20151065 Ver 2_BOOM_Updated JD Package_05012022_20220830

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER
J. ERIC BOYETTE
GOVERNOR SECRETARY
May 1, 2022
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
ATTN: David Bailey
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
SUBJECT: Jurisdictional Determination (JD) Package Update for the following Natural
Resources Technical Report: STIP No. HE-0005 (WBS No. 50338.1.1): Boom Roadway
Access and Connectivity Project in Greensboro, Guilford County, North Carolina (Action
ID No. SAW-2022-00680).
The North Carolina Department of Transportation (NCDOT) proposes to conduct roadway construction
activities associated with the Boom Roadway Access and Connectivity Project in Greensboro, Guilford
County, North Carolina (STIP No. HE-0005, WBS No. 50338.1.1); Appendix A, Figure 1). This project
has been assigned Action ID No. SAW-2022-00680.
Three Oaks Engineering, Inc. (Three Oaks) staff members Nathan Howell (MS, PWS), Trevor Hall,
Byron Levan (MS), Hayley Wood, and Mark Guerard conducted a site investigation within the study
area on March 2-3, 2022. Forty-one potential jurisdictional features (12 streams, 14 wetlands, and 15
surface waters [i.e., ponds, basins, and/or tributaries]) were identified within the Project Study Area
(PSA) (Appendix A, Figures 2-4). This project is located in the Cape Fear River Basin (United States
Geological Survey [USGS] Hydrologic Unit Code [HUC] 03030002).
A JD field verification site visit was conducted for this project on April 5, 2022. The following
attendees were present for that site visit:
Three Oaks — James Mason, PWS, Byron Levan, Nancy Oberle
USACE — David Bailey, PWS
NCDENR — Ryan Conchilla, PWS
NCDOT — Jerry Parker (Division 7 Environmental Supervisor), Brian Ketner (Division 7 Project
Engineer)
Mailing Address:
NC DEPARTMENT OF TRANSPORTATION
HIGHWAY DIVISION 7
PO BOX 14996
GREENSBORO, NC 27415-4996
Telephone: [phone]
Customer Service: 1-877-368-4968
Website: www.ncdot.gov
Location:
1584 YANCEYVILLE STREET
GREENSBORO, NC 27415

During the site visit, and email correspondence following the visit, the following revisions to the
delineation were requested:
• Wetlands WO and WP were added
• Wetland WK was removed, and its acreage was incorporated into Basin BO
• Based on aerial photos, previous delineations for NCDOT Project I-5110 and other projects, and
QL2 LiDAR, Basin BA was clearly constructed in uplands to meet Stormwater (i.e., CWA Sec.
402) requirements, and was confirmed to be non jurisdictional
• Wetland WI was determined to be a sediment basin constructed in upland as part of a separate
Piedmont Triad International Airport project (Action ID No. SAW-2000-21655)
• It was determined that all stormwater and sediment basins identified within the project study area
would be covered under an Approved Jurisdictional Determination (AJD), while the remaining
features would be covered under a Preliminary Jurisdictional Determination (PJD)
Included in this JD Package Update are the following:
• Revised mapping depicting the changes described above
• United States Army Corps of Engineers (USACE) Wetland Determination forms (wetland and
upland) for Wetlands WO and WP
• A North Carolina Wetland Assessment Method (NCWAM) form for Wetland WO
• A revised Waters Upload Spreadsheet
• An AJD Form for Wetland WI and Basins BA-BO
Tables 1— 3 below have been updated based on the requested revisions.
Table 1. Potential jurisdictional streams in the study area
Stream
Name
Map ID
NIndexR
Number
Best Usage
Classification
Classification
o r Solo
Survey?
NCSAM
Rating
Length
Unnamed
Tributary to
Brush Creek
SA
16-11-4-(1)
WS-III; NSW
Intermittent
Neither
*
174
UT to Brush
Creek
SB
16-11-4-(1)
WS-III; NSW
Perennial
Topo and
Soil
Survey
Low2
3,680
UT to Brush
Creek
SC
16-11-4-(1)
WS-III; NSW
Perennial
Neither
*
93
UT to Brush
Creek
SD
16-11-4-(1)
WS-III; NSW
Perennial
Neither
*
556
UT to Brush
Creek
SE
16-11-4-(1)
WS-III; NSW
Intermittent
Neither
*
50

Table 1. Potential jurisdictional streams in the study area (continued)
Stream
Name
Map ID
NCDWRIndex
Number
Best Usage
Classification
Classification
On orTop
Soil
Survey?
NCSAM
Rating
Length
UT to Brush
Creek
SF
16-11-4-(1)
WS-III; NSW
Intermittent
Neither
*
368
Perennial
*
242
UT to Brush
Creek
SG
16-11-4-(1)
WS-III; NSW
Intermittent
Soil
Survey
*
110
Perennial
*
182
UT to Brush
Creek
SH
16-11-4-(1)
WS-III; NSW
Intermittent
Soil
Survey
*
741
Brush Creek
SI
16-11-4-(1)
WS-III; NSW
Perennial
Topo and
Soil
Survey
*
307
UT to Brush
Creek
SJ
16-11-4-(1)
WS-III; NSW
Perennial
Neither
*
170
UT to Brush
Creek
SK
16-11-4-(1)
WS-III; NSW
Intermittent
Neither
*
308
UT to Brush
Creek
SL
16-11-4-(1)
WS-III; NSW
Intermittent
Neither
*
54
Total
7,035
1 Medium to high quality streams did not have a North Carolina Stream Assessment Method (NCSAM) form completed for them. These features are
represented by an asterisk (*).
2 A portion of the stream was assessed with NCSAM methodology. See the stream specific NCSAM data form for assessment reach/location details,
provided in the original JD package submittal.
Table 2. Potential jurisdictional wetlands in the study area
Map
ID
NCWAM
Classification
NCWAM Ratings
Hydrologic
Classification
Area
WA
Floodplain Pool
*
Riparian
0.01
WB
Headwater
Forest/Floodplain Pool
*
Riparian
0.03
WC
Bottomland Hardwood
Forest
*
Riparian
1.44

Table 2. Potential jurisdictional wetlands in the study area (continued)
Map
ID
NCWAM
Classification
NCWAM Rating'
Hydrologic
Classification
Area
WD
Bottomland Hardwood
Forest
*
Riparian
0.06
WE
Headwater Forest
*
Riparian
0.02
WF
Headwater Forest
*
Riparian
0.03
WG
Headwater Forest
*
Riparian
0.01
WH
Headwater Forest
*
Riparian
0.06
WJ
Headwater Forest
Low
Riparian
0.14
WL
Headwater Forest
*
Riparian
0.08
WM
Headwater Forest
Low
Riparian
0.05
WN
Headwater Forest
Low
Riparian
0.22
WO
Headwater Forest
Low
Riparian
0.02
WP
Headwater Forest
*
Riparian
0.01
Total
2.18
' Medium to high quality wetlands did not have a NCWAM form completed for them. These features are represented by an asterisk
(*)•

Table 3. Non -jurisdictional surface waters in the study area
Map ID
Jurisdictional?
Connection
Area (ac.)
WI
No
None
0.02
BA
No
None
0.22
BB
No
None
0.06
BC
No
None
0.03
BD
No
None
0.20
BE
No
None
0.01
BF
No
None
0.05
BG
No
None
0.03
BH
No
None
0.05
BI
No
None
0.04
BJ
No
None
0.13
BK
No
None
0.04
BL
No
None
0.02
BM
No
None
0.12
BN
No
None
0.04
BO
No
None
0.28
Total
1.34
If you have any questions, require additional information, or would like us to make any additional
revisions, please contact me by phone at [phone] or email at
[e-mail]. Three Oaks is submitting this updated package on behalf of
NCDOT. We appreciate your assistance on this project.
Sincerely,
Electronically signed by:
364-11fir'jr`
Jim Mason, PWS
Senior Environmental Scientist/Project Manager
Three Oaks Engineering, Inc.
Cc: Ryan Conchilla, NCDWR
Sue Homewood, NCDWR
Jerry Parker, NCDOT
Brian Ketner, NCDOT

Appendix A
Revised Figures

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Appendix B
New Wetland Forms

U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Project/Site: Boom Roadway Access and Connectivity Project
Applicant/Owner: NCDOT
City/County: Guilford
Investigator(s): Nathan Howell & Byron Levan
Landform (hillside, terrace, etc.): terrace
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.120353
Sampling Date: 04/08/2022
State: NC Sampling Point: WO(WBL2)Wet
Section, Township, Range: Greensboro
Local relief (concave, convex, none): Concave
Soil Map Unit Name: Poplar Forest sandy loam, 10 to 15% slopes
Slope (%): 0
Long: -79.95326 Datum: NAD 83
Are climatic / hydrologic conditions on the site typical for this time of year?
NWI classification: None
Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X 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?
Hydric Soil Present?
Wetland Hydrology Present?
Yes X No
Yes X No
Yes X No
Is the Sampled Area
within a Wetland? Yes X No
Remarks:
NCWAM: LOW
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is required; check all that apply)
Secondary Indicators (minimum of two required)
Surface Soil Cracks
(B6)
Concave Surface (B8)
Table (C2)
Aerial Imagery (C9)
Plants (D1)
(D2)
(D4)
_
X Surface Water (Al) X True Aquatic Plants (B14) Vegetated
_Sparsely
X High Water Table (A2) Hydrogen Sulfide Odor (C1) X Drainage Patterns (B10)
_
X Saturation (A3) Rhizospheres on Living Roots (C3) Trim Lines (B16)
_Oxidized _Moss
Water Marks (B1) Presence of Reduced Iron (C4) Dry -Season Water
_ _ _
Deposits (B2) Iron Reduction in Tilled Soils (C6) X Crayfish Burrows (C8)
_Sediment _Recent
Deposits (B3) Muck Surface (C7) Visible on
_Drift _Thin _Saturation
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed
_ _ _
Iron Deposits (B5) X Geomorphic Position
_
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
_ _
X Water -Stained Leaves (B9) Microtopographic Relief
_
Aquatic Fauna (B13) X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No Depth (inches): 3
Wetland Hydrology Present?
Yes
X
No
Water Table Present? Yes X No Depth (inches): 0
Saturation Present? Yes X No Depth (inches): 0
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Roadside that receives input from the HWY storm water runnoff and possibly from groundwater seepage.
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata.- Use scientific names of plants.
Sampling Point: WO (WBL2)Wet
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' radius ) % Cover Species? Status
1. Acer rubrum 10 Yes FAC
2.
3.
4.
5.
6.
7.
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Sapling/Shrub Stratum (Plot size: 15' radius
1. Ligustrum sinense
2. Liquidambar styraciflua
3. Elaeagnus pungens
4.
5.
6.
7.
8.
9.
10 Yes FACU
10 Yes FAC
10 Yes UPL
30 =Total Cover
50% of total cover: 15 20% of total cover: 6
Herb Stratum (Plot size: 5' radius
1. Saururus cernuus 10 No OBL
2. Juncus effusus 25 Yes FACW
3. Netted Chain Fern 15 Yes FACW
4. Carex 25 Yes
5.
6.
7.
8.
9.
10.
11.
75 =Total Cover
50% of total cover: 38 20% of total cover: 15
Woody Vine Stratum (Plot size: 30' radius
1. Smilax rotundifolia
2.
3.
4.
5.
10 Yes FAC
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
Total Number of Dominant
Species Across All Strata: 8 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 62.5% (A/B)
Prevalence Index worksheet:
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)
Prevalence Index = B/A =
(B)
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
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.
Sapling/Shrub - 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
height.
Hydrophytic
Vegetation
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WO (WBL2)Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
(inches) Color (moist)
0-2 10YR 4/3 100
2-18 10YR 5/1 85
Redox Features
Color (moist) % Type' Loc2
Texture Remarks
Loamy/Clayey
5YR 5/6 15 C PL/M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM
=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
Indicators for Problematic Hydric Soils3:
_ 2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_ Red Parent Material (F21)
(outside MLRA 127, 147, 148)
Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3lndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks:
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Project/Site: Boom Roadway Access and Connectivity Project
Applicant/Owner: NCDOT
City/County: Guilford
Investigator(s): Nathan Howell & Byron Levan
Landform (hillside, terrace, etc.): terrace
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.119304
Sampling Date: 04/08/2022
State: NC Sampling Point: WP(WBL1)Wet
Section, Township, Range: Greensboro
Local relief (concave, convex, none): Concave
Soil Map Unit Name: Poplar Forest sandy loam, 15 to 30% slopes
Slope (%): 5
Long: -79.953093 Datum: NAD 83
Are climatic / hydrologic conditions on the site typical for this time of year?
NWI classification: None
Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X 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?
Hydric Soil Present?
Wetland Hydrology Present?
Yes X No
Yes X No
Yes X No
Is the Sampled Area
within a Wetland? Yes X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is required; check all that apply)
Secondary Indicators (minimum of two required)
Surface Soil Cracks (B6)
Surface (B8)
(C2)
Imagery (C9)
(D1)
(D4)
_
Water (A1) Aquatic Plants (B14) Vegetated Concave
_Surface _True _Sparsely
High Water Table (A2) Hydrogen Sulfide Odor (C1) X Drainage Patterns (B10)
_ _
X Saturation (A3) X Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (B16)
_
Water Marks (B1) Presence of Reduced Iron (C4) Dry -Season Water Table
_ _ _
Deposits (B2) Iron Reduction in Tilled Soils (C6) Burrows (C8)
_Sediment _Recent _Crayfish
Deposits (B3) Muck Surface (C7) Visible on Aerial
_Drift _Thin _Saturation
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants
_ _ _
Iron Deposits (B5) X Geomorphic Position (D2)
_
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
_ _
X Water -Stained Leaves (B9) Microtopographic Relief
_
Aquatic Fauna (B13) X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X Depth (inches): 3
Wetland Hydrology Present?
Yes
X
No
Water Table Present? Yes No X Depth (inches): 0
Saturation Present? Yes X No Depth (inches): 3
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Potentially a new braid forming for stream channel, but currently exists as a wetland.
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata.- Use scientific names of plants.
Sampling Point: WP (WBL1)Wet
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' radius ) % Cover Species? Status
1. Acer rubrum 50 Yes FAC
2. Liquidambar styraciflua 15 No FAC
3. Pinus taeda 15 No FAC
4. Juniperus virginiana 15 No FACU
5.
6.
7.
95 =Total Cover
50% of total cover: 48 20% of total cover: 19
Sapling/Shrub Stratum (Plot size: 15' radius
1. Liquidambar styraciflua 10 Yes FAC
2. Elaeagnus umbellata 10 Yes
3. Elaeagnus pungens 5 Yes UPL
4.
5.
6.
7.
8.
9.
25 =Total Cover
50% of total cover: 13 20% of total cover: 5
Herb Stratum (Plot size: 5' radius
1. Juncus effusus 15 Yes FACW
2. Viola cucullata 15 Yes FACW
3. Netted Chain Fern 10 No FACW
4. Carex 25 Yes
5.
6.
7.
8.
9.
10.
11.
65 =Total Cover
50% of total cover: 33 20% of total cover: 13
Woody Vine Stratum (Plot size: 30' radius
1. Smilax rotundifolia
2.
3.
4.
5.
10 Yes FAC
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
Total Number of Dominant
Species Across All Strata: 8 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 62.5% (A/B)
Prevalence Index worksheet:
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)
Prevalence Index = B/A =
(B)
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
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.
Sapling/Shrub - 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
height.
Hydrophytic
Vegetation
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WP (WBL1)Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
(inches) Color (moist)
0-4 10YR 4/3 100
4-18 10YR 5/1 85
Redox Features
Color (moist) % Type' Loc2
Texture Remarks
Loamy/Clayey
5YR 5/6 15 C PL/M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM
=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
Indicators for Problematic Hydric Soils3:
_ 2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_ Red Parent Material (F21)
(outside MLRA 127, 147, 148)
Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3lndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks:
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
Project/Site: Boom Roadway Access and Connectivity Project
Applicant/Owner: NCDOT
City/County: Guilford
Investigator(s): Nathan Howell & Byron Levan
Landform (hillside, terrace, etc.): Hillslope
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.118870
Sampling Date: 3/2/22
State: NC Sampling Point: WA (W1) Upi
Section, Township, Range: Greensboro
Local relief (concave, convex, none): Convex
Soil Map Unit Name: Poplar Forest sandy loam, 15-35% slopes
Slope (%): 0
Long: -79.953094 Datum: NAD 83
Are climatic / hydrologic conditions on the site typical for this time of year?
NWI classification: None
Yes X No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X 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 X
Hydric Soil Present? Yes No X
Wetland Hydrology Present? Yes No X
Is the Sampled Area
within a Wetland?
Yes No X
Remarks:
The upland plots associated with wetlands WB-WD, WO, and WP all occur in similar landscape positions and possess similar floristic, hydrologic
and edaphic characteristics; as a result, they are also represented by this upland form.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is required; check all that apply)
Secondary Indicators (minimum of two required)
Surface Soil Cracks (B6)
Surface (B8)
(C2)
Imagery (C9)
(D1)
(D4)
_
Water (A1) Aquatic Plants (B14) Vegetated Concave
_Surface _True _Sparsely
High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (B10)
_ _ _
Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (B16)
_ _ _
Water Marks (B1) Presence of Reduced Iron (C4) Dry -Season Water Table
_ _ _
Deposits (B2) Iron Reduction in Tilled Soils (C6) Burrows (C8)
_Sediment _Recent _Crayfish
Deposits (B3) Muck Surface (C7) Visible on Aerial
_Drift _Thin _Saturation
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants
_ _ _
Iron Deposits (B5) Geomorphic Position (D2)
_ _
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
_ _
Water -Stained Leaves (B9) Microtopographic Relief
_ _
Aquatic Fauna (B13) FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X Depth (inches): 0
Wetland Hydrology Present?
Yes
No
X
Water Table Present? Yes No X Depth (inches): 0
Saturation Present? Yes No X Depth (inches): 0
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata.- Use scientific names of plants.
Sampling Point: WA (W1) Upl
Tree Stratum (Plot size: 30' radius
1. Quercus alba
2. Quercus coccinea
3. Pinus echinata
4. Juniperus virginiana
5. Oxydendrum arboreum
6.
7.
Absolute
% Cover
20
20
20
10
10
Dominant Indicator
Species? Status
Yes FACU
Yes UPL
Yes UPL
No FACU
No UPL
80 =Total Cover
50% of total cover: 40 20% of total cover: 16
Sapling/Shrub Stratum (Plot size:
1. Cornus florida
15' radius
2. Cercis canadensis
3.
4.
5.
6.
7.
8.
9.
10
10
Yes
Yes
20 =Total Cover
FACU
FACU
50% of total cover: 10 20% of total cover: 4
Herb Stratum (Plot size: 5' radius
1. Hexastylis arifolia
2. Tipularia discolor
3.
4.
5.
6.
7.
8.
9.
10.
11.
10
10
Yes
Yes
20 =Total Cover
FAC
FACU
50% of total cover: 10 20% of total cover: 4
Woody Vine Stratum (Plot size:
1. Toxicodendron radicans
30' radius
2. Smilax rotundifolia
3.
4.
5.
10
10
Yes
Yes
20 =Total Cover
FAC
FAC
50% of total cover: 10 20% of total cover: 4
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Species Across All Strata: 9 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 33.3% (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species
FACW species
FAC species
FACU species
UPL species
Column Totals:
Prevalence Index
x 1 =
x 2 =
x 3 =
x 4 =
x 5 =
(A)
=B/A=
(B)
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is <_3.0'
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.
Sapling/Shrub - 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
height.
Hydrophytic
Vegetation
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
No vegetation present within wetland.
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WA (W 1) Upl
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
(inches) Color (moist)
0-12
10YR 5/6 100
'Type: C=Concentration, D=Depletion,
Redox Features
Color (moist) % Type' Loc2
Texture Remarks
Loamy/Clayey
RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 122, 136)
Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
Indicators for Problematic Hydric Soils3:
_ 2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
Red Parent Material (F21)
(outside MLRA 127, 147, 148)
Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3lndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
ENG FORM 6116-4-SG, JUL 2018
Eastern Mountains and Piedmont — Version 2.0

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 5.0
USACE AID #
NCDWR#
Project Name
Applicant/Owner Name
Wetland Type
Level III Ecoregion
River Basin
County
® Yes ❑ No
Boom Roadway Access and
Connectivity Project
PTI
Headwater Forest
Piedmont
Cape Fear
Guilford
Precipitation within 48 hrs?
Date of Evaluation
Wetland Site Name
Assessor Name/Organization
Nearest Named Water Body
USGS 8-Digit Catalogue Unit
NCDWR Region
Latitude/Longitude (deci-degrees)
03/03/2022
WO
Byron Levan/Three Oaks
Engineering
Brush Creek
03030004
Winston-Salem
36.120353, -79.95326
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations - Were regulatory considerations evaluated? ®Yes No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
• NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
• Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
1. Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A
®B ®B
Not severely altered
Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
®C ®C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑ B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑ C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑ B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure — assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ®A Soil ribbon < 1 inch
❑B Soil ribbon >_ 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland — opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub). Examples
of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
®A ®A Little or no evidence of pollutants or discharges entering the assessment area
❑ B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑ C ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use — opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment area (5M),
and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
®A ®A ®A > 10% impervious surfaces
❑ B ®B ®B Confined animal operations (or other local, concentrated source of pollutants
❑ C ❑C ❑C >_ 20% coverage of pasture
❑D ❑D ❑D >_ 20% coverage of agricultural land (regularly plowed land)
❑E ❑E ❑E >_ 20% coverage of maintained grass/herb
®F ®F ®F >_ 20% coverage of clear-cut land
®G ®G ®G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer — assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
®Yes No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
❑A >_ 50 feet
❑ B From 30 to < 50 feet
®C From 15 to < 30 feet
❑D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
®<_ 15-feet wide ❑> 15-feet wide ❑ Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
®Yes ❑No
7e. Is stream or other open water sheltered or exposed?
®Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
❑ Exposed — adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area — wetland type/wetland complex condition metric (evaluate WT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column for riverine wetlands only. Select the average width for the wetland type at the assessment area (WT) and
the wetland complex at the assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
❑A ❑A >_ 100 feet
❑B ❑B From 80 to < 100 feet
❑ C ❑C From 50 to < 80 feet
❑ D ❑D From 40 to < 50 feet
❑E ❑E From 30 to < 40 feet
❑ F OF From 15 to < 30 feet
❑ G ®G From 5 to < 15 feet
❑ H ❑H < 5 feet

9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
❑A Evidence of short -duration inundation (< 7 consecutive days)
❑ B Evidence of saturation, without evidence of inundation
®C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
®A Sediment deposition is not excessive, but at approximately natural levels.
❑ B Sediment deposition is excessive, but not overwhelming the wetland.
❑ C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
❑A ❑A ❑A >_ 500 acres
❑ B ❑B ❑B From 100 to < 500 acres
❑ C ❑C ❑C From 50 to < 100 acres
❑D El El From 25 to < 50 acres
❑E ❑E ❑E From 10 to < 25 acres
❑ F OF OF From 5 to < 10 acres
❑G ❑G ❑G From 1 to < 5 acres
❑H ❑H ❑H From 0.5 to < 1 acre
❑ 1 01 01 From 0.1 to < 0.5 acre
®J ®J ®J From 0.01 to < 0.1 acre
❑K ❑K ❑K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
❑A Pocosin is the full extent (>_ 90%) of its natural landscape size.
❑ B Pocosin type is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility line
corridors the width of a four -lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A ❑A >_ 500 acres
®B ❑B From 100 to < 500 acres
❑C ®C From 50 to < 100 acres
❑D ❑D From 10 to < 50 acres
III III < 10 acres
OF OF Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
• 1 to 4
❑ C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
❑ A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
®B Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑ C Vegetation is dominated by exotic species (> 50 % cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A >_ 25% coverage of vegetation
LIB < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
o ❑A ❑A Canopy closed, or nearly closed, with natural gaps associated with natural processes
®B ®B Canopy present, but opened more than natural gaps
co
U ❑C ❑C Canopy sparse or absent
>,
o ❑A ❑A Dense mid-story/sapling layer
▪ ®B ®B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
▪ ®B ®B Moderate density shrub layer
❑C ❑C Shrub layer sparse or absent
. ®A ®A Dense herb layer
_ ❑B LIB Moderate density herb layer
❑C ❑C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑ A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B NotA
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
®C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑ A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
®B NotA
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑B ❑C ❑D
' r ` r.~..�
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
Overbank and overland flow are not severely altered in the assessment area.
DB Overbank flow is severely altered in the assessment area.
❑ C Overland flow is severely altered in the assessment area.
❑ D Both overbank and overland flow are severely altered in the assessment area.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WO Date of Assessment
Wetland Type Headwater Forest Assessor Name/Organization
Notes on Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Wetland is intensively managed (Y/N)
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
Assessment area is substantially altered by beaver (Y/N)
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
Assessment area is on a coastal island (Y/N)
Sub -function Rating Summary
Function Sub -function
Hydrology
Surface Storage and Retention
Sub -surface Storage and
Retention
Metrics
Condition
Condition
03/03/2022
Byron Levan/Three
Oaks Engineering
NO
YES
YES
NO
NO
NO
Rating
LOW
LOW
Water Quality
Habitat
Function Rating Summary
Function
Hydrology
Water Quality
Habitat
Pathogen Change
Particulate Change
Soluble Change
Physical Change
Pollution Change
Physical Structure
Landscape Patch Structure
Vegetation Composition
Condition
Condition/Opportunity
Opportunity Presence (Y/N)
Condition
Condition/Opportunity
Opportunity Presence (Y/N)
Condition
Condition/Opportunity
Opportunity Presence (Y/N)
Condition
Condition/Opportunity
Opportunity Presence (Y/N)
Condition
Condition/Opportunity
Opportunity Presence (Y/N)
Condition
Condition
Condition
Metrics
Condition
Condition
Condition/Opportunity
Opportunity Presence (Y/N)
Condition
LOW
LOW
NO
HIGH
NA
NA
MEDIUM
MEDIUM
NO
HIGH
HIGH
NO
NA
NA
NA
LOW
LOW
MEDIUM
Rating
LOW
HIGH
HIGH
NO
LOW
Overall Wetland Rating LOW

Appendix C
Agent Authorization Form
AJD Form
Revised Waters Upload Sheet

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID: Multiple
STREET ADDRESS: NCDOT - Boom Roadway Access and Connectivity Project
Multiple Addresses
Please print: Jerry Parker, NCDOT Division 7 DES
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
James Mason of Three Oaks Engineering, Inc
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
PO Box 14996, Greensboro, NC 27415-4996
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Digitally signed by Jerry
JerryParker Parker
Dale: 2022.03.21
16.45. 12-04'00'
James
Mason
Authorized Signature Authorized Signature
Date: 3/21/22 Date: 3/16/2022

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: NC County/parish/borough: Guilford City: Greensboro
Center coordinates of site (lat/long in degree decimal format): Lat. 36.120658 ° N, Long. -79.951074
Universal Transverse Mercator: 17
Name of nearest waterbody: Brush Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Haw River
Name of watershed or Hydrologic Unit Code (HUC): 03030004
® Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
❑ Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
° W.
There Pick List "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
❑ Waters subject to the ebb and flow of the tide.
❑ Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Pick List "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply):
❑ TNWs, including territorial seas
❑ Wetlands adjacent to TNWs
❑ Relatively permanent waters (RPWs) that flow directly or indirectly into TNWs
❑ Non-RPWs that flow directly or indirectly into TNWs
❑ Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
❑ Impoundments of jurisdictional waters
❑ Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non -wetland waters: linear feet: width (ft) and/or acres.
Wetlands: acres.
c. Limits (boundaries) of jurisdiction based on: Pick List
Elevation of established OHWM (if known):
2. Non -regulated waters/wetlands (check if applicable):3
® Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain: Wetland WI (Figures 2-4) and Basins BA-BO were all considered non -jurisdictional during a PJD site visit on
April 5, 2022. They are all confined to basins constructed in uplands for the sole purpose of catching and filtering
excessive surface water runoff associated with development. .
Boxes checked below shall be supported by completing the appropriate sections in Section III below.
2 For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
3 Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent":
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non -navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i)
General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through Pick List tributaries before entering TNW.
Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from TNW.
Project waters are Pick List aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNW5: .
° Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the arid
West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

Tributary stream order, if known:
(b) General Tributary Characteristics (check all that apply):
Tributary is: ❑ Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man -altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: Pick List.
Primary tributary substrate composition (check all that apply):
❑ Silts ❑ Sands
❑ Cobbles ❑ Gravel
❑ Bedrock ❑ Vegetation. Type/% cover:
❑ Other. Explain:
❑ Concrete
❑ Muck
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: Pick List
Tributary gradient (approximate average slope):
(c) Flow:
Tributary provides for: Pick List
Estimate average number of flow events in review area/year: Lk List
Describe flow regime:
Other information on duration and volume:
Surface flow is: Pick List. Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed:
Tributary has (check all that apply):
❑ Bed and banks
❑ OHWM6 (check all indicators that apply):
❑ clear, natural line impressed on the bank
❑ changes in the character of soil
❑ shelving
❑ vegetation matted down, bent, or absent
❑ leaf litter disturbed or washed away
❑ sediment deposition
❑ water staining
❑ other (list):
❑ Discontinuous OHWM.7 Explain:
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
❑ High Tide Line indicated by: ❑ Mean High Water Mark indicated by:
❑ oil or scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings/characteristics ❑ vegetation lines/changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor. Characteristics (type, average width):
❑ Wetland fringe. Characteristics:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i)
Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain: .
Wetland quality. Explain: .
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Pick List. Explain: Wetland surface water releases at higher rain events. Wetlands flow into the culvert and
then into the tributary.
Surface flow is: Pick List
Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain:
❑ Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) miles from TNW.
Flow is from: Pick List.
Estimate approximate location of wetland as within the Pick List floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width):
❑ Vegetation type/percent cover. Explain:Forested/ 100% cover.
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres)
Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III.D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
❑ TNWs: linear feet width (ft), Or, acres.
❑ Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
❑ Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial:
❑ Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally:

Provide estimates for jurisdictional waters in the review area (check all that apply):
D Tributary waters: linear feet width (ft).
❑ Other non -wetland waters: acres.
Identify type(s) of waters:
3. Non-RPWs8 that flow directly or indirectly into TNWs.
❑ Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non -wetland waters: acres.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
❑ Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
❑ Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section IILD.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
❑ Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
❑ Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
❑ Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
❑ Demonstrate that impoundment was created from "waters of the U.S.," or
❑ Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
❑ Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes.
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
❑ which are or could be used for industrial purposes by industries in interstate commerce.
❑ Interstate isolated waters. Explain:
❑ Other factors. Explain:
'See Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non -wetland waters: acres.
Identify type(s) of waters:
❑ Wetlands: acres.
F. NON -JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
® Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:Wetland WI
(Figures 2-4) is a wetland that has naturalized within an old stromwater/sediment basin.
® Other: (explain, if not covered above): Stormwater/Sediment Basins BA-BO constructed in uplands for the sole purpose of
catching and filtering surface water runoff associated with roadway and residential/commercial development .
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
❑ Non -wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
Other non -wetland waters: acres. List type of aquatic resource:
❑ Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
❑ Non -wetland waters (i.e., rivers, streams): linear feet, width (ft).
❑ Lakes/ponds: acres.
❑ Other non -wetland waters: 1.08acres. List type of aquatic resource: Stromwater/Sediment Basins.
❑ Wetlands: 0.02acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
® Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ 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:
❑ USDA 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 Geodectic Vertical Datum of 1929)
▪ Photographs: ❑ Aerial (Name & Date): .
or ❑ Other (Name & Date): Site photographs.
❑ Previous determination(s). File no. and date of response letter:
❑ Applicable/supporting case law: .
❑ Applicable/supporting scientific literature:
❑ Other information (please specify): .
B. ADDITIONAL COMMENTS TO SUPPORT JD:

11
State
Cowardin Code
HGM_Code
RIVERINE
Meas_Type
AmountalMLUnits.(Vaters_Typr
I atitucjialM. I nnnitude
Local Waterway
SA
NORTH CAROLINA
R4SB
Linear
174
FOOT
DELINEATE
36.12063664
-79.9570661
Brush Creek
SB
NORTH CAROLINA
R5UB
RIVERINE
Linear
3680
FOOT
DELINEATE
36.11897867
-79.9529723
Brush Creek
SC
NORTH CAROLINA
R5UB
RIVERINE
Linear
93
FOOT
DELINEATE
36.12042708
-79.95678284
Brush Creek
SD
NORTH CAROLINA
R5UB
RIVERINE
Linear
556
FOOT
DELINEATE
36.11972456
-79.95302247
Brush Creek
SE
NORTH CAROLINA
R4SB
RIVERINE
Linear
50
FOOT
DELINEATE
36.11726956
-79.95272897
Brush Creek
SF -I
NORTH CAROLINA
R4SB
RIVERINE
Linear
368
FOOT
DELINEATE
36.11764037
-79.9526099
Brush Creek
SF-P
NORTH CAROLINA
RSUB
RIVERINE
Linear
242
FOOT
DELINEATE
36.11819048
-79.95199736
Brush Creek
SG -I
NORTH CAROLINA
R4SB
RIVERINE
Linear
110
FOOT
DELINEATE
36.11872246
-79.94849534
Brush Creek
SG-P
NORTH CAROLINA
RSUB
RIVERINE
Linear
182
FOOT
DELINEATE
36.11778281
-79.94884158
Brush Creek
SH
NORTH CAROLINA
R4SB
RIVERINE
Linear
741
FOOT
DELINEATE
36.11730949
-79.94618475
Brush Creek
SI
NORTH CAROLINA
RSUB
RIVERINE
Linear
307
FOOT
DELINEATE
36.10616745
-79.9547728
Brush Creek
SJ
NORTH CAROLINA
RSUB
RIVERINE
Linear
170
FOOT
DELINEATE
36.10604828
-79.9544113
Brush Creek
SK
NORTH CAROLINA
R4SB
RIVERINE
Linear
308
FOOT
DELINEATE
36.10594868
-79.95512964
Brush Creek
SL
NORTH CAROLINA
R4SB
RIVERINE
Linear
54
FOOT
DELINEATE
36.10601148
-79.95499914
Brush Creek
WA
NORTH CAROLINA
PEM
RIVERINE
Area
0.01
ACRE
DELINEATE
36.11895889
-79.95273077
Brush Creek
WB
NORTH CAROLINA
PEM
RIVERINE
Area
0.03
ACRE
DELINEATE
36.11784635
-79.95039458
Brush Creek
WC
NORTH CAROLINA
PFO
RIVERINE
Area
1.44
ACRE
DELINEATE
36.11756832
-79.94895212
Brush Creek
WD
NORTH CAROLINA
PFO
RIVERINE
Area
0.06
ACRE
DELINEATE
36.1176967
-79.95002055
Brush Creek
WE
NORTH CAROLINA
PFO
RIVERINE
Area
0.02
ACRE
DELINEATE
36.116353
-79.94707621
Brush Creek
WF
NORTH CAROLINA
PFO
RIVERINE
Area
0.03
ACRE
DELINEATE
36.11658684
-79.9469158
Brush Creek
WG
NORTH CAROLINA
PFO
RIVERINE
Area
0.01
ACRE
DELINEATE
36.11715665
-79.94634228
Brush Creek
WH
NORTH CAROLINA
PFO
RIVERINE
Area
0.06
ACRE
DELINEATE
36.11810641
-79.94602163
Brush Creek
WI
NORTH CAROLINA
U
DEPRESS
Area
0.02
ACRE
IMPNDMNT
36.11501224
-79.94567165
Brush Creek
WJ
NORTH CAROLINA
PFO
RIVERINE
Area
0.14
ACRE
DELINEATE
36.10595881
-79.95648116
Brush Creek
WL
NORTH CAROLINA
PFO
RIVERINE
Area
0.08
ACRE
DELINEATE
36.10580329
-79.95487401
Brush Creek
WM
NORTH CAROLINA
PSS
RIVERINE
Area
0.05
ACRE
DELINEATE
36.10620765
-79.95458403
Brush Creek
WN
NORTH CAROLINA
PSS
RIVERINE
Area
0.22
ACRE
DELINEATE
36.10744497
-79.95539994
Brush Creek
WO
NORTH CAROLINA
PSS
RIVERINE
Area
0.02
ACRE
DELINEATE
36.120353
-79.95326
Brush Creek
WP
NORTH CAROLINA
PFO
RIVERINE
Area
0.01
ACRE
DELINEATE
36.119304
-79.953093
Brush Creek
BA
NORTH CAROLINA
U
DEPRESS
Area
0.22
ACRE
IMPNDMNT
36.12515299
-79.95852806
Brush Creek
BB
NORTH CAROLINA
U
DEPRESS
Area
0.06
ACRE
IMPNDMNT
36.1194586
-79.95177867
Brush Creek
BC
NORTH CAROLINA
U
DEPRESS
Area
0.03
ACRE
IMPNDMNT
36.11842177
-79.95095191
Brush Creek
BD
NORTH CAROLINA
U
DEPRESS
Area
0.20
ACRE
IMPNDMNT
36.11837808
-79.95007704
Brush Creek
BE
NORTH CAROLINA
U
DEPRESS
Area
0.01
ACRE
IMPNDMNT
36.11775788
-79.94925109
Brush Creek
BF
NORTH CAROLINA
U
DEPRESS
Area
0.05
ACRE
IMPNDMNT
36.11906732
-79.94844914
Brush Creek
BG
NORTH CAROLINA
U
DEPRESS
Area
0.03
ACRE
IMPNDMNT
36.11900136
-79.94782451
Brush Creek
BH
NORTH CAROLINA
U
DEPRESS
Area
0.05
ACRE
IMPNDMNT
36.11820623
-79.94822024
Brush Creek
BI
NORTH CAROLINA
U
DEPRESS
Area
0.04
ACRE
IMPNDMNT
36.11712054
-79.9478829
Brush Creek
BJ
NORTH CAROLINA
U
DEPRESS
Area
0.13
ACRE
IMPNDMNT
36.11853386
-79.94618957
Brush Creek
BK
NORTH CAROLINA
U
DEPRESS
Area
0.04
ACRE
IMPNDMNT
36.11825027
-79.94637799
Brush Creek
BL
NORTH CAROLINA
U
DEPRESS
Area
0.02
ACRE
IMPNDMNT
36.11716316
-79.94678266
Brush Creek
BM
NORTH CAROLINA
U
DEPRESS
Area
0.12
ACRE
IMPNDMNT
36.11976639
-79.9417583
Brush Creek
BN
NORTH CAROLINA
U
DEPRESS
Area
0.04
ACRE
IMPNDMNT
36.11997198
-79.9374345
Brush Creek
BO
NORTH CAROLINA
U
DEPRESS
Area
0.28
ACRE
IMPNDMNT
36.10565038
-79.95581752
Brush Creek