19950243 Ver 2_ePCN Application_20210817

DWR
Division of Water Resources
Pre -Construction Notification (PCN) Form
April4,2021 Ver4
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
C Yes r No
Change only if needed.
BIMS # Assigned * Version#*
19950243 2
Is a payment required for this project?*
r No payment required What amout is owed?*
r Fee received r $240.00
r Fee needed - send electronic notification IT $570.00
Reviewing Office * Select Project Reviewer*
Fayetteville Regional Office - [phone] Chad Turlington:eads\ccturlington
Information for Initial Review
1a. Name of project:
Town of Vass Phase 2 - Sewer Edension Project
1a. Who is the Primary Contact?*
Randy Gould, PE
1b. Primary Contact Email:*
rgould@mc)orecountync.gov
Date Submitted
8/17/2021
Nearest Body of Water
UT to Littler River
Basin
Cape Fear
Water Classification
WS-III;HOW
Site Coordinates
Latitude: Longitude:
35.256781-79.279522
A. Processing Information
County (or Counties) where the project is located:
Moore
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?*
r Yes r No
Pre -Filing Meeting Information
Is this a courtesy copy notification?*
r Yes r No
1c. Primary Contact Phone:*
[phone]
V

ID#
19950243
Pre -fling Meeting or Request Date
4/15/2021
Attach documentation of Pre -Filing Meeting Request here:
dick the upload button or drag and drop files here to attach docurrent
DWR Pre -Filing Meeting Request Form.pdf
File type nust be FCF
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
r Yes
r No
1b. What type(s) of permit(s) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
58
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual 401 Water Quality Certification
le. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
Version
2
50.48KB
f 401 Water Quality Certification - E)press
F Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
W Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Varies (See Plans) - Easements to be acquired by Moore County
2b. Deed book and page no.:
r Yes r No
r Yes r No
u

2c. Contact Person:
Randy Gould, PE, Moore County Public Works Director
2d.Address
Street Address
5227 US-15
Address tine 2
CKY
Carthage
Postal / Zip Code
28327
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Preston Butler
4b. Business Name:
Carolina Ecosystems, Inc.
4c.Address
Street Address
3040 NC 42 West
Address tine 2
City
Clayton
Postal / Zip Code
27520
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Vass_ Agent Auth Form Signed.pdf
State / Province / legion
NC
Country
USA
2f. Fax Number:
State / Rmince / legion
NC
Country
USA
4e. Fax Number:
713.41 KB
C. Project Information and Prior Project History C^U
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality/ town:
Vass
2. Project Identification
2a. Property Identification Number:
Various - Easements to be acquired
2c. Project Address
Street Address
Address Line 2
city
Postal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
UT to Littler River
3b. Water Resources Classification of nearest receiving water:*
WS-III;HQW
2b. Property size:
22
State / Rmince / legion
Country

3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300040308,030300040305,030300040306,030300040307
4. Project Description and History
4a. 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 proposed project is located around the Town of Vass in Moore County, NC. The site is primarily comprised of disturbed roadside with forested off -road portions. The vicinity of the
project consists primarily of residential development in Vass with interspersed agricultural and forested areas.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r' Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
4f. List the total estimated acreage of all existing wetlands on the property:
0.97 acre
4g. List the total estimated linear feet of all existing streams on the property:
3 feet of intermittent stream and 221 feet of perennial stream
4h. Explain the purpose of the proposed project:*
The purpose of the project is to complete the installation of sewer infrastructure in the Town of Vass by Moore County. Phase 1 of this project provided sewer to approximately half of
the Town, and Phase 2 plans to provide that infrastructure to the remaining areas without sewer. Prior to these project, the Town was served entirely by septic systems. Septic systems
will be abandoned at residences where the project is making a full connection to the residence. This project will provide sewer to the Town and provide the infrastructure for further
growth in the Town.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project is located on roadsides and off -road portions of the Town of Vass (Please see attached Vicinity Map and Plan Sheets). The project consists of approximately 3,750 linear
feet of newgravity sewer and 6000 linear feet of newsewer forcemain. The proposed sewer lines will be 8 inch PVC or DIP.
The proposed project would have 13 wetland crossings and 5 stream crossings. Impact details can be seen on Impact Figures. The proposed stream impacts would total 184 linear feet
of permanent stream impact with no loss of Waters of the US. Permanent stream impacts would be a result of rip rap installation belowthe existing stream grade to protect the sewer
lines and prevent scour. The project would also have a total of 0.128 acre of temporary wetland impact and 0.693 acre of permanent wetland impact, with no loss of Waters of the US.
All permanent wetland impacts are associated with clearing and conversion of forested wetlands into herbaceous wetlands within the proposed maintenance/access corridor. Forested
wetland within the limits of disturbance but outside of the proposed access corridor would be cleared for construction and then allowed to regenerate forest vegetation. All impact areas
will be returned to existing grade after installation of the sewer line with the exception of manholes per the plans attached.
Sediment and erosion control measures would be implemented according to NC requirements, and approved by NCDEMLR prior to implementation. Jurisdictional areas adjacent to
construction areas would be clearly marked with protection fencing or other similar methods to avoid inadvertent encroachment. Copies of permits and impact areas Would be provided
to the prime contractor and all subcontractors Working in or near jurisdictional areas. Land clearing would take place along With installation of erosion control devices. Construction
would be accomplished using typical equipment including excavators and backhoes for trench construction. Additional standard equipment may be used as required.
4j. Please upload project drawings for the proposed project.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes
r No
Comments:
PJD Request is attached
5b. If the Corps made a jurisdictional determination, what type of determination was made?
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Chris Hopper, Preston Butler, Matt Harrell
Agency/Consultant Company: Carolina Ecosystems, Inc.
Other:
5d1. Jurisdictional determination upload
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
O Unknown

6b. If yes, explain.
This project is Phase 2 of a project to bring sewer infrastructure to the Town of Vass. Phase 1 of the project was completed in 2011 and provided sewer to apprommately half of the
Town. This project will provide public sewer to the remaining developed areas of the Town. No further phases are planned.
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
W Wetlands W Streams -tributaries r Buffers
r Open Waters r Pond Construction
2. Wetland Impacts
U
2a1 Reason (?)
2b. Impact type * M
2c. Type of W.
2d. W. name *
2e. Forested *
2C Type of ��2g.
Jurisdicition*(?)
Impact
area*
W-1
Sewer Installation
P
Headwater Forest
WO
Yes
Corps
0.017
(acres)
W-2
Sewer Installation
P
Headwater Forest
WYC
Yes
Corps
0.040
(acres)
W-2
Construction Access
T
Headwater Forest
Yes
Corps
0.009
tc
(acres)
W-3
Sewer Installation
P
Headwater Forest
�Wyc
Yes
Corps
0.090
(acres)
W-3
Construction Access
T
Headwater Forest
�Wyc
Yes
Corps
0.021
(acres)
W-4
Sewer Installation
P
Headwater Forest
�Wy
Yes
Corps
0.010
(acres)
W-4
Construction Access
T
Headwater Forest
WY
Yes
Corps
0.023
(acres)
W-5
Sewer Installation
P
Headwater Forest
WY
Yes
Corps
0.001
(acres)
W-5
Construction Access
T
Headwater Forest
WY
Yes
Corps
0.003
(acres)
W-6
Sewer Installation
P
Headwater Forest
WAC
Yes
Corps
0.050
(acres)
W-6
Construction Access
T
Headwater Forest
WAC
Yes
Corps
0.010
(acres)
W-7
Sewer Installation
P
Headwater Forest
WZ
Yes
Corps
0.002
(acres)
W-8
Sewer Installation
P
Headwater Forest
WZ
Yes
Corps
0.160
(acres)
W-8
Construction Access
T
Headwater Forest
WZ
Yes
Corps
0.033
(acres)
W-9
Sewer Installation
P
Headwater Forest
WB
Yes
Corps
0.020
(acres)
W-10
Sewer Installation
P
Headwater Forest
WB
Yes
Corps
0.020
(acres)
W-11
Sewer Installation
P
Headwater Forest
WB
Yes
Corps
0.040
(acres)
W-11
Construction Access
T
Headwater Forest
WB
Yes
Corps
0.011
(acres)
W-12
Sewer Installation
P
Headwater Forest
WZB
Yes
Corps
0.040
(acres)
W-13
Sewer Installation
P
Headwater Forest
WYB
Yes
Corps
0.120
(acres)
W-13
Construction Access
T
Headwater Forest
WYB
Yes
Corps
0.018
(acres)
W-14
Sewer Construction
P
Headwater Forest
WYB
Yes
Corps
0.002
(acres)

W-15
Sewer Construction
P
Headwater Forest
WYB
Yes
Corps
0.020
(acres)
W-16
Sewer Construction
P
Headwater Forest
�Wx
Yes
Corps
0.020
(acres)
W-17
Sewer Construction
P
Headwater Forest
�Ws
Yes
Corps
0.001
(acres)
W-18
Sewer Construction
P
Headwater Forest
�WYA
Yes
Corps
0.040
(acres)
2g. Total Temporary Wetland Impact
0.128
2g. Total Wetland Impact
0.821
2g. Total Permanent Wetland Impact
0.693
21. Comments:
Permanent impacts are a result of conversion of forested wetland within the proposed permanent maintained corridor. No permanent loss of wetland
will result from the project.
3. Stream Impacts
3a. Reason for impact (?)
3b.lmpact type *
3c. Type of impact*
3d. S. name*
3e. Stream Type*
Type of
3gSwidth *
3h. Impact(?)
❑
�[3f.
urisdiction*
length*
S1
Installation
Permanent
Rip Rap Fill
P P
SIN
Perennial
Corps
P
6
16
Average (feet)
(linearfeet)
fl
Installation
Permanent
Ri Ra Fill
P P
SY
Perennial
Cor s
P
4
46
Average (feet)
(lir�rfeet)
S3
Installation
Permanent
Ri Ra Fill
p P
Sz
Perennial
Cor s
P
3
52
Average (feet)
(lir�rfeet)
�
Installation
Permanent
Ri Ra Fill
p P
SB
Perennial
Cor s
P
3
30
Aver�ge(feet)
(liriearfeet)
S5
Installation
Permanent
Ri Ra Fill
p P
SB
Perennial
Corps
P
3
8
Aver�ge(feet)
(linearfeet)
S6
Installation
Permanent
Rip Rap Fill
�SA
Intermittent
Corps
Average (feet)
(lir�rfeet)
37
Installation
Permanent
Rip Rap Fill
SI
Perennial
Corps
4Average(fee)
18
�rfeet)
S8
Installation
Permanent
Ri Ra Fill
P P
SYA
ff�T
or s
P
6
8
Average (fee)
(lines feet)
31. Total jurisdictional ditch impact in square feet:
31. Total permanent stream impacts:
184
31. Total stream and ditch impacts:
184
31. Total temporary stream impacts:
3j. Comments:
Impact S8 is labelled S-9 on the impact figures. Permanent stream impacts depicted above would not result in a loss of Waters of the US. Rip -rap will
be placed at or below the stream bed and not
result in an obstruction or fill above grade.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The proposed sewer is designed to cross jurisdictional areas perpendicularly where possible and is located along roadsides to limit impacts to already
disturbed areas as much as possible, considering the location of adjacent utilities and other constraints. Limits of disturbance of the project are being
minimized through jurisdictional areas, including temporary construction access areas, and the maintained corridor is limited to 20 feet wide.
Some parallel impacts are unavoidable due to site grading, easement availability, and existing utility location. Where feasible, jack and bore are being
used to avoid wetland and stream impacts. Wetlands within the limits of disturbance less than 4 foot wide will be avoided using exclusion fencing.
All wetland impacts will be returned to existing grade after construction. Areas of wetland conversion will be stabilized using a native seed mix Stream
impacts will also not result in a permanent loss since rip -rap will be placed belowthe natural elevation of the stream beds as described above.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:

A temporary pump -around would be utilized to dewater streams within proposed impact areas during construction and will be removed at the end of
each work day. Best management practices and sedimentation and erosion control methods will be used throughout construction. No equipment or
maintenance activities will occur adjacent to jurisdictional areas, with the exception of addressing emergency equipment failure. All temporary impacts
to jurisdictional wetlands and streams during construction will be returned to their original configuration and seeded in a timely manner for stabilization.
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?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
r DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
r Mitigation bank 9 Payment to in -lieu fee r Permittee Responsible
program Mitigation
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
r Yes r No
4b. Stream mitigation requested:
(linear feet)
4d. Buffer mitigation requested (DWR only):
(square feet)
4f. Non -riparian wetland mitigation requested:
(acres)
4h. Comments
4c. If using stream mitigation, what is the stream temperature:
4e. Riparian wetland mitigation requested:
(acres)
0.70
4g. Coastal (tidal) wetland mitigation requested:
(acres)
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r- Yes r No
If no, explain why:
The project is located in the Cape Fear River Basin, outside the Jordan Lake watershed, and is therefore not subject to NC Riparian Buffer Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
Comments:
The project has minimal impervious surface installation associated with it.
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?*
r Yes r No
V
1b. 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 (North Carolina)
Environmental Policy Act (NEPA /SEPA)? *
C Yes r No
Comments:*
County funds will be used to construct the project, Mich is belowthe criteria required for the preparation of an environmental document under SEPA.
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15ANCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r- Yes r No

3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r Yes r No
3b. If you answered "no," provide a short narrative description.
The primary purpose of the project is to provide sewer service to the Town of Vass to relieve existing, aging septic systems. The proposed sewer is
designed with some additional capacity to provide service for future development, but is not expanding service beyond the eAsting areas of the Town
where development is in place. Some additional infill and re -development is anticipated but is unlikely to be significantly increased by this project.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor NIA
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
The V4 pump station discharges into the existing sanitary sewer system along James street, which eventually connects to the Moore County WWTP.
There is capacity to accommodate the project at the plant.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
r Yes r No
Si. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS Information for Planning and Conservation online mapper. Accessed 5/14/2021.
NCNHP Data Explorer online mapper. Accessed 5/14/2021.
See attached NCNHP Site Report.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
https://vmw.fisheries. noaa.gov/resou rce/map/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 status?*
r Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
HPOWEB Map Service http://gis.ncdcr.gov/hpoweb/
There are no historic properties listed on the site, however there are two sites approximately 600 feet west of the site. These properties, MR0194 and
MR0187, are not in, or eligible for, the National Register.
7c. Historic or Prehistoric Information Upload

8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year flood plain?*
F Yes f• No
8c. What source(s) did you use to make the floodplain determination?*
Moore County FEMA GIS floodplain mapping, North Carolina Floodplain Mapping Program
http://www. ncflood maps. co nV
Miscellaneous
Comments
This ePCN was begun prior to the updated version being released. Therefore individual attachments are included in the ePCN at the appropriate points in the application to allow
submittal, but all have been combined in the Compiled Attachments below for convenience.
Miscellaneous attachments not previously requested.
Vass—PCN _Co mp i IedAttach me nts. pdf
Signature
W By checking the box and signing below, I certify that:
73.7MB
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN 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 PCN form.
Full Name:
Preston Butler
Signature
Date
8/17/2021

0 CAROLINA
ECOSYSTEMS
August 17, 2021
Mr. James Lastinger
Raleigh Regulatory Field Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
3040 NC 42 West, Clayton NC 27520
P:919-359-1102 — F:919-585-5570
RE: Pre -Construction Notification for Nationwide Permit 58 & Individual 401 Certification
Town of Vass Phase 2 - Sewer Extension Project
Moore County, North Carolina
Dear Mr. Lastinger;
Carolina Ecosystems, Inc. (CEI), in conjunction with McGill Associates, P.A., has prepared the
associated electronic Pre -Construction Notification (e-PCN) for Moore County in order to acquire a
Section 404 Nationwide Permit 58 and an Individual Section 401 Water Quality Certification for the
above -referenced project. This e-PCN is being submitted along with the following exhibits:
1. CEI Agent Authorization Form
2. DWR Pre -Filing Meeting Request Form
3. USGS Map
4. Aerial Map
5. NRCS Map
6. Impact Figure Index Map
7. Impact Figures
8. Final Design Plans
9. Mitigation Statement of Availability
10. PJD Application
11. NCN14P Site Report
This information, along with the associated e-PCN, are being submitted for your review of this project. A
copy of this application is also being provided to the NC Division of Water Resources for their review.
If you have any questions or need additional information, please contact me at your earliest convenience
at [phone] or [e-mail].
Sincerely,
Carolina Ecosystems, Inc.
If'V -
&7e
Preston Butler
Environmental Scientist
Cc: Paul Wojoski, NC DWR — 401 & Buffer Permitting Unit
Matthew Jones, McGill Associates, P.A.
Randy Gould, P.E., Moore County Public Works

[1CAROL[NA
VECOSYSTEMS
3040 NC Hwy 42 West; Clayton, NC 27520
P:919-359-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description Varies (see plans) - Within Vass Town Limits
Parcel Identification
Number(s) (PIN) Varies (see plans) - Easements acquired by Town of Vass
City
Vass
State: NC
Property Owner Information
County: Moore
Owner: ® Authorized Agent*: ❑
Name: Moore County Public Utilities
Title: Randy G. Gould P.E. Director
Street Address: 5227 US Hwy 15-501
City: Carthage State: NC
*Written proof of authorization from owner required.
Authorization
Property Size (Acres): 76
Zip Code: 28327
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 (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.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on -site environmental consulting services. I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such act ----N ^ ___2 A-14
Owner/Agent (signatut
Date—'

ID#* 19950243
Version* 2
Regional Office * Fayetteville Regional Office - [phone]
Reviewer List* Chad Turlington
Pre -Filing Meeting Request submitted 4/15/2021
Contact Name* Preston Butler
Contact Email Address* [e-mail]
Project Name* Town of Vass Phase 2 - Sewer Extension Project
Project Owner* Moore County Public Utilities
Project County* Moore
Owner Address: Street Address
5227 US Hwy 15-501
Address Line 2
aty State / Province / Pegion
Carthage NC
Postal / Zip axle Country
28327 USA
Is this a transportation project?* r Yes (' No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F- Individual Permit F- Modification
F- Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below and include location information.*
This project is a proposed sewer extension in Vass, NC.
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.

• I understand by signing this form that Icannot submit myapplication until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Submittal Date 4/15/2021

POPLAR
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o
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Map Dare: July 2021 Town of Vass Phase 2 -
N
Study Area Revised: Sewer Extension Project
GAROLINA Feet Moore County, NC
ECOSYSTEMS 0 500 1,000 Revised:
Vass (2013) and Niagara (2013) US Geological USG9 Map
Survey 1:24000 Quadrangle Map Revised:

SE
v
IN
POPLAR
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WW1 /1i6ROCKIPE I
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Map Date: July 2021 Town of Vass Phase 2 -
N Study Area Sewer Extension Project
[01CAROLINA Feet Revised: Moore Count NC
VECOSYSTEMS 0 500 1,000 Ipact Figure Sheet
Vass (2013) and Niagara (2013) US Geological Revised: Impact Figure
Survey 1:24000 Quadrangle Map Revised: Index Map

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GRAPHIC SCALE DIVISION VALUE = 60 FEET
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IMPACT S-1
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EXISTING WETLAND LIMITS
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TEMPORARY SILT FENCE,
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GRAVITY SEWER
t 1
NOTE: WETLANDS WITHIN THE LIMITS OF \ \ / <
DISTURBANCE LESS THAN 4 FOOT WIDE MFL� \I \� j
BE AVOIDED USING EXCLUSION FENCING. \1 r
DATE SHEET
5 Regional Circle
MAY zozo TOWN OF VASS PHASE 2
SWteA PROJECT#
910295.3NC 28374 IMPACT MAP
C 9,0.295.3,59 16.04034 SEWER EXTENSION PROJECT
m� ' NC Finn License#C-0459 PROJECT MANAGER FIG. 1-1
mcgillassociates.com D. HONEYCUTT MOORE COUNTY, NORTH CAROLINA

PLAN (p
TH 811� `vi l� CAMELLIA DRIVE
954fi550�, 80 0 40 80 160 t 1
_ EXISTING 8"
GRAVITY SEWER
GRAPHIC SCALE DIVISION VALUE = 80 FEET ( �' / EXISTING 6' 04 CD s
NOTE: WETLANDS WITHIN - � Q � , �� WATER MAIN /� % \
THE LIlv11TS OF. DISTURBANBE
LESS THAN 4 FOOT WIDE
WILL -BE -AVOIDED USING- - - - ,o -/
EXCLUSION FENCING. - - - - /ft
IMPACT W-2 - - - ? /- / �/ - I CID �
TEMPORARY IMPACT _ _ _ 270 % I _7 X IMPACT W-2
APPROX. 0.009 ACRES " PERMANENT IMPACT
- 3 APPROX. 0.04 ACRES
IMPACT W-3 �/ ill`Jft
_ TEMPORARY IMPACT _ �/ IMPACT W-3
APPROX. 0.021 ACRES / x00 PERMANENT IMPACT
J' f / Xs 4PPROX. 0.09 ACRES
TEMPORARY - / PERMANENT UTILITY EASEMENT - -
CONSTRUCTION
ft EASEMENT / / - - -
/3x00 /
- - ft
II 1 00
f "4 1 / / 15" RCP
�/ PROPOSED 8" PVC - -
-i'- GRAVITY SEWER — - - -
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ft
TRI SOUTH BORDERS, INC 15 00 / I FROM FIELD SURVEY
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APPROX. 7.5 LF
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TOP EL• 286.54'
\ \ O INV. UT: 282.84'
Rn
5
DATE SHEET
5 Regional Circle
MAY zozo TOWN OF VASS PHASE 2
Suite PROJECT#
MCgill
Pinhurt, esIMPACT MAP
9,0.295.3,59NC 2R374 16.04034 SEWER EXTENSION PROJECT
NC Finn License#C-0459 PROJECT MANAGER FIG. 12
mcgillassociates.com D. HONEYCUTT MOORE COUNTY, NORTH CAROLINA

PLAN
60 0 30 60 120 .
GRAPHIC SCALE DIVISION VALUE = 60 FEET
I
EXISTING WETLAND LIMITS /
FROM FIELD SURVEY
N —
—ram AL— _ All, r� All, All,------------
/
r r r r • r r
IMPACT W-4 j
PERMANENT IMPACT
APPROX. 0.10 ACRES
IMPACT W-4 /
TEMPORARY IMPACT All, All, All, All,
APPROX. 0.023 ACRES
PERMANENT UTILITY
PROPOSED 8" PVC EASEMENT
GRAVITY SEWER
i
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1
It
+' +
CV
EXISTING STREAM
FROM FIELD SURVEY
I �
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IMPACT W-5 \
PERMANENT IMPACT r1
APPROX. 0.001 ACRES
IMPACT W-5 STREAM IMPACT S-2
TEMPORARY IMPACT APPROX. 46 LF 1 �L
APPROX. 0.003 ACRES
HAROLD GERARD & EVERETTE i
B. SELLARS, ET AL
PIN 951408875566 \l \
DB 3672/PG 552 + + + +
TEMPORARY CONSTRUCTION EASEMENT
i
l
NOTE: WETLANDS WITHIN THE LIMITS OF
DISTURBANCE LESS THAN 4 FOOT WIDE WILL
BE AVOIDED USING EXCLUSION FENCING. t a�
DATE SHEET
5 Regional Circle
MAY zozo TOWN OF VASS PHASE 2
Suite PROJECT#
910.295.3 59 28374 IMPACT MAP
9,0.295.3,59 16.04034 SEWER EXTENSION PROJECT
�� ' NC Finn License#C-0459 PROJECT MANAGER FIG. 13
mcgillassociates.com D. HONEYCUTT MOORE COUNTY, NORTH CAROLINA

PLAN
l 80 0 40 80 160 1
GRAPHIC SCALE DIVISION VALUE = 80 FEET 90
36""00
IMPACT W-6
CONTROLLED ACCESS FOR PERMANENT IMPACT
US. HWY 1 BYPASS APPROX. 0.05 ACRES 2
00
IMPACT W-6
EXISTING WETLAND LIMITS - - - ��ir I TEMPORARY IMPACT
FROM FIELD SURVEY 29 APPROX. 0.010 ACRES
38,E
00
NOTE: WETLANDS WITHIN T LONIT OF- - - - _
DISTURBANCE LESS THAN 4 FOOT IDE WILL BE AVOIDED USING EXCL SIOfl F CIf�IMPACT W-7
G� - - - �//�/' ' / ti��\ PERMANENT IMPACT
/ J APPROX. 0.002 ACRES
/ 0
- - - - - 0/E 05 W1 / I
PROPOSED 8" PVC
�'� �� 17 GRAVITY SEWER
.�•.. � ( ( 2 �+.
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287 Zoz EASEMENT
EXISTING STREAM
FROM FIELD '� ' (a SURVEY STREAM IMPACT S-3
1
y - - - r �J 7y,00 APPROX. 52 LF
i
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IMPACT W-8
TEMPORARY IMPACT
v APPROX. 0.033 ACRES
2XOp IMPACT W-8
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2013 36D .� - APPROX. 0.16 ACRES
- 290 / /
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Jr r `3X 00
41
FA
5 Regional Circle
DATE
MAY zozo
TOWN OF VASS PHASE 2
SHEET
��
11
SuiteA
Pinehurst, NC 28374
910.295.3159
PROJECT#
16.04034
SEWER EXTENSION PROJECT
I MPACT MAP
14
'
NC Finn License#C-0459
PROJECT MANAGER
FIG.
mcgillassociates.com
D. HONEYCUTT
MOORE COUNTY, NORTH CAROLINA

PLAN
100 0 50 100 200
' 3Ro GRAPHIC SCALE DIVISION VALUE = 100 FEET
IMPACT W-9
e
o �� \ PERMANENT IMPACT
M APPROX. 0.02 ACRES
\ — O
C� + -
L0 7 \
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NOTE: WETLANDS WITHIN THE LIMITS OF
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TEMPORARY CONSTRUCTION EASEMENT
� .lr _ •—f� r
PROPOSED BORE AND 41 ✓� ` 32s
JACK UNDER STREAM
� � �� r �•,,• try
i
DATE SHEET
5 Regional Circle
MAY zozo TOWN OF VASS PHASE 2
Suite PROJECT#
910.295.3 59 28374 IMPACT MAP
9,0.295.3,59 16.04034 SEWER EXTENSION PROJECT
�� ' NC Finn License#C-0459 PROJECT MANAGER FIG. 1-5
mcgillassociates.com D. HONEYCUTT MOORE COUNTY, NORTH CAROLINA

PLAN
\ \ 50 0 25 50 100
GRAPHIC SCALE DIVISION VALUE = 50 FEET
NOTE: WETLANDS WITHIN THE LIMITS OF
DISTURBANCE LESS THAIa 4 FOOT WIDE WILL
\� BE AVOIDED USING�EXCLUSION FENCING.
DIANE MCDONALD STAPLES &
MARY KATHERINE JOHNSTON
PIN 951400624837
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/ \ /
r
DATE SHEET
5 Regional Circle
MAY zozo TOWN OF VASS PHASE 2
SwteA PROJECT#
910295.3 5928374 IMPACT MAP
C 9,0.295.3,59 16.04034 SEWER EXTENSION PROJECT
m� ' NC Finn License#C-0459 PROJECT MANAGER FIG. 16
mcgillassociates.com D. HONEYCUTT MOORE COUNTY, NORTH CAROLINA

­ -
PLAN _ I r �� /) % %
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PERMANENT IMPACT _� `D rB3/PD 43
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NOTE: WETLANDS WITHIN THE LIMITS OF
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5 Regional Circle
DATE
MAY zozo
TOWN OF VASS PHASE 2
SHEET
SuiteA
Pinehurst, NC 28374
910.295.3159
PROJECT#
16.04034
SEWER EXTENSION PROJECT
I MPACT MAP
I
NC Finn License#C-0459
PROJECT MANAGER
FIG.
17
mcgillassociates.com
D. HONEYCUTT
MOORE COUNTY, NORTH CAROLINA

NOTE: WETLANDS WITHIN THE LIMITS OF PLAN �� r
DISTURBANCE LESS THAN 4 FOOT WIDE WILL 100 o 50 100 200
BE AVOIDED USING EXCLUSION FENCING.
GRAPHIC SCALE DIVISION VALUE = 100 FEET
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0/i' _ GRAVITY SEWER
4
DATE SHEET
5 Regional Circle
MAY zozo TOWN OF VASS PHASE 2
SWteA PROJECT#
910295.3 5928374 IMPACT MAP
C 9,0.295.3,59 16.04034 SEWER EXTENSION PROJECT
m� ' NC Finn License#C-0459 PROJECT MANAGER FIG. 1-8
mcgillassociates.com D. HONEYCUTT MOORE COUNTY, NORTH CAROLINA

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DATE SHEET
5 Regional Circle
MAY 2021 TOWN OF VASS PHASE 2
MCgi,,SuiteA PROJECT#
Pinehurst, NC 28374 1 MPACT MAP
910.295.3159 16.04034 SEWER EXTENSION PROJECT NC Finn License#C-0459 PROJECT MANAGER FIG. I VQ
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PLAN
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NOTE: WETLAND WITHIN THE LIMITS OF
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I,
DATE
SHEET
5 Regional Circle
MAY 2021
TOWN OF VASS PHASE 2
mcgi
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910295.3159
PROJECT #
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NC Firm License#C-0459
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MOORE COUNTY, NORTH CAROLINA
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ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
TIM BAUMGARTNER
Director
Randy Gould, PE
Moore County Public Utilities
5227 US-15
Carthage, NC 28327
NORTH CAROLINA
Environmental Quality
August 16, 2021
Project: Town of Vass Phase 2 Sewer Extension
Expiration of Acceptance: 2/16/2022
County: Moore
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
8-di it HUC
Impact Type
Impact Quantity
Cape Fear
03030004
Riparian Wetland
0.70
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.
Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any questions or need
additional information, please contact [e-mail].
Sincerely,
Av�t�dj�
FOR James. B Stanfill
Asset Management Supervisor
cc: Preston Butler, agent
D Q'North Carolina Department of Environmental Quality I Division of Mitigation Services
P217 West Jones Street 11652 Mail Service Center I Raleigh, North Carolina 27699-1652
�+oRrw crww.i+va i
daft /'� 919.707.8976

0 CAROLINA 3040 NC 42 West, Clayton NC 27520
P:919-359-1102 — F:919-585-5570
ECOSYSTEMS
May 27, 2021
Mr. James Lastinger
Raleigh Regulatory Field Office
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
RE: Request for Preliminary Jurisdictional Determination
Town of Vass Phase 2 — Sewer Extension Project
Vass, Moore County, North Carolina
Dear Mr. Lastinger,
Carolina Ecosystems, Inc. (CEI) has completed a delineation of streams and wetlands for a 22-
acre corridor. The attached information, including required forms, tables, and figures, is
submitted for your review and determination of jurisdiction under the Clean Water Act (CWA).
Project Description & Methodology
As shown in Figure 1, the proposed project is located in Vass, NC within the Cape Fear River
Basin (USGS Hydrologic Unit 03030004) and comprises approximately 22 acres.
Delineations for the new construction limits were performed on December 26, 2018, January 18,
2019, January 22-23, 2019 May 8, 2019, October 3, 2019, June 30, 2020, and December 18,
2020 in compliance with methodology set forth in the U.S. Army Corps of Engineers (USACE)
Wetland Delineation Manual (USACE 1987) and subsequent guidance including the Eastern
Mountains and Piedmont and Atlantic Gulf Coastal Plain regional supplements. Surface waters
were assessed for jurisdiction under the CWA using field indications of ordinary high water
mark and the NC Division of Water Quality (NCDWQ) Stream Identification Form Version
4.11.
This project was delineated over multiple years and over multiple potential alignments. The
study area shown reflects the final alignment. Some data forms attached represent wetlands not
shown on the map but are still representative of wetlands within the study area.
Delineation Results
Figure 2 is presented using the Vass and Niagara, NC (2013) US Geological Survey 1:24,000
Quadrangle Maps. Figure 3 presents the results of the delineation, including eight streams and
0.97 acre of wetland.
Table 1 presents detailed information on each aquatic resource within the study area, including
latitude/longitude, estimated amount and type of aquatic resource in the review area, and
geographic authority to which the resource may be subject. Based on field data, there are

Mr. James Lastinger
May 27, 2021
Town of Vass Phase 2
Page 2 of 2
approximately 3 feet of intermittent stream and 221 linear feet of perennial stream within the
project corridor.
We respectfully request your review of this information so that a preliminary jurisdictional
determination under the CWA may be obtained. If you have any questions, need additional
information, or would like to schedule a site visit, please contact me at your earliest convenience
at [phone] or [e-mail].
Sincerely,
law>v J &/7e-
Preston Butler
Environmental Scientist
Carolina Ecosystems, Inc.
Attachments:
- Jurisdictional Determination (JD) Request Form
- Preliminary Jurisdictional Determination Form
- Agent Authorization Form
- Table 1: Preliminary Jurisdictional Table
- Figure 1: Vicinity map
- Figure 2: USGS map
- Figure 3: Aquatic Resources Map
- Stream and Wetland Data Forms
- Antecedent Precipitation Tool Reports

urisdictional Determination Reauest
U5 Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.gr y.mil/Missions/RegulatoiyPermitProuam/Contact/Cogs tyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
GeneralNumber: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

IN
M.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: Multiple parcels in easements
City, State:
County:
Vass, NC
Moore
Parcel Index Number(s) (PIN): Various
REQUESTOR INFORMATION
Name: Preston Butler
Mailing Address: 3040 NC Hwy 42 W
Clayton, NC 27520
Telephone Number: [phone]
Electronic Mail Address: [e-mail]
Select one:
❑ I am the current property owner.
✓❑ I am an Authorized Agent or Environmental Consultant'
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Easements to be acquired
Mailing Address: Town of Vass
140 S. Alma Street, Vass, NC 28394
Telephone Number: N/A
Electronic Mail Address: N/A
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
See Agent Authorization Letter
Print Name
Capacity: ❑ Owner Z Authorized Agents
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑✓ I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a projector perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
a If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 22 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
35.256781
Longitude: -79.279522
zA legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.almy.mil/Missions/Re ug latory-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
F4Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
W1 Vicinity Map
zAerial Photograph
z USGS Topographic Map
�J Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
zOther Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL 08-02_App A Prelim JD Form fillable.pdf
8 Please see hM2://www.saw.usace.army.mil/Missions/Re ug latoiy-Permit-Proaram/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, ifinformation is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Preston Butler - Carolina Ecosystems, Inc. 3040 NC Hwy 42w,Clayton, NC27520
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Moore City: Vass
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.256781 Long.:-79.279522
Universal Transverse Mercator:
Name of nearest waterbody: UT to Little River
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
See Attached PJD Table

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

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
■❑ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:Vicinity Map
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
❑ U.S. Geological Survey map(s). Cite scale & quad name: Vass and Niagara, NC 2013 1:24k Quadrangle maps
❑ Natural Resources Conservation Service Soil Survey. Citation:
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
■❑ Photographs: ■❑ Aerial (Name & Date): 2017 NC Statewide Aerial Photography
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
,r, ° 5/15/2021
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

[1CAROL[NA
VECOSYSTEMS
3040 NC Hwy 42 West; Clayton, NC 27520
P:919-359-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description Varies (see plans) - Within Vass Town Limits
Parcel Identification
Number(s) (PIN) Varies (see plans) - Easements acquired by Town of Vass
City
Vass
State: NC
Property Owner Information
County: Moore
Owner: ® Authorized Agent*: ❑
Name: Moore County Public Utilities
Title: Randy G. Gould P.E. Director
Street Address: 5227 US Hwy 15-501
City: Carthage State: NC
*Written proof of authorization from owner required.
Authorization
Property Size (Acres): 76
Zip Code: 28327
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 (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.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on -site environmental consulting services. I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such act ----N ^ ___2 A-14
Owner/Agent (signatut
Date—'

Town of Vass Phase 2 - Aquatic Resources in Review Area May 2021
Sewer Extension Project
Table 1. Preliminary Jurisdictional Determination Table
Site Name
Latitude
Longitude
Estimated
Amount of
Aquatic Resource
in Review Area
Type of aquatic resource
Geographic authority to which the aquatic
resource "may be" subject
Streams
Linear Feet
SA (int)
35.2636
-79.2862
3
Non -Wetland waters
Section 404
SB (per)
35.2664
-79.2862
52
Non -Wetland waters
Section 404
SI (per)
35.2392
-79.2792
46
Non -Wetland waters
Section 404
SM (per)
35.2651
-79.2856
4
Non -Wetland waters
Section 404
SN (per)
35.2627
-79.2728
14
Non -Wetland waters
Section 404
SY (per)
35.2547
-79.2724
46
Non -Wetland waters
Section 404
SZ (per)
35.2519
-79.2714
10
Non -Wetland waters
Section 404
SYA (per)
35.2573
-79.2725
48
Non -Wetland waters
Section 404
Wetlands
Acreage
WB
35.2668
-79.2865
0.09
Wetland Waters
Section 404
WK
35.2393
-79.2790
<0.01
Wetland Waters
Section 404
WO
35.2623
-79.2727
0.02
Wetland Waters
Section 404
WR
35.2650
-79.2856
0.04
Wetland Waters
Section 404
WS
35.2661
-79.2815
<0.01
Wetland Waters
Section 404
WX
35.2563
-79.2773
0.02
Wetland Waters
Section 404
WY
35.2547
-79.2726
0.13
Wetland Waters
Section 404
WZ
35.2518
-79.2715
0.21
Wetland Waters
Section 404
WAC
35.2532
-79.2707
0.06
Wetland Waters
Section 404
WYA
35.2572
-79.2723
0.05
Wetland Waters
Section 404
WYB
35.2391
-79.2802
0.16
Wetland Waters
Section 404
WYC
35.2586
-79.2720
0.17
Wetland Waters
Section 404
WZB
35.2412
-79.2804
0.01
Wetland Waters
Section 404

0
t
POPLAR
41
2
0
No
Q �WHITEI ROC K'K
rr
w
CD) L ~
lj��le o w
River o
N Study Area Map Date: April 2021 Town of Vass Phase 2 -
1
Sewer Extension Project
CAROLINA Feet Revised: Moore Count NC
ECOSYSTEMS 0 480 960 Sheet Limits
Revised:
Niagra and Vass (2013) US Geological Sheet Index Map
Survey I:24000 Quadrangle Map Revised:

C�
C� 27
coo
77,
coo
24
Q�
c�
1
U
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Union
Church Rd
1
1
�
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Latitude: 35.257503 / Longitude:-79.278394
yee
Jame
G�
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Project Location:
VON
90
Moore County, NC
Town of Vass Phase 2 -
p
N
Study Area
Sewer Extension Project
ECOSYCOSVNA S7EMs
Miles
Moore County, NC
Figure 1:
0 0.5 1
�� USGS Named Stream
April 2021
Vicinity Map

SELSLAR
PAN t.,V4
C
Q Map Date: May 2021 Town of Vass use 2 -
N Smdy Area �� Perennial Stream
Sewer Extension Project
DCAROLINA Feet •Wetland Revised:
V �� Intermittent Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 1 of 10)

c�O
POPLAR A.VE�POf)CA
ws
Q Map Date: May 2021 Town of Vass use 2 -
N Smdy Area �� Perennial Stream
Sewer Extension Project
0 CAROLINA Feet •Wetland Revised:
�� Intermittent Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 2 of 10)

LA \ ST
J
F2�
Q
N Study Area 0�%­, Perennial Stre
Map Date: May 2021 Town of Vass Phase 2 -
am
Sewer Extension Project
0 CAROLINA Feet • Wetland Revised:
�� Intermittent Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 3 of 10)

4
0
Q Map Dare: May 2021 Town of Vass Phase 2 -
N Study Area �� Perennial Stream
Sewer Extension Project
DCAROLINA Feet • Wetland Revised:
v �� Intermittent Stream Moore County, NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 4 of 10)

fl
N ALMA
/F
LU
9
A Nor
CL
N Study Area Perennial Stream
Q Map Date: May 2021 Town of Vass Phase 2 -
��
Sewer Extension Project
CAROLINA Feet • Wetland Revised:
�� lmermittem Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagaza and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 5 of 10)

LLJ
Lol
"Umn
CL
50
Q
N Study area ^­, Perennial Stre
Map Date: May 2021 Town of Vass Phase 2 -
am Sewer Extension Project
CAROLINA Feet • Wetland Revised:
�� lnrermittem Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagaza and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 6 of 10)

k
9
,04
Q N Study Area Perennial Stream
Map Date: May 2021 Town of Vass Phase 2 -
��
Sewer Extension Project
CAROLINA Feet • Wetland Rev sed:
i-'v Intermittent Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 7 of 10)

9
r
300
Q N Study Area Perennial Stream
Map Date: May 2021 Town of Vass Phase 2 -
��
Sewer Extension Project
0
CAROLINA Feet • Wetland Revised:
�� Intermittent Stream Moore County, NC
ECOSYSTEMS 0 100 200 Revised:
Niagaza and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 8 of 10)

m
Q Map Date: May 2021 Town of Vass Phase 2 -
N Study area ^� Perennial Stream Sewer Extension Project
CAROLINA Feet • Wetland Revised:
�� Intermittent Stream Moore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 9 of 10)

Q N Study area Perennial Stre
Map Dare: May 2021 Town of Vass Phase 2 -
^� am Sewer Extension Project
CAROLINA Intermittent Stream MFeet • Wetland Revised:
�� oore Count NC
ECOSYSTEMS 0 100 200 Revised:
Niagara and Vass (2013) US Geological Figure 2: USGS Map
Survey 1:24000 Quadrangle Map Revised: (Sheet 10 of 10)

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\.iECOSYSTEMS
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Revised: Figure 3: Aquatic Resources
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QStudy Area Perennial Stream Sewer Extension Project
[[11CAROLINA Feet • Remised: Moore Count NC
\.iECOSYSTEMS
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QStudy Area �� Perennial Stream Sewer Extension Project
O[[11 CAROLINA 0Feet • Remised: Moore Count NC
V ECOSYSTEMS 0 100 200 Wetland �i Intermittent Stream
Revised: Figure 3: Aquatic Resources
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QStudy Area 0-%—, Perennial Stream
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Revised:
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\.iECOSYSTEMS0
100 200
Revised:
Figure 3: Aquatic Resources
2017 NC Statewide Aerial Photographs
Revised:
Mall (Sheet 5 of 10)

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QStudy Area Perennial Stream Sewer Extension Project
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13
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CAROLINA 0Feet Revised:
OV ECOSYSTEMS 0 100 200 • Wetland -, Intermittent St eam
Revised:
2017 NC Statewide Aerial Photographs Revised:
'A0-
4
wxB
Town of Vass Phase 2 -
Sewer Extension Project
Moore Countv. NC
Figure 3: Aquatic Resources
Map (Sheet 9 of 10)

NC DWO Stream Identification Form Version 4.11
Date: 1 / b. !
Project/Site: il1.i ;
Latitude: � Ci , �. & 3 S � g
Evaluator: 3� i
County: j-, or" 1, !..
Longitude:
0
Total Points:
Stream Determnnation (circle one)
Other
Stream is at least intermittent ;
if 2 19 or erennial if 2! 30"
Ephemeral intermittent Perennial
e.g. quad Name:
A. Geomorphology (Subtotal =_� )
Absent
Weak
Moderate
Strong
18. Continuity of channel bed and bank
0
1
3
2. Sinuosity of channel along thalweg
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
V
2
3
4. Particle size of stream substrate
0
1 '
2
3
5. Active/relict floodplain
1
1
2
2
3
3
6. Depositional bars or benches
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
o = 0
Yes = 3
- artificial ditches are not rated; see discussions in manual
B. Hvdrologv (Subtotal = In, C )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1 /
1.5
17. Soil -based evidence of high water table?
No = 0
s =
C. Bioloov (Subtotal =
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other =
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

wa WL-+
' f WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region +�
ProjectlSite: � oss �R� ` / City/County: QG� care- Sampling Date: IZ' A, ` d
ApplicantlOwner: 1 6l'i 1 O �1 State: 0(- - Sampling Point: VJ
Investigator(s): _C_ A r Section, Township, Range:
Landform (hillslope, terrace, etc.): I G(rokca , Local relief (concave, convex, none): Slope
Subregion (LRR or MLRA): Lat-. Long: Datum:
Soil Map Unit Name: NWI classification: P E M
Are climatic I hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed?,.it, Are "Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? Np (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present? Yes No Is the sampled Area
�— within a Wetland. Yes ly No
Wetland Hydrology Present? Yes _3 No
Remarks: -nS On i.6- bonn'h stAV.s W'tl— �c5ul,.rlY c4es.r�
0.
Iva mp Ln. d 1-te r fr. ' co A\ LA 4 - - ge v' Q\
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (68)
High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
XSaturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B76)
_ Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (63)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (B5)
_ Geomorphic Position (132)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water -Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
_ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes _ No
iX Depth (inches):
Water Table Present? Yes x No_
Depth (inches):
Saturation Present? Yes X No_
Depth (inches):`
Wetland Hydrology Present? Yes —k— No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

VCr_CTATVIAI tc-- _ I lea cr_iPntific names of Dlants.
Tree Stratum (Plot size: -so
1.
2.
3.
4.
5.
6.
7.
50% of total cover: _
Saplina/Shrub Stratum (Plot size:-
1.
3.
4.
5.
6.
7.
V p-.S S
Sampling Point: W_thAk
Absolute Dominant Indicator Dominance Testworksheet:
% Cover Species? Status Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
= Total Cover
20% of total cover:_
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size: �J )
1. `Du1V)A1V.n2 /'#-r'JAAM ouwN �_ Nn _
2. �ur.G�S aZa�.,su JS _ Y`s Ac,J
3. v t ,m.AlL yr' C) �cFAC
4. YCS W
5. 1� t 5 s �C �_ No Qt3L
rx,brx, v^ 5 Ns, FA-C-
7.
10.
11.
= Total Cover
50% of total cover: 43 20% of total cover:
Woody Vine Stratum (Plot size: 3 )
1.
2.
3.
4.
F
50% of total cover:
(Include photo numbers here or on a
S( kp y,,0y\ IMP S
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: L (A/B)
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAG species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
SaplinglShrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
HydrophyUc
Vegetation
= Total Cover Present? Yes_ No
20% of total cover: I -�
sneer.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

4,j A Wfz
SOIL
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
(inches) Color (moist) %
Redox Features
Color (moist) % Type' Lo& Texture
Remarks
n-2 Io`VV, too
S�
Z— �_
5 e,
S
—7- 17-1 A 1_
l0
'Type: C=Concentration, D=De letion, RM=Reduced Matrix, MS=Masked Sand Grains. 'Location:
PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
Histosol (Al)
_ Dark Surface (S7) _
2 cm Muck (A10) (MLRA 147)
_
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148) _
Coast Prairie Redox (A16)
_
Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2) _
Piedmont Floodplain Soils (F19)
_
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
_
2 cm Muck (At 0) (LRR N)
_ Redox Dark Surface (F6) _
Very Shallow Dark Surface (TF12)
_
_ Depleted Below Dark Surface (At 1)
_ Depleted Dark Surface (F7) _
Other (Explain in Remarks)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
31ndicators of hydrophytic vegetation and
_
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_
_ Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type: nid A-e
x
Depth (inches):
Hydric
Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

`vv t� Ir✓cI
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: _ ' �� ,{ _ r
City/County: Sampling Date] 7 - Z b - ZD iQ
Applicant/Owner:
State: Sampling Point: _
Investigator():.-- .. ,,'n.: r :_
Section, Township, Range:_/
Landform (hillslope, terrace, etc.): _ - [. , :, r_
Local relief (concave, convex, none): o c.a _ e Slope
Subregion (LRR or MLRA): ' } - r Lat:
Long: +" i X (.a 2 Datum: NAD 83
Soil Map Unit Name: r ..
_ _ NWI classification: ( �L
Are climatic / hydrologic conditions on the site typical for
this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology
significantly disturbed? i _k' Are "Normal Circumstances" present? Yes rC No
Are Vegetation , Soil , or Hydrology
naturally problematic? 1C. (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes `C No within a Wetland? Yes No
Wetland Hydrology Present? Yes _,f No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required& check all that apply)
_ Surface Soil Cracks (86)
Surface Water (Al)
_ True Aquatic Plants (814)
_ Sparsely Vegetated Concave Surface (138)
K High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Drainage Patterns (B10)
X Saturation (A3)
x Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
_ Water Marks (81)
_ Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water -Stained Leaves (B9)
_ Microtopographic Relief (134)
Aquatic Fauna (1313)
_ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present?,,t Yes K' No
Depth (inches): 7
Water Table Present? Yes x No_
Depth (inches): Z
Saturation Present? Yes x No
Depth (inches): O
Wetland Hydrology Present? Yes Y No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
4-
PO;��—.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point: Q 13 ZG
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size:
% Cover Species?
Status
Number of Dominant Species
1. Q r� r r �nr w_
'J�'
i f
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
2. (,T�. a .. _ ra c
3. acM i. _ r
Species Across All Strata: C) (B)
4.
Percent of Dominant Species __771)
5.
That Are OBL, FACW, or FAC: 7U (A/B)
Prevalence Index worksheet
7.
') = Total Cover
Total % Cover of: Multiply by:
50% of total cover: 37 � 20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size:
)
FACW species x 2 =
1. r to. rA
�
F-/1�
FAC species x 3 =
2.o, o „n r 4 c rrr �.3.' (o C
lac
FACU species z 4 =
3.n Ora
to V7"
UPL species x 5 =
4
Column Totals: (A) (B)
5.
Prevalence Index = B/A=
6.
Hydrophytic Vegetation Indicators:
7.
1 - Rapid Test for Hydrophybc Vegetation
8.
� 2 -Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
4 - Morphological Adaptations' (Provide supporting
= Total Cover
50% of total cover:
20% of total cover: , t7
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 4 )
1. IL V1,1_1x ,'a, a C,
7,0Y , e
- Problematic Hydrophytic Vegetation (Explain)
2. r I V r. t
oVeA �L E
'Indicators
3.t ruv,
Za 01'� k 1
of hydric soil and wetland hydrology must
,
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
4.
5.
6
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than or equal to 3.28 ft (1
10
m) tall.
11.
CIO
Herb -All herbaceous (non -woody) plants, regardless
= Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover: 20% of total cover:_
Woody vine -All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: )
height.
r
YAC
2. swi; to.,r Ia. e-iIQ1
3.
4.
Hydrophytic
5.
Total Cover
Vegetation
Present? Yes No
50% of total cover:
�-
17.h 200A of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

W !> vL t
SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Tvpe Loc Texture Remarks
3S , n 3'C Ud_ S L
'T "-Concentration D=De letion RM=Reduced Matrix MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
Histosol (All)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
_
Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Fioodplain Soils (F19)
Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
_
_ Depleted Below Dark Surface (All 1)
_ Depleted Dark Surface (F7)
_ Other (Explain in Remarks)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122)
'Indicators of hydrophytic vegetation and
_
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_
_ Stripped Matrix (S6)
_ Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (it observed):
Type: fl-J ,
Depth (inches):
Remarks:
Hydric Soil Present? Yes 1< No
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

UJ
�-
WETLAND DETERMINATION DATA FORM —Atlantic and Gulf Coastal Plain Region v,Je
Project/Site: r City/County: Sampling Date: ^ 7L A
Applicant/Owner: T.A State: i.J'- h l (r
Sampling Point: �
Investigator(s): r 14(n IP Section, Township, Range: i ) ,
Landform (hillslope, terrace, etc.):), Local relief (concave, convex, none): ' ; Slope (%): ,-'N
Subregion (LRR or MLRA): r - Lat: _ _ - Long: - G = l I n //Datum: 1\1 R G
Soil Map Unit Name: V. ,1 r 3 „se (. oo.,,,,_t So ,n I \ A0 ( 7 {y s „ S lor-_ NWI classification:
Are climatic I hydrologic conditions on the site typical for this time of year? Yes \ No (If no, explain in Remarks.)
Are Vegetation , Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes _—'4 No
Are Vegetation , Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes 0� No Is the Sampled Area
Hydric Soil Present? Yes �_ No
Wetland Hydrology Present? Yes K No within a Wetland? Yes No
Remarks: —�
-S .i1 I- fY\otn'La
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
❑ Surface Soil Cracks (B6)
❑ Sparsely Vegetated Concave Surface (B8)
Primary Indicators (minimum of one is required: check all that apply)
❑ Surface Water (At) Aquatic Fauna (1313)
High Water Table (A2)
1❑-r
Marl Deposits (B15) (LRR U)
Drainage Patterns (1310)
Saturation (A3)
1u-t
Hydrogen Sulfide Odor (Cl)
❑ Moss Trim Lines (B16)
Water Marks (131)
t❑
Oxidized Rhizospheres along Living Roots (C3)
Dry -Season Water Table (C2)
Sediment Deposits (B2)
1I�LkIf
Presence of Reduced Iron (C4)
Crayfish Burrows (C8)
Drift Deposits (B3)
��L--J77
tL.J Recent Iron Reduction in Tilled Soils (C6)
Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (134)
LJ Thin Muck Surface (C7)
❑ Geomorphic Position (132)
Iron Deposits (65)
❑ Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
a Inundation Visible on Aerial Imagery (B7)
❑ FAC-Neutral Test (135)
a Water -Stained Leaves (139)
Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present?
Yes _ No X Depth (inches):
Water Table Present?
Yes No _ Depth (inches): Igo
SaturationPresent?
Yes X No_ Depth (inches): _
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: rr t r _
Tree Stratum (Plot size: �� )
1J t ra �r,:o._n w..
Absolute Dominant Indicator
°Cover Species? Status
•- �� _ F ' _�
Dominance Testworksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant \l
Species Across All Strata: (B)
percent of Dominant Species Q
That Are OBL, FACW, or FAC: ) (A/B)
2.
3. Q r¢f t'J}�re r ^ !. - �__
J_
4. ��`�aUK.rG�rn/�. -1.����1:.!f4 X'L=1
5.
6.
7
Prevalence Index worksheet:
Total % Cover of: Multiply bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x4=
UPL species x5=
Column Totals: (A) (B)
Prevalence Index = B/A =
B
AD = Total Cover
50% of total cover: I i 20% of total cover:
Saolina/Shrub Stratum (Plot size: 1 S )
1._[`�wnAe�i4. JIM-n, stir ZI7 1
r
2. daMtiJo/ S�Yra F ` �a �O _0 F�
(L���c�,,
3. F -Q r- V,�_g FAC_
4. tax 00F�('
�1+
5. _tea xA }j oY�r J S, Cao-A¢Z^Tt S
S b 0 r1co
`
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
2 -Dominance Test is >50%
3 -Prevalence Index is 53.0'
❑ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
6.
7.
B.
r
�y = Total Cover
50% of total cover: 37.5 20% of total cover.15-
Herb Stratum (Plot size: 5 )
1.. Ac __%^ c e,_a .ha qlA A -A •C011t, YLS FACO
2. ii ,.. r -_ ar.'rn / 101
i O Nil o aL
Definitions of Four Vegetation Strata:
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non -woody) y) plants, regardless
of size, and woody plants less than 3.28 It tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
3. �..u� e - 0.112r,,o.C_o(. s lJo o6L
4.
5.
6•
7
B.
g,
10.
11.
12.
4. = Total Cover
50% of total cover: 20% of total cover. 12
Woody Vine Stratum (Plot size: )
1. 1o.x �_,c"1-uI: 0, _'1D__ YtS rA L
Hydrophytic
Vegetation �/
Present? Yes �\ No
2. S m.Vox r--.Qn.a \. k 1 00 FAC_
3. Lo n k c.#_r _ O-p o n a e� t, � F-A c t)
4.
5.
= Total Cover
50% of total cover: �l� 20% of total cover: 12
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Profile Description: (Describe to the depth needed to
or confirm
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc Texture
o
Sampling Point 'r-) (/ 5 - h
Remarks
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
'Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs,
unless otherwise noted.)
Indicators for Problematic Hydric Soils':
❑ Histosol (Al)
❑ Polyvalue Below Surface (S8) (LRR S, T, U)
❑ 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
Thin Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A10) (LRR S)
Black Histic (A3)
Loamy Mucky Mineral (F1) (LRR O)
r� Reduced Vertic (F18) (outside MLRA 150A B)
Floodplain Soils P, S, T)
❑ Hydrogen Sulfide (A4)
Stratified Layers (A5)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
-�u�7t Piedmont (F19) (LRR
LJ Anomalous Bright Loamy Soils (F20)
8 Organic Bodies (A6) (LRR P, T, U)
Redox Dark Surface (F6)
(MLRA 15313)
8 5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence U)
Depleted Dark Surface (F7)
H Redox Depressions
T❑ Red Parent Material (TF2)
Very Shallow Dark Surface (TF12)
(A8) (LRR
1 cm Muck (A9) (LRR P, T)
(F8)
❑ Marl (F10) (LRR U)
Sul
D Other (Explain in Remarks)
Depleted Below Dark Surface (Al 1)
Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (Al2)
❑ Iron -Manganese Masses (F12) (LRR O, P, T)
'Indicators of hydrophytic vegetation and
Prairie Redox (A16) (MLRA 150A)
Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
BCoast
Sandy Mucky Mineral (S1) (LRR O, S)
Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
D Sandy Gleyed Matrix (S4) ❑ Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
n Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type: pio f%e
Depth (inches): Hydric Soil Present? Yes �_ No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

VJ il_ uh
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: Vlit!�, .1e / City/County: Sampling Date: if-77, - �9
Applicant/Owner: O w v'\ or V QS 4 State: _ Sampling Point: l 10
Investigator(s): Hnppf,:r Section, Township, Ranger / f-
Landform (hilislope, terrace, etc.): o .d r C IL Local relief (concave, convex, none): ref Slope (%): 0
Subregion (LRR or MLRA): I - P Lat: 0 -'� R 4 Long: — q • % ;� : Datum: N Ao 8j
Soil Map Unit Name: —t� , I , .54 �_(� n �' NWI classification:
—r-- — �� r
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes )� No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes No iK within a Wetland? Yes No
Wetland Hydrology Present? Yes No ,'
Remarks: e Cat v` 411 C � L cc r G .i� G f_ C"Z � oP ~, , 4-
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (At)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Drainage Patterns (610)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
_ Water Marks (61)
_ Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (63)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (85)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
_ Water -Stained Leaves (139)
_ Microtopographic Relief (134)
Aquatic Fauna (B13)
_ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No Depth (inches):
Water Table Present? Yes
No !r Depth (inches):
_
Saturation Present? Yes _
No Depth (inches):
Wetland Hydrology Present? Yes No�
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

I'1
VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point:
Tree Stratum (Plot size:
Absolute Dominant Indicator
% Cover Species? Status
Dominance Test worksheets
Number of Dominant Species
1
That Are OBL, FACW, or FAC: - (A)
2.
Total Number of Dominant /
3.
Species Across All Strata: (B)
4. >
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 1 (A/B)
6.
Prevalence Index worksheets
7. _
= Total Cover
Total % Cover of Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Saplina/Shrub Stratum (Plot size: ) S )
FACW species x 2 =
i. r�S tea..
L �
FAC species x 3 =
2. c-A to
S Jo
FACU species x 4 =
3.L
00 FAr_
UPL species x 5 =
4 ��
�— W R4
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
1 -Rapid Test for Hydrophytic Vegetation
8.
2 -Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
1,0 = Total Cover
_
4 -Morphological Adaptations (Provide supporting
50% of total cover: �_ 20% of total cover:��
—
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: ,n�y i^VS ��)
1. P—vb uS p,
%raj
— Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydrtc soil and wetland hydrology must
2.
3
be present, unless disturbed or problematic.
6 Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7. height.
8. Sapling/Shrub— Woody plants, excluding vines, less
9. than 3 in. DBH and greater than or equal to 3.28 It (1
10 m) tall.
11. Herb — All herbaceous (non -woody) plants, regardless
= Total Cover of size, and woody plants less than 3.28 ft tall.
50% of total cover: 20% of total cover:
) Woody vine —All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: —�height.
s,.v,�- VI4ey,s 5 �� f-ACW
2. o n 1 a t0. 0 � ,'c ati lI 0 GS �AC V
3. 5...\ay fj un�.Cei,�IDVAS c
4.
Hydrophytic
5. Vegetation Y
= Total Cover S Present? Yes \ No
50% of total cover: 12 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont Version 2.0

SOIL
Profile Description: (Describe to the
Depth
Matrix
(inches)
Color (moist) %
0
(0A p
)oyR 411, 's`,
.7- M4
)ts 'k- tea ' !vn—
needed to document the indicator or confirm
Redox Features
Color (moist) % Type,Loc
Sampling Point: I J( iL
indicators.)
Texture Remarks
:� f__
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric
Histosol (At)
_ Dark Surface (S7)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
Stratified Layers (A5)
_ Depleted Matrix (F3)
2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type: %VOy14
Depth (inches):
Remarks:
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No _A_
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

[JL lwcV
WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Project/Site: V RS`�—?09i t1 v' City/County: L % �'``'-vre, Sampling Dater%)
Applicant/Owner: To ., n C State: T\J Sampling Point:
Investigator(s): 11 (1v4(,r i Section, Township, Range: (-1 0`
Local relief concave, convex, none): C c)v r e, .: Slope (%):
Landform (hilislope, terrace, etc.): / �n'r� :mac _ ( )
Subregion (LRR or MLRA): J - i Lat: _�5 % ' I C `' ;S Long: - .7 3. Z V z �5- / _ Datum: AG
Soil Map Unit Name: _(� It a d_ %' —�\ '_ ic,�_ NWI classification: DLn P���
Are climatic / hydrologic conditions on the site typical for this time of year? Yes v� No (If no, explain in Remarks.)
Are Vegetation 'P4,, Soil /< or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No X
Are Vegetation , Soil , or Hydrology naturally problematic? A/9 (If needed, explain any answers in Remarks.)
et IMMORY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes Y No within a Wetland? Yes No
Wetland Hydrology Present? Yes `C No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
❑ Surface Soil Cracks (136)
❑ Sparsely Vegetated Concave Surface (88)
Primary Indicators (minimum of one is require& check all that awly)
Surface Water ❑ Aquatic Fauna (613)
(Al)
❑ Marl Deposits (B15) (LRR U)
❑ Drainage Patterns (1310)
_
©
High Water Table (A2)
Saturation (A3)
❑�f Hydrogen Sulfide Odor (C1)
❑ Moss Trim Lines (616)
Water Marks (B1)
Oxidized Rhizospheres along Living Roots (C3)
❑ Dry -Season Water Table (C2)
a
Sediment Deposits (132)
1L'tiJ
Presence of Reduced Iron (C4)
❑ Crayfish Burrows (C8)
❑_
Drift Deposits (133)
1L�Jf
L-J Recent Iron Reduction in Tilled Soils (C6)
❑ Saturation Visible on Aerial Imagery (C9)
❑
Algal Mat or Crust (134)
Thin Muck Surface (C7)
❑ Geomorphic Position (D2)
❑
Iron Deposits (135)
Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
❑
Inundation Visible on Aerial Imagery (67)
❑ FAC-Neutral Test (D5)
❑
Water -Stained Leaves (139)
❑ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
No X Depth (inches):
Water Table Present? Yes
X� No Depth (inches): L
Saturation Present? Yes
NC No Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
CjvCt%�
act t1cx
(e �tc.�..�C •j I^ 'Jc���. �, nub o r �c..P\-< f5. 4
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: } fit- -10
11
Absolute Dominant Indicator
% Cover Species? Status
Dominance Test worksheet:
Tree Stratum (Plot size: DU, )
Number of Dominant Species
1.
That Are OBL, FACW, or FAC:_ (A)
Total Number of Dominant
2.
3•
Species Across All Strata: (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7.
Total % Cover of: Multiply by:
8.
= Total Cover
OBL species x 1 =
O
50% of total cover:
20% of total cover:
FACW species x 2 =
E
FAC species x 3 =
Sapling/Shrub Stratum (Plot size:
)
-'
FACU species x 4 =
2.
0
UPL species x 5 =
Column Totals: (A) (B)
3 <� f `� r. 10 Y/- 5 IF/
4•
Prevalence Index = B/A =
5.
Hydrophytic Vegetation Indicators:
6.
❑ 1 - Rapid Test for Hydrophytic Vegetation
[ 2 - Dominance Test is >50%
?.
8.
3 -Prevalence Index is s3.0'
= Total Cover
Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
I% S 20% of total cover:
Herb Stratum S size: Plot ,
( )
'Indicators of hydric soil and wetland hydrology must
1 , { „ 5 ,mot ` S
yi5 FAC-
be present, unless disturbed or problematic.
2.
Definitions of Four Vegetation Strata:
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
___
3. iGL, i Q� .� i.c� :.� o r / .i w� t S Yr_ Jul.
r
4. _1 ., v. re �E., a. , <
) b �)� O L
more in diameter at breast height (DBH), regardless of
height.
5
6.
Sapling/Shrub - Woody plants, excluding vines, less
7.
than 3 in. DBH and greater than 328 ft (1 m) tall.
8•
Herb -AII herbaceous (non -woody) plants, regardless
g
of size, and woody plants less than 3.28 it tall.
10.
Woody vine - All woody vines greater than 3.28 ft in
11.
height.
12.
= Total Cover
50% of total cover:
20% of total cover:
Woody Vine Stratum (Plot size: Zj 0 )
1. wX
0 Yu r-m-
3.
4.
Hydrophytic
Vegetation Y
5•
L o = Total Cover
50% of total cover:
Z 20% of total cover:
Present? Yes No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Description: (Describe to the depth needed to document the indicator or confirm the absence of i
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % _Type_ Loc`
Sampling Point: WR K) 'L
Texture Remarks
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
LqCoast
'Location: PL=Pore Lining M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils':
Histosol (Al)
Polyvalue Below Surface (S8) (LRR S, T, U)
T❑-I 1 cm Muck (A9) (LRR O)
2 Muck (A10) (LRR S)
f
1L�Jf
Histic Epipedon (A2)
Black Histic
n
iL6Ji
Thin Dark Surface (S9) (LRR S, T, U)
Loamy Mucky Mineral (F1) (LRR O)
U cm
El Reduced Vertic (F18) (outside MLRA 150A,B)
(A3)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
�L-JI Piedmont Floodplain Soils (F19) (LRR P, S, T)
f�
Stratified Layers (A5)
Depleted Matrix (F3)
LJ Anomalous Bright Loamy Soils (F20)
(MLRA 153B)
D
Organic Bodies (A6) (LRR P, T, U)
Redox Dark Surface (F6)
Red Parent Material (TF2)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence (A8) (LRR U)
❑
Depleted Dark Surface (F7)
Redox Depressions (F8)
�11❑�II
LJ Very Shallow Dark Surface (TF12)
❑
1 cm Muck (A9) (LRR P, T)
Marl (F10) (LRR U)
D Other (Explain in Remarks)
❑
Depleted Below Dark Surface (Al 1)
❑
Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (Al2)
❑
Iron -Manganese Masses (F12) (LRR O, P, T)
'Indicators of hydrophytic vegetation and
n
Prairie Redox (A16) (MLRA 150A)
Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
M' 1 01 LRR O S)
❑
Delta Ochric (F17) (MLRA 1511
unless disturbed or problematic.
Sandy Mucky nera ( ) ( ,
❑ Sandy Gleyed Matrix (S4) ❑ Reduced Vertic (F18) (MLRA 150A, 1506)
HSandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
❑ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type: IJu,,
Depth (inches):
Remarks:
Hydric Soil Present? Yes °L No
US Army Corps of Engineers Atlantic and Gult Coastal Plain Region - Version 2.0

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region p
t, Sampling Date: OVIt 3/,' `
��S S SC ��,r / City/County:
Project/Site:, -
� / Sampling Point: State: r`%
Applicant/Owner: I own o� ��
Investigator(s): �^ <</ Section, Township, Range: �a : `.'I - S
1 , Local relief (concave, convex, none): raw _ Slope (%):
Landform (hillslope, terrace, etc.): !� , • I-�— z
n < -- Datum: Pit
Subregion (LRR or MLRA): S �' l Lat: - \ Long: /? r r —
Soil Map Unit Name:
IIotuc i L o w ., _ „"% `o NWl classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil , or Hydrology significantly disturbed? t Are "Normal Circumstances" present? Yes % No
Are Vegetation Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
_. _____ . _.....� �..•..u•�.� Aaa....6 cr:n —.n chnwinn Samolina DOint locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
,i v
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Secondary Indicators (minimum of two required)
Wetland Hydrology Indicators:
Surface Soil Cracks (B6)
Primary Indicators (minimum of one is required• check all that apply)
❑ Surface Water (Al) ❑T Aquatic Fauna (B13)
Spa ly Vegetated Concave Surface (B8)
❑ High Water Table (A2)
Marl Deposits (B15) (LRR U)
El Drainage Patterns (B10)
1�
LJ Saturation (A3)
rL--If
U Hydrogen dro en Sulfide Odor (Cl)
El Moss Trim Lines (B16)
Water Marks (B1)
t�-r
idized Rhizospheres along Living Roots (C3)
F-1 Dry -Season Water Table (C2)
rQ_-I
tJ Sediment Deposits (B2)
1L3-O
Presence of Reduced Iron (C4)
❑ Crayfish Burrows (C8)
❑_
1L-Jr
L�-qI Recent Iron Reduction in Tilled_ Soils (C6)
❑ Saturation Visible on Aerial Imagery (C9)
Drift Deposits (63)
❑ Algal Mat or Crust (64)
LJ Thin Muck Surface (C7)
❑ Geomorphic Position (D2)
❑ Iron Deposits (B5)
❑ Other (Ex,pidin in Remarks)
❑ Shallow Aquitard (D3)
❑ Inundation Visible on Aerial Imagery (B7)
❑FAC-Neutral Test (D5)
0 Sphagnum moss (08) (LRR T, U)
❑ Water -Stained Leaves (B9)
Field Observations:
Surface Water Present? Yes
No Depth (inches):
Water Table Present? Yes
No Depth (inches):
Y
Saturation Present? Yes
No Depth (inches):
Wetland
Hydrology Present? Yes No/\
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Nv✓(1 4 P
Sampling Point: 1jQ �,
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
y
% Cover
Species? Status
,1 t5 /
Number of Dominant Species r
That Are OBL, FACW, FAC: (A)
1, I(x q(}%L�
2. o ✓ Grc�rt4r
I
or
Total Number of Dominant
��
3. Y ; •• n [ w
0
-
Species Across All Strata: (B)
4. L
Percent of Dominant Species
That Are OBL, FACW, or FAC: �l (AB)
�', r 0 �( /n ^ M 1, �, t t ,
5. r 0 �l ;`� ,���
s. Qyr. � M � , � � �
� �
'+o �t"�,L
Prevalence Index worksheet:
7.
Total %Cover of: Multiply by:
8.
OBL species x 1 =
RO =Total Cover
50% of total cover:
pis 20% of total cover: i �:
FACW species x 2 =
I S
FAG species x 3 =
Saolina/Shrub Stratum (Plot size:
1.1 I f x a av .
)
Y`,S �7p,,C,
FACU species x 4 =
UPL species x 5 =
2. Q itic �s Cc ba
(fj
�_A[ U
Column Totals: (A) (B)
3.
Prevalence Index = B/A =
4.
5.
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
® 2 - Dominance Test is >50%
❑ 3 - Prevalence Index is 53.0'
6.
7.
8.
S�
= Total Cover
a Problematic Hydrophytic Vegetation' (Explain)
of total cover:
Z 7-5 20% of total cover:
_50%
Herb Stratum (Plot size: )
'Indicators of hydric soil and wetland hydrology must
1
be present, unless disturbed or problematic-
Definitions of Four Vegetation Strata:
2.
3•
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
4
more in diameter at breast height (DBH), regardless of
height.
5.
B.—
Sapling/Shrub — Woody plants, excluding vines, less
3 in. DBH and greater than 3.28 It (1 m) tall.
7than
8,
Herb — All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 It tall.
g
10.
Woody vine — All woody vines greater than 3.28 it in
11
height.
12.
= Total Cover
50% of total cover:
20% of total cover:
3 d
)
Woody Vine Stratum (Plot size:
+
f�
1. f'%0-.x at-. '.%o 1: 1,2.
�` S
y J►S �ni �. J A 1: • S Yam— Fa ,
3.
4.
5.
Hydrophytic
S
= Total Cover
Vegetation
�
50% of total cover:
7•� 20% of total cover: 3
Present? Yes No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version L.0

SOIL
Sampling Point: Z �`-
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist % Color (moist) % Type' Loc Texture _ Remarks
3- Iat ioi,i 101 -
'Type: C=Concentration D=Depletion RM=Reduced Matrix MS=Masked Sand Grains.
L�JS
'Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs,
unless otherwise noted.)
Indicators for Problematic Hydric Soils':
f,
Histosol (All)
Histic Epipedon (A2)
❑
Polyvalue Below Surface (S8) (LRR S, T, U)
Thin Dark Surface (S9) (LRR S, T, U)
TTT❑---III 1 cm Muck (A9) (LRR O)
u 2 cm Muck (A10) (LRR S)
1L�11
Histic
IL'li
Loamy Mucky Mineral (F1) (LRR O)
D Reduced Vertic (F18) (outside MLRA 150A B)
Black (A3)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
❑
rj
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
Tl
IJ Anomalous Bright Loamy Soils (F20)
1L_Ii
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
H
Redox Dark Surface (F6)
Depleted Dark Surface (F7)
(MLRA 153B)
❑ Red Parent Material (TF2)
Presence U)
Redox Depressions (F8)
Very Shallow Dark Surface (TF12)
❑
Muck (A8) (LRR
1 cm Muck (A9) (LRR P, T)
❑
Marl (F10) (LRR U)
Other (Explain in Remarks)
❑
Depleted Below Dark Surface (At 1)
❑
Depleted Ochric (F11) (MLRA 151)
❑
Thick Dark Surface (Al2)
❑
Iron -Manganese Masses (F12) (LRR O, P, T)
'Indicators of hydrophytic vegetation and
n
Coast Prairie Redox (A16) (MLRA 150A)
D Umbric Surface (1713) (LRR P, T, U)
wetiand hydrology must be present,
Sand Muck Mineral (S1) (LRR O S)
F1
Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
Y Y
❑ Sandy Gleyed Matrix (S4) ❑ Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
❑ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: City/County: __ Sampling Date:
Applicant/Owner: o+' V 0, S: State: q Sampling Point:
Investigator(s): L i n w r L.' r _ Section, Township, Range: V—?
r
Landform (hillslope, terrace, etc.):;_ ce v i a4; , Local relief (concave, convex, none): 6 .. Slope
Subregion (LRR or MLRA): Let: S" i Long: Datum: N I'D Y-3
Soil Map Unit Name: V, S - a l�, X �/c� �{ :� iep,_ NWI classification: Y� t
Are climatic / hydrologic conditions on the site typical {or this time of year? Yes Y No (If no, explain in Remarks.)
Are Vegetation , Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes Y No
Are Vegetation , Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes Isl No %� No
within a Wetland? Yes
Wetland Hydrology Present? Yes X No
Remarks
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
❑ Surface Soil Cracks (136)
❑ Sparsely Vegetated Concave Surface (138)
Primary Indicators (minimum of one is required check all that apply)
© Surface Water (Al) El Aquatic Fauna (B13)
High Water Table (A2)
Mad Deposits (1315) (LRR U)
❑ Drainage Patterns (610)
LxJ Saturation (A3)
1L--it
L-1 Hydrogen Sulfide Odor (Cl)
❑ Moss Trim Lines (B16)
Water Marks (131)
Oxidized Rhizospheres along Living Roots (C3)
❑ Dry -Season Water Table (C2)
IlI--Q_--Ill
t U Sediment Deposits (B2)
❑ Drift Deposits
Presence of Reduced Iron (C4)
❑f Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
❑ Saturation Visible on Aerial Imagery (C9)
(133)
❑ Algal Mat or Crust (64)
LJ Thin Muck Surface (C7)
Q Geomorphic Position (D2)
❑ Iron Deposits (B5)
❑ Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
❑ Inundation Visible on Aerial Imagery (B7)
❑nn FAC-Neutral Test (D5)
❑ Water -Stained Leaves (139)
Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
No Y, Depth (inches):
Water Table Present? Yes
x No Depth (inches): 3
Saturation Present? Yes
'I, No Depth (inches): _ 0
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections),
if available:
Remarks:
S;'J.t- 'J-k'
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Vtr>L a1- awlw CY,"4) �D.J�
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US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2 0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size:
1. TI<< o
Absolute Dominant Indicator
) % Cover Species? Status
T,�n
2. .dr n���.
c.i.� C•�� _
�_
i
4. P;f 4 a�
5.
6.
7.
8.
19 = Total Cover
50% of total cover: 20% of total cover:
Saolino/Shrub Stratum (Plot size: 15 )
1.
2.
3. 41
:cra 10
Y,-,
4.
5.
6.
7.
8.
Herb Stratum (Plot size:
1. L i SAr... ram:
y0 = Total Cover
50% of total cover: 10 20% of total cover:
)
.M w i S' S tS Ri L
2. l-,00a.-A
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c5
dal
4.
5.
6.
7.
8.
9.
10.
it.
12.
I'll ri t,..,< G
Sampling Point: WO
Number of Dominant Species v
That Are OBL, FACW, or FAC: 0 (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = B/A = I
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
Q 2 - Dominance Test is >50%
❑ 3 - Prevalence Index is 53.0'
❑ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub -Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 it (1 m) tall -
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 It tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
_'?;,q = Total Cover
50% of total cover: 17. 9 20% of total cover: -
Woody Vine Stratum (Plot size: )
2. �i.l �t ,r off.. r-.1. (y1�� Yam... f4[,
3. 1A. C ii_ r- cS FAC_
4.
5. Hydrophytic
6 _ = Total Cover Vegetation
50% of total cover: �L- 20% of total cover: $14 Present?
Remarks: (If observed, list
Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Tvoe Lac Texture Remarks
00
q-12i 1a�2 v/I �c,�21�j q_
'Type: C=Concentration D=Depletion RM=Reduced Matrix MS=Masked Sand Grains
'Location: PL=Pore Lining, M=Matrix.
Hydnc Soil Indicators: (Applicable to all LRRs,
unless otherwise noted.)
Indicators for Problematic Hydnc Sods':
Histosol (Al)
❑ Polyvalue Below Surface (S8) (LRR S, T, U)
1 cm Muck (Ag) (LRR O)
f Histic Epipedon (A2)
Thin Dark Surface (S9) (LRR S, T, U)
H Loamy Mucky Mineral O)
TTT❑---III
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18) (outside MLRA 1 50AB)
LTJI Black Histic (A3)
(F1) (LRR
T-I
Floodplain Soils (1719) (LRR P, S, T)
❑ Hydrogen Sulfide (A4)
Stratified Layers (A5)
E] Loamy Gleyed Matrix (F2)
x Depleted Matrix (F3)
TUI Piedmont
u Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U)
Redox Dark Surface (F6)
(MLRA 153B)
❑I
H5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence U)
Depleted Dark Surface (F7)
Redox Depressions (F8)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF12)
(A8) (LRR
❑ 1 cm Muck (A9) (LRR P, T)
❑ Marl (F10) (LRR U)
nu
D Other (Explain in Remarks)
❑ Depleted Below Dark Surface (Al 1)
❑ Depleted Ochric (F11) (MLRA 151)
❑ Thick Dark Surface (Al2)
D Iron -Manganese Masses (F12) (LRR O, P, T)
'Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Mucky Mineral (S1) (LRR O S)
QUmbric Surface (F13) (LRR P, T, U)
U Delta Ochric (F17) (MLRA 151)
wetland hydrology must be present.
unless disturbed or problematic.
D Sandy Gleyed Matrix (S4) Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type: NoWI..
Depth (inches): Hydnc Soil Presets? Yes x No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

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■■ ■ NC DEPARTMENT ❑F
■■i■i NATURAL AND CULTURAL RESOURCES
May 24, 2021
Brian Smith
Carolina Ecosystems
3040 NC 42 W
Clayton, NC 27520
RE: Town of Vass Phase 2 - Sewer Extension Project
Dear Brian Smith:
Roy Cooper, Governor
D. Reid Wilson, Secretary
Wager Clark
Director, Division of land and Water Stewardship
NCNHDE-14757
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 indicates that there are records for rare species, important natural
communities, natural areas, and/or conservation/managed areas within the proposed project
boundary. These results are presented in the attached `Documented Occurrences' tables and map.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is documented within the project area or indicated within a one -mile
radius of the project area, the NCNHP recommends contacting the US Fish and Wildlife Service
(USFWS) for guidance. Contact information for USFWS offices in North Carolina is found here:
https://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please 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 not be redistributed without permission.
Also please note that the NC Natural Heritage Program may follow this letter with additional
correspondence if a Dedicated Nature Preserve, Registered Heritage Area, Land and Water Fund
easement, or an occurrence of a Federally -listed species is documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod ney.butler�ncdcr.gov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPAR7HEN7 OF NATURAL AND CULTURAL RESCVRCES
121 W. JONES STREET. RALEIGH. NC 27603 • 1691 MAIL SERVICE CENTER. RALEIGH. NC 27609
OFC 919.707.9120 • FAX [phone]

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ID#* 19950243
Version* 2
Regional Office * Fayetteville Regional Office - [phone]
Reviewer List* Chad Turlington
Pre -Filing Meeting Request submitted 4/15/2021
Contact Name* Preston Butler
Contact Email Address* [e-mail]
Project Name* Town of Vass Phase 2 - Sewer Extension Project
Project Owner* Moore County Public Utilities
Project County* Moore
Owner Address: Street Address
5227 US Hwy 15-501
Address Line 2
aty State / Province / Pegion
Carthage NC
Postal / Zip axle Country
28327 USA
Is this a transportation project?* r Yes (' No
Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - F- 401 Water Quality Certification -
Regular Express
F- Individual Permit F- Modification
F- Shoreline Stabilization
Does this project have an existing project ID#?*
C Yes (-- No
Do you know the name of the staff member you would like to request a meeting with?
Please give a brief project description below and include location information.*
This project is a proposed sewer extension in Vass, NC.
By digitally signing below, I certify that I have read and understood that per the Federal Clean Water Act Section
401 Certification Rule the following statements:
This form completes the requirement of the Pre -Filing Meeting Request in the Clean Water Act Section 401 Certification
Rule.

• I understand by signing this form that Icannot submit myapplication until 30 calendar days after this pre -filing
meeting request.
• I also understand that DWR is not required to respond or grant the meeting request.
Your project's thirty -day clock started upon receipt of this application. You will receive notification regarding meeting location
and time if a meeting is necessary. You will receive notification when the thirty -day clock has expired, and you can submit an
application.
Signature
Submittal Date 4/15/2021

[1CAROL[NA
VECOSYSTEMS
3040 NC Hwy 42 West; Clayton, NC 27520
P:919-359-1102 — F:919-585-5570
PROPERTY ACCESS AND AGENT AUTHORIZATION FORM
Property Information
Property Address
and/or Description Varies (see plans) - Within Vass Town Limits
Parcel Identification
Number(s) (PIN) Varies (see plans) - Easements acquired by Town of Vass
City
Vass
State: NC
Property Owner Information
County: Moore
Owner: ® Authorized Agent*: ❑
Name: Moore County Public Utilities
Title: Randy G. Gould P.E. Director
Street Address: 5227 US Hwy 15-501
City: Carthage State: NC
*Written proof of authorization from owner required.
Authorization
Property Size (Acres): 76
Zip Code: 28327
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 (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.
Additionally, I hereby grant Carolina Ecosystems, Inc. (CEI) staff, their designated contractors and representatives, as
well as other Federal, State or local authorities access to the above referenced property when necessary for the purposes of
conducting on -site environmental consulting services. I also grant CEI the authority to act as authorized agent on behalf of
the owner of the above listed property for the communication, submission, and/or application to relevant government
entities, including local, state, and federal authorities, for the review, acceptance, concurrence, and/or approval of
environmental information, documents, and/or permit requests concerning the above listed property. These services may
include regulatory determinations of environmental features on my property such as issuing a determination associated
with streams and wetlands. I certify that I am the legal owner or authorized agent of the legal owner of the above property
and have authority to grant such act ----N ^ ___2 A-14
Owner/Agent (signatut
Date—'