20171448 Ver 2_401 Application_20190603

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Preserve at Stone Ridge
2. Work Type: ❑✓ Private ❑ Institutional [:]Government ❑ Commercial
� 1000
3. Project Description / Purpose [PCN Form 133d and 133e]:
The purpose of the project is to construct a 40 lot single family residential subdivision (Reserve at Stone Ridge).
4. Property Owner/ Applicant [PCN Form A3 or A41: SMI Properties, LLC
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]
Michael Brame/Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form 135b]:
09=9 @ 11 aW1
Q
JUN 0 3 2019
DEQ -WATER RESOURCES
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
36.1211270/-79.5287980
8. Project Location — Tax Parcel ID [PCN Form Bla]: 8846337311 and 8846432385
9. Project Location — County [PCN Form A2b]: Alamance
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Gibsonville
11. Project Information — Nearest Waterbody [PCN Form 132a]: Travis Creek
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 132c]: 03030002
Authorization: Section 10 ❑ Section 404 ❑
Regulatory Action Type:
Standard Permit
✓ Nationwide Permit #
Regional General Permit #
Jurisdictional Determination Request
Section 10 and 404 ❑
Pre -Application Request
Unauthorized Activity
HCompliance
No Permit Required
Revised 20150602

W A tFRQG
y r
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PC Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Preserve at Stone Ridge
2b. County:
Alamance
2c. Nearest municipality / town:
Gibsonville
2d. Subdivision name:
Preserve at Stone Ridge
2e. NCDOT only, T.I.P. or state
project no:
3. Owner Information
3a. Name(s) on Recorded Deed:
Shugart Management, Inc.
3b. Deed Book and Page No.
2677/0036
3c. Responsible Party (for LLC if
applicable):
Mr. Greg Garrett
3d. Street address:
221 Jonestown Road
3e. City, state, zip:
Winston-Salem, NC 27104
3f. Telephone no.:
336.231.6764
3g. Fax no.:
3h. Email address:
[e-mail]
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Michael T. Brame
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kemersville, NC 27285
5e. Telephone no.:
336.708.4620
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
8846337311 and 8846432385
Latitude: 36.1211270 Longitude: -
1 b. Site coordinates (in decimal degrees):
79.528798°
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
19 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Travis Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS V;NSW
2c. River basin:
Cape Fear
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains a single family residence and wooded land. The site is located within a residential and mixed use area
of Gibsonville.
3b. List the total estimated acreage of all existing wetlands on the property:
—0.2 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
—1,100 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a 40 lot single family residential subdivision (Preserve at Stone
Ridge).
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of development of the site with a 40 lot single family residential sub -division. Primary site
access will be provided from Gibsonville-Ossipee Road. In order to satisfy city requirements, secondary access is
required to connect to an existing neighborhood that is located south of the site (Stone Ridge). The applicant proposes to
construct Dolomite Drive, which will require a stream/wetland crossing. To facilitate development of the site and
construction of the proposed stream crossing, clearing and grading the site is necessary. Graders, haulers, excavators
and other heavy equipment will be used during site construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes El No El Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
E] Preliminary ®Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Bradley Luckey/Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The USACE and NCDEQ visited property that included the majority of the site on November 30, 2016. NCDEQ Letter
Dated December 5, 2016. JD not received.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for
® Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
A PCN application was submitted for a road crossing in the same location as the proposed crossing on November 3,
2017. The USACE responded to the application in an e-mail dated December 4, 2017. The e-mail stated that: "Please
note that Phase 1 of Stone Ridge subdivision required a Corps authorization under NWP 39, verified for use on
10/19/2005 (SAW -2005-21192), for permanent impacts to 123 linear feet of stream and 0.08 acre of wetlands necessary
for two road crossings (see attached). Given that the proposed impacts are for an additional phase in the Stone Ridge
subdivision (same developer, shared amenities, etc.), the Corps views the proposed stream and wetland impacts as
cumulative with earlier phases." The PCN application was withdrawn.
This PCN application is for a stand alone subdivision (Preserve at Stone Ridge) with no shared amenities. Additionally,
lot sizes and the price point for this neighborhood are separate. An approximate 4.18 acre tract is under contract that
provides site access from Gibsonville-Ossipee Road. To satisfy City requirements, the Town of Gibsonville is requiring
connectivity to an existing subdivision (Stone Ridge) that is located south of the site. A stream crossing is needed in
order to construct the road.
6. Future Project Plans
6a. Is this a phased project?
_E] Yes No
6b. If yes, explain.
The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this application,
are not anticipated as a result of the proposed project.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Tem ora
W1 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.01
Hardwoods
❑ No
❑ DWQ
W2 ❑ P ® T
Coffer Dam
Bottomland
Hardwoods
® Yes
❑ No
® Corps
❑ DWQ
0.015
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.025
2h. Comments: The proposed road crossing will permanently impact less than 0.01 acres (191 SF) of wetlands associated
with fill for the road crossing. The coffer dam will temporarily impact 0.015 acres of wetlands. Following installation of the
culvert, the coffer dam will be removed and the wetland will be restored to the existing grade.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Culvert/Rip
Rap/Pump Around
Unnamed
❑ PER
® INT
® Corps
❑ DWQ
5
90/18/29
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
90/18/29
3i. Comments: The proposed stream crossing will permanently impact a cumulative total of 108 linear feet of intermittent
stream channel associated with road crossing fill, including the culvert and rip rap. Of the 108 linear feet of permanent impact,
rip rap will impact 18 linear feet of stream channel. The rip rap is proposed to be keyed in to the stream bed and banks. The
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

coffer dam will temporarily impact 29 linear feet of stream channel. Following installation of the culvert and rip rap, the coffer
dam will be removed and flow will be diverted into the culvert. Areas of temporary impact will be restored to similar pre -
construction conditions.
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number—
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody type
4e.
Area of impact (acres)
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4E Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5L Total
5g. Comments: Construction of ponds/lakes are not proposed.
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar -Pamlico ®Other: Jordan
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
re wired?
131 ❑ PEI T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
133 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments:
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.
The applicant has designed the proposed residential sub -division to avoid other impact to streams and wetlands, specifically
associated with lot/pad fill. The applicant has further demonstrated avoidance and minimization of stream and wetland
impacts by proposing to construct head and end walls.
The residences will utilize municipal sanitary sewer services and has been designed to avoid impact to jurisdictional features
associated with sewer line connection. The sanitary sewer services will connect to existing sewer lines that cross the site.
The applicant has designed the stream crossing to be buried 6 inches below the existing stream bed elevation to adequately
allow aquatic passage. The remaining approximate 0.175 acres of wetlands and 992 linear feet of stream channel are being
avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and best management practices will be used. A temporary coffer dam will be installed
upgradient of the proposed culvert. During construction, water will be pumped around the construction footprint. Appropriate
stream bank protection will be provided in the channel during construction and all excess excavated material will be
immediately removed from the stream bank crossing area. Upon completion of the culvert installation, the temporary sand
bag coffer dam will be removed and flow will be diverted through the culvert. Following construction, disturbed banks will be
restored to similar pre -construction conditions, matted and seeded/live staked.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
ElPayment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ®No
Comments: Diffuse flow is not required.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
<24 %
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: The proposed project is low density and
does not require a stormwater management plan. A letter from the City of Gibsonville indicating that the project is
approved as low density is included as an attachment.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Gibsonville
❑ Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
S. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (if so, attach a copy of the NEPA or SEPA final approval
❑ Yes ® No
letter.)
Comments: A NEPA or SEPA is not required as part of this project.
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 213 .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
We are not aware of additional development that will impact nearby downstream water quality.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The proposed project will connect to an existing sanitary sewer line and will not require impacts to jurisdictional features
associated with wastewater generation.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes M No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Pilot consulted the USFWS List of Protected Species for Alamance County, the county that contains the project. The
USFWS does not identify federally protected species in Alamance County.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the use of temporary sediment and erosion control devices will prevent sediment from entering
down -gradient waterbodies which may contain fish.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
According to the NC SHPO Historic Properties website (attached), eligible or listed resources are not located within the
proposed project area.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM Map Panel 3710884600K (Drawing 4)
Michael T. Brame
Digitally signed by, Michael Brame
DN: cn=Michael Brame, o PilotMic
Michael BrameEm
5.31.2019
email-mbrameEoupiloternro.cm, r -S
Date: 2019.05.3109.%:54 -04'00'
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 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION
This form authorizes PEI to act as our agent in stream/wetland matters including U.S. Army Corps
of Engineers and North Carolina Division of Water Resources field verification and permitting.
Property Address: Piedmont Avenue
Gibsonville, NC
Owner Information:
Address: 221 Jonestown Road
Winston-Salem, NC 27104
Telephone Number: [phone]
Fax Number:
E-mail Address: [e-mail]
JURISDICTIONAL DETERMINATION REQUEST
SECTION D -PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records of the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) to enter upon the property herein described for the purpose of conducting on-site
investigations and issuing a determination associated with Waters of the U.S. subject to Federal
jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and
Harbors Act of 1899.
'+" Nlq4fahlo
wner (pleas print) Date
r Signature

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,
Inge mittent
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p p -5F' Feet
GIBSO� FdanmacieSmoreline, Perm anent-
http://alamancecounty-connectgis.com/DownloadFile.ashx?i=_acis_map3fdl7358ba374b508fdf7c6cbBd25caix.htm&t=prinbd 112

11/1/2016
CommtGIS Feature Report
RSINFO
OBJECTID
GPIN# (State ID)
1605837.41931072
8613
8846337311
Parcel ID
Old Tax ID
CalcAcres
110111
3-41-35
36.86510241
Owner Name
2nd Ownr Name
Parcel Ownr Addrs
SHUGART MANAGEMENT INC
221 JONESTOWN RD
OwnCft
OwnSt
OwnZi
WINSTON SALEM
NC
27104
D Acres
Dd Pa
Dd Bk
27.165
0881
2677
Parcel Site Address
Lot#
Plt Pa
PIEDMONT AVE
0036
Pit Bk
Assessed Value
Parcel Ownr 2nd Addrs
018
176681
Yr Bit
0
elcome to the Alamance County GIS Site. THIS IS NOT A LEGAL DOCUMENT. Alamance County shall assume no liability for any errors, omissions, or inaccuracies in th
nformation provided regardless of how caused; or any decisions made or actions taken or not taken by user in reliance upon any information or data furnishe
ereunder. The user knowingly waives any and all claims for damages against any and all of the entities comprising the ALAMANCE COUNTY GIS SYSTEM that may aris
om the mapping data.
httpJ/alamancecamty.comectgis.c omm/DownloadFile.ashx7i=ags_map3fd17358ba374b508fdt7c6cb8d25ca1x.htm&t--printid 2/2

---���- NOTE
--- - _ - � --�k�---�--;",. �� �� --," � ;-��s; 'cam •� .J � — — — — — -
_ _ — r =�'-,; ;\ `Xa• 1 1. WETLANDS AND STREAM VERIFIED BY PILOT
r.•—. ,� ,�:. , A 9 ENVIRONMENTAL INC. WITH USACE AND NCDEQ—DWR ON
TRACT #2 NOVEMBER 20, 2016. GREEN MOUNTIAN ENGINEERING,
1 CHARLES E. NEILL, III
PLLC. FIELD LOCATED THE VERIFIED WETLAND AND
PROPERTY
'SAX "".ID #8846336637 STREAM FLAGS PLACED BY PILOT ENVIRONMENTAL INC.
-- � , t ✓ t � ` O � / � �• \
�,' DlB. � 3661, PG. 0249
y f 2. THIS DEVELOPMENT HAS BEEN ACCEPTED BY THE TOWN
OF GIBSONVILLE AS A LOW DENSITY STORMWATER
it PROJECT, WITH JORDAN LAKE BUFFER RULES.
i'' ` I ! 7-- -"'--I C! ��� \ .\ •\ DEVELOPER:
'� a , •, 2 i\\. �o SHUGART ENTERPRISES, LLC..
—X, v . X` 'yF '-I-• 221 JONESTOWN RD.
��,• c O O �� 6 YNNSTON—SALEM. NC 27104
O�No CONTACT: GREG GARRETT
PH: 336.765.9661
q �X~
\X 1 \
or 90 LF CULVERT IMPACT p __
(D N i ® Timothy E. Campbell
0 lnln 18 LF RIP RAP IMPACT, TO BE -- — Parcel # 8846431971'9
N - > — — D.B. 933, P 971 i 4
N o KEYED INTO BED AND BANK. -� g \ I
sd Q _ D.B. 2420, Pg. 342 John :H: Pruette pl \�
-��' TEMPORARY IMPACTS - '' P.B. 47, Pg. 175 Timothy E. Compbolll bnd Crindy Pruett,e� �
t 00 o o P.B. 72, Pg. 24 Parcel # 8846431971, Parcel #
8846441,3 \71
w 29 LF COFFER DAM -------- , p - D.B. 933, P 97r, i D.B. 400, Pg. 47,x'
car` c O ,,. -. _— --- D.B. 2420, Pg. 342�-y
° Z m 3 0.015 AC WETLANDS IMPACT P.B. 47,
Pg.175
U
w o 0 P.B. 72, Pg. 24
K.C. Properties © N ,J
Parcel # 8846433053
w D.B. 1092, Pg. 174 ip ,' rn� RO
Alamance County n e a a PEE _
CA R
,``� ,
ti01 NE J
3o S3 W 7 0- yid a. 1'`
1
p u a mm
GREEN MOUNTAIN
_..-.-----INTERMITTENT STREAM/ ENGINEERING, PLLC
WETLAND IMPACT MAP 7AWENDY CT
GREENSBORO, NC 27409
PRESERVE AT STONE RIDGE Tel: [phone]
CERTIFICATE NO. P-0826
SCALE: 1 "=200' SUBDIVISION www.greenmountainengineers.com

NOTE INTERMITTENT STREAM/ WETLAND IMPACT MAS'
1. WETLANDS AND STREAM VERIFIED BY PILOT PRESERVE AT STONE RIDGE
ENVIRONMENTAL INC. WITH USACE AND NCDEQ—DWR ON
NOVEMBER 20, 2016. GREEN MOUNTIAN ENGINEERING, SUBDIVISION
PLLC. FIELD LOCATED THE VERIFIED WETLAND AND
STREAM FLAGS PLACED BY PILOT ENVIRONMENTAL INC. '
2. THIS DEVELOPMENT HAS BEEN ACCEPTED BY THE TOWN
OF GIBSONVILLE AS A LOW DENSITY STORMWATER
PROJECT, WITH JORDAN LAKE BUFFER RULES. /
\% Ekis ING'INTEIi1MRTENT
r$TRFAIG INVERT: 929.99_
INVERT: 9239
- 190 LF CULVERT IMPACT ,
18 LF RIP RAP IMPACT, TO BE
k k
/ KEYED INTO BED AND BANK. /
'
EX.0-16
/
W AH-10� / /
CI -18 / .. .
T 32.3
9
v \\ Y
br,
TEMPORARY IMPACT
\ 29 LF STREAM COFFER DAM CA„"'''%,,
-0.015 AC WETLANDS IMPACT .```'`RO
ESS/p 11111/
SCALE• 1 •=20'
DEVELOPER:
SHUGART ENTERPRISES, LLC
221 JONESTONM RD.
MANSTON—SALEM, NC 27104
CONTACT: GREG GARRETT
PH: 336.765.9661
9999
F G
F'°y0
V
GREEN MOUNTAIN
ENGINEERING, RJ -LC
7A WENDY CT
GREENSBORO, NC 27409
Tet: 336.294.9394
CERTIFICATE NO. P-0826
www.greenmountainengineers.com

950
WING—WALL
EXISTING INTERMITTENT
STREAM INVERT:
932.37
DATUM ELEV
926.00
AZ
G—WALL
zz EXISTING INTERMITTENT
STREAM INVERT:
36 ra, 89.60
_ RCp /off."
2C S$ I V RIP—RAP SCOUR
PROTECTION
0
0+00 0+50 + +
00 +0
00 0 rn
o, o rn
cn �
SCALE: ;M=,V �H INTERMITTENT STREAM/
DEVELOPER: WETLAND IMPACT MAP
T ENTERPRISES, LLC
221 JONESTOWN RD.
PRESERVE AT STONE RIDGE
221 JO
WINSTON—SALEM. NC 27104
PH: 3AM.76`59 gGARRET'T SUBDIVISION
C111A111R,,,,,,,,,,
OQ �o`O� ES $
99
s
I N Jc,
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tet: 336.294.9394
CERTIFICATE NO. P-0826
www.greenmountainengineers.com
cD
co
0
rq
0
co
co
Q0
rn
rn
0).
rn
0
0+00 0+50 + +
00 +0
00 0 rn
o, o rn
cn �
SCALE: ;M=,V �H INTERMITTENT STREAM/
DEVELOPER: WETLAND IMPACT MAP
T ENTERPRISES, LLC
221 JONESTOWN RD.
PRESERVE AT STONE RIDGE
221 JO
WINSTON—SALEM. NC 27104
PH: 3AM.76`59 gGARRET'T SUBDIVISION
C111A111R,,,,,,,,,,
OQ �o`O� ES $
99
s
I N Jc,
GREEN MOUNTAIN
ENGINEERING, PLLC
7A WENDY CT
GREENSBORO, NC 27409
Tet: 336.294.9394
CERTIFICATE NO. P-0826
www.greenmountainengineers.com

TOP OF BANK
IMPOUNDED WATER
TO BE PUMPED%
L 7
SANDBAG
COFFERDAM
STREAM BOTTOM
SECTION A—A VIEW
STOP OF BANK
--� BOTTOM —QF--BANK—
FLOW FLOW
DIRECTION _
BUIrOM OF BANK
TOP OF BANK
36" RCP STORM SEW R
ROADWAY
INTAKE
IDBAGS
SANDBAG
COFFERDAM
36" RCP
STORM SEWER
SCALE: NTS
DEVELOPER:
SHUGART ENTERPRISES. LLC
221 JONESTOWN RD.
WINSTON—SALEM. NC 27104
CONTACT: GREG GARRETT
PH: 336.765.9661
GENERAL NOTES
1. PLACE SANDBAGS ON ALTERNATING HEADER COURSES
AND STRETCHER COURSES
2. SIZE PUMP ACCORDING TO FLOW
3. SIZE FILTER SOCK ACCORDING TO PUMP CAPACITY
4. AVOID WORK WITHIN STREAM AREA DURING TIMES OF
ANTICIPATED RAINFALL.
PLAN VIEW
TEMPORARY SANDBAG STREAM
DIVERSION DETAIL
PRESERVE AT STONE RIDGE
SUBDIVISION
FILTER SOCK
Ilnnnull
GREEN MOUNTAIN
ENGINEERING, P`LLC
_l
7A WENDY CT
GREENSBORO, NC 27409
TeL [phone]
CERTIFICATE NO. P-0826
www,greenmountainengineers.com

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Drawing 1 USGS Topographic Map
``. USGS Topographic Map
Approximate 19 Acre Tract •� y�
Ossipee and Gibsonville, NC Piedmont Avenue
Quadrangles
Gibsonville, Alamance County, NC
ni&
Scale: 1" = 2,000'
PEI Project 2326

rV 3Air
77.
I LEGEND r
Site Boundary., 7
NWI Desimations
=a
r'
_ Freshwater Emergente v
Freshwater ForestedtShrub , t
_ Estuarine ana Marine Deepwater 40 f
IIIIIIIIII� Estuarine and Marine
Freshwater Pond t
_ Lake'
_ Rwenne
OtherE` s
a
s i
NWI Map
Drawing 3
USFWS National Wetlands Approximate 19 Acre Tract
Inventory Mapper Piedmont Avenue
Scale: 1" = 400' _ Gibsonville, Alamance County, NC
PEI Project 2326

02
'AR,
7-
- E
LEGEND
Site Boundary
1 % Annual Chance Flood Hazard
MR egul2tory Floodway 4
Sped al Fl oodw2y
Area of Undetermined F lood Hazard 4-
0.2%Annu@l Chance Flood Hazard
®Future Conditions I% Annual Chance Flood Hazard
Are@ with Reduced Risk Due to Levee
A" Alf
Drawing 4 FEMA FIRM
FEMA FIRM Panel No. Approximate 19 Acre Tract
3710884600K Piedmont Avenue
Effective 06.18.2007 Gibsonville, Alamance County, NC
Scale: 1" = 400'
PEI Project 2326

LEGEND
Site Boundary
Perennial Stream
■ .. ® ■ . Intermittent Stream
Non -Jurisdictional Feature
Wetland
DP -1 O Data Point
FLAG NUMBERS/INFO
WETLAND FLAGS = V/////// I
STREAM FLAGS =
Stream/Pond Flags = 45
Wetland Flags = 58
Total Flags = 103
a
SA
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINARY AND APPROXIMATE. THEY HAVE NOT BEEN VERIFIED BY
THE USACE AND/OR THE NCDEQ-DWR. THEY HAVE NOT BEEN SURVEYED OR GEOLOCATED. THEY WERE DELINEATED BY MICHAEL
BRAME AND DAVID BRAME ON OCTOBER 4, 2016.
Drawing 5
Imagery from ESRI
and PEI Field Notes
Scale: 1" = 300'
Date: 05.21.2019
` Wetland Map
Approximate 19 Acre Tract
Piedmont Avenue
Gibsonville, Alamance County, NC
PEI Project 2326

PLANNING DCPARTMKNT
May 15, 2019
TOWN OF GIBSONVILLE
129 WEST MAIN STREET
GINUNWLLL N. C. 27249
Joseph O'Buch, P.E.
Green Mountain Engineering, PLLC
7A Wendy Court
Greensboro, NC 27409
Ref Preserve at Stone Ridge Subdivision
PHONE [phone]
This letter is to inform you that the Town of Gibsonville has reviewed and approved the
Preserve at Stone Ridge subdivision site plan. The town has accepted this subdivision as
a low-density stormwater project due to the impervious % being less than 24%, and that
the project is a reduction in density from the previously approved preliminary plan for
this section. If you have any questions or concerns please contact me anytime.
Sincerely,
04...'4 14'/_
Brandon Parker
Gibsonville Town Planner
336-449-4144
Cc: Gregg Garrett — Shugart Management Inc.
Josh Johnson — AWCK
Michael Brame — Pilot Environmental Inc.

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,.. .. - �� .:.JG=�c�eki_ .f-_.ti:r+•:,e.�:.r,.irw�c '�!`it'^r - �' ''�—.�... ,4

Water Resources
ENVIRONMENTAL QUALITY
December 5, 2016
Mr. Mike Brame
Pilot Environmental Inc.
P.O. Box 128
Kernersville, NC 27285
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Subject Property: Stoneridge SD, Piedmont Ave Extension, Gibsonville NC, Alamance County
On -Site Determination for Applicability to the Mitigation Rules (15A NCAC 2H .0500)
Dear Mr. Brame:
On November 30 2016, at your request and in your attendance, Sue Homewood conducted an on-site
determination to review features located on the subject project for stream determinations with regards
to the above noted state regulations. David Bailey with the US Army Corps of Engineers was also present
during the site visit.
The Division acknowledges the areas and boundaries identified as jurisdictional wetlands by the USACE.
The attached map 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. These regulations are subject to change
in the future. In addition, the Jordan Lake Buffer Rules may apply to some streams at this
location, please be sure to contact the local government for further information regarding the
Jordan Lake Buffer Rules.
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.
450 W. Hanes Mill Road, Suite 300, Winston-Salem, North Carolina 27105
Phone: [phone] \ FAX: [phone] Customer Service 1-877-623-6748
Internet: www.ncdenr.gov - www.ncwoter.org

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 parry
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 [e-mail].
Sincerely,
Sue Homewood
Winston-Salem Regional Office
Enclosures: USGS Topo Map
Pilot Environmental Map
cc: Shugart Management Inc, ([e-mail])
David Bailey, USACE Raleigh Regulatory Field Office (via email)
Josh Johnson, AWCK (via email)
DWR, Winston-Salem Regional Office

41..
Ilk,
� J
MIA
4t---
Drawing 1
USGS Topographic Map
USGS Topographic Map
Ossipee and Gibsonville, NC
Approximate 37 Acre Tract
Quadrangles
Piedmont Avenue Extension
Gibsonville,
Alamance County, NC
Scale: 1" = 2,000'
PEI Project 2326

LEGEND
Site Boundary
Perennial Stream
■ .. ■ ■ • Intermittent Stream
Non -jurisdictional Feature
Wetland
DP -1 O Data Point
THE LOCATIONS OF FEATURES SHOWN ON
THIS MAP ARE PRELIMINARY AND
APPROXIMATE. THEY WERE VERIFIED BY MR.
DAVID BAILEY WITH THE USACE AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON
NOVEMBER 30, 2016. THEY HAVE NOT BEEN
SURVEYED OR GEOLOCATED. THEY WERE
DELINEATED BY MICHAEL BRAME AND DAVID
BRAME ON OCTOBER 4, 2016.
FLAG NUMBERS/INFO
WETLAND FLAGS =V-diV-"
STREAM FLAGS =�
Stream/Pond Flags = 91
Wetland Flags = 175
Total Flags = 266
Drawing 5
Imagery from ESRI
and PEI Field Notes
Scale: 1" = 400'
Date: 11.30.2016
4
r
�iwwalt �w wA�wti
DP -2 O ,
DP -3 O '*t
PD 1 8
Wetland Map
Approximate 37 Acre Tract
Piedmont Avenue Extension
Gibsonville, Alamance County, NC
PEI Project 2326
5c4rce. Esn, Dcit-g Ic-= zcty+2p erttastiff ecgrapnus, CNES.,Sirbus CS. USC
uSGS.AEX, Gam: _ :qr+ GN, ISF, swiSstmc, and the GIS.Uta