetation is present throughout the
site, except along the roadside where conditions are regularly maintained. Maintained areas
contain fescue, driveways and yards, and are subject to high amounts of sun. ECS does not
believe suitable habitat for the Schweinitz's sunflower is located on site; therefore, the project
should have no effect on the Schweinitz's sunflower.
Other federally listed threatened and endangered species are not indicated to occur in
Randolph County by the USFWS.
E

ECS SOUTHEAST, LLP
"Setting the Standard for Service"
Geotechnical . ConStrLlCtion Materials • Environmenta • Eaciiities
Agent Authorization
PropertyrSite: S -crr-C -4- —Dr t .rte ( lR J SJ �; ; W
Address of Site:
twrf RLi+ 1'"k—
AC
Parcel Identification Number (PIN): '7 7D
Owner Information:
Name: a p r~�fr., �r� o I -d
Address: .-R, G S.
A. 'b c,'ro �JC. �^ �► a
Telephone Number: Le33-5! a3
Fax Number: � � Jp33-- SJS7
E-mail Address: f l o 4...rrt a► ��-� _lam! 2 -
Property
Property Owner Certification
NU .A0 swretlGaalogi5tsT .I -
Ns
"t Reg�soa�ea E�,yrneer.ng -, -- _
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (USACE)
and/ or the North Carolina Division of Water Resources (NCDWR) to enter upon the property
herein described for the purpose of conducting on-site investigations and issuing a
determination associated with Waters of the U.S. subject to Federal/State jurisdiction under
Section 404 and 401 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899. I also authorize ECS to act in my behalf in the processing of this request and to furnish
supplemental information in support of this request, including stream/wetland matters in
coordination with the USACE and the NCDWR field verification and permit application:
Property Owner Signature:
Date:
/t/2R/gar
ECS Capitol Services PLLC • ECS =krri a, LLC • ECS Mid -Atlantic, LLC • ECS Midwest, LLC • ECS Southeast, LLP • ECS Texas, LLP
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VICINITY MAP:
/ Daniels
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Sch001 Rd.
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APPLICANT INFORMATION:
OWNER: RANDOLPH COUNTY SCHOOL SYSTEM
OWNER CONTACT. MARTY A. TROTTER
2222-C S. FAYETTEVILLE STREET
ASHEBORO, NC 27205
336-633-5183
ii&IW 41111E
4600 Lake Boone Trail
Suite 205
Raleigh, NC 27607
[e-mail]
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CLH DESIGN, P.A.
400 Re ency Forest Drive
Suite 120
Cary, North Carolina 2751B
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
OVERALL EXISTING
CONDITIONS PLAN
2017032 29 MAR 2019
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CLH DESIGN, P.A.
400 Re ency Forest Drive
Suite 120
Cary, North Carolina 2751B
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
OVERALL EXISTING
CONDITIONS PLAN
2017032 29 MAR 2019
C-1

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SITE
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.\djr
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APPLICANT INFORMATION:
OWNER: RANDOLPH COUNTY SCHOOL SYSTEM
OWNER CONTACT. MARTY A. TROTTER
2222—C S. FAYETTEVILLE STREET
ASHEBORO, NC 27205
336-633-5183
GRAPHIC SCALE
100 0 50 100 200 400
( IN FEET )
1 inch = 100 ft.
T 919 7818582
4600 Lake Boone Trail
Suite 205
Raleigh, NC 27607
[e-mail]
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CLH DESIGN, P.A.
400 Regency Forest Drive
Suite 120
Cary, North Carolina 27516
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
OVERALL AREAS OF
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2017032 29 MAR 2019
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CLH DESIGN, P.A.
400 Regency Forest Drive
Suite 120
Cary, North Carolina 27516
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
OVERALL AREAS OF
IMPACT PLAN
2017032 29 MAR 2019
C-2

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APPLICANT INFORMATION:
OWNER: RANDOLPH COUNTY SCHOOL SYSTEM
OWNER CONTACT. MARTY A. TROTTER
2222—C S. FAYETTEVILLE STREET
ASHEBORO, NC 27205
336-633-5183
VOTE:
TOTAL
STREAMS ON-SITE.-
6,144 L. F.
TOTAL
STREAMS IMPACTED ON-SITE:
Z
0
168 L.F. (515 S.F.)
TOTAL
WETLANDS ON-SITE
Zo
7.03 AC
TOTAL
WETLANDS IMPACTED ON-SITE:
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225 S.F. (0.005 AC)
TOTAL
30' VEGETATIVE BUFFER
ON-SITE:
9.60 AC
TOTAL
30' VEGETATIVE BUFFER
IMPACTED ON-SITE:
24,933 S.F. (0.57 AC)
GRAPHIC SCALE
too 0 50
( IN FEET )
1 inch = 100 ft.
400
T 919 7818582
4600 Lake Boone Trail
Suite 205
Raleigh, NC 27607
[e-mail]
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CLH DESIGN, P.A.
400 Regency Forest Drive
Suite 120
Cary, North Carolina 27516
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
OVERALL
PROPOSED
CONDITIONS PLAN
2017032 29 MAR 2019
C-3
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CLH DESIGN, P.A.
400 Regency Forest Drive
Suite 120
Cary, North Carolina 27516
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
OVERALL
PROPOSED
CONDITIONS PLAN
2017032 29 MAR 2019
C-3

IMPACT MAP #I
IMPACT TABLE
IMPACT
TYPE
SQUARE FT,
ACRES
LINEAR FT
LOCATION
BUFFER
(CH ONLY)
IMPACT AREA //1
30' VEGETATIVE
964 S,F,
0.022 AC
—
BUFFER
40
0
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 964 SF
(0, 022 A C)
IMPACT LEGEND
TYPE
IMPACT
DELINEATION
30' VEGETATIVE
BUFFER
GRAPHIC SCALE
20 40 80
( IN FEET )
1 inch = 410 ft
1074-577
p- �2 — — —
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xx
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IMPACT MAP tt2
IMPACT TABLE
IMPACT
TYPE
SQUARE FT,
ACRES
LINEAR FT
LOCATION
BUFFER
(CH ONLY)
IMPACT AREA 112
30' VEGETATIVE
43 S.F.
0.001 AC
-
BUFFER
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 43 S.F,
(0.001 AC)
IMPACT LEGEND
TYPE
IMPACT
DELINEATION
30' VEGETATIVE
BUFFER
GRAPHIC SCALE
40 0 20 40 80
( IN FEET )
1 inch = 410 ft
Nx
T�N
WE
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-----_------ / �� / / / / / /
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SCALE: 1 11 = 40' p
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IMPACT MAP #� C
E4
IMPACT TABLE
V 753.75 -
D5 / 754.05
( % 755.35 /
IM CTA FA # IM ACT AR A #4 E5 j FP
772, OOTW
TOTAL VEGETATIVE BUFFER 754,80 J WF AND � ( ��� 772.00BW
IMPACT AREA = 1,235 5F. �/
(0.028 AC)
760 770.60TW
768.00BW
754.65
OA 765
ETLAND
/ TLANOS /
TOTAL WETLAND IMPACT
�\- T�ME�_D' _ � ��1 �l � 1769I55TW I � l �- / (
*400
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J
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IMPACT EA3
TOTAL WETLAND IMPACT �� TLAN�s l l \ M
AREA = 206 s F (0.005 Ac)
IMPACT LEGEND WETLAN
J
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FP-FP��FP
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( J
763.45
CL
GRAPHIC SCALE
40 0 20 40 80 160
A6
IN FEET
F -
Z O w w
1 inch 40 ate SCALE: 1" = 40' p ' < °
I--�o
IMPACT TYPE SQUARE FT. ACRES LINEAR FT
LOCATION (CH ONLY)
IMPACT AREA #3 206 S. F, 0.005 AC
WETLAND -
IMPACT AREA 114 WETLAND
30' VEGETATIVE 19 S, F,
TYPE IMPACT
DELINEATION
WETLAND
-_- -_- -_- -_-
30' VEGETATIVE
BUFFER
0.0004 AC
-
IMPACT AREA #5
1,235 S.F.
0.028 AC
-
BUFFER
TYPE IMPACT
DELINEATION
WETLAND
-_- -_- -_- -_-
30' VEGETATIVE
BUFFER

IMPACT MAP #4
IMPACT TABLE
IMPACT
LOCATION
TYPE
SQUARE FT,
ACRES
LINEAR FT
(CH ONLY)
IMPACT AREA 116
STREAM
296 S,F,
-
122 LF
(PERM, IMPACT)
753 75 F�
30' VEGETATIVE
754, 05
E6
8, 514 S, F,
0,196 AC
754,40
BUFFER
754� 6�
40 0
TOTAL VEGETATIVE BUFFER
IMPACT AREA - 3,638 S,F,
(0, 084 A C)
TOTAL STREAM IMPACT
AREA - 122 L,i
(296 51
TOTAL VEGETATIVE BUFFER
IMPACT AREA - 4,876 SY,
(0, 112 A C)
IMPACT LEGEND
TYPE
IMPACT
DELINEA DON
STREAM
(FERM, IMPACT)
30 1 VEGE TA T/ VE
BUFFER
GRAPHIC SCALE
20 40 80
( IN FEET )
1 inch - 40 ft
160
754� 70
lu
754,50
5-170'
x
V
ES 75,3,70
W LA 75,3,10
E7
STRE M
75 -385
WE �Al
T AN
PERMANEV/7707Tt-F-
PROTECTION
PERMA NEN T OUTLET l0Tx4'Wx27"TH 753,50TW
PROTECTION CLASS I RIPRAP 753,50BW
20'Lx8 x
CLASS I RIPRAP
FES
L
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FTE-
75�
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7 3,55
754� 15
754�
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-D�
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756,35B _FSTREAM 'D'
7,58-35T
Fp VP —FP
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'�N -W— vv-
\ 759� 15 T � � z
A7'
757�25 A7
N
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SCALE: 11 11 -- 401 ;�;
-<�
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753 75 F�
754, 05
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754,80
754,40
754� 6�
FFE-
7 4��
754�
JR, =
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NW9-0F IMPA
756,35B _FSTREAM 'D'
7,58-35T
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'�N -W— vv-
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757�25 A7
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-<�
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IMPACT MAP tt5
IMPACT TABLE
IMPACT
TYPE
SQUARE FT,
ACRES
LINEAR FT
LOCATION
(CH ONLY)
IMPACT AREA 117
30' VEGETATIVE
19 S, F,
0,0004 AC
-
BUFFER
IMPACT AREA 118
30' VEGETATIVE
456 S,F,
0,011 AC
-
BUFFER
IMPACT AREA #9
30' VEGETATIVE
381 S. F,
0.009 AC
-
BUFFER
IMPACT AREA ff10
30' VEGETATIVE
664 S.F.
0.015 AC
-
BUFFER
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 381 S,F,
(0.009 AC)
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 664 SE
(0.015 AC)
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 456 SE
(0.011 AC)
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 19 S F.
(0.0004 AC)
IMPACT LEGEND
TYPE IMPACT
DELINEATION
30' VEGETATIVE
BUFFER
GRAPHIC SCALE
40 0 20 40 80
( IN FEET )
1 inch = 410 ft
751.80(
\ 1MP9C Rf, 9 — \
i I
754.14
754,50
753.25
MPA .TA A 9
/1
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z EA
CP ( \ \
2 \ TREA
752 OOTW
IMPACT f 1 � 730.00BW
TL ------------
AN '1#' w
IMPAC
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7 745
SCALE: 1 " = 40' p
Q
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IMPACT MAP tt6
IMPACT TABLE
IMPACT
TYPE
SQUARE FT,
ACRES
LINEAR FT
LOCATION
BUFFER
Q�
(CH ONLY)
IMPACT AREA //11
30' VEGETA TI VE
1,663 S, F.
0.038 AC
cry
�
BUFFER
p
��000
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 1,663 S.F
(0.038 AC)
IMPACT LEGEND
TYPE
IMPACT
DELINEATION
30' VEGETATIVE
It
BUFFER
Q�
GRAPHIC SCALE
40 0 20 40 80
( IN FEET )
1 inch = 410 ft
TRACK
WEED� DSS
713, OOTW
793 OOBW
LAN / P��?eANENT OUTLET
ROTECTION
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ET
160
SCALE: 1 11 = 40' p
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IMPACT MAP tt7
IMPACT TABLE
IMPACT
LOCATION
TYPE
SQUARE FT,
ACRES
LINEAR FT
(CH ONLY)
IMPACT AREA 1112
STREAM
219 SE
-
46 LF
(PERM. IMPACT)
30' VEGETATIVE
91358 SE
0.215 AC
-
BUFFER
TOTAL VEGETATIVE BUFFER
IMPACT AREA - 3,638 SE
(0.084 AC)
TOTAL STREAM IMPACT
AREA - 46 LF
(219 S. F. )
IMPACT LEGEND
TYPE
IMPACT
DELINEATION
STREAM
(PERM. IMPACT)
30' VEGETATIVE
BUFFER
GRAPHIC SCALE
40 0 20 40 80
( IN FEET )
1 inch = 410 ft
OF
/ ��
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END OF IMPACT
PERMANENT UTLET — —
PROTECCI0.41
30'1��36'TH
CLASS 2 RIPRAP
160
748 OOTW /
733.OBW///�
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\FTI 10'Lx4'wx27„ TH
CLASS I RIPRAP / \
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SCALE: 1 11 = 40' p
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IMPACT MAP tt8
IMPACT TABLE
IMPACT
TYPE
SQUARE FT,
ACRES
LINEAR FT
LOCATION
BUFFER
Q�
(CH ONLY)
IMPACT AREA 1113
30' VEGETATIVE
152 S, F,
0,004 AC
�nCD
BUFFER
TOTAL VEGETATIVE BUFFER
IMPACT AREA = 152 S.F.
(0.004 AC)
IMPACT LEGEND
TYPE
IMPACT
DELINEATION
30' VEGETATIVE
It
BUFFER
Q�
GRAPHIC SCALE
40 0 20 40 80
( IN FEET )
1 inch = 410 ft
160
SCALE: 1 11 = 40' p
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IMPACT
TYPE
SQUARE FT.
ACRES
LINEAR FT
LOCATION
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(CH ONLY)
IMPACT AREA ff14
30' VEGETAT\E
1,484 \F.
0.034 AC
BUFFER
TYPE
IMPACT
DELINEATION
3\ VEGETATIVE
BUFFER

9+50
760 r—
750
745
740
Well
IMPACT AREA #6
Profile View of Alignment - CUL VERT D 1
10+00 11+00
2" K -SOFT COPPER
DOMESTIC WL
FINISHED GRADE
EXISTING GRADE
B RIPRAP ISSIPATOR
7.5LX3.5W
4" PVC S/S
12+00
10+00 11+00 12+00
CULVERT PROFILES
GRAPHIC SCALE
40 0 20 40 so 160
( IN FEET )
1 inch = 40 ft.
HORIZONTAL- 1"=40'
VERTICAL: 1"=4'
12+50
760
MIA&
750
745
740
J 735
12+50
9+50
750 r-
745
740
735
730
011
720
IMPACT AREA #12
Fro—fileView of Alignment - (CU=T
10+00 11+00 12+00
FINISHED GRADE
RETAINING WALL
EXISTING
EG ELEV. 726.00'
FES INVERT OUT. 725.50'
RETAINING WALL
8" DIP (PUBLIC) SIS
EG ELEV I -730.
COFFERIDAM
10+00 11+00 12+00
12+50
750
745
740
735
730
9111
720
12+50
L
A A
po go 0 so' 0ppo0o 0 0°
00 0 0 0 0 0 OO O p o p
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PLAN
(OUTLET TO FLAT AREA WITH NO WELL DEFINED CHANNEL)
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PLAN
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PERMANENT OUTLET PROTECTION
co
ow
APRON
APRON
APRON
OU ET
OUTLET
RIP RAP
THICKNESS
LENGTH
WIDTH
PR
CLASS
(INCHES)
(FEET)
(FEET)
CULVERT 'D1'
B
18
7.5
3.75
CULVERT 'B'
1
26
20
7.5
2' MIN.
06
OR EQUIVALENT)
FILTER BLANKET
-YPE STONE
SECTION B -B rILTER BLANKET
(AMOCO 2006
OR EQUIVALENT)
NOTES:
1. TOP OF RIP RAP AT DOWNSTREAM END OF APRON SHALL BE
FLUSH WITH NATURAL GRADE OF THE RECEIVING CHANNEL.
2. IMMEDIATELY AFTER INSTALLATION.
3. SEE EROSION CONTROL PLAN FOR DIMENSIONS.
RIPRAP OUTLET PROTECTION DETAIL N.T.S.
SAND BAGS
TEMPORARY COFFER DAM DETAIL N. TS.
APPLICANT INFORMATION:
OWNER: RANDOLPH COUNTY SCHOOL SYSTEM
OWNER CONTACT. • MARTY A. TROTTER
2222—C S. FAYETTEVILLE STREET
ASHEBORO, NC 27205
336-633-5183
T 919 7818582
4600 Lake Boone Trail
Suite 205
Raleigh, NC 27607
[e-mail]
VOLUME I
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CLH DESIGN, P.A.
400 Regency Forest Drive
Suite 120
Cary, North Carolina 27516
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
CULVERT
PROFILE
EXHIBITS
2017032 29 MAR 2019
C-13
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CLH DESIGN, P.A.
400 Regency Forest Drive
Suite 120
Cary, North Carolina 27516
Phone: [phone]
Fax: [phone]
LA: C-106
PE: C-1595
ID DATE DESCRIPTION
DRAWN BY: MB
CHECKED BY: RP
CULVERT
PROFILE
EXHIBITS
2017032 29 MAR 2019
C-13

Legend
Project Study Area
- Potential Non -Wetland Waters of the US (Perennial Stream)
Potential Non -Wetland Waters of the US (Intermittent Stream)
Potential Wetland Waters of the US (Wetland)
■ Culvert
SA
AW -2-4'
1,130 Linear Feet
SB 35.894988, -80.005761
10 r35..892668,
- 15 - 25'
0 Linear Feet
-80.008202
WATER CLASSIFICATION
Body of Water: Uwharrie River
River Basin: Yadkin Pee -Dee
Classification: WS -III
Buffers: 30/100 Feet
r
Client:
Project:
TRINITY MIDDLE
SCHOOL
SURRETT DRIVE
TRINITY
RANDOLPH COUNTY
NORTH CAROLINA
Title:
r.
SD STREAM
AW 3 - 8' LOCATION MAP
695 Linear Feet
35.89358, -80.006066
NOTES:
1. JURISDICTIONAL WATERS OF
THE US WERE DELINEATED BY
t
ECS ON DECEMBER 18 & 19,
2018.
SF
2. FEATURES DEPICTED ON THIS
MAP HAVE BEEN VERIFIED BY
AW - 2 - 4'
THE USACE AND NCDWR ON
124 Linear Feet
FEBRUARY 26, 2019.
35.891517, -80.003921
3. THIS MAP SHOULD BE USED
r C
FOR PRELIMINARY PLANNING
PURPOSES.
Drawn By: Checked By:
KCF WBF
SE
Approved By: Date:
AW -3-6'
1,379 Linear Feet
WBF 02/27/2019
35.89106, -80.00506
ECS Project No.
sc
AW - 15 - 20'
49:8352
636 Linear Feet
35.890221, -80.008194
0 250 500 1,000
FIGURE 6
Feet

Legendar
, N
Project Study Area o �-
r
- Potential Non -Wetland Waters of the US (Perennial Stream)i
Client:
Potential Non -Wetland Waters of the US (Intermittent Stream)
Potential Wetland Waters of the US (Wetland) , fa/
vva t i�
■ Culvert-` - 0.0030 Acres �, r
r� ►"� 35.895026, -80.005806 RANDOLPH
•.y^ c-ty SChoa1 Sye Rem
Project:
WA
t` - 0.0035 Acres
WC 35.895019, -80.00415
0005 Acres l�-=TRINITY MIDDLE
WD 35.89485, -80.006367 SCHOOL
0.0059 Acres
35.894932, -80.006442
SURRETT DRIVE
W TRINITY
0.0180 Acres
-' 35.893669, -80.00638 ^- RANDOLPH COUNTY
NORTH CAROLINA
WE
6.8762 Acres WF - Title:
�.� 35.891618, -80.008304 0.0084 Acres
35.893545, -80.00457
yt t WETLAND
LOCATION MAP
WG
- 0.0 5 Acres
35.893404, -80.005057
- - NOTES:
t �!. WH 1. JURISDICTIONAL WATERS OF
THE US WERE DELINEATED BY
0.0567 Acres ECS ON DECEMBER 18 & 19,
35.893525, -80.006003 2018.
y� 2. FEATURES DEPICTED ON THIS
x4� MAP HAVE BEEN VERIFIED BY
ITHE USACE AND NCDWR ON
FEBRUARY 26, 2019.
WJ 3. THIS MAP SHOULD BE USED
0.0515 Acres FOR PRELIMINARY PLANNING
35.89169, -80.004239 PURPOSES.
WATER CLASSIFICATION Drawn By: Checked By:
Body of Water: Uwharrie River ��"�'t'�' ,-- _ . I KCF WBF
Approved By: Date:
River Basin: Yadkin Pee -Dee WBF 02/27/2019
ECS Project No.
Classification: WS -III 4 1:8352
Buffers: 30/100 Feet 0 250 500 1,000 FIGURE 7
Feet

Legend 3
Project Study Area
- Potential Non -Wetland Waters of the US (Perennial Stream)
Potential Non -Wetland Waters of the US (Intermittent Stream)
Potential Wetland Waters of the US (Wetland)
® Data Point
■ Culvert
DP -01
=IV35.892751, -80.008328
!A, .
If
DP - 02
( 35.892744, -80.008051
WATER CLASSIFICATION
Body of Water: Uwharrie River
River Basin: Yadkin Pee -Dee
Classification: WS -III
Buffers: 30/100 Feet
-t-
07
il
Client:
1.0
h, r
DP -03
35.893544, -80.006001 RAN ❑OLP H
C-ty SChoal Sye Rem
DP -04 Project:
35.893565, -80.005933
TRINITY MIDDLE
SCHOOL
V SURRETT DRIVE
r ,r
TRINITY
a RANDOLPH COUNTY
a NORTH CAROLINA
Title:
A.
r ;+ DATA POINT
LOCATION MAP
NOTES:
1. JURISDICTIONAL WATERS OF
THE US WERE DELINEATED BY
A ECS ON DECEMBER 18 & 19,
f 2018.
" 2. FEATURES DEPICTED ON THIS
MAP HAVE BEEN VERIFIED BY
THE USACE AND NCDWR ON
FEBRUARY 26, 2019.
3. THIS MAP SHOULD BE USED
FOR PRELIMINARY PLANNING
>1 I PURPOSES.
i Drawn By: Checked By:
KCF WBF
Approved By: Date:
elk WBF 02/27/2019
ECS Project No.
49:8352
250 500 1,000Feet FIGURE 8

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
I USACE AID #: NCDWR #: I
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5 -minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Trinity Middle School
3. Applicant/owner name
5. County:
7. River basin:
Randolph County School System
Randolph
Yadkin Pee -Dee
2. Date of evaluation: May 3, 2019
Paul Stephens/ECS Southeast,
4. Assessor name/organization: LLP
6. Nearest named water body
on USGS 7.5 -minute quad: Uwharrie River
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.893483°N, -80.005103°W
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream SD 10. Length of assessment reach evaluated (feet): 150
11. Channel depth from bed (in riffle, if present) to top of bank (feet): ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 2.5 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ®A J ❑B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ®Size 1 (< 0.1 mit) ❑Size 2 (0.1 to < 0.5 mit) ❑Size 3 (0.5 to < 5 mit) ❑Size 4 (>_ 5 mit)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ®Water Supply Watershed (❑l ❑II ®III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ❑Yes ®No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
❑A Water throughout assessment reach.
❑B No flow, water in pools only.
®C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
®B Not
3. Feature Pattern - assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not
4. Feature Longitudinal Profile - assessment reach metric
❑A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
®B Not
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
®B 10 to 25% of channel unstable
❑C > 25% of channel unstable

Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
®B ❑B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ®C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
®B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
®I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ®No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, W
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
2 E
❑G
Submerged aquatic vegetation
®B
Multiple sticks and/or leaf packs and/or emergent
o w
U)C
❑H
Low -tide refugia (pools)
vegetation
Y
❑I
Sand bottom
❑C
Multiple snags and logs (including lap trees)
r
❑J
5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
0 2
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
❑E
Little or no habitat
***************************** 'REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
®B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
❑ ® ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
® ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ® ❑ ❑ Silt/clay (< 0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
® ❑ ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ®Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
® ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
®B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ®C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
®A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
®B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
®A ❑A ®A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B ®B ❑B ®B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
❑A ❑A Mature forest
®B ®B Non -mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
®B ®B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ❑A The total length of buffer breaks is < 25 percent.
❑B ®B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
®B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity— assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:

Draft NC SAM Stream Rating Sheet
LOW
Accompanies User Manual Version 2.1
(2) Baseflow
Stream Site Name Trinity Middle School Date of Assessment
May 3, 2019
(2) Streamside Area Vegetation
HIGH
Paul
Stephens/ECS
Stream Category Pal Assessor Name/Organization
HIGH
(3) Thermoregulation
MEDIUM
Southeast, LLP
Notes of Field Assessment Form (Y/N)
NO
YES
Presence of regulatory considerations (Y/N)
YES
NA
Additional stream information/supplementary measurements included (Y/N)
NO
NA
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Intermittent
MEDIUM
(2) Tidal Marsh In -stream Habitat
USACE/
NCDWR
Function Class Rating Summary All
Streams
Intermittent
(1) Hydrology
LOW
LOW
(2) Baseflow
MEDIUM
MEDIUM
(2) Flood Flow
LOW
LOW
(3) Streamside Area Attenuation
LOW
LOW
(4) Floodplain Access
LOW
LOW
(4) Wooded Riparian Buffer
MEDIUM
MEDIUM
(4) Microtopography
LOW
LOW
(3) Stream Stability
LOW
LOW
(4) Channel Stability
MEDIUM
MEDIUM
(4) Sediment Transport
LOW
LOW
(4) Stream Geomorphology
MEDIUM
MEDIUM
(2) Stream/Intertidal Zone Interaction
NA
NA
(2) Longitudinal Tidal Flow
NA
NA
(2) Tidal Marsh Stream Stability
NA
NA
(3) Tidal Marsh Channel Stability
NA
NA
(3) Tidal Marsh Stream Geomorphology
NA
NA
(1) Water Quality
LOW
LOW
(2) Baseflow
MEDIUM
MEDIUM
(2) Streamside Area Vegetation
HIGH
HIGH
(3) Upland Pollutant Filtration
HIGH
HIGH
(3) Thermoregulation
MEDIUM
MEDIUM
(2) Indicators of Stressors
YES
YES
(2) Aquatic Life Tolerance
LOW
NA
(2) Intertidal Zone Filtration
NA
NA
(1) Habitat
LOW
MEDIUM
(2) In -stream Habitat
LOW
MEDIUM
(3) Baseflow
MEDIUM
MEDIUM
(3) Substrate
LOW
LOW
(3) Stream Stability
MEDIUM
MEDIUM
(3) In -stream Habitat
LOW
HIGH
(2) Stream -side Habitat
MEDIUM
MEDIUM
(3) Stream -side Habitat
MEDIUM
MEDIUM
(3) Thermoregulation
MEDIUM
MEDIUM
(2) Tidal Marsh In -stream Habitat
NA
NA
(3) Flow Restriction
NA
NA
(3) Tidal Marsh Stream Stability
NA
NA
(4) Tidal Marsh Channel Stability
NA
NA
(4) Tidal Marsh Stream Geomorphology
NA
NA
(3) Tidal Marsh In -stream Habitat
NA
NA
(2) Intertidal Zone
NA
NA
Overall LOW LOW

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
I USACE AID #: NCDWR #: I
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5 -minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Trinity Middle School
3. Applicant/owner name
5. County:
7. River basin:
Randolph County School System
Randolph
Yadkin Pee -Dee
2. Date of evaluation: May 3, 2019
Paul Stephens/ECS Southeas,
4. Assessor name/organization: LLP
6. Nearest named water body
on USGS 7.5 -minute quad: Uwharrie River
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.891145°N, -80.004598°W
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): Stream SE 10. Length of assessment reach evaluated (feet): 50
11. Channel depth from bed (in riffle, if present) to top of bank (feet): ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 5 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ®A J ❑B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ®Size 1 (< 0.1 mit) ❑Size 2 (0.1 to < 0.5 mit) ❑Size 3 (0.5 to < 5 mit) ❑Size 4 (>_ 5 mit)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ®Water Supply Watershed (❑l ❑II ®III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ❑Yes ®No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
®A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
❑B Not
3. Feature Pattern - assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not
4. Feature Longitudinal Profile - assessment reach metric
❑A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
®B Not
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
®B 10 to 25% of channel unstable
❑C > 25% of channel unstable

Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
®B ®B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
®I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ®Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach)
(skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses
F, W
❑F
5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats)
2 E
❑G
Submerged aquatic vegetation
®B
Multiple sticks and/or leaf packs and/or emergent
o w
U)C
❑H
Low -tide refugia (pools)
vegetation
Y
❑I
Sand bottom
®C
Multiple snags and logs (including lap trees)
r
❑J
5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
0 2
❑K
Little or no habitat
in banks extend to the normal wetted perimeter
❑E
Little or no habitat
***************************** 'REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
®B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
❑ ® ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
® ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ® ❑ ❑ Silt/clay (< 0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
® ❑ ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ®No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ®Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ®Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ®Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
®B ®B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
®C Urban stream (>_ 24% impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
®A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
®A ®A ®A ®A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E ❑E ❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
®A ®A Mature forest
❑B ❑B Non -mature woody vegetation or modified vegetation structure
❑C ❑C Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D Maintained shrubs
❑E ❑E Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
®A ®A Medium to high stem density
❑B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
®B ®B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity— assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ❑D 79 to < 230 ❑E >_ 230
Notes/Sketch:

Draft INC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Trinity Middle School Date of Assessment
May 3, 2019
Stream Category Pal Assessor Name/Organization
Paul Stephens/ECS
(3) Upland Pollutant Filtration
Southeas, LLP
Notes of Field Assessment Form (Y/N)
NO
Presence of regulatory considerations (Y/N)
YES
Additional stream information/supplementary measurements included (Y/N)
NO
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
(3) Thermoregulation
USACE/ NCDWR
Function Class Rating Summary All
Streams Intermittent
(1) Hydrology
MEDIUM
(2) Baseflow
MEDIUM
(2) Flood Flow
MEDIUM
(3) Streamside Area Attenuation
HIGH
(4) Floodplain Access
MEDIUM
(4) Wooded Riparian Buffer
HIGH
(4) Microtopography
MEDIUM
(3) Stream Stability
LOW
(4) Channel Stability
MEDIUM
(4) Sediment Transport
LOW
(4) Stream Geomorphology
MEDIUM
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
MEDIUM
(2) Baseflow
MEDIUM
(2) Streamside Area Vegetation
HIGH
(3) Upland Pollutant Filtration
HIGH
(3) Thermoregulation
HIGH
(2) Indicators of Stressors
NO
(2) Aquatic Life Tolerance
MEDIUM
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
LOW
(3) Baseflow
MEDIUM
(3) Substrate
LOW
(3) Stream Stability
MEDIUM
(3) In -stream Habitat
MEDIUM
(2) Stream -side Habitat
HIGH
(3) Stream -side Habitat
HIGH
(3) Thermoregulation
HIGH
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall MEDIUM

ROY COOPER
Governor
MICHAEL S. REGAN
seaw-y
TIM BAUMGARTNER
Director
Marty Trotter
Randolph County Board of Education
2222-C South Fayetteville St.
Asheboro, NC 27205
Project: Trinity Middle School
NORTH CAROLINA
Envfronwrital Quality
May 2, 2019
Expiration of Acceptance: 11/2/2019
County: Randolph
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below. _
River Basin Impact Location Impact Type Impact Quantity
(8 -digit HUC]
Yadkin 03040103 Warm Stream 168
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and
15A NCAC 0213 .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program.
If you have any questions or need additional information, please contact Kelly Williams at [phone].
cc: Brandon Fulton, agent
F Q
aeprrreaFa.S..a.M � /'�
Sincerely,
Jame Stanfill
Asset 4` anagement Supervisor
Mrth Carolina Department of Environmental Quuallty I Division of Witigation Services
217 W. Jones Street 11652 Mail Service Center I Raleigh, North Carolina 27699-1652
919.7028976

■ mgr■ Roy Cooper. Governor
N0 NG DEPARTMENT OF Susi Hamiltons. Secretary
■or t•■ NATURAL AND CULTURAL RESOURCES
Walter Clark, Director. Lanai and Water Stewardship
NCNHDE-8862
April 30, 2019
Jenna Dew
ECS Southeast, LLP
1812 Center Park Drive
Charlotte, NC 28217
RE. Trinity Middle School ; 8352
Dear Jenna Dew.
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates
that there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary, or within a one -mile radius of
the project boundary.
Please note that although there may be no documentation of natural heritage elements within or
near the project boundary, it does not imply or confirm their absence, the area may not have been
surveyed. The results of this query should not be substituted for field surveys where suitable habitat
exists. In the event that rare species are found within the project area, please contact the NCNHP so
that we may update our records.
Please also note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may also not be redistributed without
permission.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod nev.butler(o�ncdcr.aov or 919.707.8603.
Sincerely,
NC Natural Heritage Program

NCNHDE-8862: Trinity Middle School
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12/31/2018
6798914645
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_ 17708018431
Randolph County GIS
County, NC
ti
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77.072
L
REID 20752 OWNER ADDRESS2
PIN 7708118367 OWNER CITY
ASHEBORO
TAXED ACREAGE 69.58 OWNER STATE
NC
PROPERTY DESCRIPTION RI 595;W OWNER ZIP
27205
DEED BOOK & PAGE 001257/00556 LOCATION ADDRESS No Physical Address
PLAT BOOK & PAGE LOCATION ZIP
No ZIP
OWNER RANDOLPH CO BOARD OF EDUCATION DATA REFRESHED
12/30/2018
OWNER ADDRESS 2222 S FAYETTEVILLE ST
6®°a Disclaimer: This map was compiled from recorded deeds, plats, and otherpublic records
Map Scale
r F and data. Users of this data are hereby notified that the aforementioned public information
1 inch = 667 feet
sources should be consulted for verification of the information. Randolph County, its
12/31/2018
agents and employees make no warranty as to the accuracy of the information on this map.
hftps://gis.randolphcountync.gov/randolphjs/ 1 /1

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Mr. Brandon Fulton
ECS Limited
1812 Center Park Dr, Suite D
Charlotte, NC 28217
s . STAIZ
NORTH CAROLINA
Environmental Quality
March 13, 2019
Subject: On -Site Determination for Applicability to the Mitigation Rules (15A NCAC 2H .0500)
Subject Property: Trinity Middle School, Trinity, Randolph County
Dear Mr. Ferguson:
On February 26, 2019, at the request, and in the presence of Mr. Kevin Ferguson representing ECS Limited,
Kelli Park and I conducted an on-site determination to review features located on the subject project for
stream determinations with regards to the above noted state regulations. Andrew Williams with the US
Army Corps of Engineers (USACE) was also present during the site visit.
The Division acknowledges the areas and boundaries identified as jurisdictional wetlands by the USACE.
The attached sketch accurately depicts all stream determinations conducted during the site visit.
Please note that at the time of this letter, all perennial stream channels and jurisdictional wetlands found
on the property are subject to the mitigation rules cited above.
The owner (or future owners) should notify the Division (and other relevant agencies) of this decision in
any future correspondences concerning this property. This on-site determination shall expire five (5)
years from the date of this letter.
Landowners or affected parties that dispute a determination made by the Division or Delegated Local
Authority that a surface water exists and that it is subject to the buffer rule may request a determination
by the Director. A request for a determination by the Director shall be referred to the Director in writing
c/o 401 & Buffer Permitting Branch, 1650 Mail Service Center, Raleigh, NC 27699-1650. Individuals that
dispute a determination by the Division or Delegated Local Authority that "exempts" surface water from
the buffer rule may ask for an adjudicatory hearing. You must act within 60 days of the date that you
receive this letter. Applicants are hereby notified that the 60 -day statutory appeal time does not start
until the affected party (including downstream and adjacent landowners) is notified of this decision. The
Division recommends that the applicant conduct this notification in order to be certain that third party
�DRE
.rteNorth Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1450 W. Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
w=�`{ 336-776-9800

appeals are made in a timely manner. 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 determination is final and binding unless you ask for a
hearing within 60 days.
This letter only addresses the applicability to the mitigation rules and the buffer rules and does not
approve any activity within Waters of the United States or Waters of the State or their associated buffers.
If you have any additional questions or require additional information, please contact me at 336-776-9693
or sue.homewoodkncdenr.gov.
Sincerely,
Sue Homewood
Winston-Salem Regional Office
Enclosures: USGS Topo Map
ECS Stream/Wetland Location Map
Cc: Randolph County Board of Education ([e-mail])
Andrew Williams, USACE Raleigh Regulatory Field Office (via email)
DWR, Winston-Salem Regional Office
Page 2 of 2

Date: 5/2/19
Renee C Pfeifer
CLH Design
400 Regency Forest Dr, Suite 120
Cary, NC, 27518
City of Trinity reviewed and approved the site, utility, and stormwater plans for the
Trinity Middle School located off Surrett Dr (PIN 9 7708118367). The Special Use
Plan was approved by Trinity City Council on March 12"', 2019. If you have any
questions, you can call me at 336-431-2841 or by e-mail at mallredktrinity-
nc.gov.
Marc Allred
City of Trinity
Planning Director
5978 NC Highway 62 • P.O. Box 50 • Trinity, NC 27370 9 Phone [phone] • Fax [phone]