20240435 Ver 1_Caleb's Creek 404_401 Individual Permit Supporting Docs_20240314

Appendix A
Agent Authorization Form and
USACE Engineering Form for Individual Permit

U.S. Army Corps of Engineers (USACE)
Form Approved -
APPEICATION FOR DEPARTMENT OF THE ARMY PERMIT
OMB No, 0710.0003
33 CFR 325. The proponent agency is CECW-CG-R
Expires: 01-08-2018
The public reporting burden forthis collection of information, OMB Control Number 0710-0003, is estimated to average 11 hours per response. including the time
for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information_ Send comments regarding the burden estimate or burden reduction suggestions to the Department of Defense. Washington Headquarters Services,
at whs.mc-alex.esd.mbx.dd-dod-information-colleebons6d mail.mil. Respondents should be aware that notwithstanding any other provision of law, no person shall
be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT
RETURN YOUR APPLICATION TO THE ABOVE EMAIL.
PRIVACY ACT STATEMENT
Authorities_ Rivers and Harbors Act, Section 10, 33 USC 403", Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries Act,
Section 103. 33 USC 1413, Regulatory Programs of the Corps of Engineers; Final Rule 33 CFR 320-332, Principal Purpose: Information provided on this form
will be used in evaluating the application for a permit. 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. Submission of requested information
is voluntary, however, if information is not provided the permit application cannot be evaluated nor can a permit be issued. One set of original drawings or good
reproducible copies which show the location and character of the proposed activity must be attached to this application (see sample drawings and/or instructions)
and be submitted to t'x; District Engineer having jurisdiction over the location of the proposed activity. An application that is not completed in full will be returned.
System of Recora Notice (SORN). The information received is entered into our permit tracking database and a SORN has been completed (SORN #At 145b)
and may be accessed at the following website: httpJldpcid.defense.gov/PrivacyiSORNstndex/DOD-wide-SOE VN-& ire ewrttejel5.1151a1�45b�c aspx
(ITEMS 1 THRU 4 To BE FILLED BY THE CORPS)
1, APPLICATION NO.
2. FIELD OFFICE CODE
3. DATE RECEIVED
4, DATE APPLICATION COMPLETE
(ITEMS BELOW TO BE FILLED BYAPPLICANT)
5. APPLICANT'S NAME
8. AUTHORIZED AGENT'S NAME AND TITLE (agent is not required)
First - Chris Middle - Last - Cole
First - Jeff Middle - Last - Harbour
Company - BOMA North Carolina LLC
Company - Terracon Consultants, Inc.
Email Address - chris(lvstiakeriverdevelopinent.corn
E-mail Address-1eff. [e-mail]
6. APPLICANT'S ADDRESS:
9. AGENT'S ADDRESS:
Address- 836 Good Hope Drive
Address- 2401 Brentwood Road
City - Castle Rock State - CO Zip - 80108 Country -US
City - Raleigh State - NC Zip - 27604 Country -USA
7. APPLICANT'S PHONE NOs. WAREA CODE
10_ AGENTS PHONE Nos. w1AREA CODE
a. Residence b. Business c. Fax
a. Residence b. Business c. Fax
785-477-2453
919-805-4208
STATEMENT OF AUTHORIZATION
11. I hereby authorize, Terracon Consultants, Inc. to act in my behalf as my agent in the processing of this application and to furnish, upon request,
supplemental information in support of this permit application,
See attached agent auth form 1024-03-13
SIGNATURE OF APPLICANT DATE
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see instructions)
Caleb's Creek
13_ NAME OF WATERBODY, IF KNOWN (if applicable)
14. PROJECT STREET ADDRESS (if applicable)
Abbotts Creek
Address 0 Teague Lane
15. LOCATION OF PROJECT
Latitude; -N 36A62387 Longitude: ,•W -80
city - Kernersville state- NC Zip-
16. OTHER LOCATION DESCRIPTIONS, IF KNOWN (see instructions)
State Tax Parcel ID Municipality
Section - Township - Range -
ENG FORM 4345, MAY 2018 PREVIOUS EDITIONS ARE OBSOLETE. Page 3 of 1

17. DIRECTIONS TO THE SITE
Site is located south of 1-40 near Kemersville off Teague Lane. Mapping is provided in the attachments.
18. Nature of Activity (Description of project, include all features)
The project consists of mixed -use development. residential (low, medium and high density),
conunercial office areas, a lane amenity center, and a public school. Approximately 185 acres will be
left in comnum_ passive -use open space. Incorporated throughout the subdivision as well as the open
space will be:Ippro.simmcly 30.000 linear feet (5.7 uiiIv,,) ol'Lreenway walking trails and 18,000 linear
feet 0 4 milo) ofgrcem a• bil:mg trails. infrastructwv will coni-t of public thoroughfare roads,
internal subdivision circuhwon roans, and apptlrtcnant parking IaCIIILics. Transportation approvals
mandate the establishment of multilane ini-,ress wind egress for safety and they dictate that the
driveways be located within a certain range of loearintss.
19. Project Purpose (describe the reason or purpose of the project, see instructions)
The purpose of the proposed project is to construct a mixed -use: residentiallcommercial development in
order to rneet the growing demands for housing and infrastructure in the region. These road improvements are part of the KL:rnQrs%IIle
Thoroughfare and Street Plan, which is included with this submiltal and would be completed independent of the residential �ubdlvision. All
construction and permitting requirements w i I I be (lie obligation of the developer.
USE BLOCKS 20-23 IF DREDGED ANDfOR FILL MATERIAL IS TO BE DISCHARGED
20. Reasons) for I]i�ittiaige
The priimiry rQisons for unavoidable discharges to wetlands and or waters is from the construction of the roadway infrastructure necessary to
prop I LIC JLx,2,,, I ii i ou.ghout the development. The permanent impacts result from fill and culvert installation to allow for the construction of
road cro7 ti , I 1
21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions)
Acres 0.82 acre or permanent impact plus 0.37 acre of temporary impact from utility line construction
or
Linear Feet 815 linear feet of permanent stream impact plus 180 linear feet of temporary impact from utility line construction
23. Description of Avoidance, Minimization, and Compensation (see instructions)
See attachments.
ENG FORM 4345, MAY 2018 Page 3 of 2

24_ Is Any Portion of the Work Already Complete? 0 Yes F-] No IF YES, DESCRIBE THE COMPLETED WORK
Approximately 195 acres of the entire Caleb's Creek project study area have already been or are currently under development into either
tiingic Ia»iiI y or multi-I'amiI\ r"idential units.
25. Addresses of Adjoining Property Owners, Lessees, Etc., Whose Property Adjoins the Waterbody (if rWe than can he entered here. please attach a supplemental list).
a. Address- See attached list.
City - state - Zip-
b. Address -
City - state - zip -
c. Address -
City - State - Zip -
d. Address -
City - state - Zip -
e. Address -
City - State - zip -
25. List of Other Certificates or Approvals/Denials received from other Federal, State, or Local Agencies for Work Described in This Application.
AGENCY TYPE APPROVAL` IDENTIFICATION DATE APPLIED DATE APPROVED DATE DENIED
NUMBER
[.]SAGE JD SAW-2015-01697 2015-08-04
NCDWR 401 WQC 2005-2116 V3 2017-09-18 2018-01-11
USALE JD Concurrence email SAW-2015-01697 2023-09-29
" Would include but is not restricted to zoning, building, and flood plain permits
27_ Application is hereby made for permit or permits to authorize the work described in this application. I certify that this irtfoa•lation in this application is
complete and accurate. I further certify that I possess the authority to undertake the work described herein or am acting as the duly authorized agent of the
applicant. �
)�q, /" oj4t3/14/24
SIGNATURE OF APPLICANT DATE SIGNATURE OF AGENT DATE
The Application must be signed by the person who desires to undertake the proposed activity (applicant) or it may be signed by a duly
authorized agent if the statement in block 11 has been filled out and signed.
18 U.S.C. Section 1001 provides that: Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly and willfully falsifies, conceals, or covers up any trick, scheme, or disguises a material fact or makes any false, fictitious or fraudulent
statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent
statements or entry, shall be fined not more than $10,000 or imprisoned not more than five years or both.
ENG FORM 4345, MA Y 2018 Page 3 of 3

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO. PARCEL ID:
STREET ADDRESS: 7435 Watkins Ford RD & 0 Teague Lane Kernersville, NC
Please print:
Property Owner: Boma North Carolina, LLC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Jeff Harbor of Terracon
(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):
836 Good Hope Drive Castle Rock, Co 80108
785-447-2453
Telephone:
We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.
thorized Sign
Date: March 13th, 2024
Authorized Signature
Date:
KPI

Appendix B - Caleb's Creek Permit Drawings

PROPERTY BOUNDARY
- STREAM
_ SURFACE WATER
WETLANDS
wis EXHIBIT
INTY, NC

F
EXISTING UTILITY EASEME
NOTE: ALL WETLAND AND STREAM
CROSSINGS ARE TO UTILIZE EXISTING
STRUCTURES AND CROSSINGS WHERE
FEASIBLY POSSIBLE. ALL NEW CROSSINGS
ARE TO BE PYLON BRIDGE OR
BOARDWALK CONSTRUCTION ONLY.
GRID BOUNDARY
y �y
5
r •".
EXISTING UTILITY EASEMENT
F
i
� e
-12
R-, 4
-15
EXISTING UTILITY EASEMENT
TRAILS YADKIN PEE DEE RIVER BASIN
EATIONAL TRAIL
PACT EXHIBIT I EXHIBIT
,onn n ,onn Sono
LE, FORSYTH COUNTY, NC
s L son feet

U-10 N
U-1
w"
—� U_5
U-6U-12
U-7r
m„
U-13
w- U-14
� - r
U-15
U-16 e'
r�
`! rX
NOTE: ALL CROSSINGS TO BE CONSTRUCTED
_ SURFACE WATER PER ATTACHED DETAIL. ALL DISTURBANCES TO
BE RESTORED TO EXISTING CONDITIONS.
WETLANDS
— WATER LINE
SANITARY SEWER N
STREAM YADKIN PEE DEE RIVER BASIN
DATE: UTILITY CROSSING EXHIBIT
� EXHIBIT
SEH 1/5/2024 KERNERSVILLE, FORSYTH COUNTY, NC ono 0 1000 2000
scale Soo feat

o.
.
g
L�`ia_
EXISTING UTILITY EASEMENT
a�
119
AWL
EXISTING UTILITY EASEMENT
t
EXISTING UTILITY EASEMENT
GRID BOUNDARY STREAM
100 YEAR FLOOD PLAINwo
_ SURFACE WATER N
h6 WETLANDS YADKIN PEE DEE RIVER BASIN
CALEB'S CREEK 0
SATE. WETLANDS & STREAMS EXHIBIT
1/5/2024 food n f000 2000
KERNERSVILLE, FORSYTH COUNTY, NC
—L son feet

GRID BOUNDARY
— — —
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
IMPACTED STREAMS
tom'
IMPACT T1: 50 LF. 115 SF
O
3A IMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA (SF)
AREA (ACRES)
T4
T1
50
115
0.00
T4
T2
95
900
0.00
TOTAL
145
1,015
0.00
STREAM N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC A Zoo 0 00 400
scale 100 fezt

Awl
c:)
k.
[IMPACT T3: 75 LF, 910 SF
........... .. F7
X
GRID BOUNDARY
100 YEAR FLOOD PLAIN
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
-
IMPACTED STREAMS
3BIMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(SF)
AREA (SF)
T4
T3
75
910
0.00
TOTAL
75
910
0.00
STREAM
DATE: CALEB'S CREEK IMPACT
3/11/2024 WETLANDS & STREAMS EXHIBIT 2
SEH KERNERSVILLE, FORSYTH COUNTY, NC B 200 0 00 400

�r
200 0 200 400
FUTURE STORMWATER BMP sale {oo f—t
{ 1
IMPACT W1: 0.24 AC
771
(
\
l
iv
i
FUTURE STORMWATER BMP
\i
i
%u
PH-1P3
I
/
s
/
/
I /
GRID BOUNDARY
— — — 100 YEAR FLOOD PLAIN
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
— IMPACTED STREAMS
STREAM
IMPACT T4: 75 LF, 1,120 SF
IMPACT W2: 0.06 AC
� I
'\ I
IMPACT W3: D.05 AC
I I
I �I
' j 1 0 I
O
.I
I \ 1
I'
3C IMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(SF)
AREA
(ACRES)
W6
W1
0
0
.24
W8
W2
0
0
X6
W5
W3
0
0
X5
T34
T4
75
1120
0
TOTAL
75.00
1,120
0.35
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC C

1,'
GRID BOUNDARY
- - - 100 YEAR FLOOD PLAIN
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
III
IMPACTED STREAMS
STREAM
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC D
N
200 0
200
400
scale 100
feat

GRID BOUNDARY
- - - 100 YEAR FLOOD PLAIN
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
RHO
M
O �
Q
EXISTING UTILITY EASEMEN' *
IMPACTED STREAMS
STREAM
EXISTING UTILITY EASEMENT
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC E
F�,uHE
RH-1]3
N
200 0
200
400
scale 100
feat

I '
-1 I
TA
o I f
'? T" o
EXISTING UTILITY EASEMENT ; '' O
r
T36
1 C TEMPORARY IMPACT FOR
PYLON/BRIDGE CONSTRUCTION
0<71
s _
001,
Lu
r
W
000
GRID BOUNDARY
- - - 100 YEAR FLOOD PLAIN
_ SURFACE WATER
WETLANDS
IMPACTED STREAMS
STREAM
f,.
IMPACTED WETLANDS N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC F Zoo 0 00 400
scale 100 fezt

GRID BOUNDARY
- - -
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
IMPACTED STREAMS
3G IMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(SF)
AREA
(ACRES)
T32
T5
75
410
0
TOTAL
75
410
0.00
V i
O
STREAM N
CALEB'S CREEK IMPACT
SATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC G Zoo 0 00 400
scale 100 fezt

2,000 SF I I IMPACT T7: 80 LF,
1,750 SF
t
Nll�
IMPACT T8: 140 LF,
2,150 SF
E
EXISTING ORMWATER BMP
V
lid � O
0 O
Q
z
1 EXISTING UTILITY EASEMENT n
O
1
Lo
O
RL-10
7
I
GRID BOUNDARY
— — —
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
IMPACTED STREAMS
STREAM
3H IMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(SF)
AREA
(ACRES)
T31
T6
75
2000
0
T13
T7
80
1750
0
T14
T8
140
2150
0
TOTAL
295
5,900.00
0.0
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC H
li
N
0
T 14W
200 0 200 400
tale 100 feet

O
r
n
m
GRID BOUNDARY
— — — 100 YEAR FLOOD PLAIN
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
FUTURE STORMWATER
BMP
EXISTING UTILITY EASEMENT
EXISTING STORMWATERf%
BMP "1
O
Q�
c
IMPACTED STREAMS
STREAM
FUTURE STORMWATER BMP
i
i
i
l i
EXISTING UTILITY EASEMENT
i
EXISTING STORMWATER
BMP
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC I
200 0
N
200
400
scale 100
feat

IMPACT T9: 75 LF. 500 SF
TRa, 7�
"l. *101#*4
,�lk
GRID BOUNDARY
- - -
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
IMPACTED STREAMS
-
STREAM N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC i Zoo 0 00 400
scale 100 fezt
IMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(SF)
AREA
(ACRES)
T20
T9
75
500
0.00
TOTAL
75
500
0.00

GRID BOUNDARY IMPACTED STREAMS
- - - 100 YEAR FLOOD PLAIN STREAM
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC K Zoo 0 00 400
scale 100 fezt

-
BMP
_ a
� ca ■ ,
z
EXISTING UTILITY EASEMENT
T c tts�
tA�
GRID BOUNDARY
— — —
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
IMPACTED STREAMS
STREAM
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC I L
N
200 0
200
400
scale 100
feat

GRID BOUNDARY
- - -
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
IMPACTED WETLANDS
I I
r
I
I
of f I \ ti
j-
1 I \
I I i
r
\
r
io
I
TEMPORARY IMPACT FOR
PYLON/BRIDGE CONSTRUCTION
FOR ROAD CONNECTION
� f
\
IMPACT W4: 0.30 AC I `,
� I
� � I
\
\t
EXISTING UTILITY EASEMENT \•-\'
IMPACTED STREAMS
STREAM
N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
CCLI 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC M Zoo 0 0� Qo�
.iLI� scale 100 fezt
3M IMPACTS
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(ACRES)
AREA
(SF)
W43
W4
0
0.30
TOTAL
0
0.30

"'Zo'0000v�'
/
CJ
r
//
j
1
r
� L\
\ 1
f 1
\
f
EXISTING UTILITY EASEMENT
GRID BOUNDARY
IMPACTED STREAMS
- - - 100 YEAR FLOOD PLAIN STREAM
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC N
A
N
200 0
200
400
scale 100
feat

GRID BOUNDARY
IMPACTED STREAMS
- - - 100 YEAR FLOOD PLAIN STREAM
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC Q
N
200 0
200
400
scale 100
feat

I r
\
1
r
`\ 1
I
\
1
J
/
r
r
I /
1 1
1 /
I f
1 /
� 1
j � 1
I 1
1
f 1
11 IMPACT T10: 75 LF, 325 SF
IMPACT W5: 0.17 ACRES
� I
i 1
f � r
1
t l
1
I f
\ r
1 \
f f
I � 1
I \
t
1
l
1
EXISTING UTILITY EASEMENT
1
\
1
\_ s
1
\ � i
1
GRID BOUNDARY
— — — 100 YEAR FLOOD PLAIN
_ SURFACE WATER
WETLANDS
IMPACTED WETLANDS
IMPACTED STREAMS
STREAM
IMPACTS
STREAM
WETLAND
IMPACTED STREAM
OR WETLAND NAME
IMPACT
NAME
LENGTH
(LF)
AREA
(SF)
AREA
(ACRES)
T28
T10
75
325
0
W43
W5
0
0
0.17
TOTAL
75
325
0.17
CALEB'S CREEK IMPACT
SATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC I P
N
200 0
200
400
scale 100
feat

1
il
GRID BOUNDARY
- - -
100 YEAR FLOOD PLAIN
_
SURFACE WATER
F -.-
WETLANDS
e a..
IMPACTED STREAMS
STREAM
IMPACTED WETLANDS N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
CCLI 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC Q Zoo 0 0� Qo�
.iLI� scale 100 fezt

w
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GRID BOUNDARY
— — —
100 YEAR FLOOD PLAIN
_
SURFACE WATER
WETLANDS
EXISTING UTILITY EASEMENT
IMPACTED STREAMS
STREAM
m
�i..
!
�tr
�
IMPACTED WETLANDS N
CALEB'S CREEK IMPACT
DATE. WETLANDS & STREAMS EXHIBIT
SEH 3/11/2024 KERNERSVILLE, FORSYTH COUNTY, NC R Zoo 0 00 400
scale 100 fezt

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Appendix C - Offsite Alternatives

-A"
SEH
Building a Better World
for All of Us'
MEMORANDUM
TO: BOMA North Carolina LLC, Attn: Chris Cole — Snake River Development
FROM: Alexander Berlick — SEH
DATE: February 2, 2024
RE: Browns Summit Site Analysis
SEH No. 176371 SEHNC 14.00
Mr. Cole,
As requested, we have evaluated the development potential for the four combined parcels located
approximately 1.8 miles NE of Greensboro, North Carolina in Guilford County, nearest the unincorporated
community, Browns Summit. Henceforth, this site shall be referred to as the "Browns Summit Site." We
have reviewed five criteria that may have impact on the development potential of this property.
Administrative & Entitlements
The nearest municipality to the property is the City of Greensboro. The closest corner of the property is
approximately 1.8 miles from the city limits. However, the property is located approximately 3,300' outside
of the Greensboro growth management boundary identified within its comprehensive plan and not within
the city's extra -territorial jurisdiction. This means the property will not be developed and annexed into the
City of Greensboro and would be developed under the jurisdiction of Guilford County.
The property is currently zoned AG. Neighboring properties are zoned RS-40, RS-30, LI, and PI. All of
which are very low intensity uses. Its unlikely the county would allow a development of the proposed
density without the support of public sewer and water.
L.Itllltlr,,s
The City of Greensboro is the nearest provider of public Water and Sewer. However, the property is
outside of the service limits for the city. Neighboring developments also not located within the service
area of the city utilize well and septic systems. Development of the proposed density is not suitable for
well and septic.
Watershed
The Browns Summit site is not located within any of the protected watersheds located within Guilford
County.
Environmental
According to the wetland index, there is a large amount wetlands and streams located within the
development area along Benja Creek and near the ponds located on the site. There are also several
intermittent streams located on the property entering and leaving the retention ponds located on the
Engineers I Architects I Planners I Scientists
Short Elliott Hendrickson Inc., 10 North Bridge Street, Chippewa Falls, WI 54729-2550
715.720.6200 1 800.472.5881 1 888.908.8166 fax I sehinc.com
SEH is 100 % employee -owned I Affirmative Action —Equal Opportunity Employer

Memorandum
February 2, 2024
Page 2
property. Guilford County regulations require a 50' buffer around many of these streams, further limiting
development potential. Additionally, to provide secondary means of egress for the developable areas, at
least one crossing of Benja Creek would be required. Several intermittent stream crossings would be
required as well.
Floodplain
Benja Creek runs through the northern end of the property. There is a delineated floodway centralized
along this creek. The floodplain extends out beyond the wetlands and further reduces the developable
area.
Summary
Given the information mentioned above, this property has low development potential for the type of
development that BOMA North Carolina is seeking. Without the support of city sewer and water, the
density is restricted to that which is allowed in RS-40 and RS-30 zoning district. Additionally, the
infrastructure improvements that would be required would have a very large impact on the
environmentally sensitive areas located on the property and have a high mitigation cost. Please do not
hesitate to reach out to us if you would like to discuss the results of this evaluation in further detail.
1/4 /) /M
Alexander Berlick
Project Manager — Land Development
Short Elliott Hendrickson
Attachments: Conceptual Site Plan — Randleman Site
cc: Debbie Joyce — Snake River Development
Sarah Cole — Snake River Development
Kory Reimann — Snake River Development
Randy Jenniges, PE — SEH
x:\ae\b\boman\common\terracon wetlands and waters\alternative developments\cad\pdfibrowns summit\browns summit alt analysis memo.docx

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-A"
SEH
Building a Better World
for All of Us'
MEMORANDUM
TO: BOMA North Carolina LLC, Attn: Chris Cole — Snake River Development
FROM: Alexander Berlick — SEH
DATE: February 2, 2024
RE: Randleman Site Analysis
SEH No. 176371 SEHNC 14.00
Mr. Cole,
As requested, we have evaluated the development potential for the 16 combined parcels located
approximately four miles NE of Randleman, North Carolina in Randolph County. Henceforth, this site
shall be referred to as the "Randleman Site." We have reviewed five criteria that may have impact on the
development potential of this property.
Administrative & Entitlements
The nearest municipality to the property is the City of Randleman. The closest corner of the property is
approximately 1.6 miles from the city limits. The extra -territorial zoning jurisdiction of the City of
Randleman is up to one mile. This means the property would not be developed and annexed into the City
of Randle without modification of the growth management map. The growth management map was
updated January 2024, further complicating this issue. Development of this property would fall under the
jurisdiction of Randolph County.
According to the county's "Development Constraints Map" the property falls under the "Secondary Growth
Area" category. This means the minimum lot size within the watershed area is 40,000 square feet.
Maximum density with this lot size restriction means that we would be looking at densities of up to 1.0 unit
per acre. This is much lower than the developer's requirements.
Development of this property was proposed and approved by the Randolph County planning board in
December of 2020. The reasons for the failure of this development are unknown but insinuate additional
problems with the development of this property.
Lltllltlos
The City of Randleman is the nearest provider of public Water and Sewer. Water and sewer are stubbed
up to a reasonable distance from the property. In the southeast, it is stubbed to Victory Junction, at the
intersection of Victory Jct. LN and Fred Lineberry Rd. In the southwest, it is stubbed to Salem Ridge Dr
and Old Greensboro Rd.
Sanitary Sewer: Both trunk lines drain to downstream pump stations. Due to the density restrictions of
this area, it is likely that said pump stations and the associated forcemain are designed to accommodate
a much lower density than what is required by our developer.
Engineers I Architects I Planners I Scientists
Short Elliott Hendrickson Inc., 10 North Bridge Street, Chippewa Falls, WI 54729-2550
715.720.6200 1800.472.5881 1 888.908.8166 fax I sehinc.com
SEH is 100 % employee -owned I Affirmative Action —Equal Opportunity Employer

Memorandum
February 2, 2024
Page 2
Watermain: Pressures at the watermain connections are currently unknown. However, most of the
development resides uphill from the watermain connections. Due to the usage and density requirements
of this development, it is likely that a new well pump and storage facility would be required to service this
development.
Watershed
The Randleman Site sits within the Polecat Creek Watershed. Within the watershed, the development
area falls within the "Protected" region of the water shed. Due to its location, the property is limited in
development potential to the standards set forth within the "Secondary Growth Area" category.
Environmental
According to the wetland index, there are wetlands and streams located within the development area.
Due to watershed regulations, there are minimum buffer standards for stream protection mandated by the
State of North Carolina. This further restricts the density and development potential of the site.
Floodplain impacts are minimal. However, the Polecat Creek floodplain does extend into the property.
The unnamed tributary also has floodplain that extends into the development.
Summary
Given the information mentioned above, this property has low development potential for the type of
development that BOMA North Carolina is seeking. Density is restricted to approximately 1.0 units per
acre and higher density land uses would require a complicated entitlement process. Additionally, required
off -site improvement costs would exceed what is economically feasible. Please do not hesitate to reach
out to us if you would like to discuss the results of this evaluation in further detail.
Alexander Berlick
Project Manager —Land Development
Short Elliott Hendrickson
Attachments: Conceptual Site Plan — Randleman Site
cc: Debbie Joyce — Snake River Development
Sarah Cole — Snake River Development
Kory Reimann — Snake River Development
Randy Jenniges, PE — SEH
x:\ae\b\boman\common\terracon wetlands and waters\alternative developments\cad\pdfirandalman\randalman alt analysis memo.docx

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Appendix D - Onsite Alternatives

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IMPACT SUMMARY AND MINIMIZATION
FROM ONSITE ALTERNATIVES

MARCH 2O24 IMPACTS
Exhibit 3A (PA102)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Wetland
Area (AC)
T4
Tl
Road Crossing
50
115
0.00
T4
T2
Road Crossing
95
900
0.00
TOTAL
145
1015
0.00
Exhibit 3B (PA101)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
T5
T3
Road Crossing
75
910
0.00
TOTAL
75
910
0
Exhibit 3C (PA102 & PA100)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Stream Area
(SF)
Area
(Acres)
W6
W1
Road Crossing/Lot Grading
0
0
0.24
W8
W2
Road Crossing
0
0
0.06
W5
W3
Road Crossing
0
0
0.05
T35
T4
Road Crossing
75
1120
0.00
TOTAL
75
1120
0.35
Exhibit 3D (PA105 & RL-14)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3E (PA103)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3F (PA103 & PA100)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3G (PA105)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
T32
T5
Road Crossing
75
410
0.00
TOTAL
75
410
0.00
Exhibit 3H (PA104 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Stream Area
(SF)
Area
(Acres)
T13
T6
Road Crossing
75
2000
0.00
T13
T7
Road Crossing
80
1750
0.00
T31
T8
Road Crossing
140
2150
0.00
TOTAL
295
5900
0.00
Exhibit 31 (PA104 & PA107 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00

MARCH 2O24 IMPACTS
Exhibit 3J (PA105 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
T20
T9
Road Crossing
75
0.00
TOTAL
75
0.00
Exhibit 3K (PA105 & RL-7)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Stream Area
(SF)
Area
(Acres)
0
0
0.00
TOTAL
0
0
0.00
Exhibit 3L (RL3 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3M (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Stream Area
(SF)
Area
(Acres)
W43
W4
Road Crossing
0
0.30
TOTAL
0
0.30
Exhibit 3N (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 30 (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3P (PA105 & RL-7)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
T28
T10
Road Crossing
75
350
0.00
W43
W5
Road Crossing
0
0
0.17
TOTAL
75
350
0.17
Exhibit 3Q (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
(LF) Leng
th ( )
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3R (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Stream Area
(SF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
815.00 9705.00 0.82

AUGUST 2023 IMPACTS
Exhibit 3A (PA102)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Wetland
Area (AC)
T4
T1
Road Crossing
50
0.00
T4
T2
Road Crossing
95
0.00
TOTAL
145
0
Exhibit 3B (PA101)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
T5
T3
Road Crossing
75
0.00
TOTAL
75
0
Exhibit 3C (PA102 & PA100)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
W6
W1
Road Crossing/Lot Grading
0
0.24
W8
W2
Road Crossing
0
0.06
W5
W3
Road Crossing
0
0.21
T35
T4
Road Crossing
50
0.00
TOTAL
50
0.51
Exhibit 3D (PA105 & RL-14)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3E (PA103)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3F (PA103 & PA100)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
W10
W4
Road Crossing
0
0.14
TOTAL
0
0.14
Exhibit 3G (PA105)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
T32
TS
Road Crossing
S5
0.00
TOTAL
55
0.00
Exhibit 3H (PA104 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
T13
T6
Road Crossing
10
0.00
T13
T7
Road Crossing
80
0.00
T31
T8
Road Crossing
95
D.00
W27
W5
Lot Grading
0
D.17
TOTAL
185
D.17

AUGUST 2023 IMPACTS
Exhibit 31 (PA104 & PA107 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3J (PA105 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3K (PA105 & RL-7)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
W40
W6
Lot Grading
0
0.36
TOTAL
0
0.36
Exhibit 3L (RL3 )
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3M (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
W43
W7
Road Crossing
0
0.26
TOTAL
0
0.26
Exhibit 3N (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0.00
TOTAL
0.00
Exhibit 30 (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0.00
TOTAL
0.00
Exhibit 3P (PA105 & RL-7)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
T28
T9
Road Crossing
55
0.00
W43
W8
Road Crossing
0
0.09
TOTAL
55
0.09
Exhibit 3Q (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
Exhibit 3R (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Stream
Length (LF)
Area
(Acres)
0
0.00
TOTAL
0
0.00
565.00 1.53

MAY 2023 IMPACTS
Wetland Impact Cost $ 142,412 Revise stream impact to just culvert length if rip rap is below water line
No impact for boardwalk trail if wooden
remove impact multiplier, add square footage for stream impacts
Exhibit 3A (PA102)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T4
Tl
Road Crossing
35
1.0
35
0.00
1.0
0.00
T4
T2
Road Crossing
58
1.0
58
0.00
1.0
0.00
TOTAL
93
-
93
0
-
0.00
Exhibit 3B (PA101)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T5
T3
Road Crossing
12S
1.0
12S
0.00
1.0
0.00
TOTAL
125
-
125
0
-
0.00
Exhibit 3C (PA102 & PA100)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
W6
Wl
Road Crossing/Lot Grading
0
1.0
0
0.24
1.0
0.24
W8
W2
Road Crossing
0
1.0
0
0.06
1.0
0.06
W5
W3
Road Crossing
0
1.0
0
0.21
1.0
0.21
T7
T4
Trail Crossing (Pylons/Bridge)
61
0.1
6
0.00
1.0
0.00
T34
TS
Trail Crossing (Pylons/Bridge)
99
0.1
10
0.00
1.0
0.00
T33
T6
Trail Crossing (Pylons/Bridge)
32
0.1
3
0.00
1.0
0.00
T35
T7
Road Crossing
100
1.0
100
0.00
1.0
0.00
TOTAL
292
-
119
0.51
-
0.51
Exhibit 3D (PA105 & RL-14)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
TOTAL
0
-
0
0.00
-
0.00
Exhibit 3E (PA103)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T5
T8
Trail Crossing (Pylons/Bridge)
72
0.1
7
0.00
1.0
0.00
TOTAL
72
-
7
0,00
-
0.00
Exhibit 3F (PA103 & PA100)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
Wil
W4
Trail Crossing (Pylons/Bridge)
0
1.0
0
0.01
1.0
0.01
W10
WS
Road Crossing
0
1.0
0
0.14
1.0
0.14
T36
T9
Trail Crossing (Pylons/Bridge)
32
0.1
3
0.00
1.0
0.00
P2
Pi
Trail Crossing (Pylons/Bridge)
0
0.1
0
0.01
1.0
0.01
TOTAL
32
-
3
0.16
-
0.16
Exhibit 3G (PA105)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T32
T10
Road Crossing
102
1.0
102
0.00
1.0
0.00
TOTAL
102
-
102
0.00
-
0.00
Exhibit 3H (PA104 )
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T37
TSS
Trail Crossing (Pylons/Bridge)
30
1.0
30
0.00
1.0
0.00
T13
T12
Road Crossing
12S
1.0
12S
0.00
1.0
0.00
T31
T13
Road Crossing
80
1.0
80
0.00
1.0
0.00
W27
W6
Lot Grading
0
1.0
0
0.17
1.0
0.17
TOTAL
235
-
235
0.17
-
0.17
Exhibit 31 (PA104 & PA107 )
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
P7
P2
Road Crossing/Lot Grading
0
1.0
0
OAS
1.0
0AS
TOTAL
0
-
0
0.15
-
0.15
Exhibit 3J (PA105 )
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
-
-
-
0
1,0
0
0,00
1.0
0.00
TOTAL
0
-
0
0.00
-
0.00
Exhibit 3K (PA105 & RL-7)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)

MAY 2023 IMPACTS
T19
T14
Road Crossing
10
1.0
10
0.00
1.0
0.00
T18
T15
Trail Crossing (Pylons/Bridge)
30
0.1
3
0.00
1.0
0.00
W40
W7
Trail Crossing (Pylons/Bridge)
0
1.0
0
0.16
1.0
0.16
W40
W8
Lot Grading
0
1.0
0
0.36
1.0
0.36
TOTAL
40
-
13
0.52
-
0.52
Exhibit 3L (RL3 )
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
-
-
-
0
1.0
0
a00
1.0
0.00
TOTAL
0
-
0
a00
-
0.00
Exhibit 3M (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T14
T16
Road crossing(Bridge)
100
1.0
100
a00
1.0
0.00
W43
W9
Road Crossing
0
1.0
0
1.2S
1.0
1.25
TOTAL
100
-
100
1.2S
-
1.25
Exhibit 3N (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
-
-
-
0
1.0
0
0.00
1.0
0.00
TOTAL
0
-
0
0.00
-
0.00
Exhibit 30 (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
-
-
-
0
1.0
0
0.00
1.0
0.00
TOTAL
0
-
0
0.00
-
a0c)
Exhibit 3P (PA105 & RL-7)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
T28
T17
Road Crossing
110
1.0
110
0.00
1.0
a00
W43
W10
Road Crossing
0
0.1
0
0.17
1.0
0.17
TOTAL
110
-
110
0.17
-
0.17
Exhibit 3Q (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
-
-
-
0
1.0
0
0.00
1.0
0.00
TOTAL
0
-
0
0.00
-
0.00
Exhibit 3R (PA106)
Impacted Stream or
Wetland Name
Impact Name
Description
Length
(LF)
Impact
Multiplier
Adjusted
Length (LF)
Area
(Acres)
Impact
Multiplier
Adjusted
Area (Acres)
-
-
-
0
1.0
0
0.00
1.0
0.00
TOTAL
0
-
0
a00
-
0.00

Appendix E - Current Approved Delineation and
Concurrence Email

Good morning,
"PLEASE NOTE, a combined Preliminary/Approved Jurisdictional Determination (JD) will be
forthcoming. The Preliminary JD will encompass the majority of the site; the Approved JD will include
excluded upland ponds P6 and P7. This email is simply to provide my concurrence for the above
referenced JD and correlating maps.
Reference is made to Corps Action ID: SAW-2015-01697 for the above referenced project. Please
reference this number on any correspondence regarding this action.
We have reviewed the information provided by you concerning the aquatic resources, and by copy of
this e-mail, are confirming that the aquatic resources delineation has been verified by the Corps to be a
sufficiently accurate and reliable representation of the location and extent of aquatic resources within
the identified review area. On -site field verifications were conducted by the Corps on July 25, August 24,
and Sept 19. The location and extent of these aquatic resources are shown on the enclosed delineation
maps entitled, "Potential Wetlands and Waters of the U.S., Caleb's Creek (Exhibit No.'s 3A through 3R)"
and dated September 2023.
Regulatory Guidance Letter (RGL) 16-01
https://usace.contentdm.ocic.org/utils/getfile/collection/pl602lco119/id/1256 provides guidance for
Jurisdictional Determinations (JD) and states, "The Corps generally does not issue a JD of any type where
no JD has been requested." Currently, we are only verifying the delineation. This delineation may be
relied upon for use in the permit evaluation process, including determining compensatory
mitigation. This verification does not address nor include any consideration for geographic jurisdiction
on aquatic resources and shall not be interpreted as such. This delineation verification is not an
Approved Jurisdictional Determination (AJD) and is not an appealable action under the Regulatory
Program Administrative Appeal Process (33 CFR Part 331). However, you may request an AJD, which is
an appealable action.
Best Regards,
Sam Dailey (she/her)
Chief, Charlotte Regulatory Field Office
U.S. Army Corps of Engineers, Wilmington District
8430 University Executive Park Drive, Suite 615
Charlotte, NC 28262
Email: [e-mail]
Cell: [phone]

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0 0.25 0.5 1.`, "
Miles
DATA SOURCES: ESRI World Imagery, Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Grid Boundary AJD Area
Disclaimer: These are preliminary delineation
[ Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227055
ierraco
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
Teague Lane
3
Checked By:
Filename:
RG
Exhibit
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
11 September 2023
Phone: [phone] Fax: [phone]

�,IPT
C Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC)
Grid Boundary AJD Area
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 100 200
T44
T13
W21
DATA SOURCES: ESRI World Imagery, Site
Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3A
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

�u
V,
.. 0.
DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3B
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

W6
"
r- A ,
10
T7
c _
W5
W7
T8 T6
r-
T33-
T9
4
T35
i ,
4.
Pi
__ At
ar
�m
DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Grid Boundary AJD Area
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3C
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

CDATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 1�200
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3D
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 1�200
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3E
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

W14
W18
W11
;W1 T36
W13
T10
1►M
W10
P "r^ * y
�t a j
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC)
Grid Boundary AJD Area
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 100 200
DATA SOURCES: ESRI World Imagery, Site
Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3F
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 1�200
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3G
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 1�200
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
Terra
No.
Drawn By:
Scale:
AAF/MM
As Shown
core
Caleb's Creek
1815 Teague Lane
3H
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

ip
W20
W19
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC)
Grid Boundary AJD Area
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 100 200
ma
r
DATA SOURCES: ESRI World Imagery, Site
Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
31
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

a
4
I
1 t
`F li I
n�
4
DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Grid Boundary AJD Area
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
31
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-c west Friendly Avenge Greensboro, NC 27410
RG
September 2023
1 1 Phone: [phone] Fax: [phone]

DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 1�200
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3K
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

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it
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Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC)
Grid Boundary AJD Area
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 100 200
DATA SOURCES: ESRI World Imagery, Site
Boundary based on Forsyth Co. Parcel Data
and BOMA NC, LLC, Terracon Field Data.
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
X
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

T21
W55
wt.
I to.
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W52
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11
DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3M
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF)
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF)
Potential Wetland (± 68 AC) O Culvert 0 1�200
Disclaimer: These are preliminary delineation
results and subject to regulatory review and
concurrence. This is not a replacement for a
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3N
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

a
M
11
M
T27 I
CDATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracvn
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
30
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

W48
T27
R
m
11
Q
Site Boundary
Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC)
DATA SOURCES: ESRI World Imagery Site
9
Boundary based on Forsyth Co. Parcel, Data
Grid Boundary
AJD Area
and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC)
Potential Tributary (± 47,069.6 LF)
Disclaimer: These are preliminary delineation
Potential Surface Water Pond (± 19.1 AC)
Potential Ditch (± 714.9 LF)
results and subject to regulatory review and
concurrence. This is not a replacement for a
Potential Wetland (± 68 AC)
0 100
O Culvert
200
400 traditional survey and is suitable for
preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
rerracon
No.
Drawn By:
Scale:
AAF/MM
As Shown
Caleb's Creek
1815 Teague Lane
3P
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

+M MM4
m k
� au
H
T25
I
0
h �
r
DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
Terra
No.
Drawn By:
Scale:
AAF/MM
As Shown
core
Caleb's Creek
1815 Teague Lane
3Q
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

p
T25
p
DATA SOURCES: ESRI World Imagery; Site
Site Boundary Non -Jurisdictional (b)(1) Excluded Feature (± 0.8 AC) Boundary based on Forsyth Co. Parcel Data
Grid Boundary AJD Area and BOMA NC, LLC, Terracon Field Data.
Potential Tributary (± 3.3 AC) Potential Tributary (± 47,069.6 LF) Disclaimer: These are preliminary delineation
results and subject to regulatory review and
Potential Surface Water Pond (± 19.1 AC) Potential Ditch (± 714.9 LF) concurrence. This is not a replacement for a
0 100 200 400 traditional survey and is suitable for
Potential Wetland (± 68 AC) O Culvert preliminary planning purposes only and for use
Feet by a surveyor to aid in locating flags.
PM:
RG
Project No.
Potential Wetlands and Waters of the U.S.
EXHIBIT
75227056
Terra
No.
Drawn By:
Scale:
AAF/MM
As Shown
core
Caleb's Creek
1815 Teague Lane
3R
Checked By:
Filename:
RG
Exhibit 3
Kernersville, Forsyth County, North Carolina
Approved By:
Date:
7327-G west Friendly Avenue Greensboro, NC 27410
RG
September 2023
Phone: [phone] Fax: [phone]

Appendix F - USFWS IPaC List

LA.
4 A:ALIT'T
a -
United States Department of the Interior
FISH AND WILDLIFE SERVICE A'
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
Phone: [phone] Fax: [phone]
In Reply Refer To: January 30, 2024
Project Code: 2024-0042475
Project Name: Caleb's Creek
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The enclosed species list
fulfills the requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.).
Please note that new species information can change your official species list. Under 50 CFR
402.12(e) of the regulations implementing section 7 of the Act, the accuracy of this species list
should be verified after 90 days. The Service recommends you visit the ECOS-IPaC website at
regular intervals during project planning and implementation to ensure your species list is
accurate or obtain an updated species list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A biological assessment (BA) or biological evaluation (BE) should be completed for your
project. A BA is required for major construction activities (or other undertakings having similar
physical impacts) considered to be Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2) (c))
(NEPA). For projects other than major construction activities, the Service suggests that a BE be
prepared to determine effects of the action and whether those effects may affect listed species
and/or designated critical habitat. Effects of the action are all consequences to listed species or
critical habitat that are caused by the proposed action, including the consequences of other

Project code: 2024-0042475 01/30/2024
activities that are caused by the proposed action. A consequence is caused by the proposed action
if it is reasonably certain to occur and would not occur "but for" the proposed action..
Recommended contents of a BA/BE are described at 50 CFR 402.12. More information and
resources about project review and preparing a BA/BE can be found at the following web link:
https://www.fws. gov/office/asheville-ecological-services/asheville-field-office-online-review-
process-overview.
If a Federal agency determines listed species and/or designated critical habitat may be affected
by the proposed project, the agency is required to consult with the Service pursuant to 50 CFR
402. The Service is not required to concur with "no effect" determinations from Federal action
agencies. If consultation is required, the Service recommends that candidate species, proposed
species, proposed critical habitat, and at -risk species be addressed within the consultation. More
information on the regulations and procedures for section 7 consultation, including the role of
permit or licensed applicants, can be found in the "Endangered Species Consultation Handbook"
at the following web link: https://www.fws.gov/media/endangered-species-consultation-
handbook.
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Act, there are additional responsibilities under the Migratory Bird Treaty Act (META)
and the Bald and Golden Eagle Protection Act (BGEPA) to protect native birds from project -
related impacts. Any activity, intentional or unintentional, resulting in take of migratory birds,
including eagles, is prohibited unless otherwise permitted by the Service (50 C.F.R. Sec. 10.12
and 16 U.S.C. Sec. 668(a)). More information about MBTA and BGEPA can be found at the
following web link: https://www.fws.gov/program/migratory.
We appreciate your consideration of Federally listed species. The Service encourages Federal
agencies to include conservation of threatened and endangered species in their project planning
to further the purposes of the Act. Please contact our staff at 828-258-3939, if you have any
questions. In any future correspondence concerning this project, please reference the
Consultation Code which can be found in the header of this letter.
Attachment(s):
■ Official Species List
■ USFWS National Wildlife Refuges and Fish Hatcheries
■ Bald & Golden Eagles
■ Migratory Birds
■ Wetlands
OFFICIAL SPECIES LIST
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
2of12

Project code: 2024-0042475
01/30/2024
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Asheville Ecological Services Field Office
160 Zillicoa Street
Asheville, NC 28801-1082
[phone]
3of12

Project code: 2024-0042475
01/30/2024
PROJECT SUMMARY
Project Code: 2024-0042475
Project Name: Caleb's Creek
Project Type: Residential Construction
Project Description: This is an approximately 750 acre property located in Forsyth County
Project Location:
The approximate location of the project can be viewed in Google Maps: https://
www. google.com/maps/(a)36.052140800000004,-80.09028422951056,14z
Counties: Forsyth County, North Carolina
4of12

Project code: 2024-0042475 01/30/2024
ENDANGERED SPECIES ACT SPECIES
There is a total of 4 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheriesi, as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
MAMMALS
NAME
Tricolored Bat Perimyotis sub flavus
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/10515
REPTILES
NAME
Bog Turtle Glyptemys muhlenbergii
Population: U.S.A. (GA, NC, SC, TN, VA)
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/6962
INSECTS
NAME
Monarch Butterfly Danaus plexippus
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9743
STATUS
Proposed
Endangered
:�rvtog,
Similarity of
Appearance
(Threatened)
STATUS
Candidate
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Project code: 2024-0042475 01/30/2024
FLOWERING PLANTS
NAME STATUS
Schweinitz's Sunflower Helianthus schweinitzii Endangered
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/3849
CRITICAL HABITATS
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.
YOU ARE STILL REQUIRED TO DETERMINE IF YOUR PROJECT(S) MAY HAVE EFFECTS ON ALL
ABOVE LISTED SPECIES.
USFWS NATIONAL WILDLIFE REFUGE LANDS
AND FISH HATCHERIES
Any activity proposed on lands managed by the National Wildlife Refuge system must undergo a
'Compatibility Determination' conducted by the Refuge. Please contact the individual Refuges to
discuss any questions or concerns.
THERE ARE NO REFUGE LANDS OR FISH HATCHERIES WITHIN YOUR PROJECT AREA.
BALD & GOLDEN EAGLES
Bald and golden eagles are protected under the Bald and Golden Eagle Protection Actl and the
Migratory Bird Treaty ActZ.
Any person or organization who plans or conducts activities that may result in impacts to bald or
golden eagles, or their habitats3, should follow appropriate regulations and consider
implementing appropriate conservation measures, as described in the links below. Specifically,
please review the "Supplemental Information on Migratory Birds and Eagles".
1. The Bald and Golden Eagle Protection Act of 1940.
2. The Migratory Birds Treated Act of 1918.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
There are bald and/or golden eagles in your project area.
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, see the PROBABILITY OF PRESENCE
SUMMARY below to see when these birds are most likely to be present and breeding in your
project area.
6of12

Project code: 2024-0042475
01/30/2024
NAME
BREEDING SEASON
Bald Eagle Halioeetus leucocephalus Breeds Sep 1 to
This is not a Bird of Conservation Concern (BCC) in this area, but warrants attention Jul 31
because of the Eagle Act or for potential susceptibilities in offshore areas from certain
types of development or activities.
https://ecos.fws.gov/ecp/species/1626
PROBABILITY OF PRESENCE SUMMARY
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read "Supplemental
Information on Migratory Birds and Eagles", specifically the FAQ section titled "Proper
Interpretation and Use of Your Migratory Bird Report" before using or attempting to interpret
this report.
Probability of Presence ( )
Green bars; the bird's relative probability of presence in the 10km grid cell(s) your project
overlaps during that week of the year.
Breeding Season( )
Yellow bars; liberal estimate of the timeframe inside which the bird breeds across its entire
range.
Survey Effort (1)
Vertical black lines; the number of surveys performed for that species in the 10km grid cell(s)
your project area overlaps.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
Bald Eagle I I I I 1 I I 11 1 I I I I I I I 1 1 I 1 1 1 I++++ -+ 1 1 1 1 1 1 I III 1 1 1 1
Non -BCC
Vulnerable
Additional information can be found using the following links:
■ Eagle Management https://www.fws.gov/program/eagle-management
■ Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library/
collections/avoiding-and-minimizing-incidental-take-migratory
7of12

Project code: 2024-0042475
01/30/2024
■ Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
■ Supplemental Information for Migratory Birds and Eagles in IPaC https://www.fws.gov/
media/supplemental-information-migratory-birds-and-bald-and-golden-eagles-may-occur-
proj ect-action
MIGRATORY BIRDS
Certain birds are protected under the Migratory Bird Treaty Actl and the Bald and Golden Eagle
Protection Actz.
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described in the links below. Specifically,
please review the "Supplemental Information on Migratory Birds and Eagles".
1. The Migratory Birds Treated Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, see the PROBABILITY OF PRESENCE
SUMMARY below to see when these birds are most likely to be present and breeding in your
project area.
BREEDING
NAME
SEASON
Bald Eagle Holioeetus leucocephalus
Breeds Sep 1 to
This is not a Bird of Conservation Concern (BCC) in this area, but warrants attention
Jul 31
because of the Eagle Act or for potential susceptibilities in offshore areas from certain types
of development or activities.
https://ecos.fws.gov/ecp/species/1626
Chimney Swift Choeturo pelagica
Breeds Mar 15
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
to Aug 25
and Alaska.
https://ecos.fws.gov/ecp/species/9406
Prairie Warbler Dendroico discolor
Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
to Jul 31
and Alaska.
https://ecos.fws.gov/ecp/species/9513
Prothonotary Warbler Protonotaria citrea
Breeds Apr 1 to
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
Jul 31
and Alaska.
https://ecos.fws.gov/ecp/species/9439
8of12

Project code: 2024-0042475
01/30/2024
NAME
BREEDING
SEASON
Red-headed Woodpecker Melanerpes erythrocepholus Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Sep 10
and Alaska.
https://ecos.fws.gov/ecp/species/9398
Rusty Blackbird Euphogus carolinus Breeds
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions elsewhere
(BCRs) in the continental USA
https://ecos.fws.gov/ecp/species/9478
Wood Thrush Hylocichlo mustelino Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 31
and Alaska.
https://ecos.fws.gov/ecp/species/9431
PROBABILITY OF PRESENCE SUMMARY
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read "Supplemental
Information on Migratory Birds and Eagles", specifically the FAQ section titled "Proper
Interpretation and Use of Your Migratory Bird Report" before using or attempting to interpret
this report.
Probability of Presence ( )
Green bars; the bird's relative probability of presence in the 10km grid cell(s) your project
overlaps during that week of the year.
Breeding Season( )
Yellow bars; liberal estimate of the timeframe inside which the bird breeds across its entire
range.
Survey Effort (1)
Vertical black lines; the number of surveys performed for that species in the 10km grid cell(s)
your project area overlaps.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
9of12

Project code: 2024-0042475 01/30/2024
Bald Eagle I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1- ++++ -+ 1 11 1- 1 I I I I I I I I
Non -BCC
Vulnerable
Chimney Swift ++++ ++++ + I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 I I I
BCC Rangewide 1, ''"—+ ,
++++
(CON)
Prairie Warbler
BCC Rangewide
(CON)
Prothonotary
Warbler ++++ ++++ ++q IIII IIII I I 1 1 +-+-++ 4-+++ ++++ +—+-+- -f__1.._1.. }.
BCC Rangewide
(CON)
Red-headed Woodpecker ++++ +++0 ++++ ++++ I I I 1 1 1 1 1 1 1 1 1 1 1 1 11 I.+ +—+I,+++ ++++
BCC Rangewide
(CON)
Rusty Blackbird +*�+ +�++ ++++ ++++ ++++ ++++ ++++ ++++ ++++ +.++ ++++ ++++
BCC -BCR
Wood Thrush
BCCWRangewide ++++ ++++ ++++ ++�� 1$1+ +1+1 ++++ 4-+++ ++++ +.++ ++++ ++++
(CON)
Additional information can be found using the following links:
■ Eagle Management https://www.fws.gov/program/eagle-management
■ Measures for avoiding and minimizing impacts to birds https://www.fws.gov/librgM/
collections/avoiding-and-minimizing-incidental-take-migratorye
■ Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
■ Supplemental Information for Migratory Birds and Eagles in IPaC https://www.fws.gov/
media/sunnlemental-information-miE!ratorv-birds-and-bald-and-golden-eagles-mav-occur-
rol ect-action
WETLANDS
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under Section
404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. ArmeT�ps of
Engineers District.
Please note that the NWI data being shown may be out of date. We are currently working to
update our NWI data set. We recommend you verify these results with a site visit to determine
the actual extent of wetlands on site.
10 of 12

Project code: 2024-0042475
01/30/2024
FRESHWATER POND
■ PUBHh
FRESHWATER FORESTED/SHRUB WETLAND
■ PF01A
■ PSS1A
RIVERINE
■ R5UBH
■ R4SBC
11 of 12

Project code: 2024-0042475
01/30/2024
IPAC USER CONTACT INFORMATION
Agency: Terracon
Name: Nick Reenan
Address: 2401 Brentwood Road
Address Line 2: Suite 107
City:
Raleigh
State:
NC
Zip:
27604
Email
[e-mail]
Phone:
2144541190
12 of 12

Appendix G - NCNHP Report

Roy Cooper, Governor
■i■WN NC DEPARTMENT OP
■■ *m NATURAL AND CULTURAL RESOURCES
November 20, 2023
Nick Reenan
Terracon Consultants, Inc.
2401 Brentwood Road, Suite 107
Raleigh, NC 27604
RE: Calebs Creek; 70227056
Dear Nick Reenan:
D. Reid Wilson, Secretary
Misty Buchanan
Deputy Director, Natural heritage Prograrn
NCNHDE-24038
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/Di rectory/ListOffices.cfm?statecod--=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 the NCNHP at natural.heritaaeLdncr.nc.gov.
Sincerely,
NC Natural Heritage Program
"'Al- AND CUJ_[kJPAL P�Saupces

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Appendix H - NCSHPO Clearance Letter

North Carolina Department of Natural and Cultural Resources
State Historic Preservation Office
Ramona M. Bartos, Administrator
Governor Roy Cooper
Secretary D. Reid Wilson
January 17, 2024
Melissa McKay, RPA
Terracon
2401 Brentwood Road, Suite 107
Raleigh, NC 27604
Office of Archives and History
Deputy Secretary, Darin J. Waters, Ph.D.
melissa.mckay(ic terracon.com
Re: Stream Impacts for Road Crossings and Utility Crossings for Caleb's Creek Community
Development, Teague Lane, Kernersville, Forsyth County, ER 18-4038
Dear Ms. McKay:
Thank you for your letter of December 3, 2023, regarding the above -referenced undertaking. We have
reviewed the submission and offer the following comments.
We have conducted a review of the project and are aware of no historic resources which would be affected
by the project. Therefore, we have no comment on the project as proposed.
The above comments are made pursuant to Section 106 of the National Historic Preservation Act and the
Advisory Council on Historic Preservation's Regulations for Compliance with Section 106 codified at 36
CFR Part 800.
Thank you for your cooperation and consideration. If you have questions concerning the above comment,
contact Renee Gledhill -Earley, environmental review coordinator, at 919-814-6579
or environmental.review(c�dncr.nc.gov. In all future communication concerning this project, please cite the
above referenced tracking number.
Sincerely} Q
r Ramona Bartos, Deputy
�7 State Historic Preservation Officer
Location: 109 East Jones Street Raleigh NC 27601 Mailing Address: 4617 Mail Service Center, Raleigh NC 27699-4617 Telephone/Fax: [phone]-6898

Appendix I - Adjacent Property Owners

FNG FORM 4345 Supplement
U.S. Army Corps of Engineers
Application for Department of the Army Permit
Winston-Salem/Forsyth Count;
Richard T. I-Iedgccock
Winnie Pauline Williams Heirs
Frankie Ray Lane
Board of Education
1358 Rock Barn Road
1764 "Teague L
5911 I;¢ile Drive
PO Box 2513
Winston-Salem, NC 27102
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6875-70-9172
PIN #6874-87-7108
P1N #6874-72-0431
PIN #6874-44-5025
PIN #6874-43-1919
PI\' :=(ti74-` -7069
GabrielleN. Willis -Floyd
Gary F. George
Robert E. Williams
1580 Teague Lane
5975 Hedgecock Road
Kenneth R. Binkley
lobe Teague La
Lane
Kernersville, NC 27284
Kernersville, NC 27284
1190 Glennview Drive
Kernersville, 27284
PIN #6874-88-8150
PIN #6874-51-6980
Kernersville, NC 27284
PIN #6874-88-8490
Billy Lawrence Chamelin
Ralph E. Hedgecock
PIN #6874-46-0324
Kevin M. Williams
1604 Teague Lane
5961 Hedgecock Road
Edith S. Blackburn Family Trust
1590'I'eague Lane
Kernersville, NC 27284
Kernersville, NC 272$4
1137 Glennview Drive
Kernersville, NC 27284
PIN 46874-87-7650
PIN 46874-51-2819
Kernersville, NC 27284
PIN #6874-87-9926
PIN #6874-47-1077
C]phelia B. Jackson
J,�:{ri. I..ine ��,r I], trust CIO
1 182 Glennview Drive
Kiwi z.j.� Inn i< I�r car
Kay McEntire
Fred J. Bowen
Kernersville. NC 27284
5935 Loradale Drive
1250 Glennview Drive
1606 Teague Lane
,
1'1N 16K. # 3.5 45nw
7
Kernersville, NC 27284
Kernersville, NC 27284
Kemorsville,NC'.27294
III :-6X74-3b-X'1j0X
PIN #6874-43-82 10
PIN#6874-46-8468
PIN r [,874-87-7'S7
PIN � 6K 1-46-0�37
Norman G. Parrish
Velma L. Matthews
Billy Lawrence Chamelin
Bever;y Lynn Smith Parnell
1620 Teague Lane
3441 Smithtown Road
1604 Teague Lane
4340 Glenn Hi Road
Kernersville, NC 27284
East Bend, NC 27018
Kernersville, NC 27284
Winston-Salem, NC 27107
PIN 46874-87-6042
PIN #6873-67-2110
PIN 46873-57-5501
PIN #6874-34-5203
Bill D. Katsis
Jerald Chamelin
Coy Smith Chamelin
Joseph W. Willard Revocable Trust
7493 Watkins Ford Road
1930 Teague Lane
1920 Teague Lane
1754 Teague Lane
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6873-99-1140
PIN #6873-67-590I
PIN #6873-68-4510
PIN #6874-72-0563
PIN #6873-58-6110
Shirley Mae Lauten Trustee
Lou Ann Reid
7405 Watkins Ford Road
Curtis W. Campbell
Marie P. Scott
1900 Teague Lane
Kernersville, NC 27284
5839 Kenvilte Green Circle
1856 Teague Lane
Kernersville, NC 27284
PIN #6873-66-9059
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6873-69-4155
PIN #6873-69-1500
PIN #6874-60-1080
Roy Anthony Lane
John E. Van Horn
Ralph T. Kiger
Charles Eugene Chamelin
5901 Loradale Drive
1544 Teague Lane
1010 Sedge Garden Road
1944 Teague Lane
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6874-42-5247
PIN #6874-88-7871
PIN #6874-27-9628
PIN #6873-G7-2648
PIN #6874-33-9837
David P. Matthews
John W. Lane
Bernard H. Taylor
Elizabeth Ann Tucker
1910 Teague Lane
5983 Hedgecock Road
1560 Teague Lane
7255 Watkins Ford Road
Kernersville, NC 27284
Kernersville, NC 27284
1k r>>rr-:viile, NC 27284
Kernersville. NC 27284
PIN #6873-59-5924
PIN #6874-61-1868
PIN #6874-88-8284
PIN #6873-65-5235
Emi Chamberlain Survivor Trust
Bobbie L. Chamelin
Tony M. Scott
Ralph Edwards Hedgecock, Jr.
3751 Hampstead Road
1740 Teague Lane
1856 Teague Lane
5979 Hedgecock Road
Glendale, CA 91206
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN 46874-73-2267
PIN #6874-73-2150
PINS #68744,0-5055
PIN #6874-51-8869
Kyle Steven Scott Janet Weaver Hedgecock Joyce Ella Hedgecock
1850 Teague Lane 5946 Hedgecock Road 5978 Hedgecock Road
Kernersville, NC 27284 Kernersville, NC 27284 Kernersville, NC 27284
PIN #6874-60-5241 PIN #6874-60-3524 PIN 46874-61-2340

Joann Soucck
4961 Old. Hunt Trail
Kernersville, NC 27284
PIN 46874-27-7448
Richard Hagan
2599 Fiddlers Glenn Drive
Winston Sulcm. NC 27127
PIN 46874-41-8966
William Beeltnan
5965 Hedgecock Road
Kernersville, NC 27284
PIN #6874-51-4819
James Lassiter
5971 Hedgecock Road
Kernersville, NC 27284
Joseph Musten.
1750 Teague Lane
Kernersville, NC 27284
PIN #6874-72-1705
Town of Kernersville
PO Box 728
Kernersville, NC 27285
PIN 96874-71-1596
PIN 46874-89-9099
City of Winston Salem
PO Box 2511
Winston Salem, NC 27102
PIN ##6873-75-3791
Myra Bodenhainer
1715 Berwick Drive
Lau1-inLx11'i,1. NC 28352
PIN ff687 3-74-8916
Jerry Faster
7464 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-85-1055
Norris Bodenhamer
7460 Watkins Ford Road
Kerncrtivrlle, NC 27284
PIN r' (687 3-85-2642
Jamcs Smith
7472 Watkins Ford Road
Kernersville, NC 27284
PIN 46873-85-4716
Donald Gibbons
7475 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-86-4310
Jennifer Lee
7485 Watkins Ford Road
Kernersville, NC 27284
PIN 96873-86-6462
Patricia 131 vthc
7491 Watkins Ford road
Kernerse ille, NC 27284
PIN #6873-86-7737
James Blackburn
7471 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-88-1032
Gloria Blackburn
7471 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-87-0547
Leo Whicker
841 silver Dapple Lane
Kernersville, NC 27284
PIN #6874-82-9959
Ogden school 1 LLC
1.349 South Park Drive
Kernersville, NC 27284
PIN #6874-95-8436
Christopher Dillon
1405 Glenwater Drive
Kernersville, NC 27284
PIN #6874-96-1515
Sarah Burch
1403 Glenwater Drive
Kernersville, NC 27284
PIN #6874-96-0559
Haddington At Calcb's Crcck
Community Association Inc.
2000 Aerial Center Parkway,
Suite 110
Morrisville, NC 27560
PIN #6874-86-9681
Barbara Wright
1659 Haddington Point Drive
Kernersville, NC 27284
PIN #6874-86-8617
Noah Walker
1600 Teague Lane
Kernersville, NC 27284
PIN #6874-87-7786
James Kcnnv
1546 TCLIMic Lane
Kerners� Mlle, NC 27284
PIN #6874-88-9514
Lynwood Henson
1530 Teague Lane
Kernersville, NC 27284
PIN #6874-88-9879
Clifford Nickel
1522 Tea4tue Lane
Kerncrs� illc, NC' 27284
PIN ? 6874-89-7463
Michelle Sparnza
1133 West V Street
Winston Salem, NC 27101
PIN #6874-89-6442

APPENDIX J
HISTORICAL DATA
ASSOCIATED WITH CALEB'S CREEK
FOLLOWS
THIS PAGE INCLUDING OLD PERMIT
APPLICATIONS, JDS, MISC

y
WETLANDS
& WATERS
Debbie Joyce
Greer -Louis, Inc.
1110-A Dover Road
Greensboro, NC 27408
Debbie,
Below is the wetland and stream permitting summary for the Caleb's Creek project located in
Kernersville, NC.
The wetland and stream delineation was approved in August 2015. The approved delineation is
shown on the site planning and zoning documents. See Attachment 1. Wetland Delineation and
Approval.
The US Army Corps of Engineers determined that the thoroughfare roads and dam maintenance
have independent utility and approved those impacts through the Nationwide Permit program.
This approval was certified by North Carolina Division of Water Resources. See Attachment 2.
Nationwide Permit Application and Approval.
Finally, we are negotiating a US Army Corps of Engineers standard Individual Permit for sewer
infrastructure and subdivision roads. The project files are exhaustive and can be forwarded at
your request. Suffice to say, the review is proceeding well and we anticipate that the permit will
be issued for all requested impacts.
As it relates to the identification and permitting of impacts to Waters of the US, everything is
proceeding within expected timeframes and within the parameters of Sections 404 and 401 of the
Clean Water Act.
04ow+ #��
CHPISTOPHEP HUYSMAN WETLANDS & WATERS, INC. TAMP BANDY
1 7❑ DEW DROP ROAD 41 ❑B LB PPOPST DRIVE
SPAPTA, NC 2B675 CONOVEP, NC 2B61 3
336.406.0906 B2B.302.3437
[e-mail] JTAMPBAN DY@G MAIL. co

Attachment 1.
Delineation and Approval

U.S. AR-MYCORPS ter, EN(ANELRS
WTI.riI,"tiIc:t I:7ISiR1G1
ALtir,Ii I,l 61.S.Quad: tii-9i1?!t �I Ittil 11 l l
11ro1)erIv Om' ncr;
Address-
Telephone Number:
N0'1'lF1('-Vl'[0N OF,11_'RP)MRA l( \AL I)VAT:IOILIN.l FION
linlwt itirrrtII [ ;Ircrlin;l. I_I.t
jlal'{. lil+.rail
1068 kid,.!c I'+rim '11ri� c
Bountiful UT 8411111
Size (acres) "Z""'
Nearest Waterway Alrl lAk l reef.
USGS HUC n311411111.3
Idr,�., i�.r•ill i rra�_t•I' i adl,il]
I • 1 ' 11 11�!•.. �';U.u'J l "_c
19
�rra4i[ru dUq'1 ilalc'ol 11 i�_I,;F,c:ated Off of
jlli..tcent to Abb-r r I,. k. rti lk -i -.0 I:.`3�syili , an Forsyth County,
\illtli ��irUhll:l.
I11tlicate N1'llir,•I1 of the l^olloa sine, ApplN
A. Ir1'r-'11111111al'4 D tr.'I't11111itt11111
Based on preliminary information, there may be waters of the U.S. including wetlands on the above described project area
We strongly suggest you have this property in,-pe ied 1, t ,.lttermine the extent of Depart men I of the Army (IAA)
jurisdiction. To be considered final, a jurisdiction,; tnination must be verified by the Corps. This preliminary
determination is not an appealable action under the Regulatory Program Administrative Appeal Process (Reference 33
CFR Part 331). if you wish, you may request an approved JD (which may be appealed), by contacting the Corps district
for further instruction. Also, you may provide new information for further consideration by the Corps to reevaluate the
JD.
up. \pproved Determination
I !, .. :,able Waters of the United States within the above de.sca°rized project area subject to the permit requirements
of Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law
or our published regulations, this determination may be relied upon for a period not to exceed five years from the date of
this notification.
X There are waters of the U.S. including wetlands on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
ions, this determination may be relied upon for a period not to exceed five years from the date of this notification,
_ We strongly suggest you have the waters of the U.S, including wetlands on your project area delineated. Due to the
size of your property and/or our present workload, the Corps may not be able to accomplish th s wetland delineation in a
ainlrl.. manner. For a more timely delineation, you may wish to obtain a consultant. To h considered final, any
delinL.ttion must be verified by the Corps.
! ?.' ,I :11C U.S, including wetlands of r!i I ,!'LI area have been deline-oud ,!sJ !I lw Al'IJ11 !I I 11
..'•.i by tlr' t. i,fl?S. We strongly suggest you 11,tt �1,1., K- creation surveyed, ,I - '.�'I,:i• I, �Ilfl.i � i:+t!�r,l �:?i=
II=z i by the Corps. dace vea ifi 1, !llr7 Survey wall 1' "•'1 le all 'accurdtL' ci+'I' 1:.111 Ut .ill .. .I. `ti' I_it t0
luiisdicuoc i ,I .wii E ;operty which, pro u:..i there is no chair-Q in Ole law or our publi•,iied rcgtrlaur.rtl,, 11i:fy be
r.11C�l upon for 11 k_)d kLA 1u Lxceed five years.
1,,t.ati 1 42

_ The waters of the U.S. including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of thi, iioi i il—;ttion.
_ There are no waters of the U.S., to include wetlands, present on the above described project ii,.1 4whicl: o, ,, .Ili:, _ �t c P tile
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless the', ,s 1 h. ;:1 I III or our
published regulations, this determination may be relied upon for a period not to exceed five ti c r ;i. . l Il rl,_ fate of this
I h pi kq art; 1: located In one of the 20 Coastat Counties subject to regulation under the Coasts. A.I.
(C VMA), You should contact tite Division of Coastal Management in Morehead City, NC, :It i ' -_,
dLt_ -:iii i,- [heir requirements.
Placement of drrdaed or fill material within ,:I, rs ui the US and/or wetlands without a Department of the Army permit may
constitute i % i, plat irut of Section 301 of the Ck�an Wau r Act (33 USC § 131 I). If you have any questions regarding this
deiCl T11IMiti011 an_9 llte 11 rµ zt.rt.7tnr� t> I ',r:;nt. l ls2ase ct act John Thomas at 919-554-4884 x25 or
Johtt.T.T110Ittsls..IR 0. [l .arBIV-111iI.
C. B isi�, For l)c'tcrlllin:'tio": Vie hichid s tributaries of Abbotts Creek ivh1cli JTows to the Yadkin R;vefr and on to
D. Rclliarl<s:
E. : (coition USDA 1`ro,P41-ant Val-tIVIpan ts
This delineation/determination has been conducted to identity the hinits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request. The delineation/determination may not be valid for the wetland conservation
provisions of the Food Sc•c Im-ity Act of 1985. if you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to st:.rtin, .work.
I' "tppvals F11fol-111.1thin t 1"111M inr+lr111:11iur, :ip ptie,� limb III approved jurisdictional determinations as indicated in
lt, ;iiw►�.°i
1,1dt ,,: ribed site l f you object to this
detelf..11t.lt101r. �atl u`.,,. l :�{�+•' a .nt .+.ItI: I`� �.�. .....'�'•; I.I'.�L, I'rl 1. `Ill..[: u.:. ,[ .-. ! ' �;. l};lE't t r..nclosed you will find a
N0ltIi6 li:i!I'i Appeal II i I't�_ I +I . ;,tl ti• f II, ippeal this
detcln1111311ull 1ouMusC,.uLIn,t _lII , :_t i 4 l I{ +lo + II .,"A;,lgaddiCss:
US Arm\ Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room IOMi 5
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by [lie the Cell r1 ,', •.I determ in [ I I .t
appeal under 33 CFR part 331.5, and that it t .' ,ten recelti 1 . 'the dale t
Should you decide to submit as RFA�orm, it r,II :: I, r:`:•- I1 _d .,I LII_ ,I. ddress 17y IiI;'[�Ji24f5.
•$it is not necessary to submit an A form to lilt Division C)i' i•::: i +II 1t abject to the determination in this
correspondence.**
Corps Regulatory Official:f
Date: 8/04/2015

The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
hW?:;';regulatc�r� .usacesurvcN .com/.
CC: Chris Huysman, Huysman & Brandy, Inc., 170 Dew Drop Road, Sparta, NC 28675

USACE Action ID#
TN
Section 404/401 Jurisdictic
Seasonal RPW's 30,833 LF
(depicted with light blue lines)
Perennial RPW's 13,989 LF
(depicted with dark blue lines)
Open Waters (Ponds)
(depicted as dark blue polygons)
Jurisdictional Wetlands
(depicted with green polygons)
L 1,000 ftJ
*Wetland Sketch provided for illustrative purposes for preliminary planning use only. Not intended
to be relied upon for exact location, dimensions, or orientation. All findings and assessments made
by wetland consultants regarding limits of jurisdiction or permitting requirements are subject to
verification by the US Army Corps of Engineers, the NC DWR, and other appropriate local authorities.
Project Name:
Caleb's Creek
HUYSMAN & BANDY, INC. owner/ Developer:
WETLAND AND ENVIRONMENTAL CONSULTANTS City / County:
Forsyth, Kernersville
Tax PIN(s):
Figure 1: Approximate Depiction I Coordinates: Scale: Date:
of Waters and Wetlands 0 Lat: 36.0719 Long:-80.0911 07/24/2015

Estimated
amount of
Class of
Site
aquatic resource
aquatic
Number*
in review area
resource
(acres)
Non -section 10
A
0.260
wetland
Non -section 10
B
0.090
wetland
Non -section 10
C
1.050
wetland
Non -section 10
D
0.180
wetland
Non -section 10
E
0.060
wetland
Non -section 10
F
0.040
wetland
Non -section 10
G
0.030
wetland
Non -section 10
H
0.030
wetland
Non -section 10
I
0.010
wetland
Non -section 10
1
0.020
wetland
Non -section 10
K
1.150
wetland
Non -section 10
L
0.110
wetland
Non -section 10
M
0.005
wetland
Non -section 10
N
0.380
wetland
Non -section 10
O
2.150
wetland
Non -section 10
P
0.090
wetland
Non -section 10
Q
0.370
wetland
Non -section 10
R
0.930
wetland
Non -section 10
S
1.300
wetland
Non -section 10
T
0.120
wetland
Non -section 10
U
0.410
wetland
Non -section 10
V
0.020
wetland
Non -section 10
W
0.004
wetland
Non -section 10
X
0.020
wetland
Non -section 10
Y
0.030
wetland
Non -section 10
Z
0.110
wetland
Estimated
amount of
Class of
Site
aquatic resource
aquatic
Number*
in review area
resource
(linear feet)
P1
8870
Perennial-RPW
P2
5119
Perennial-RPW
TOTAL
13989
linear feet
S1
1568
Seasonal-RPW
S2
252
Seasonal-RPW
S3
666
Seasonal-RPW
S4
307
Seasonal-RPW
S5
1685
Seasonal-RPW
S6
723
Seasonal-RPW
S7
903
Seasonal-RPW
S8
1012
Seasonal-RPW
S9
495
Seasonal-RPW
S10
581
Seasonal-RPW
S11
275
Seasonal-RPW
S12
2338
seasonal-RPW
S13
1258
seasonal-RPW
S14
2696
seasonal-RPW
S15
394
Seasonal-RPW
S16
667
Seasonal-RPW
S17
1018
seasonal-RPW
S18
791
Seasonal-RPW
S19
350
Seasonal-RPW
S20
849
Seasonal-RPW
S21
2436
seasonal-RPW

Non -section 10
AA
0.040
wetland
Non -section 10
BB
0.490
wetland
Non -section 10
CC
0.030
wetland
Non -section 10
DD
0.160
wetland
Non -section 10
EE
0.016
wetland
Non -section 10
FF
0.110
wetland
Non -section 10
GG
3.730
wetland
Non -section 10
HH
0.040
wetland
Non -section 10
II
1.380
wetland
Non -section 10
A
0.250
wetland
Non -section 10
KK
0.100
wetland
Non -section 10
LL
0.110
wetland
TOTAL
15.43
acres
Estimated
amount of
Class of
Site
aquatic resource
aquatic
Number*
in review area
resource
(acres)
01
4.7
Open Water
02
4.3
Open Water
03
9.1
Open Water
04
0.24
Open Water
05
0.47
Open Water
TOTAL
18.81
acres
S22
1482
seasonal-RPW
S23
1061
Seasonal-RPW
S24
269
Seasonal-RPW
S25
179
Seasonal-RPW
S26
1073
seasonal-RPW
S27
1506
Seasonal-RPW
S28
660
Seasonal-RPW
S29
3119
seasonal-RPW
S30
220
Seasonal-RPW
TOTAL 30833 linear feet
*See Aquatic Resource Location Maps

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Match Line
Aquatic Resource
Location Map
Sheet C
I PRPW 2 1
I SRPW 28 1
I WL HH
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PRPW 1
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WL AA
l� SRPW 27
I WL DD
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1,000 ft

Attachment 2.
Nationwide Permit Application and Approval

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name Caleb'sCreek
2. Name of Property Owner/Applicant: BOMA North Carolina, LLC
3. Name of Consultant/Agent: Wetlands & Waters, Inc. Attn: Perry Isner
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): SAW-2015-ol697
5. Site Address:
168o Pine Tree Drive
6. Subdivision Name: Caleb's Creek
7. City: Kernersville
th
S. County; Fors _ Y
9. Lat: 36.o62387
10. Quadrangle Nanic:
11. Waterway: Abbotts Creek
12. Watershed: Lower Yadkin
Long:-80.091225
13. Requested Action:
❑✓ Nationwide Permit #
General Pennit #
Jurisdictional Determination Request
Pre -Application Request
The following information will be completed by Corps office:
Prepare File Folder
IN 1M
DWR#
(Decimal Degrees Please }
HUC 030401030202
Assign number in ORM
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name: Abbotts Creek HUC 030401030202
Keywords:
Begin Date

NJ 41 F�
WETLANDS
..J_ & WATERS
September 181", 2017
Ms. Jean Gibby
US Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
CC: Ms. Sue Homewood
Department of Environmental Quality
Division of Water Resources
Winston Salem Regional Office
450 W. Hanes Mill Rd, Suite 300
Winston Salem NC 27105
RE: AID # SAW-2015-01697
Caleb's Creek
Nationwide Permit Verification
Kernersville, Forsyth County, NC
Ms. Gibby,
Attached, please find a Pre -Construction Notification for a Nationwide Permit Verification for a mixed -
use development located in Kernersville, Forsyth County, NC. The impacts associated with this project
are broken down by corresponding Nationwide Permit numbers on the tables attached with this
notification.
Protect History
The approximately 875 acre site consists of an abandoned golf course, three large ponds that require
dam rehabilitation efforts, and extensive floodplain along Abbott's Creek. When this project was first
contemplated, it was intended to be a residential subdivision centered around a modernized and
improved golf facility. After extensive financial and environmental analysis, it was determined that the
golf course was not feasible and the decision was made to move forward with a mixed -use
residential/commercial development that incorporates large areas of common open space and
greenway walking trails. This alternative was deemed to be the least environmentally damaging, with
impacts only necessary for road and utility crossings, as well as dam rehabilitation.
In August of 2015, your office issued a Preliminary Jurisdictional Determination with the Action ID
number referenced above. This determination serves as the basis for this permit verification.
Project Purpose
The purpose of the proposed project is to construct a mixed -use residential/commercial development in
order to meet the growing demands for housing and infrastructure in the region. The Town of
Kernersville will sign as a co -applicant for the impacts necessary for the completion of major public
thoroughfare right of ways through the project. These road improvements are part of the Kernersville
Thoroughfare and Street Plan, which is included with this submittal and would be completed
CHRISTOPHER HUYSMAN
1 70 DEW DROP ROAD
SPARTA, NC 28675
336.406.0906
CHRIS. [e-mail]
WETLANDS & WATERS, INC.
TAMP BANDY
41 08 LB PROPST DRIVE
CONOVER, NC 2861 3
828.302.3437
[e-mail]

independent of the residential subdivision. All construction and permitting requirements will be the
obligation of the developer.
Protect Need
Impacts to regulated features have been limited to road crossings necessary for completion of Town of
Kernersville thoroughfare roads, as well as the impacts necessary for the rehabilitation of the three
dams currently on site. These dam improvements are necessary to ensure the long term stability of the
impounded waters.
Impacts to the jurisdictional ponds will consist of stabilizing the existing earthen dams, installation of
primary and emergency spillway devices, as well as burying large diameter riprap/boulders at both the
inlets and outlets of the ponds. This large riprap will serve as an energy dissipator directly below both
the primary and emergency spillways. Riprap will be placed below the surface of the water and
submerged aquatic vegetation will be planted in order to increase stability of riprap and provide habitat
for aquatic wildlife. Extensive floodway analysis has been conducted to confirm that these efforts are
warranted and will provide the best method for protecting the downstream watershed, while
simultaneously minimizing impacts to the ponds themselves.
All impacts associated with roadway crossings are associated with the public thoroughfares mentioned
above and are necessary for access to high ground. All work will be done in the dry, with stream banks
returned to existing grade and stabilized with appropriate bio-engineering practices.
Protect Description
The project consists of mixed -use development, residential (low, medium and high density),
commercial/office areas, a large amenity center, and a public school. Approximately 185 acres will be
left in common, passive -use open space. Incorporated throughout the subdivision as well as the open
space will be approximately 30,000 linear feet (5.7 miles) of greenway walking trails and 18,000 linear
feet (3.4 miles) of greenway biking trails. Infrastructure will consist of public thoroughfare roads,
internal subdivision circulation roads, and appurtenant parking facilities. Transportation approvals
mandate the establishment of multilane ingress and egress for safety and they dictate that the
driveways be located within a certain range of locations.
Stormwater management associated with construction efforts of the thoroughfare crossings will adhere
to specifications outline in the North Carolina Department of Transportation BMP Toolbox. Although
major thoroughfare right-of-ways will be turned over to the Town of Kernersville following construction,
stormwater approvals for this work will also be approved at the time of construction. Following
approval, the stormwater management plans will also be provided to the Division of Water Resources.
Avoidance and Minimization
The site has been carefully designed to avoid impacts to regulated features wherever possible. Where
impacts cannot be completely avoided, extensive engineering analysis has been done in order to
minimize impacts. The proposed stream crossings are perpendicular to the existing natural channels
and impacts are as narrow as possible to minimize impacts while allowing suitably functioning
infrastructure. Medians have been reduced to greatest extent practicable in order to minimize impacts
to aquatic resources. Proposed road locations are situated, to the maximum extent practicable, at
locations that have been previously impacted by existing roads or fairways. The proposed site
development eliminates the golf component of the prior project plans and replaces it with passive
recreational uses thereby reducing wetland impacts by over 4 acres. The applicant proposes that box
CHRISTOPHER HUYSMAN WETLANDS & WATERS, INC.
TAMP BANDY
1 70 DEW DROP ROAD
41 OB LB PROPST DRIVE
SPARTA, NC 2S67S
CONOVER, NC 2B61 3
336.406.0906
S2S.3O2.3437
[e-mail]
[e-mail]

culverts will be sized with the consideration of natural stream design protocols and will be constructed
with sills that will maintain natural stream bed material that is a minimum of twelve (12) inches deep.
The applicant has designed a site plan that minimizes riparian habitat fragmentation through the
establishment of dispersal corridors along all remaining streams. Total impacts to open waters
necessary for completion of the dam rehabilitation totals 1.04 acres, approximately 5% of the total
surface area of open waters present on site. Road crossings will be designed to utilize retaining walls
and riprap dissipators in order to minimize impacts to regulated features. Riprap will be pressed into
the stream banks and will not be placed into the stream bed itself. Existing utility and road crossings will
be up -fitted and utilized wherever possible. Remaining jurisdictional Waters of the US consist of
approximately 30,000 linear feet of intermittent streams, 14,000 linear feet of perennial streams, 18
acres of jurisdictional open waters, and 15 acres of jurisdictional wetlands.
Mitigation
The applicant is proposing to mitigate for all permanent impacts to jurisdictional features, including the
impacts associated with the public thoroughfare roads. With the amount of preservation that will be
provided through local buffers, the applicant is proposing to provide compensatory mitigation at a ratio
of 2:1 for loss of aquatic features. As no mitigation banks with the credit types needed are available in
the area, the applicant is proposing to provide this compensatory mitigation through the Division of
Mitigation Services. An acceptance letter from DMS for the necessary impacts is included with this
request.
Please do not hesitate to let me know if you have any questions or if further information is required to
process this request.
Best regards,
X'_1
Perry Isner
CHRISTOPHER HUYSMAN WETLANDS & WATERS, INC. TAMP BANDY
1 70 DEW DROP ROAD 41 OB LB PROPST DRIVE
SPARTA, NC 2S67S CONOVER, NC 2B61 3
336.406.0906 S2S.302.3437
[e-mail] [e-mail]

WATEg4G
I I �
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a. Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 3&14 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes X❑ No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
X❑ Yes ❑ No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes X❑ No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes X❑ No
2.
Project Information
2a.
Name of project:
Caleb's Creek
2b. County:
Forsyth
2c.
Nearest municipality / town:
Kernersville
2d. Subdivision name:
Caleb's Creek
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
BOMA North Carolina, LLC
3b.
Deed Book and Page No.
B. 2954 p. 2403
3c.
Responsible Party (for LLC if
applicable):
Kory Reimann
3d. Street address:
1668 Ridge Point Dr.
3e. City, state, zip:
Bountiful, LIT 84010-1054
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Perry Isner
5b. Business name
(if applicable):
Wetlands & Waters, Inc.
5c. Street address:
2712 Minden Rd.
5d. City, state, zip:
Pleasant Garden, NC 27313
5e. Telephone no.:
704.773.4239
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
6874-65-5960.00, 6874-86-7026.00, 6874-82-3360.00
1 b.
Site coordinates (in decimal degrees):
Latitude: 36.062387 Longitude:-80.091225
1 c.
Property size:
875 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Abbotts Creek
2b. Water Quality Classification of nearest receiving water:
WS-III
2c.
River basin:
Lower Yadkin
3.
Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site consists of a mixture of early and mid -succession forest and an abandoned golf course, as well as three large ponds. The land use
surrounding the site consists of agriculture and undeveloped land, along with some residential. 1-40 is directly north of the project.
3b.
List the total estimated acreage of all existing wetlands on the property: 15.43
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 44,822
3d. Explain the purpose of the proposed project:
To construct a mix -used development to meet the growing housing demands of the region and meet the economic expectations of the owner.
3e. Describe the overall project in detail, including the type of equipment to be used:
(see attached narrative)
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases in the past?
0 Yes ❑ No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
0 Preliminary ❑X Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): Chris Huysman, Perry Isner
Agency/Consultant Company: Wetlands & Waters, Inc.
Other: WNR Consultants
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
08/04/15; SAW-2015-01697
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes 0 No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
X❑ Yes ❑ No
6b. If yes, explain.
Due to the size of the project and in order to meet the economic pro forma the project will be phased out of necessity.
Page 3 of 10
PCN Form — Version 1.4 January 2009

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

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments: see attached Impact Table for impacts to open waters
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require miti ation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number—
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B 1
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Original concepts for a golf -course have been eliminated, thereby greatly reducing impacts to jurisdictional features. The site plan has been
exhaustively designed to limit impacts to wetlands and streams wherever reasonably practicable. All impacts are necessary for internal circulation
and to connect existing ROW's to comply with DOT requirements. Approximately 185 acres will be left in natural open -space for passive recreation.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The site will be constructed under an approved Erosion Control Plan. Site will be also be constructed in phases as to limit the number of areas
subject to impact at any one given time. Upon completion, all contours will be restored to previous conditions and fill slopes will be re -seeded with
appropriate bio-engineering practices and allowed to re -naturalize.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑X Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
X❑ DWQ ❑X Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑X Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑X Yes
4b. Stream mitigation requested:
330 linear feet
4c. If using stream mitigation, stream temperature:
warm
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

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

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
24 %
2b.
Does this project require a Stormwater Management Plan?
X❑ Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
Project will adhere to Phase II standards under review by the Town of Kernersville. As this is a phased project,
individual stormwater approvals will
be
provided for separate phases prior to any construction. Stormwater control associated with the construction of the thoroughfare roads will adhere
to standards specified in the NC Department of Transportation BMP toolbox.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Kernersville
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
Kernersville
❑X Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
El Yes ❑X No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ❑X No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
El Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑Yes ❑X No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
El Yes ❑X No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Site will utilize existing gravity -fed sanitary sewer line that is present on site and will upfit as necessary.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑X Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Site occurs in the range of the Northern Long -Eared Bat, however there are no known hibernaculum locations in Forsyth County and therefore we are
deferring to Corps guidance for notification. Natural Heritage Report detailing no known occurrences of federally listed species is attached.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑X Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Forsyth County GIS
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

C. Proposed Impacts Inventory
Table 1. Nationwide Permit 3 Impacts: Dam Rehabilitation
Stream Impact
Type of Impact
Stream Name
Perennial or
Type of
Average
Impact
Number -
Intermittent
Jurisdiction
Stream
Length
Permanent or
Width
(linear feet)
Temporary
(feet)
S-1 -Permanent
Outlet/Rip Rap
UT toAbbotts
Perennial
Corps
Spillway
creek
Total Stream Impacts
1 350
Open Water
Impact Number -
Permanent or
Temporary
Type of Impact
Waterbody
Type
Area of
Impact
(acres)
P-1 - Permanent
Intake/Outlet
Pond
0.2
P-2 - Permanent
Rip Rap Spillway
Pond
0.2
P-3 - Permanent
Intake/Outlet
Pond
OAS
P-4 - Permanent
Rip Rap Spillway
Pond
0.1
P-5 - Permanent
Intake
Pond
0.1
Total Open Water Impacts
Table 2. Nationwide Permit 14 Impacts: Public Thoroughfare Roads
Stream Impact
Type of
Stream Name
Perennial or
Type of
Average
Pipe Length
Rip Rap
Number -
Impact
Intermittent
Jurisdiction
Stream
Permanent
Length -
Permanent or
Width (feet)
(linear feet)
Temporary
Temporary
(linear feet)
R-1 - Permanent
Culvert
UT toAbbotts
Perennial
Corps
6
100
100
Creek
R-2 - Permanent
Culvert
UT toAbbotts
Intermittent
Corps
3
80
100
Creek
R-3 - Permanent
Culvert
UT toAbbotts
Intermittent
Corps
3
100
65
Creek
R-5 - Permanent
Culvert
Abbotts Creek
Perennial
Corps
20
80
100
Total Stream Impacts
360
365
Wetland Impact
Type of
Type of
Forested
Type of
Area of
Number -
Impact
Wetland
Jurisdiction
Impact
Permanent or
(acres)
Temporary
R-4 - Permanent
Culvert
Bottomland
Yes
Corps
0.046
Hardwood Forest
Total Wetland Impacts
0.046

WYWet I ands
& Waters
Project Name:
Owner/ Developer:
City / County:
Tax PIN(s):
Caleb's Creek
BOMA NC, LLC
Kernersville, Forsyth
(see attached parcel information)
Project Limits Coordinates: Scale:
Lat: 36.062387 Long:-80.091225
graphic
Date:
01/23/17

USACE AID#:
SAW-2015-0169'
Section 404/401 Jurisdictic
Seasonal RPW's 30,833 LF
(depicted with light blue lines)
Perennial RPW's 13,989 LF
(depicted with dark blue lines)
Open Waters (Ponds)
(depicted as dark blue polygons)
Jurisdictional Wetlands
(depicted with green polygons)
L 1,000 ftJ
WYWet I ands
& Waters
TN
*Wetland Sketch provided for illustrative purposes for preliminary planning use only. Not intended
to be relied upon for exact location, dimensions, or orientation. All findings and assessments made
by wetland consultants regarding limits of jurisdiction or permitting requirements are subject to
verification by the US Army Corps of Engineers, the NC DWR, and other appropriate local authorities.
Project Name:
Owner/ Developer:
City / County:
Tax PIN(s):
Caleb's Creek
BOMA NC, LLC
Kernersville, Forsyth
(see attached parcel information)
Figure 1: Approximate Depiction Coordinates: Scale:
of Waters and Wetlands Lat: 36.062387 Long:-80.091225
graphic
Date:
01/23/17

Forsyth County, NC
'rye
r�
F
J
e
s
r
a
y
a
p
e .w
� E4
� �• a
t
WYWet I ands
& Waters
Figure 2: County GIS
Project Name: Caleb's Creek
Owner/ Developer: BOMA NC, LLC
City / County: Kernersville, Forsyth
Tax PIN(s): 6874-65-5960.00, 6874-86-7026.00, 6874-82-3360.00
Coordinates: Scale: Date:
Lat: 36.062387 Long:-80.091225 graphic 01/23/17
T N

Wet I ands
.� �& Waters
Figure 3: USGS Topo Quad
Project Name: Caleb's Creek
Owner/ Developer: BOMA NC, LLC
City / County: Kernersville, Forsyth
Tax PIN(s): 6874-65-5960.00, 6874-86-7026.00, 6874-82-3360.00
Coordinates: Scale: Date:
Lat: 36.062387 Long:-80.091225 nts 01/23/17
IN

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WYWet I ands
& Waters
Project Name:
Owner/ Developer:
City / County:
Tax PIN(s):
Caleb's Creek
BOMA NC, LLC
Kernersville, Forsyth
(see attached parcel information)
A
Figure 4b: Soil Survey
Coordinates: Scale:
Lat: 36.062387 Long:-80.091225
graphic
Date:
01/23/17

WYWet I ands
& Waters
Project Name:
Owner/ Developer:
City / County:
Tax PIN(s):
Caleb's Creek
BOMA NC, LLC
Kernersville, Forsyth
(see attached parcel information)
A
Figure 4c: Soil Survey
Coordinates: Scale:
Lat: 36.062387 Long:-80.091225
grahpic
Date:
01/23/17

NC Surface Water Classification
_
rc
y
I
nlflvn
x
i.:per
`
auteb F'aek ril�
'4, kry
r �:
r
4�
Surface Water Classifications:
Stream Index: 12-1 19-(1)
°"+ '" S rw,,,i R E
fi Itn
Stream Abbotts Creek
Name:
}
Description: From source to a point 0-5
mile upstream of Davidson
County SR 1810
Classification: WS-III
v
Date of August2, 1992
Class.:
River Basin: Yadkin Pee -Dee
-. .
" - !, -'•
What does More into
—
this Class.
—
mean?
G
0
n
2 _
MaF�
LaaM �
'o
1 r�G
1:36,112
— Surface Wa te r C lassificat ion s
0 0.35 0.7 1.4 mi TN
0 0.35 0.7 1.4 km
Project Name:
Caleb's Creek
Wet I ands
W&
Owner/ Developer:
BOMA NC, LLC
Waters
City / County:
.�
Kernersville, Forsyth
Tax PIN(s):
6874-65-5960.00, 6874-86-7026.00, 6874-82-3360.00
Figure 6: Stream Classification
Coordinates:
Scale:
Date:
Lat: 36.062387 Long:
-80.091225
graphic
01/23/17

Forsyth County, NC Convert to PDF 515/2015
Parcel I❑ Property Address January 1 Property Owner
6874-65-5960,00 1680 Pine Tree Dr Boma North Carolina Llc
Summary Appraisal Report - Commercial
Owner 1
Owner 2
Mailing Address
City, State Zip
Bldgs: 1
Current Owners
Boma North Carolina Llc
7206 146th Street CIR SW
Palmetto Bay FL 33158-1600
Mobile DC■7
Maps and
Information
Disclaimer: The values and information provided on this property record card are based upon the best available
information on 01f0112013. This information is subject to change because of changes to the property, correction of
e)asting information, additional information, or as the result of an appeal of the property.
Parcel Information
BI ockJLot Neighborhood
5631 117E 321
Last 2 Recordations Available
Sale Date Estate Stamps Sale Price BooklPage
1/17/2008 60000 $30,000,000 2807/975
Assessed Values All Cards
Total Land Value Total Buildings Value Total Misc Imp Value Total Assessed Value
$16,625,210 $65,452 $125,700 $16,816,400
RoadlTopogra phylUtilities
Roads Topogra phy Utilities
RoadPubPaved Desirable
Land Valuation
Type Zoning Acres SgFt Rate Ut Size LC RF TO SH AC EZ Value
CL MU-S 0 2.3,707,965 1-65 0-5 1 1 1 0.85 1 1 1 $16,625.210
Total SgFt Total Acres Total Value
23, 707, 965 0 $16, 625, 210
Building Detail
Forsyth County considers all standard approaches to value. The assessed value on this building was
determined based upon the Income and Expense Approach.
Commercial Summary Information
Company Name Primary Address Occupancy Total Gross SgFt Net Lease SgFt Units
Old Pine Tree Golf Course 1680 Pine Tree DR MISC 0 0 0

Commercial Buildings Summary
Bldg Building Name Physical Addr Story Year Built Construction Occupancy Value
1 0 Teague LN 1 1970 1 BR 1108-Clubho $65,452
Total BuildingsVaiue $65.452
Miscellaneous Improvements
Type
Construction
Height
Area
Year Built
Value
Pav9lion 2
FR
1
1,104
1996
$2,939
Shed 4
CB
0
3,200
1970
$8, 560
Paving Asp 1
ASPHALT
0
45,000
1970
$5.512
G Course 3
0
18
1970
$83,475
G Course 3
0
1
0
$4, 638
Canopy 2
FR
0
1,120
0
$1,344
Walls
BRICK
0
180
0
$594
Paving Asp 2
ASPHALT
0
140,000
0
$14,000
Total Miscellaneous Value
Taxing Jurisdictions
Jurisidiction
Kemersville 100%
$125,700
Fire District
FD
Income Detail
Income information on this report reflects market research and not specific data from the property.
Cost Detail
Detail Appraisal Report - Commercial Bldg: 1 of 1
Total Value from Cost
Total Section Total Addition Local
Replacement
physical Depr
Econ/Funs Depr
Value
Value Multiplier
Cast
$614, 265
$45,672 0.87
$574,145
43%
$246,882.35
80%
($197,506.00)
$614„265
$45,672 0.87
$574,145
43%
80%
$246,882, 35
($197, 506.00)
Depriciated Value
Misc Imp. Value Total
Bldg Value
Land Value
Total All Bldgs
$65,452
$513
$65, 965
$16, 625, 210
$16, 816, 400
$65,452
$121.062
$186,514
$16,625,210
$16,816,400
Building Information
Company Name Building Physical Address Occupancy Year Built Year Remod Condition
Old Pine Tree Golf Course 0 Teague LN 1108-Clubho 1970 0
Old Pine Tree Golf Course 0 Teague LN 1108-Clubh❑ 1970 0
Foundation Construction Total Story Roof Roof Cower Ext Wallslnsul Walls lnsul Ceiling
1 BR 1 Mansard/Mansard
1 BR 1 Mansard/Mansard
Section Details

Occupancy
Sgft)
Base
Heat!
Heat1
Heat
Adj #!
Story Perimeter Cost Sgff Cost
Units
Cost
AC 1
AC 2
Adj
Base Stories
Hgt1156- .
NoCbhsbsmt
2,997
$34.64
Heat
0%
$0
1 1011
1.065 1.02 $40,23 $120,569
100%
1109-
Heat
I
2801
Ctryclub
2,997
$138.59
Pump
0%
$9A5
1 10 1 1
1M5 1.02 $164.73 $493,696
100 !o
Sketched Additions
Type
Description
Area
Rate
Value
PORCH4
Open Porches
153
$40
$6,120
eAL 1-1
Bal/Landing
168
$20.75
$3,486
PORCH4
Open Porches
240
$40
$9,600
STOOP2
Stoop
60
$15
$900
BAL/L1
Bat/Landing
168
$20.75
$3,486
P/PORCH4
Porch/Porch
240
$52
$12,480
PORCH4
Open Porches
240
$40
$9,600
Miscellaneous improvements for this Bldg
Type
Const
Area
Rate
YearBuilt Condition Grade
Phy
EF
Value
Pavilion
FIR
1,104
$17.75
1996 C
25%
80%
$2,939
Golf Course
18
$132,500
1970
65%
90%
$83,475
Paving Asp & Base
ASPHALT
45,000
$1.75
1970
65%p
80%
$5,512
Shed -Small
CS
3,200
$26.75
1970 C
50%
80%
$8,560
Canopy
FR
1.120
$12
0 C
50%d
80%
$1,344
Paving Asp & Base
ASPHALT
140,000
$2
0
75%
80%
$14,000
Wall
BRICK
180
$60
0
45%
90%
$594
Golf Course
1
$132,500
0
65%
90%
$4,638
Taxing Jurisdictions
Jurisidiction Fire District
Kemersviile 100% FD

Property Report
5/5/15. 2:36 PM
Forsyth County, NC Convert to PD_F 5/5/2015
Parcel ID Property Address January 1 Property Owner
6874-82-3360.00 Teague Ln Boyd J Brown
Detail Appraisal Report - Land
Current Owners
Owner 1
Boyd J Brown
Owner 2
Manuela H Brown
Mailing Address
1500 San Remo AVE STE 125
City, State Zip
CORAL GABLES FL 33146
MobileMaps
nq
and
Information
Disclaimer: The values and information provided on this property record card are based upon the best available
information on 0110112013. This information is subject to change because of changes to the property, correction of
existing information, additional information, or as the result of an appeal of the property.
Parcel Information
Block/Lot Neighborhood
5628 119E 321
Last 2 Recordations Available
Sale Date Estate Stamps Sale Price Book/Page
12/19/2012 12000 $6.000,000 3097/2010
Assessed Values All Cards
Total Land Value Total Buildings Value Total Misc Imp Value Total Assessed Value
$5,798,402 $0 $0 $5,798,400
Roads
RoadPrvGravel
Type Zoning Acres SgFt
CL MU-S 199.2 8,676,995
RoadJTopog raph y/Uti I ities
Topography
Land Valuation
Rate Ut Size LC RI=
1.65 0.5 1 1 1
Utilities
TO SH AC EZ Value
0.9 0.9 1 1 $5,798,402
http://maps.co.forsyth.nc.us/Property_Report/Default.aspx?pin=6...Desktop=true8maplmage=._ags_05b7216f2e3349ae9adf7e9bc74aOf41.ipg Page 1 of 2

Property Report 5/5/15, 2:36 PM
Total SgFt Total Acres Total Value
8,676,995 199.20 $5,798,402
Building Detail
Forsyth County considers all standard approaches to value. The assessed value on this building was
determined based upon the Cost Approach.
Detail Appraisal Report - Land
Photo not availahleSketch not available
Taxing Jurisdictions
Jurisidiction
Kernersville 100%
Fire District
FD
h4tpWmaps.co-foesyth_nc us/Property.Report/Default.aspxlpica=6_--Desktop=true&maplrn age=_ags ova.-'� .:......'= e..:r Z�:i�:iI,IFig r', 2 of 2

Caleb's Creek
IMPACT LOCATION
USACEAID#: SAW-2015
HUC: 03040103020',
© Mixed Use
❑ Residential - Low Density
Residential - Medium Density
❑
Residential - High Density
.
Commercial / Office
Amenity
.
School
Table 1. Nationwide Permit 14 Impacts: Publi
Stream Impact
Type of
Stream Name
Perennialor
Tyl
Number-
Impact
Intermittent
Juris
Permanent or
Temporary
R-1-Permanent
Culvert
°a'botts
nl Meek
Perennial
G
R-2 - Permanent
Culvert
u tareek i s
Intermittent
G
R-3-Permanent
Culvert
Urro A,botts
Intermittent
G
R -S- Permanent
Culvert
abb-Creek
Perennial
G
Wetland Impact
Type of
Type of
Forested
Tyl
Number-
Impact
Wetland
Juris
Permanent or
Temporary
R-4-Permanent
Culvert
nardwaadr tlen
Yes
G
Total Wetland
h
Table 2. Nationwide Permit 3 Impacts: Existh
Stream Impact
Type of Impact
Stream Name
Perennial
Number-
Intermitte
Permanent or
Temporary
Outlet/Rip RIP
uTtu Abhotts
5-1-Permanent
Spillway
creek
Perennia
Open Water
Type of Impact
Waterbody
Area of
Impact Number-
Type
Impact
Permanent or
(acres)
Temporary
P-1-Permanent
Intake/outlet
Pond
0.2
P-2-Permanent
Rip Rap Spillway
Pond
0.2
P-3-Permanent
Intake/Outlet
Pond
o.15
P-4-Permanent
Rip Rap spillway
Pond
o.l
P-S- Permanent
Intake
Pond
CA
!►Net I ands
& Waters
TN
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Mitigation Services
ENV IRON MENTAL QUALITY
Kory Reimann
BOMA NC, LLC
1668 Ridge Point Drive
Bountiful, UT 84010
Project: Caleb's Creek
i-11 nY C00P11:R
January 17, 2017
Expiration of Acceptance: July 17, 2017
County: Forsyth
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/CAMA permit 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 at http://portal.ncdenr.org/webJeep.
Based on the information supplied by you in your request to use the DMS, the impacts that may require
compensatory mitigation 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
CU Location
(8-digit HUC)
___T__
Stream (feet)
Wetlands (acres)
Buffer I
(Sq. Ft.)
Buffer II
(Sq. Ft.)
Impact
Yadkin
03010403
Cold
0
Cool
10
Warm
465
Ri avian
0
Non-Ri arian
0
Coastal Marsh
0
0
0
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The mitigation
will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and 15A NCAC
02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any
questions or need additional information, please contact Kelly Williams at [phone].
cc: Perry Isner, agent
Sincerely,
James. B Stanfill
Asset�Management Supervisor
State of North Carolina I Environmental Quality Mitigation Services
1652 Mail Service Center � Raleigh, NC 27699-1652 217 W. Jones Street, Suite 3000
919 707 8976 T

PAT UcCRORY
GO- r ,w-
SL &NN YLLLTTZ
.Sn-u_Y
NCNHDE-2333
October 7, 2016
Perry Isner
Wetlands & Waters, Inc.
2712 Minden Rd.
Pleasant Garden, NC 27313
RE: Caleb's Creek
Dear Perry Isner:
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information
about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates that there are
no records for rare species, important natural communities, natural areas, or conservation/managed areas
within the proposed project boundary. Please note that although there may be no documentation of natural
heritage elements within the project boundary, it does not imply or confirm their absence; the area may not have
been surveyed. The results of this query should not be substituted for field surveys where suitable habitat exists
In the event that rare species are found within the project area, please contact the NCNHP so that we may
update our records.
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 and is
included for reference. Tables of natural areas and conservation/managed area within a one -mile radius of the
project area, if any, are also included in this report.
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.
The NC Natural Heritage Program may follow this letter with additional correspondence if a Dedicated Nature
Preserve (DNP), Registered Heritage Area (RHA), Clean Water Management Trust Fund (CWMTF) easement,
or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance, please
contact Suzanne Mason at st,7ann,- masnnnnrdrr any or 919.707.8637.
Sincerely,
NC Natural Heritage Program
­'=-`Nolhing Compares"—_
Stsre dNocth Cwntm i Drparmsm rf tamrA and DArural F E=ceE
1N Eat Jaae3 Steu ; RaleiliL NC 27fi%1
P7P-SU -�3LtC'

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W1I_,\l1\'(11,C) �l Dji 11\11(1
rii, .i R N 1,RSVI1 L1'.
1'n-lierty owner:
1"f"1 r�•._
Telephone Nuinher.
Size (acies)
Nearest Waterway
USGS HUC
N01 1FI('.1-IJ0N 0 V,I I_ k]Sd)I(" H ON AL 1)1'A'I:IZ:\IIN, k H 0 N
Boma Nurlh (--Arr,lin;i. 1.1.t
Mal k 1311,)+11
I ('68 Rill+,c 1"6111 Drive
BAinntiful, UT, 84010
8
A—til ittti Crccli
i1311-t111113
if�_,5t Town Ktt IIIc
F'.ivcr Basin l "i%Ncr l mil"iiI
Coordinates I-:rilrl.;,t:.- 3ti,Iit) 23` 7
it'll do Cripli"ri, It �:i!,r 1Ii:.2 i-Ic R cl Cale.b's Creek deg ."+I It =+,�i:ted off of
the Intersection eel I t:.iu_! + i ".i'rl ,;,,1- ;i I" ,",.:II 1++ 11 1,4, 1 ,•wh of l erflcrsviliC, III 1`or5vtll County,
North Carolina.
111dicatc Which ot" the I^ollo►I ill,—) AIIJ 1N
�V Preliniinal-r i)Cltei'itlin2ttidlta
I,.i:L.i � -n rreIirnin-ir y information, there may be waters of the U.S. including wetlands on the above described project area
tt _ .I,,,,,_, I . .0 _I_c.1 Vol. h,I . c this property inspected to determine the extent of Departnient of the Army (DA)
u I 1-ina1, a jurlsdictlonal determination must be verified by the Corps. This preliminary
icl.rminatir+ is not .,;i appe,:l iNc action under the Regulatory Program Administrative Appeal Process (Reference 33
CFR Part 331). If you wish, you may request an approved JD (which may be appealed), by contacting the Corps district
for further instruction. Also, you may provide new information for further consideration by the Corps to reevaluate the
it)
R. :approved Determination
fl Naviyable Waters of the United States within th,2 :1'h.1% ' •I 11 C . 11I, ." .t ,t 't.i% =i t,• lr i-,crinit requirements
of Seruon 10 of the Rivers and Harbors Act and Section 404 of the t 1c,w 'V' it, I :vcr. I i:L« ilici c is a change in the law
or our published regulations, this determination may be relied upon for a pei-wd n"a l : i `, c , ears from the date of
this notification.
X There are waters of the U.S. including wetlands on the above described project area subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon I0i ;,,ri;,"i rwi 10 !five years from the date of this,i
_ We strongly suggest you have the waters of the U.S. including wetlands oii -•I iect area delineated. Due to tl,e
size of your property and/or our present workload, the Corps may not be able to ,icc,+;r.hlish this wetland delineation in a
timely manner. For a more timely delineation, you may wish to obtain a consuli..nl l ,, be considered final, any
delineation must be verified by the Corps.
X The waters of the U.S. including wetlands on your project area have been delineated and (lie delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed, Upon completion, this sui-vey should be
reviewed and verified by the Corps. Once verified, this srirvey will provide an accurate depiction of all areas Subject to
C WA jurisdiction on your property which, provided there is no chatige in [lie i<iw or our published regulations, may be
relied upon for a period not to exceed five years.
Paige i of 2

_ The waters of the U.S. including wetlands have been delineated and surveyed and are accuratel\ depicted on the plat
signed by the Corps Regulatory Official idcnt:l icd below on . Unless there is a chan_c i:7 tht: law or our published
regulations, this determination may be relied u: n for a perioi :lo( it, e xceed five years fi-om the date of this notification.
_ There are no waters of the I l S.. !o include v..: d !'nds, present oil the ikove described In i'= ' :'.f t '. I1 i I Xblect to the
permit requirements trl `: [ +:I1 .1(i.l 4i' iCl ; i US( i ',44}. 11t7ieSS ilt r'c I' ,i 7 i'" ' :1 ill,; ill" 4tlr
published regulations, this determination nw,, I'.- relied upon !1 I r:c! i(d ,i 1% i.,il -: i : b iI,_- ': tc „l '.ills
n1,W ,•:.boll,
i .. ;kuntles sij5l1 .t ":'! u Lo7i,!':
1,'I'1:.-.�me'nt Act
(CAl'1 . ) ', , I; nl
. 11ac: L...
lii(• ri , ,.i;tal Man.I. _inert ir. 1, ,_'., , i-ii
! ',-'hu,. ;,,
det"_,I:i;11i::llX:l it lJ:I'LIiir:I!
Pla,:ew(cnt of dredged or fill matc,-i I ',v ithin ui 111! l: :Ird of wetlands without a Ucl7r,rtr7ent ofthe Army permit may
constitute :i \ iloiation of Section 301 (itl;e i_'lenn \�';ner .act (3 l!S( 1311). If you have ;nr, yue_,tions regarding this
I',,r the Corps Iq,,:_ilalo,I :+,. ;.,_ I .ir,lln i-hornas at 91ix_, 54 .4884 .25 or
Jilhii. l . 11i((in:l s..IR is usacc.:lrrnv.rllil.
(, 11AS1" For I)l'tc]'IIIi11ation; safe in lr th, Iriblilrriie.� (of. t+ihi, lr f1f)W. I" 11,( Ytrrllrirr Rii'("r marl (rit to
the -1r1(111(i ih.cillr-
1). Remarl:�,:
1 . Alliciltioli I'SI).\ lbl-[1'-11':Iltl VA1-tint]"I[it',
This delineationici�:'cr wit._;tton has hcci, rduccc i ; + ic:itit.: the I:,,,':t . of col— -1 lean Water Act jurisdiction for the
particular site identified in this request. i I., dchncation tteterinination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985. It c,n (,r your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified \\ etland determination from the local office of the Natural Resources
Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approvedjw ,dictional deterimiixatioll t"or the above described site. If you object to this
determination, you may request an admiru,;r::t:� - appeal under Corps regulations at 33 CFR Pail 331. Enclosed you will find a
Notiticatton of Appeal Process (?tiAP) 1:;,-, "., ind reciucst for appeal (RFA) form. If you request to appeal this
determination you must submit ;r _ ( :.; : _ t , i• l :''.L to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Jason Steele, Review Officer
60 Forsyth Street SW, Room IOM15
Atlanta, Georgia 3030 1-8801
In order for are I{1 ; t, 1 :_ . I ,:d by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal tinder 3: i 1 1?. i,;'I ( ; ! ._t .0 d Ii.li it has been received by the Division Office within 60 days of the date of the NAP.
Should you dei ild I ::I'i r ll All P I \.t, "n, it must be received at the above address by 10/0412015.
**It is not necesaai} to �,lwt it a/�,/
l .1 ;(-+rill I"? t� 4"/
ilt tivision O Ice if you do not object to the determination in this
correspondence."
I i l• , ltegEtl;lr(ary Official:
I ):jr:_- N it i r015

The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete our Customer Satisfaction Survey, located online at
h ttp•/Iregu Iatorv.usacesui-\,ey.com/.
CC: Chris Huysman, Huysman & Brandy, Inc., 170 Dew Drop Road, Sparta, NC 28675

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST .FOR APPEAL
Applicant: Mark Browli
Soma North Carolina LLC
File Number: SAW-20I5-01697
Date: August 4, 2015
Attached is,
See Section below
CNITIA[ PROPFERFD PERMIT Standard Permit or Letter of erlmission
A
❑
PRO1 FERED PERMIT (Standard Permit or Letter ofpermission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identities your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at hit p•//wMY. ustice army.mi110issions+CiviIWorks/RegulatoryPro gramandPermits.astix or
Corps regulations at 33 CFR Part 331.
A: INITIAL PROI+iHERED PERMIT: You may accept or object to the permit.
• ACCEPT: if you received a Standard i'erniit. vnii may sign the permit document and return it to the district engineer for final
authorization. If you received .1 I �: [ter , 1 1',: I rill . 1. ,1 (LOP), you may a, ',pt the Lt :)P and you, v 1.,. ! s authorized )'our
signature on the Standard Perm I. :)I" ace _"; :..li , i i l I _ I (W I7teitll-. i'i.ii I I �.,p, 1 ;:: rinit in its errt Ii'ety, and wain 1` :itl
rights to appeal the permit, Inc11idIng. Its [l' i'j !::.1 t, 1'd 1+.111;, ijIId :!p' 11k:d II II i 11li 715Sf3Ciateal '•'• I?!1 the
permit.
• OBJECT: If you object to the perinit (StandaI- i 1. r I [ + I c.°r~.liii terms and c.ondi€1 .11 IhL�I'Ci1I- ,,,Ju may request
that the permit be modified accordingly. Y u 1:1 1 iL tieLti011 It 1 7111S I01111 ;;1id J, tWl I, II "11'IIi to the district
en"sneer. Your object ions iii List be reed ", I 1.: vII nee r t�:tl. 1 I,ii d1 r'. c11 ille dal_ t , 1111; I] �tlC,e, or yOrl �V1Il
Icrf:°it }our ri�ltt to appeal the pec,nit III 'I. i Ieceipt r,i _ _1t I:_Ii.:_!, [ire di i; i t engine -ci '.1ill evaluate your
Of'I r 'I.:,:..uli; may: (a) iiiodity the tic"-!wi i:1 address all Of your concerns, �i, 1 it?r! permit 1i, address some of your
or (c) not modify the ps'rlr'llc.termined that the permit she:i111•.I be I I •„ 1 1";C Ii ISIV written. After
eW;1i1 Lill:' our objections, the ,litiil ill • ',Id you a proffered periIli € t0i !.. i;l I 'i ,1,IdCratlon, as indicated in
SecTl,.'111i 'Clow.
B; _PROF I I -.FLED PERMIT: Yr„I I11;1..
• f',.. If you received ''n the il.l:l.'. d. -i 111:ii..l. .!!!.. •11.ii'1 1 it r0. 1i .i. -P..; _I' 1I1s..'_'1 hl.l I- Unlit
a[ltIk:: , .IF1'I1. i C+' 'i ., cl .. -v,r I' t + ll'P. you Inay accept [lie It It rlr „ :I. ! :!till^ I.rG•I r`illlr
r „ ,1 ' , 1 I + w mL�ans that yoke .:; ce t tl' it , ! all
,51��Il;fllllC 011 ,1 1{ !i I ':r � 1 ,l�:eel t I11�." � p I .-
riglii� ''-, appeal the perniii. Crtel:utillg its term, wi and appl \k:d urisdlc' I ,1,:1 •ltl .:lllil:l.l II l ;",Itll the
pee"S,l l l .
S APPEAL: If you choose to decline the proffered permit (Standard or LOi') md 1:, ,.;ii'i:•II � •._:ill
you may appeal the declined permit under the Corps of Engineers Adinini,lli:ltive "",ppc.11 1`rti
this Norm and sending the form to the division engineer. This form must l .,: i,2c.eived by the divisiotl
of the date of this notice,
C_ PERIV9IT DkNIAI_: YoLI may appeal tl7e delli.,i T`i' I!II+? ( by
completing Section 11 ol'this form tend sending the ti lm t, tl i , .II rrTtgineer' I Ills forin ill, 1-.1 ! 1. 1 i;y the division
engineer within 60 days of the date of this notice..
D: APPROVED JURISDICTIONAL DETE71 MIh..M-IC)N: You may acceptor appeal the approved JD or provide new
information.
ACCEPT: You do 1101 i1ecd to rtotilY the t approved JD. Failure to notify the Carps within 60 days of the
date of this notice, means that ynu accept flic .I I;piove i JD in its entirety, and waive all rights to appeal tile: approved JD.
APPEAL: if you disagree with the approved al I, '.1 11 II'IV:[h,,- :Ipproved .111 'indi-r the Corps of Engineers
Administrative Appeal Process by c urnpletin,, :li. r'1 II:'. r :, find sendi;,,-, thc: iorm to the district engineer. This form
must be received by the division engineer witii];1 r,H ,•iX.. 1:I [lic drt�: of this notice,

E: PRELIMINARY JI.JRISDICTIONAI. DETERMINATION: Yo1, el,.-, 1101 ,3e i :u respond to the Corps regarding the
prelimina:y JD. -Tilt Preliminary JD is not appealable. If you �vistl, ,, .:!I I,l:t,' i .i!lest an approved JD (which may be 'ctppealed),
by contacting the Corps district for further mst111C iotl. Also you m:1. !'1 ''. l r._', iiiI-Ormation for further coosideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR. APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDI rl()`_.\1, i::l i. W1%7t,1 I-iON: The appeal li !I't l I of the admiiii t,l' 'l l 1 1;, ,:sdidtrktl for the 11 u_
k'LCOt'd 4J t1 ' :11''i' ',' l`'1 L -!!i ll7e'!1!!: . ;! .I ,, :!11.p r,llental information that the 1 _ uv, of l,� . ll..,`, do :'ill mcd 's needed to
clarify the tihk ini ts,..;i , rcl. ��°i ! k::,_ I',,nt kith the Corps may add new ;lip: record.
However,you may pro\ ide :idditiomil in#ol l ,l:nwo, clarify the location of information til:i, I-.::! ;,. i:i tl! ,.;dimnistrative
record.
_POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
I'.' you I,,lve questions reaardinb this decision and/or the If you only have questions regarding the .11)1 ! I,i roU may
Islay cotil'1Ct: also contlwt:
tli tr icl l n'4iki�'r1 , wilmin ,tG,ti 11"Witory Division, \'ir..I;,. ,,, �L ele, Administrative Appeal Review CJ:licer
Attn:,John'Hionws
U_S- .vrlilyCorps ofL'I!��i1,�� 1�. ti.',�klk a:l,,,ll Ili:i,lun
�'�tiantrl. i �• .', .' i:, ?.k r,it1�-titik, l
1'L��tle_ [0 - i r� -` 137
RIG] IT OF ENTRY: Your signature belcm orl,litl; the I I1-.1.1 1 ..':1}s of :111`.
CC1115111tiilltS, r�� c?nduct investigations clftl�e 13t,_ Ie�! ,1te .ikll !:i" the c, ,r,.: It the appeal process. "..I ..,III r. € iy'
11t?t1C� Ot any 41te lllk'�St1E 3t1C117, end Wlll 1134t 111t' .: S I .I'111!,I , I,,, 1 ;1' TX': In all site 117Vt tl ;1!I.. ,I
Signature ofappellant or agent.
Fur' appeals on Initial Proffered Permits send this form to:
DiNtrict Engineer, Wilmington Regulatoti' division, Jr,h11 -hours,
For Permit denials, Proffered Permits and approved Jurisdictional Determinations rend this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: IVIr. Jason Steele,
Administrative Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10MI5, Atlanta, Georgia 30303-8801
Phone: [phone]

TOWN OF KERNERSVILLE
Dawn H. Morgan, Mayor
Curtis L. Swisher. Town ManaSer
P.O. Box 728
Kernersville, NC 27285-0728
June 28, 2016
Mr. John Thomas
USACE Wilmington District
Raleigh regulatory Field Office
3331 Heritage Trade Drive, Ste 105
Wake Forest, NC 27587
Re: Town of Kernersville Thoroughfare Roads
Calebs Creek Development
Dear Mr. Thomas,
134 East Mountain Street
Telephone [phone]
Fax [phone]
The purpose of this letter is to express the Town of Kernersville's support of the construction of
thorow_,hfare and collector roads within the Calebs Creek Development. The roads arc p�irt of our
progressive transportation planning and are depicted on our 2011 adopted Thoroughfare and Street
PIM7 as attached. In this case, these corridors link Teague Lane with both Union Cross Road and
Highway 66 for access to Interstate 40. In addition to better access to Calebs Creek these public
roads ensure safe passage of vehicles detoured off of Interstate 40 in the event of an accident and or
construction.
The Town of Kemersville will act as a joint applicant for the processing of permits to impacts
streams for the construction of roads that are part of the Toy%n's thoroughfare plan. The developer
will be responsible for all costs and permit compliance within the Calebs Creek project area.
Inter -agency cooperation is imperative when it comes to a project of this scope, and thus the Town
of Kemersville would ask the Corps to please advise us if there is any additional information that
we can provide in advance of the forthcoming application by the developer.
If you have any questions or concerns, please do not hesitate to contact me. Thank you for your
time on this matter.
Sincerely,
Jef&ey A. atling, AICP
Community Development Director
ALDERMEN
Denny Crews - Irving Meal - Joe L. PinTm .Er. - I race, H. silitilette - oiris Thompson
NORTH CAROLINA'S
PIEDMONT
TRIAD

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CSF2
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CD F8
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411
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U-201 ale 50 0 ft
_4

NC DWO Stream identification Form Version 4.11
Date: 02/03/15
Caleb Creek
Project/Site: CaCa 1
SF
Latitude: 36.058411
Evaluator: P. Isner
County: Forsyth
Longitude:-80.094453
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 39-5
Ephemeral Intermittent Pe vial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
A. Geomorphology (Subtotal = Z2 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 1o.S )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
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
Yes = 3
C_ Rinlnnv (SuhtntA = 7 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1 0.5
1
1
1.5
25. Algae
0
0.5
1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: Stream form
Wetland
Hedgecock
3
1
1
2
3
2
2
3
1
1
3
3
1
1.5
1
1
3
3
3
1
0
0
0
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 02/03/15
Project/Site:Caleb Creek
Latitude: 36.059316
Evaluator: P. Isner
county: Forsyth
Longitude:-80.095478
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 27
Ephemeral IntPPrrflittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
�/
A. Geomorphology (Subtotal = 15 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 7.E; )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
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
Yes = 3
C_ Rinlnnv (SubtntA = a_S 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1
0.5
1
1
1.5
25. Algae
0
0.5
1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
I
Stream form
Culvert
2
3
1
2
2
1
1
0
1.5
1.5
0
3
3
0
0.5
1
0
2
2
0
0
0
0.5
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 02/03/15
leb's Creek
Project/Site: CaCa 3
SF
Latitude: 36.07721
Evaluator:T. Bandy C. Huysman P. Isner
County: Forsyth
Longitude:-80.09182
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 13
Eph�y �heral Intermittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
P
A. Geomorphology (Subtotal = 7 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 1 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
1
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
C_ Rinlnnv (SuhtntA = 1 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1 0.5
1
1
1 1.5
25. Algae
0
0.5
1
1
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
2
1
0
1
1
O
O
1
0
1
0
1
0
0
0
0
0
2
3
0
0
0
0
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 02/05/15
Caleb Creek
Project/Site: CaCa 4
SF
Latitude: 36.061663
Evaluator: P. Isner
County: Forsyth
Longitude:-80.096611
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 16.5
Eph�y �heral Intermittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
P
A. Geomorphology (Subtotal = 8.5 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 4 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
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
Yes = 3
C_ Rinlnnv (SuhtntA = a 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1 0.5
1
1
1 1.5
25. Algae
0
0.5
1
1
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
Stream form
P-RPW
1
1
2
1
O
0
0.5
1
0
3
0
0
0.5
0.5
0
2
2
0
0
0
0
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 02/05/15
Project/Site:Caleb Creek
Latitude: 36.060362
Evaluator: P. Isner
County: Forsyth
Longitude:-80.096933
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 23
Ephemeral IntPPrrflittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
�/
A. Geomorphology (Subtotal = 12.5 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = S.r; )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
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
Yes = 3
C_ 6inlnnv (SuhtntA = 1 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1 0.5
1
1
1.5
25. Algae
0
0.5
1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: Culvert
Stream form::]
P-RPW
2
2
1
1
1
1
1
2
0.5
1
0
3
1
0.5
0.5
0.5
0
2
3
0
0
0
0
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 02/05/15
Project/Site:Caleb Creek
Latitude: 36.064963
Evaluator: P. Isner
County: Forsyth
Longitude:-80.099609
Total Points:
16
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent
Eph�y �heral Intermittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
P
A. Geomorphology (Subtotal = 9 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 4 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
1
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
C_ Rinlnnv (SuhtntA = z 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1 0.5
1
1
1 1.5
25. Algae
0
0.5
1
1
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: P-RPW
Stream form
2
2
1
0
0
1
O
2
0.5
0.5
0
2
1
0
0.5
0.5
0
1
2
0
0
0
0
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 02/05/15
Caleb Creek
Project/Site: CaCa 7
SF
Latitude: 36.066249
Evaluator: P. Isner
County: Forsyth
Longitude:-80.102741
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 22.5
Ephemeral IntPPrrflittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
�/
A. Geomorphology (Subtotal = 11 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = S.r; )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
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
Yes = 3
C_ Rinlnnv (SubtntA = 6 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1 0
1 0.5
1
1
1 1.5
25. Algae
0
0.5
1
1
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
P-RPW Stream form
1
2
1
1
1
1
2
1
0.5
0.5
0
3
0
0.5
1
1
0
3
3
0
0
0
0
0
0
0

NC DWO Stream identification Form Version 4.11
Date: 04/09115
Project/Site:CF 8aleb's Creek
Latitude: 36.074265
Evaluator: P. Isner
County: Forsyth
Longitude:-80.100083
Total Points:
Stream Determination (circle one)
Other Kernersville
Stream is at least intermittent 23
Ephemeral IntPPrrflittent Perennial
e.g. Quad Name:
if>_ 19 or perennial if>_ 30'
�/
A. Geomorphology (Subtotal = 10•5 )
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 7.E; )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
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
Yes = 3
C_ Rinlnnv (SubtntA = 1 1
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
1
0
1 0.5
1
1
1 1.5
25. Algae
0
0.5
1
1
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
WL 11100 series
sRPW; DWQ DF1
non-RPW
2
1
1
1
1
1
O
2
0.5
1
0
3
0
1
0
0.5
3
2
2
0
0
0
0
1
0
0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 1
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): floodplain Local relief (concave, convex, none): flat Slope
Subregion (LRR or MLRA): LRR P Lat: 36.058285 Long:-80.093922 Datum: WGS 84
Soil Map Unit Name: Codorus NWI 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? 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 ✓ _ within a Wetland? Yes No
Wetland Hydrology Present? Yes. ✓ _ No _ _
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
High Water Table (A2)
✓ Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ✓ No
Depth (inches): 3
Water Table Present? Yes No
✓ Depth (inches):
Saturation Present? Yes No
✓ Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
In floodplain, standing water present. Photo
1.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 1
30
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover
Species? Status
Number of Dominant Species
1. Platanus occidentalis
30
Y FAC
That Are OBL, FACW, or FAC:
5
(A)
2. Acer rubrum
30
Y FAC
3. Fraxinus pennsylvanica
15
Y FAC
Total Number of Dominant
Species Across All Strata:
5
(B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC:
100
(A/B)
6.
Prevalence Index worksheet:
75 = Total Cover
50% of total cover:
37.5 20 % of total cover: 15
Total % Cover of:
Multiply by:
15
OBL species
x 1 =
Sapling Stratum (Plot size: )
FACW species
x 2 =
1. Acer rubrum
15
Y FAC
FAC species
x 3 =
2.
FACU species
x 4 =
3.
UPL species
x 5 =
4.
Column Totals:
(A)
(B)
5.
6.
Prevalence Index = B/A =
15 = Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 7.5 20% of total cover: 3
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: )
❑✓ 2 - Dominance Test is >50%
1
❑ 3 - Prevalence Index is s3.0'
2
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
3.
❑ Problematic Hydrophytic Vegetation' (Explain)
4.
5.
'Indicators of hydric soil and wetland hydrology must
6•
be present, unless disturbed or problematic.
= Total Cover
Definitions of Five Vegetation Strata:
50% of total cover: 20 % of total cover:
Tree - Woody plants, excluding woody vines,
Herb Stratum (Plot size: 5 ) approximately 20 ft (6 m) or more in height and 3 in.
1. Carex abscondita 5 Y FAC (7.6 cm) or larger in diameter at breast height (DBH).
2• Sapling - Woody plants, excluding woody vines,
3• approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
5.
Shrub - Woody plants, excluding woody vines,
6
approximately 3 to 20 ft (1 to 6 m) in height.
7•
Herb - All herbaceous (non -woody) plants, including
$
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
9
ft (1 m) in height.
10.
Woody vine - All woody vines, regardless of height.
11.
5 = Total Cover
50% of total cover: 2.5 20% of total cover: 1
Woody Vine Stratum (Plot size: )
1.
3.
4.
5. Hydrophytic
= Total Cover Vegetation
50% of total cover: 2011. of total cover: Present? Yes _ ✓ _ No _
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

SOIL
Caleb's Creek
Sampling Point: DF 1
to the depth needed to document the indicator or confirm
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TVpe Loc2 Texture Remarks
0-4 7.5 YR 6 /3 70 7.5 YR 5 /8 30 M fine
4-18 7.5 YR 5 /3 50 7.5 YR 5 /8 50 M fine
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
Histosol (Al)
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 (Al 2)
Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
RM=Reduced
MS=Masked Sand Grains. 'Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric So
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Dark Surface (F7)
Other (Explain in Remarks)
Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122) 31ndicators of hydrophytic vegetation and
Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes No ✓
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 2
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): floodplain Local relief (concave, convex, none): flat Slope
Subregion (LRR or MLRA): LRR P Lat: 36•058467 Long:-$0.093941 Datum: WGS 84
Soil Map Unit Name: Codorus NWI 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? 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 ✓ _ within a Wetland? Yes No
Wetland Hydrology Present? Yes. No_
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
_ Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No ✓
Depth (inches):
Water Table Present? Yes No ✓
Depth (inches):
Saturation Present? Yes No ✓
Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
In floodplain, no standing water. Photo 2.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 2
Tree Stratum (Plot size: 30
Absolute Dominant Indicatoi
) % Cover Species? Status
1. Liguidambar stLL-"lua 30 Y_ PAC,.
2. Acer rubrum 20 Y
3. Fraxinus pennsylvanica 15 Y
4_ Platanus occidentalis 10 N
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAG: 6 (A)
Fmu
Total Number of Dominant
FAQ C Species Across All Strata: 8 (B)
FAC
6.
75 = Total Cover
50% of total cover: 37.5 20 % of total cover: 15
Sapling Stratum (Plot size: 15 )
1. Acer rubrum 10 Y FAC
2.
4.
5.
Percent of Dominant Species
That Are OBL, FACW, or FAG: 75 (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) (B)
6. Prevalence Index = B/A =
10 = Total Cover Hydrophytic Vegetation Indicators:
50% of total cover: 5 20% of total cover: 2 ❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 15 ' ) ❑✓ 2 - Dominance Test is >50%
1. Rosa multiflora 10 Y FACU ❑ 3 - Prevalence Index is s3.0'
3.
4.
50% of total cover: 5
u = Total Cover
20 % of total cover: 2
Herb Stratum (Plot size: 5 )
1. Carex abscondita 20 Y FAC
2.
5.
6.
7.
9.
10.
11.
20 = Total Cover
50% of total cover: 10 20% of total cover: 4
Woody Vine Stratum (Plot size: 30' )
1. Lonicera iaponica 10 Y FAC
2. Smilax bona-nox 5 Y FACU
3.
4.
❑ 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 Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine — All woody vines, regardless of height.
- Hydrophytic
15 = Total Cover Vegetation
_ ✓
50% of total cover: 7.5 2011. Present? YesNo
of total cover: 3 - -
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

Caleb's Creek
SOIL Sampling Point: DF 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) % TVpe Loc2 Texture Remarks
0-6
7.5 YR 6 /4
80
7.5 YR
5
/8
20
M
fine
6-12
7.5 YR 5 /4
80
7.5 YR
5
/8
10
M
fine
10YR
3
/3
10
M
12-20
7.5 YR 5 /3
60
7.5 YR
5
/8
30
M
fine
10YR
3
/3
10
M
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
Histosol (Al)
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 (Al 2)
Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Restrictive Layer (if observed):
TVDe:
Depth (inches):
Remarks:
RM=Reduced Matrix, MS=Masked Sand Grains. 'Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soils3
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Dark Surface (F7)
Other (Explain in Remarks)
Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122)
31ndicators of hydrophytic vegetation and
Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_ Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Hydric Soil Present? Yes No ✓
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 3
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): floodplain Local relief (concave, convex, none): concave Slope (% ): 2
Subregion (LRR or MLRA): LRR P Lat: 36•058405 Long:-80.094640 Datum: WGS 84
Soil Map Unit Name: Fairview NWI 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? 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 _ within a Wetland? Yes ✓ No
Wetland Hydrology Present? Yes . ✓ _ No
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
✓ High Water Table (A2)
✓ Hydrogen Sulfide Odor (C1)
✓ Drainage Patterns (1310)
✓ Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ✓ No
Depth (inches): 4
Water Table Present? Yes ✓ No
Depth (inches): 6
Saturation Present? Yes ✓ No
Depth (inches): 6
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland. Photo 3.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 3
Absolute Dominant Indicatoi
Tree Stratum (Plot size: wl boundar % Cover Species? Status
1. Liquidambar styraciflua 25 Y FAC
2. Acer rubrum 15 Y FAC
3.
6.
50% of total cover: 20
Sapling Stratum (Plot size: wl boundary)
1. Acer rubrum
2.
4.
5.
40 = Total Cover
20 % of total cover: 8
15 Y FAC
15 = Total Cover
50% of total cover: 7.5 20% of total cover: 3
Shrub Stratum (Plot size: wl boundary )
1. Corms amumum 15 Y FACU
3.
4.
10 = Total Cover
50% of total cover: 7.5 20% of total cover: 3
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
6
(A)
Total Number of Dominant
Species Across All Strata:
8
(B)
Percent of Dominant Species
That Are OBL, FACW, or FAG:
75
(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)
(B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑✓ 2 - Dominance Test is >501%
_❑ 3 - Prevalence Index is s3.0'
❑ 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 Five Vegetation Strata:
Tree - Woody plants, excluding woody vines,
Herb Stratum (Plot size: 5 ) approximately 20 ft (6 m) or more in height and 3 in.
1. Carex abscondita 20 Y FAC (7.6 cm) or larger in diameter at breast height (DBH).
2. Fragaria vesca 2 N FACU
Sapling -Woody plants, excluding woody vines,
3. Allium canadense 2 N FACU approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
5.
6.
7.
9.
10.
11.
50% of total cover: 12
Woody Vine Stratum (Plot size: wl boundary
1. Lonicera iaponica
3.
4.
24 = Total Cover
20% of total cover: 4.8
gn V FAr
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
20 = Total Cover Vegetation
_ ✓
50% of total cover: 10 2011. Present? YesNo
of total cover: 4 - -
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

Caleb's Creek
SOIL Sampling Point: DF 3
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 Loc2
Texture Remarks
0-4 10 YR 6 /1 80
10 YR 5 /8 20 M
fine
4-8 10 YR 6 /1 60
10 YR 5 /8 20 M
fine
10 YR 4 /1 20 M
8-20 10 YR 6 /1 100
Sand
'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 Soils3:
Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
` Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (Al 6)
— 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 (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
` Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al 2)
` 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:
Depth (inches):
Hydric Soil Present? Yes No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 4
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): flat Local relief (concave, convex, none): flat Slope
Subregion (LRR or MLRA): LRR P Lat: 36•072909 Long: -80.090835 Datum: WGS 84
Soil Map Unit Name: Codorus NWI 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? 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 ✓ _ within a Wetland? Yes No
Wetland Hydrology Present? Yes. No_
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
_ Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
✓ Depth (inches):
Saturation Present? Yes No
✓ Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Fill/grown up fairway.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 4
Absolute Dominant Indicato
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
6.
= Total Cover
50% of total cover: 20 % of total cover:
Sapling Stratum (Plot size: 15 )
1. Liquidambar styraciflua 15 Y FAC
2.
4.
5.
15 = Total Cover
50% of total cover: 7.5 20% of total cover: 3
Shrub Stratum (Plot size: )
1.
3.
4.
= Total Cover
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAG: z (A)
Total Number of Dominant
Species Across All Strata: 3 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAG: 66 (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) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑✓ 2 - Dominance Test is >501%
_❑ 3 - Prevalence Index is s3.0'
❑ 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 Five Vegetation Strata:
50% of total cover:
5
20 % of total cover:
Tree - Woody plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6 m) or more in height and 3 in.
1. Dactylis glomerata
50
Y
FACU
(7.6 cm) or larger in diameter at breast height (DBH).
2. Dichanthelium clandestinum
30
Y
FAC
3. POlyaonum saglttatum
10
N
OBL
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
4. SOlidago altissima
10
N
FACU
than 3 in. (7.6 cm) DBH.
5. Ludwigia alternifolia
10
N
FAC
Shrub - Woody plants, excluding woody vines,
6. Carex abscondita
5
N
FAC
approximately 3 to 20 ft (1 to 6 m) in height.
7.
Herb - All herbaceous (non -woody) plants including
9.
10.
11.
115 = Total Cover
50% of total cover: 57.5 20% of total cover: 23
Woody Vine Stratum (Plot size: )
1.
3.
4.
= Total Cover
50% of total cover: 2011. of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes ✓ No
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

SOIL
Caleb's Creek
Sampling Point: DF 4
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 Loc2
Texture Remarks
0-2 10 YR 3 /3 100
sandy k
2-4 10 YR 5 /4 80
7.5 YR 5 /8 20 M
sandy k
4-8 10 YR 5 /8 60
2.5 Y 6 /6 30 M
sandy k
2.5 Y 6 /3 5 M
7.5 YR 5 /6 5 M
8-16 2.5 YR 4 /6 80
7.5 YR 5 /6 20 M
sandy k
'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 Soils3:
Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
` Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (Al 6)
— 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 (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
` Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al 2)
` 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:
Depth (inches):
Hydric Soil Present? Yes No
Remarks:
Fill.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 5
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): flat Local relief (concave, convex, none): concave Slope (% ): 2
Subregion (LRR or MLRA): LRR P Lat: 36.078721 Long:-80.o91650 Datum: WGS 84
Soil Map Unit Name: Casville NWI 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? 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 _ within a Wetland? Yes ✓ No
Wetland Hydrology Present? Yes . ✓ _ No
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
✓ High Water Table (A2)
Hydrogen Sulfide Odor (C1)
✓ Drainage Patterns (1310)
✓ Saturation (A3)
✓ Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ✓ No
Depth (inches): 2
Water Table Present? Yes ✓ No
Depth (inches): 4
Saturation Present? Yes ✓ No
Depth (inches): 4
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland, upper beaver dam.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 5
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover Species? Status
Number of Dominant Species
1.
That Are OBL, FACW, or FAC:
1
(A)
2.
Total Number of Dominant
3•
Species Across All Strata:
1
(B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC:
100
(A/B)
6.
Prevalence Index worksheet:
= Total Cover
Total % Cover of:
Multiply by:
50% of total cover:
20 % of total cover:
OBL species
x 1 =
Sapling Stratum (Plot size: )
FACW species
x 2 =
1.
FAC species
x 3 =
2.
FACU species
x 4 =
3.
UPL species
x 5 =
4.
Column Totals:
(A)
(B)
5.
6.
Prevalence Index = B/A =
= Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 20% of total cover:
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: )
❑� 2 - Dominance Test is >50%
1
❑ 3 - Prevalence Index is s3.0'
2
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
3.
❑ Problematic Hydrophytic Vegetation' (Explain)
4.
5.
'Indicators of hydric soil and wetland hydrology must
6•
be present, unless disturbed or problematic.
= Total Cover
Definitions of Five Vegetation Strata:
50% of total cover: 20 % of total cover:
Herb Stratum (Plot size: WI boundary)
1. Leersia oryzoides 60 Y OBL
2.
5.
6.
7.
9.
10.
11.
60 = Total Cover
50% of total cover: 30 20% of total cover: 12
Woody Vine Stratum (Plot size: )
1.
3.
4.
= Total Cover
50% of total cover: 2011. of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine — All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes ✓ No
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

Caleb's Creek
SOIL Sampling Point: DF 5
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 Loc2
Texture Remarks
0-3 10 YR 4 /3 95
7.5 YR 5 /8 5 C PL
fine
3-12 7.5 YR 4 /1 90
5 YR 4 /6 10 C PL
fine
12-20 7.5 YR 4 /1 100
fine
'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 Soils3:
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 (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
` Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al 2)
` 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:
Depth (inches):
Hydric Soil Present? Yes No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 6
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): flat Local relief (concave, convex, none): flat Slope
Subregion (LRR or MLRA): LRR P Lat: 36.078683 Long:-80.o918o8 Datum: WGS 84
Soil Map Unit Name: Pacolet NWI 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? 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 ✓ _ within a Wetland? Yes No
Wetland Hydrology Present? Yes. No_
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
_ Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
✓ Depth (inches):
Saturation Present? Yes No
✓ Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary frin e
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

VEGETATION (Five Strata) — Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 6
Tree Stratum (Plot size: )
1.
2.
3.
6.
50% of total cover
Sapling Stratum (Plot size: )
1.
2.
4.
5.
50% of total cover
Shrub Stratum (Plot size: 1 5 ' )
1. Rosa multiflora
3.
4.
50% of total cover: 5
Absolute Dominant Indicator
Dominance Test worksheet:
Cover Species? Status
Number of Dominant Species
That Are OBL, FACW, or FAC:
z
(A)
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
3
(B)
That Are OBL, FACW, or FAG:
66
(A/B)
= Total Cover
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
20 % of total cover:
—
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 =
= Total Cover Hydrophytic Vegetation Indicators:
_ 20% of total cover: ❑ 1 - Rapid Test for Hydrophytic Vegetation
❑✓ 2 - Dominance Test is >50%
10 Y FACU ❑ 3 - Prevalence Index is s3.0'
❑ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation' (Explain)
u = Total Cover
20% of total cover: 2
Herb Stratum (Plot size: 5 )
1. Leersia oryzoides 30 Y OBL
2.
5.
6.
7.
9.
10.
11.
50% of total cover: 15
Woody Vine Stratum (Plot size: 30' )
1. Lonicera iaponica
3.
4.
30 = Total Cover
20% of total cover: 6
gn V FAr'
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine — All woody vines, regardless of height.
Hydrophytic
20 = Total Cover Vegetation
50% of total cover: 10 2011. of total cover: 4
Present?
Remarks: (Include photo numbers here or on a separate sheet.)
Yes ✓ No
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

Caleb's Creek
SOIL Sampling Point: DF 6
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 Loc2 Texture Remarks
0-4
10 YR 4 /2
100
fine
4-10
7.5 YR 4 /6
100
fine
10-16
10 YR 4 /2
100
fine
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
Histosol (Al)
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 (Al 2)
Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Restrictive Layer (if observed):
TVDe:
Depth (inches):
Remarks:
RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Soils3
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Dark Surface (F7)
Other (Explain in Remarks)
Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122)
31ndicators of hydrophytic vegetation and
Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_ Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Hydric Soil Present? Yes No ✓
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Forsyth Sampling Date: 150203
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF 7
Investigator(s): TB, CH, PI Section, Township, Range:
Landform (hillslope, terrace, etc.): flat Local relief (concave, convex, none): concave Slope (% ): 1
Subregion (LRR or MLRA): LRR P Lat: 36.07641 Long:-8o•o8994 Datum: WGS 84
Soil Map Unit Name: Casville NWI 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? 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 _ within a Wetland? Yes ✓ No
Wetland Hydrology Present? Yes . ✓ _ No
Remarks:
WL Type WL Series Appx. Acreage
24 H R Weather 0.7 in. of rain within past 24 hours
Recent Weather
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 (138)
✓ High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3)
✓ Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes ✓ No
Depth (inches): 6
Saturation Present? Yes No
✓ Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary frin e
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

VEGETATION (Five Strata) — Use scientific names of plants.
Caleb's Creek
Sampling Point: DF 7
Absolute Dominant Indicatoi
Tree Stratum (Plot size: WI boundary % Cover Species? Status
1. Salix nigra 20 Y OBL
2.
3.
6.
50% of total cover: 10
Sapling Stratum (Plot size: )
1.
2.
4.
5.
50% of total cover
Shrub Stratum (Plot size: )
1.
3.
4.
50% of total cover
20 = Total Cover
20 % of total cover: 4
= Total Cover
20% of total cover:
= Total Cover
20% of total cover:
Herb Stratum (Plot size: 5 )
1. Ludwigia alternifolia 15 Y FAC
2. Carex abscondita 15 Y FAC
5.
6.
7.
9.
10.
11.
50% of total cover: 15
Woody Vine Stratum (Plot size: )
1.
3.
4.
30 = Total Cover
20% of total cover: 6
= Total Cover
50% of total cover: 2011. of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAG: 3 (A)
Total Number of Dominant
Species Across All Strata: 3 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (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) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑✓ 2 - Dominance Test is >501%
_❑ 3 - Prevalence Index is s3.0'
❑ 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 Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine — All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes ✓ No
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

Caleb's Creek
SOIL Sampling Point: DF 7
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 Loc2
Texture Remarks
0-4 10 YR 4 /2 95
7.5 YR 5 /8 95 C PL
fine
4-12 7.5 YR 4 /1 90
7.5 YR 5 /8 10 C PL
fine
12-16 10 YR 4 /2 100
fine
'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 Soils3:
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 (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
` Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al 2)
` 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:
Depth (inches):
Hydric Soil Present? Yes No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Kernersville/Forsyth Sampling Date: 04/21/15
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF8
Investigator(s): Huysman Isner Section, Township, Range:
Landform (hillslope, terrace, etc.): floodplain Local relief (concave, convex, none): concave Slope
Subregion (LRR or MLRA): LRR P Lat: 36.052158 Long:-80.091450 Datum: WGS 84
Soil Map Unit Name: Codorus NWI 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? 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 ✓ _ within a Wetland? Yes No
Wetland Hydrology Present? Yes. ✓ _ No _ _
Remarks: photo pt. 7 WL Series
WL Type Appx. Acreage
24HRWeather heavy rainfall
Recent Weather
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 (138)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ✓ No
Depth (inches): 2
Water Table Present? Yes No
✓ Depth (inches):
Saturation Present? Yes No
✓ Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
No high water table/saturation. Surface water is direct result of recent rainfall.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Caleb's Creek
Sampling Point: DF8
30
Absolute
Dominant Indicatoi
Tree Stratum (Plot size: )
% Cover
Species?
Status
1. Populus deltoides
30
Y
FAC
2. Ulmus americana
30
Y
FAC
3. Platanus occidentalis
10
N
FAC
6.
70 = Total Cover
50 % of total cover: 35 20 % of total cover: 14
Sapling Stratum (Plot size: 15 )
1. Acer rubrum 25 Y FAC
2.
4.
5.
25 = Total Cover
50% of total cover: 12.5 20% of total cover: 5
Shrub Stratum (Plot size: )
1.
3.
4.
= Total Cover
50 % of total cover: 20% of total cover:
Herb Stratum (Plot size: 5 )
1. Carex spp. 15 Y FAC
2. Impatiens capensis 10 Y FACV
5.
6.
7.
9.
10.
11.
50%of total cover: 12•5
Woody Vine Stratum (Plot size: 30' )
1. Toxicodendron radicans
3.
4.
25 = Total Cover
20% of total cover: 5
1 n V FAr
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant
Species Across All Strata: 6 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (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) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑✓ 2 - Dominance Test is >501%
_❑ 3 - Prevalence Index is s3.0'
❑ 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 Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine — All woody vines, regardless of height.
Hydrophytic
10 = Total Cover Vegetation
50 % of total cover: 5 2011. of total cover: 2 Present? Yes _ ✓ _ No _
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

SOIL
Caleb's Creek
Sampling Point: DF8
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 Loc2
Texture Remarks
0-4 10 YR 6 /3 50
10 YR 6 /2 30 C M
fine
10 YR 5 /6 20
4-6 10 YR 4 /4 75
10 YR 6 /3 25 C M
fine
6-16 10 YR 6 /3 50
10 YR 6 /1 20 C M
fine
10 YR 6 /2 10 C M
10 YR 4 /4 20 C M
'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 Soils3:
Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
` Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (Al 6)
— 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 (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
` Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al 2)
` 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:
Depth (inches):
Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Caleb's Creek City/County: Kernersville, Forsyth Sampling Date: 04/09/15
Applicant/Owner: BOMA NC, LLC State: NC Sampling Point: DF9
Investigator(s): Isner Section, Township, Range:
Landform (hillslope, terrace, etc.): interstream Local relief (concave, convex, none): concave Slope (% ): 2
Subregion (LRR or MLRA): LRR P Lat: 36•074334 Long:-$0.099942 Datum: WGS 84
Soil Map Unit Name: Cecil NWI 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? 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 _ within a Wetland? Yes ✓ No
Wetland Hydrology Present? Yes . ✓ _ No
Remarks:
WL Type WL Series 11100 series Appx. Acreage
24 HR Weather
Recent Weather
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 (138)
✓ High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (1310)
✓ Saturation (A3)
✓ Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
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 (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 (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes ✓ No
Depth (inches): 6
Saturation Present? Yes ✓ No
Depth (inches): 6
Wetland Hydrology Present? Yes No
includes capillary frin e
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

VEGETATION (Five Strata) - Use scientific names of plants.
Caleb's Creek
Sampling Point: DF9
Absolute Dominant Indicato
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
6.
= Total Cover
50% of total cover: 20 % of total cover:
Sapling Stratum (Plot size: 15 )
1. Liquidambar styraciflua 10 Y FAC
2. Salix nigra 5 Y OBL
4.
5.
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAG
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAG
5 (A)
6 (B)
83 (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) (B)
6. Prevalence Index = B/A =
15 = Total Cover Hydrophytic Vegetation Indicators:
50% of total cover: 7.5 20% of total cover: 3 ❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 15 ' ) ❑✓ 2 - Dominance Test is >50%
1. Rubus allepheniensis 25 Y FACU ❑ 3 - Prevalence Index is s3.0'
3.
4.
❑ 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
6• be present, unless disturbed or problematic.
25 = Total Cover Definitions of Five Vegetation Strata:
50% of total cover: 12.5 20 % of total cover: 5 Tree - Woody plants, excluding woody vines,
Herb Stratum (Plot size: 5 ) approximately 20 ft (6 m) or more in height and 3 in.
1. Juncus effusus 30 Y FAC (7.6 cm) or larger in diameter at breast height (DBH).
2. Poa spp. 10 Y FAC Sapling - Woody plants, excluding woody vines,
3. SOlidago altissima 2 N FACU approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
5.
6.
7.
9.
10.
11.
50% of total cover: 21
Woody Vine Stratum (Plot size: 30' )
1. Lonicera iaponica
3.
4.
42 = Total Cover
20% of total cover: 8.4
1 r� V FAr.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
Hydrophytic
15 = Total Cover Vegetation
50% of total cover: 7.5 2011. of total cover: 3
Present?
Remarks: (Include photo numbers here or on a separate sheet.)
Yes ✓ No
US Army Corps of Engineers Eastern Mountains and Piedmont -Version 2.0

Caleb's Creek
SOIL Sampling Point: DF9
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 Loc2
Texture Remarks
0-4 10 YR 4 /2 80
10 YR 5 /6 20 C PL
sandy k
4-16 10 YR 5 /2 45
10 YR 6 /6 50 C M
sandy k
10 YR 3 /2 5
soft masses
'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 Soils3:
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 (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
` Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al 2)
` 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:
Depth (inches):
Hydric Soil Present? Yes No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

January 11, 2018
BOMA North Carolina LLC
Attn: Kory Reimann
1668 Ridge Point Dr
Bountiful UT 84010-1054
Town of Kernersville
Attn: Jeffrey Hatling
PO Box 728
Kernersville NC 27285
ROY COOPER
[�pL'L}'}TU}•
MICHAEL S. REGAN
S't erc laf•v
L1NDA CULPEPPER
harl'im Direerar
DWR # 2005-2116 v3
Forsyth County
Subject: APPROVAL OF 401 WATER QUALITY CERTIFICATION WITH ADDITIONAL CONDITIONS
Caleb's Creek Residential Development
Dear Mr. Reimann and Mr. Hatling:
You have our approval for the impacts listed below for the purpose described in your application dated
September 18, 2017, received by the Division of Water Resources (Division) October 2, 2017, with
subsequent information on October 30, 2017, November 21, 2017 and December 6, 2017. These impacts
are covered by the attached Water Quality General Certification Numbers 4132 and 4135 and the
conditions listed below. This certification is associated with the use of Nationwide Permit Numbers 3 and
14 once they are issued to you by the U.S. Army Corps of Engineers. Please note that you should get any
other federal, state or local permits before proceeding with your project, including those required by (but
not limited to) Sediment and Erosion Control, Non -Discharge, and Water Supply Watershed regulations.
This approval requires you to follow the conditions listed in the enclosed certification(s) or general permit
and the following additional conditions:
The following impacts are hereby approved provided that all of the other specific and general
conditions of the Certification Rules are met. No other impacts are approved, including incidental
impacts. [15A NCAC 0 2 H .0506(b) and/or (c)I
State of North Carolina I Environmental Quality
450 W. Hanes MN Road, Suite 300, Winston-Salem, North Carolina 27105
Phone: [phone] FAX: [phone]

BOMA North Carolina LLC
Town of Kernersvike
DWRP 2005-2116 v3
401APPROVAL
Page 2 of 4
Type of Impact
Amount Approved
(units)
Permanent
Amount Approved (units)
Temporary
Stream
Site R-1— road
crossing
200 (linear feet)
0 (linear feet)
Site R-2 — road
crossing
180 (linear feet)
0 (linear feet[
Site R-3 — road
crossing
165 (linear feet)
0 (linear feet)
Site R-5 — road
crossing
180 (linear feet)
0 (linear feet)
Site S-1 dam repair
350 (linear feet)
0 (linear feet)
404/401 Wetlands
Site R-4 — road
crossing
0.046 (acres)
0 (acres)
Open Waters
Site P-1
0.20 (acres)
0 (acres)
Site P-2
0.20 (acres)
0 (acres)
Site P-3
0.15 (acres)
0 (acres)
Site P-4
0.10 (acres)
0 (acres)
Site P-5
0.10 ( acres)
0 (acres)
This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification. If you
change your project, you must notify the Division and you may be required to submit a new
application package with the appropriate fee. If the property is sold, the new owner must be given
a copy of this approval letter and General Certification(s)/Permit/Authorization and is responsible
for complying with all conditions. [15A NCAC 02H .0507(d)(2)]
1 Mitigation must be provided for the proposed impacts as specified in the table below. The Division
has received an acceptance letter from the Division of Mitigation Services (DMS) to meet this
mitigation requirement. Mitigation shall be provided for each impact area a minimum of 60 days
prior to construction within the specific impact location. Until the DMS receives and clears your
payment, and proof of payment has been provided to this Office, no impacts specified in this
Authorization Certificate shall occur. For accounting purposes, this Authorization Certificate
authorizes payment to the DMS to meet the following compensatory mitigation requirement [15A
NCAC 02H .0506 (b)(6)]:

BOMA North Carolina LLC
Town of Kernersvilie
❑WR# 2005-2116 v3
401 APPROVAL
Page 3 of 4
Compensatory Mitigation
River & Sub -
Required
basin Number
Stream
710 (feet)
Yadkin
(03040103)
4. Final construction plans for each phase of this project shall be submitted to the Division a minimum
of 64 days prior to construction. Final construction plans for all phases of this project shall include
identification of temporary impacts for dewatering activities to ensure compliance with Condition
11.9 in General Certification #4132 and #4139. For each dam maintenance phase of this project,
final construction plans shall meet Condition 1.1 in General Certification #4132 as appropriate. For
each phase of this project, if impact areas or amounts are modified during final design then the
Permittee shall be required to submit a new application package with the appropriate fee. [15A
NCAC 02H .0502 (b) and 15A NCAC 02H .0506 (4)1
5. Any additional impacts to streams and/or wetlands as a result of future roads, buildings, driveways,
utility lines or other development related activities within this subdivision will require a
modification of this 401 Water Quality Certification approval. [15A NCAC 02H .0506(4) and 15A
NCAC 02H .0501 and 05021
This approval and its conditions are final and binding unless contested. [G.S. 143-215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 150B by filing a written
petition for an administrative hearing to the Office of Administrative Hearings (hereby known as OAH) within
sixty (60) days.
A petition form may be obtained from the OAH at http-1/www.ncoah-com or by calling the OAH Clerk's
Office at [phone] for information. A petition is considered filed when the original and one (1) copy
along with any applicable OAH filing fee is received in the OAH during normal office hours (Monday through
Friday between 8:00am and 5:00pm, excluding official state holidays).
The petition may be faxed to the OAH at [phone], provided the original and one copy of the petition
along with any applicable OAH filing fee is received by the OAH within five (5) business days following the
faxed transmission.
Mailing address for the OAH-
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
If sending via delivery service (UPS, Fed Ex, etc):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609-6285

SOMA Forth Carolina LLC
Town of Kernersville
DWR# 2005-2116 v3
401APPROVAL
Page 4 of 4
One (1) copy of the petition must also be served to DEQ:
William F. Lane, General Counsel
Department of Environmental Quality
1.601 Mail Service Center
Raleigh, NC 27699-1601
This letter completes the review of the Division under section 401 of the Clean Water Act. Please contact
Sue Homewood at 336-776-9693 or [e-mail] if you have any questions or concerns.
Enclosures: GC 4132
GC 4135
Sincerely,
-Y.
Sherri V. Knight, P. E.
Regional Supervisor
Water quality Regional Operations Section
Division of Water Resources, NCDEQ— WSRO
cc: Perry Isner, Wetlands & Waters Inc (via email)
Jean Gibby, USAGE Raleigh Regulatory Field Office (via email)
DWR WSRO 401 file
DWR 401 & Buffer Permitting Unit file

1) S. ARMY COPPS OF ENGINEERS
APPLICATION FOR DEPARTMENT OF THE ARMY PERMIT
ONIB APPRI'VAL NO 07w-0003
EXPIRES- 28 FEBRUARY 2013
3 1 r_.FR 325 Tile ;jf1iJ?0rie111 arjF_nf,,j IS CEGV!1lj-R
Riblic reporung for this colleflion of information is Fistiniated to average 11 hours. per response ncftufinq the t-me far reviewing instructions searching
existing data &,iii gamw i a iw;,, rT-A1r1!,a11111,J the ,,!Lill 'ieoded, and nompletinq and revt!,.vinq 1.i-, ;Iie..ion o' infoi rn,viun Send corivilent" rtg6rding
tiii,, ourclen estiin,ite if piny oth,,", 'Ispi,!ct sft IhEm ififluil (!:, of infoirmation, including tf,r ji­;iw iiiei this burden. [-.i Jcli?,kitrn;ril of DOnse,
E­ om-Plvf' iiio and rid tli- Off-t- ;)( `Air,-v.iemen1 MtM
Hed(ldie,r) Frinj- t oi_i lo-k,1003) H?p,)n;4-nts sholild ht­. aware that not r'y rlltlHr provla11?r. 1 14 11w nil PF'.r"';oT� ;sJwltl he
i,i� ;,PrAIN fi)t f,JiI19LJ t1l I 0111;)1V 411h a GQI[1^r 'jun J it lotmatior, if it dues not display :i , iweritly' wiiid o­",!El- :cjrilr(fl numl,fw!i- DO 1,10T
HIETURIJ vow i%)imto (if Ippiluations Most Lie stibmitted "ID The Dl.,itric,, I-LIVInQ 141rl`,(k hQ11 UVer the iDCJUL)n of
'he priip-ised activity
J'11'1.'ACY A'` - ;,IATENIENT
6dtlrirsrw-s Rivers anff I lartwTq AM Sg!ctlor tr) -A-i LISC, 403. Cle in Water eict =--.ecbor 404- 13 USC 1344: Marwe Protec,'[()n Re.9ear(,,h, aryl
Act, sectloo 10, , 3. , I'l USC 1,.I-, the Coop z. .!f Enriiilt-er;, Final Rule 33 CFI; 120-312. Prinopal Pijrl)k-,)se: Infort-nation f,ri
tlii:-, fornirt vv 11 be uwd w ng tine-: for a permit Rj,i1t1r1t- L15r TI ii, Information 111,?y be ',Ll­JrJ-.fJ '� til '.I-IH Lif ' P J_J othal
state and' lr.wa goverilmi-ni "il'! :i)e Vublic and rnav hi- Tiad,-. .,vailable as p;3rt o* i puLj,ii_ 3as irqiiir4ii :iv F�?dorcil LAW. SLIL.MISSiOn
at reqjeste,j inloicnation ie vu ur_llarv, nowuvw if riformalit'n v, nol pro Warted We permit app'icakion ran,int r)e e.Jalaa(en nor an a ppvrnit he pssuw! One set
of i-Aigiral crawprigs or good raprodijcible cupieq vvilich shr)w lihe kw;itiorl rV11I -l13r,1P,:tf?r j)f 101f,, ptrjlijj)� , ad --ji-tiVily niwil ht- altar-hed tfi lh,p at)plicaticin ise",
,-arllplt2 _irO or instructions and 5" si:5mitlec Tu the Engineer hav ng jurisdiction over the LiGation of 1,hF, ptopoeo. actively. An dil)PIWJIIOP
mat i.L, -ot i-r)mplw�cj In fiii vvill !)e, retij,rled
(ITEMS I THRU 4 TO BE FILLED BY THE CORPS)
1 APPI. ICATION NO
2. FIELD OFFICE CODE 1 1 I.F.) A T F r, P r: E I,, E- F,
4. DATE APPLICATION CO MP! 7 F
;ITEMS BELOW TO BE FILLED BY APPLICANT)
5 APPLICANT'S NAME
S. AUTI 10 P ZED AGENT'S NAME A N D 7 I Ti (aqpn, IS not i-?q w rp.d)
First - Kory Middle - Last - Reunann
FIrst- Nleauittl Middle- Last - Jolly
(,ornpany - BONIA N, I I h Carolina. LLC
COMParly - %Vetfands & Waters. Inc.
E inail •MddMSS,
E-mail Address- niv.,1ganh d etlnilck-waters.coni
6 APPLICANT'S ADDRESS
9. AGENTS ADDRESS,
ft J,es --. I Wg 16]gi P,,Int Drl%,O
Address- 14N Iil'o;jj StilCt!t
City- Houlliliful State - 17 Zip - g4i[)) Country - USA
City - 'slolesvillc State - INC Zip 2867 C01,11trY USA
i APPLICANT'S PHONE NOs. wiAREA CODE
10 AGENTS PHONE NOs wfAREA CODE
a Residence ta. Business l". Fax
a. Residence b, Busin&ss C. Fax
STATEMENT OF AUTHORIZATION
I I I heret)y auihodZe, Wetlands & Water5 Inc:to t m my behalf as my agent in th�-_- pracessinq _4 ihis appficalion and to furrilst,. upon request.
information in support of this pt�.rrl ippl C. tt
_
/SIGNATURE OF APPLICANT DATE
NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY
12. PROJECT NAME OR TITLE (see InSbUCtIOnSy
'.i I o Ws Crc o k
13 NAME OF WATFRBODY, IF KNOWN irl' applicable)
14 PROJECT STREET ADDRESS tit applicable)
Abbotts Creck
Address (,, I c i n I 1 1 6X0 P I n c T rcc D vi ve
15 LOCATION OF PR(_)_jPCT
Latitude N _41' Loogittide �V
Cltv Kertiersville State- NC Z T- - 2 _',�A
16 CiTHER LOCATION, DESr_,,RiP_TI0NS, IF KNOWN (see instructions)
State Tax Parcel ID 11 -sec L•Tw k­urw Municipality
Section - To%,vn,,Np - Range -
4345, OCT 2012 rREVIOLIS ED17ICNS ARE 0 BSOLETE. Foge 1 of 3

17. DIRECTIONS TO THE SITE
Head east on Heritage Trade Dr. toward Forestville Rd. Turn right onto Forestville Rd. and then right onto Rogers Rd. Use the left two
lanes to turn left onto US-1 ALT S/S Main St. Continue straight onto Falls ofNeuse Rd. In approximately 5.5 miles, merge onto I-540 W.
Follow 1-540 W and take exit lA-113 toward Durham. Merge onto I-40 W and continue for approximately 55 miles. Use the right three
lanes to take exit 131 for T-40 W/T-85 BUSINESS S toward U.S.70/Greensboro/Winston-Salem. Keep left to continue following T-40
W/I-8513L S. In approximately 8 miles, keep right at the fork to continue on I-40 W. In approximately 13 miles, keep left to continue on
I-40 W. Take exit 203 for NC-66 toward Kemcrsville/High Point, and turn left on NC-66. In approximately 0.5 mile, turn right onto Old
Salem Rd./Salem Rd. Take a sharp left onto Teague Ln., and in approximately one mile, turn right onto Pine Tree Ln.
18. Nature of Activity (Description of project, include all features)
Permanent impacts associated with this Individual Permit application are requested in the amount of 557 LF for 6 road crossings, which
arc necessary for construction access to high ground and to support internal circulation of the master -planned Caleb's Creek community.
Additionally, temporary impacts in the amount of 500 LF are requested for utility crossings in order to provide sanitary sewer service to
the Caleb's Community. Additionally, several of the road crossings replace aging and/or damaged existing culverts, and several of the
utility crossings are co -located within roads.
The following permanent impacts associated with this overall project were requested under separate Nationwide Permits: Nationwide
Permit 14, 360 LF permanent impacts to streams for road crossings and 0.046 acre riparian wetland impacts for a road crossing;
Nationwide Permit 3: 350 LF permanent impacts to a stream for existing dam maintenance/repair and 0.75 acre permanent impact to open
waters (ponds) for existing dam maintenance/repair.
19. Project Purpose (Describe the reason or purpose of the project, see instructions)
The basic project purpose is to create access to high ground, construct internal circulation roads (both public and private), and construct
sanitary sewer infrastructure, all of which will serve the Caleb's Creek community. The overall project purpose is to construct a
master -planned mixed -use development, formally known as Caleb's Creek, located in the Piedmont -Triad in Forsyth County, NC.
Features of this community include but are not limited to neo-traditionally styled low -density, medium -density, and high -density
residential housing, commercial/office leasing space, mixed -use spaces, an amenity center, walking and biking trails, and common open
space.
USE BLOCKS 20-23 IF DREDGED AND/OR FILL MATERIAL IS TO BE DISCHARGED
20. Reason(s) for Discharge
To construct road crossings for construction access to high ground and for internal circulation roads supportive of the overall
development; to install sanitary sewer services to serve the overall development.
21. Type(s) of Material Being Discharged and the Amount of Each Type in Cubic Yards:
Type Type Type
Amount in Cubic Yards Amount in Cubic Yards Amount in Cubic Yards
Clean Fill Dirt; 206 cubic yards Clean Aggregate Rock; I I I cubic yards
22. Surface Area in Acres of Wetlands or Other Waters Filled (see instructions)
Acres
or
Linear Feet 557
23. Description of Avoidance, Minimization, and Compensation (see instructions)
For a description of Avoidance and Minimization measures, please see attached narrative. The project proponent proposed to compensate
for losses to jurisdictional features utilizing the NC In -Lieu Fee program at a 1:1 mitigation ratio.
ENG FORM 4345, OCT 2012 Page 2 of 3

24 Is Any Porlion of the Work L.l•. i n X Y'es _�No lF YES DFSCRIBF 1 I ; ":n,1P-F-FD WORK
Portions of the sanitary sewer trunk line have been constructed with no impacts; a public school has been constructed with no impacts;
low -density residential phases RL-1, -4, and -5 have been constructed with no impacts; dam maintenance and/or rehabilitation has been
permitted under Nationwide Permit 3 but not yet constructed. A major public thoroughfare road section of the Town of Kernersville plan
has been permitted under Nationwide Permit 14, is not yet completed, and is considered a single and complete project but occurs within the
project area.
125, Addresses of Adjoining Property Owners. Lessees, Eti _ Whose Property Adjoins the Waterbody tir more tt+an Qm r.�, erica a rtpre. r+ease inac.n a auivl3 rrerrtai itsii.
a. Address- Please see supplemental list included with this application.
City - State - Zip -
I b. Address -
City - State - Zip -
I c. Address
City - State - Zip -
I d- Address -
City - State- zin -
I e, Address -
City - Smile - 21.; -
List of O*t er Cediflcales or Approvals?Denials received froo, rtr,F, F deral, State, or Lo-.al Aoeiicies iur Work DifSr. nbed ii Tlirs Ap7plicslc,,n
AGENCY TYPE APPROVAL' IDENTFICATION DATE APPLIED DATE APPROVED DATE DENIED
NUMBER
Army Corps JD Request SAW-201501697 unknown 2015-08-04
401 DWQ#2005-2116 v3 2017-09-18 2018-01-11
Town of Kernersvill Zoning K-570.A2 2015-12-21 2016-01-12
Would include but is not restricted to zoning, building, and flared p)IW , 11r'rnuts
1 Applicalrnn is he etry made, ?or p&rrrl,i or l;emiit� t7 ;a-�tfrr7r[�e tlir vvC.rrk dvscnlied in this application. l_ /yy that this in*ormatioo in this application is
j ;^�rnfliGt ant 3•v_ur,�tt I lurthr.t cer'ify that 1 f[? W100rtai(e i17B yyorjC dF, Fu a r+ aCtlrrg as 'hF riuly aulhunzad agent of ttlia
applicant
SIC;NATIJFE OF APPLIf-ANT DATE SiG RVOF AGENT DATE
The Application must be signed by thi person who desires to undeitake the pro sett tviity (applicant) or it may be signed by a duly
authorized agent if the statement In hlnck 11 has been felled out and signpd.
18 U.S.0 Section 1001 provides that, Whoever, in any manner within the jurisdiction of any department or agency of the United States
knowingly slid evillfully falsifies, conceals ar rnver5 up any trwk• sr_ terl3e or disguises a material fact or makes airy false fictitious or
fraudulent statements or representations or rnakes or uses any false writing or document know,ng same tL) contarn any false, fictitious or
fraudulent staten7r nts err entry. shall he fired riot more, than SiC,(}nn of imprisoned nul more than five years or both
EMG FORM 4345, OCT 2012 Page 3 of 3

Application for Individual Permit - Caleb's Creek Community
ENG FORM 4345 — STATE TAX PARCEL IDs
PIN 6874-65-2140 536.13 acres
Property Physical Address: 1680 Pine Tree Dr
Kernersville, NC 27284
Owner Information: BOMA NORTH CAROLINA LLC
7206 SW 146"' Street Circ
Palmetto Bay, FL 33158
PIN 6874-86-7026 34.4 acres
Property Physical Address: 0 Teague Ln
Kernersville, NC 27284
Owner Information: BOMA NORTH CAROLINA LLC
7206 SW 146' Street Circ
Palmetto Bay, FL 33158
PIN 6874-69-3553 1.51 acres
Property Physical Address: 0 Kendallwood Dr
Kernersville, NC 27284
Owner Information: BOMA NORTH CAROLINA LLC
7206 SW 146"' Street Circ
Palmetto Bay, FL 33158
PIN 6874-82-3359 179.41 acres
Property Physical Address: 0 Teague Ln
Kernersville, NC 27284
Owner Information: BOMA NORTH CAROLINA LLC
1668 Ridge Point Dr
Bountiful, UT 84010
PIN 6884-06-7907 12.93 acres
Property Physical Address: 0 Teague Ln
Kernersville, NC 27284
Owner Information: D R Horton Regent LLC
2000 Aerial Center Pkwy Ste 110
Morrisville, NC 27560
PIN 6873-76-7561 20.91 acres
Property Physical Address: 0 Kippen Dr
Kernersville, NC 27284
Owner Information: Brunswick at Caleb's Creek H/O
2311 W Cone Blvd Ste 150
Greensboro, NC 27408

PIN 6874-72-7049 29.95 acres
Property Physical Address: 0 Teague Ln
Kernersville, NC 27284
Owner Information: BOMA NORTH CAROLINA LLC
7206 SW 14661 Street Circ
Palmetto Bay, FL 33158
PIN 6884-06-0632 8.54 acres
Property Physical Address: 0 Glenwater Dr
Kernersville, NC 27284
Owner Information: D R Horton INC
8001 Arrowridge Blvd
Charlotte, NC 28273
PIN 6874-89-3211 11.77 acres
Property Physical Address: 1109 Salem Crossing Rd
Kernersville, NC 27284
Owner Information: Winston-Salem/Forsyth County Board of Education
PO Box 2513
Winston-Salem, NC 27102

Application for Individual Permit — Caleb's Creek Community
ENG FORM 4345 — Description of Avoidance, Minimization, and Compensation
From the time that Caleb's Creek was first contemplated to the evolution of the current site design, there
has been a significant reduction in proposed impacts to jurisdictional features and improvements in
construction technologies and techniques.
The original Caleb's Creek concept included retaining the existing golf course of the proposed
overall development. The proposed project has evolved to the current site design, which
eliminates the golf course component and replaces it with passive recreational uses and open
space, thereby reducing wetland impacts by over 4 acres. Additionally, the orientation and
placement of commercial and residential development avoids impacts to jurisdictional features.
Proposed impacts were minimized to those necessary for infrastructure (i.e. construction access to
high ground, internal circulation roads, and sanitary sewer).
In order to design a development plan that would avoid impacts to the maximum extent
practicable and to minimize and avoid impacts to the highest quality aquatic systems, the project
area was assessed and delineated by the applicant's environmental consultants. These value and
function assessments were later confirmed by the Corps by an onsite assessment and subsequent
issuance of a Preliminary Jurisdictional Determination, dated August 4`", 2015, and included with
this application (see Exhibit B). Maps provided within the application illustrate all aquatic
resources within the project boundary.
The proposed project is designed with construction and mitigation concepts that allow for
adaptive management to incorporate current technology and construction techniques that will
minimize adverse impacts over the life of the permit. Internal circulation roads for the
development are designed with headwalls that comply with NCDOT standards. At this time, the
crossing top widths vary and allow for sidewalks, bike lanes and guardrails. The height of the
head walls will vary based on topography and allowable construction design standards and
technology. The applicant has assed each impact to be less than or equal to 120 feet based on a
variety of factors and has committed to providing final NCDOT-approved designs to the Corps 90
days prior to their installation. Accordingly, the applicant has also committed to providing
compensatory mitigation 30 days prior to their installation or by the phased mitigation schedule
proposed, whichever date is sooner. In no case will impacts occur prior to the mitigation
requirement being satisfied.
The applicant proposes that box culverts be sized in consideration of natural stream design
protocols and will be constructed with sills that will maintain natural stream bed material that is a
minimum of 12 inches deep. There are several existing culverts within the project boundary that
are aging and incorrectly constructed; the applicant will replace these culverts and restore the
ability for aquatic life passage during low -flow and drought conditions. Additionally, riprap will
be pressed into streambanks instead of being placed directly into streambeds to prevent
interference with aquatic life passage during low -flow and drought conditions.
Several of the proposed road and sanitary sewer crossings will utilize pre-existing crossing
locations that have been previously impacted by road crossings or fairways from the former use
of the property, and will be upfitted as appropriate. Additionally, as many of utility crossings as
was practicable were designed to be co -located within roadway crossings.
Development will be completed in phases to limit the number of areas subject to impact at any
one given time, and the limits of construction will be clearly demarcated for portions of the
development under active construction. The overall project is anticipated to be constructed over a
10 to 20-year period. The entirety of the project will be constructed under an approved Sediment
and Erosion Control plan, and will conform to measures outlined in the Stormwater Master Plan.
Concrete used for the construction of crossings will not be allowed to come into contact with
surface waters until cured. Coffer dams and pump arounds will be utilized to establish work-in-

the -dry conditions. All contours will be restored to previous conditions and fill slopes will be re-
seeded with appropriate bio-engineering practices and allowed to re -naturalize.
Riparian buffers will be preserved to the maximum extent practicable in order to minimize
impacts to aquatic and terrestrial wildlife resources, water quality, and aquatic habitat within and
downstream of the project area. The applicant has designed a site plan that minimizes riparian
habitat fragmentation through the establishment of dispersal corridors along all remaining
streams.
The developer will use Low Impact Development (LID) development practices for portions of the
development, and will incorporate appropriate structural Best Management Practices and/or
Stormwater Control Measures that meet the Town of Kernersville Watershed/Stormwater rules.
The Caleb's Creek development has a Stormwater Master Plan which includes impervious
calculations and complies with provisions of Chapter C of the Unified Development Ordinance of
the Town of Kernersville.

ENG FORM 4345 Supplement
U.S. Army Corps of Engineers
Application for Department of the Army Permit
Winston-Salem/Forsyth t'.ount,
Richard T. Hedgecock
Winnic Pauline Williams Heirs
Frannie Ray Lane
Board of Education
1358 Rock Barn Road
1760'Teague Lane
5911 Loradale ]give
PO Box 2513
Winston-Salem, NC 27102
Kernersville, NC 27284
PIN #6874-87-7108
Kernersville, NC 27284
Kernersvilie, NC 27284
PIN #6875-70-9172
PIN #6874-72-0431
PIN 46874-44-5025
PIN #6874-43-1819
PIN #6874-89-7069
Gabrielle N. Willis -Floyd
Gory F. George
RnhertE. Williams
1580 Teague Lane
5975 Hedgecock Road
Kenneth R. Binklcy
1550 Teaguc Lane
Kernersville, NC 27284
Kernersville, NC 27284
1 190 Glennview Drive
Kernersvilie. NC 27284
PIN #6874-88-8150
PIN #6874-51-6980
Kernersville, NC 27284
PIN #6874-88-8490
Billy Lawrence Cltamelill
Ralph E.Hedgecock
PIN #687446-0324
Kevin M. Williams
1604 I"e.ague lane
5961 Hedgecock Road
FAith S. Blackburn Family 'Trust.
La
1590 Teague Lane
Krrotertiville, NC 27284
Kernersville, NC 27284
1137 Glennview Drive
Kernersville, 27284
PIN 46874-87-7650
PIN #6874-51-2819
Kemersville, NC 27284
PIN #6874-87-8926
PIN #6874-47-1077
aphelia B. Jackson
Joan Lane Norris Trust C/O
1182 Glen nview Drive
Kimesia Norris Brewer
Kay McEntire
Fred J. liavvcn
F
red 'l'eaguc
Kernersville, NC 27284
5935 Loradale Drive
1250 Glennview Drive
Lane
PIN 46874-35-4502
Kernersville, NC 27284
Kernersville, NC 27284
Kernersvilie, NC 27284
PIN #6874-36-8008
PIN #6874-43-8210
PIN #6874-46-8468
PIN #6874-87-7357
PIN #6874-46-0537
Norman G. Parrish
Velma L. Matthews
Billy Lawrence Chamelin
Beverly Lynn Smith Parnell
1620 Teague Lane
3441 Smithtown Road
1604 Teague Lane
4340 Glenn Hi Road
Kernersville, NC 27284
East Bend, NC 27018
Kernersville, NC 27284
Winston-Salem, NC 27107
PIN #6874-87-6042
PIN #6873-67-2110
PIN #6873-57-5501
PIN #6874-34-5203
Bill D. Katsis
Jerald Chamelin
Coy Smith Chamelin
Joseph W. Willard Revocable Trust
7493 Watkins Hard Road
1930 Teague Lane
1920 Teague Lane
1754 Teague Lane
Kemcrsville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6873-99-1140
PIN #6873-67-590I
PIN #6873-68-4510
PIN 46874-72-0563
PIN 96873-58-61.10
Shirley Mae Lauten Trustce
Lou Ann Reid
7405 Watkins Ford Road
Curtis W. Campbell
Marie P. Scott
1900 Teague lane
Kernersville. NC 27284
5839 Renville Green Circle
1856 Teague Lane
Kernersville, NC 27284
PIN #6873-66-9059
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6873-69.4155
PIN #6873-69-1500
PIN 46874-60-1080
Roy Anthony Lane
John E. Van Ilorn
Ralph T. Kiger
Charles Eugene Chamelint
5901 Lonidalc I]rive.
> >
1544 Tea ue Latte
g
1010 Sedge Gardcn Road
1944 Teague Lane
Kerners�•il1c. 'ti(' _7..84
Kernersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6874-42-5247
PIN #6874-88-7871
PIN #6874-27-9628
PIN'#6873-G7-2648
PIN i16874-33-9837
David P. Matthews
John W. Lane
l-lcrnard H. Taylor
Elizabeth Ann 'fucker
1910 Teague Lane
5983 Hedgecock Road
1 S60'Tea ue Lane
8
7255 Watkins Ford Road
Kernersville, NC 27284
Kemersville, NC 27284
Kernersville, NC 27284
Kernersville, NC 27284
PIN #6873-59-5824
PIN #6874-61-I868
PIN 116871-88.8284
PIN #6873-65-5235
1•;FT�i C'hsimherlain Sorvivor Trust
Bobbie L. C'hamellrt
, ' i. `. L. ;t
Ralph Edwards Hedgecock, Jr,
3751 [IninpFicud Road
1740 `Teague Lane
I1,5! I cague 1.ane
5979 Hedgecock Road
(,Jcndalc. CA () 1206
Kernersville, NC 27284
2728 l
K.erncrsville. NC' 27284
PIPS #6874-73-�767
PIN#6874-73-2150
l'I •; ,'6874.60-5+»5
PIN 46874-51-8869
Kyle Steven Scott Janet Wcavcr Hedgecock Ian L" 1 1h 11cLdgccock
1850 Teague Lane 5946 11cdgccock Road 597,x 1 Ied�,'OCOLk (toad
Kernersville, NC 27284 Kernersvill4, NC 27284 l:cn1c:r,61k2, ,%( 27284
PIN #6874-60-5241 PIN '16874-60-3524 111 i ; "160d -I51- 2340

Joann Soucek
4961 Old Hunt Trail
Kernersville, NC 27284
PIN #6874-27-7448
Richard Hogan
2599 Fiddlers Glenn Drive
Winston Salem, NC 27127
PIN #6874-41-8966
William Beelman
5965 Hedgecock Road
Kernersville, NC 27284
PIN 46874-51-4819
James Lassiter
5971 Hedgecock Road
Kernersville, NC 27284
Joseph Musten
1750 Teague Lane
Kernersville, NC 27284
PIN 46874-72-1705
Town of Kernersville
PO Box 728
Kernersville, NC 27285
PIN 46874-71-1596
PIN 46874-89-9099
City of Winston Salem
PO Box 2511
Winston Salem, NC 27102
PIN 46873-75-3791
Myra Bodenhamer
1715 Berwick Drive
Laurinburg, NC 28352
PIN 46873-74-8916
Jerry Easter
7464 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-85-1055
Norris Bodenhamer
7460 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-85-2642
James Smith
7472 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-85-4716
Donald Gibbons
7475 Watkins Ford Road
Kernersville, NC 27284
PIN #6873-86-4310
Jennifer Lee
7485 Watkins Ford Road
Kernersville, NC 27284
PIN 46873-86-6462
Patricia Blythe
7491 Watkins Ford Road
Kernersville, NC 27284
PIN 46873-86-7737
James Blackburn
7471 Watkins Ford Road
Kernersville, NC 27284
PIN 46873-88-1032
Gloria Blackburn
7471 Watkins Ford Road
Kernersville, NC 27284
PIN 46873-87-0547
Leo Whicker
841 silver Dapple Lane
Kernersville, NC 27284
PIN 46874-82-9959
Ogden school 1 LLC
1349 South Park Drive
Kernersville, NC 27284
PIN 46874-95-8436
Christopher Dillon
1405 Glenwater Drive
Kernersville, NC 27284
PIN #6874-96-1515
Sarah Burch
1403 Glenwater Drive
Kernersville, NC 27284
PIN #6874-96-0559
Haddington At Caleb's Creek
Community Association Inc.
2000 Aerial Center Parkway,
Suite 110
Morrisville, NC 27560
PIN #6874-86-9681
Barbara Wright
1659 Haddington Point Drive
Kernersville, NC 27284
PIN 46874-86-8617
Noah Walker
1600 Teague Lane
Kernersville, NC 27284
PIN 46874-87-7786
James Kenny
1546 Teague Lane
Kernersville, NC 27284
PIN 46874-88-9514
Lynwood Henson
1530 Teague Lane
Kernersville, NC 27284
PIN 46874-88-9879
Clifford Nickel
1522 Teague Lane
Kernersville, NC 27284
PIN 46874-89-7463
Michelle Sparnza
1133 West I" Street
Winston Salem, NC 27101
PIN 46874-89-6442

f �+ WETLANOS
.y & WATERS, INC.
Figure 1: Project Limits
Project Name: Caleb's Creek
Owner/ Developer: BOMA NC, LLC
City / County: Kernersville, Forsyth
Tax PIN(s): (see attached parcel information)
Coordinates: Scale: Date:
Lat: 36.062387 Long:-80.091225 graphic
01/23/17

1:18, 056
.. 0 1,100 2,200 4,400 ft
r s
e.' q 0 330 660 1,320 m N
Project Name:
� Caleb, s Creek
Owner/ Developer:
& W AT E R I N C. City / County: Forsyth, Kernersville
Tax PIN(s):
Figure 2: County GIS Coordinates: Scale: Date:
Lat: 36.0719 Long:-80.0911 graphic 07/24/2015

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Project Name: Caleb's Creek
Owner/ Developer:
WETLANDS City / County:
WATERS, INe. Forsyth, Kernersville
Tax PIN(s):
Figure 3: USGS Topo Quad Coordinates: Scale: Date:
Lat: 36.0719 Long:-80.0911 nts 07/24/2015
TN

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L & Waters
Project Name:
Owner/ Developer:
City / County:
Tax PIN(s):
Caleb's Creek
BOMA NC, LLC
Kernersville, Forsyth
(see attached parcel information)
A
Figure 4b: Soil Survey
Coordinates: Scale:
Lat: 36.062387 Long:-80.091225
graphic
Date:
01/23/17

.L YWETLANDS
& WATERS, INC.
Figure 4c: Soil Survey
Project Name: Caleb's Creek
Owner/ Developer: BOMA NC, LLC
City / County: Kernersville, Forsyth
Tax PIN(s): (see attached parcel information)
Coordinates: Scale: Date:
Lat: 36.062387 Long:-80.091225 grahpic
01/23/17
A

NC Surface Water Classification
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Surface Water Classifications:
Stream Index: 12-1 19-(1)
"YiwcSehnoriin Stream Abbotts Creek
Name:
Description: From source to a point 0-5
mile upstream of Davidson
County SR 1810
Classification: WS-III
A• , . Date of August 2, 1992
Class.:
River Basin: Yadkin Pee -Dee
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= this Class.
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1:36,112
Surface Water Classifications 0 0.35 0.7 1.4 mi TN
0 0.35 0.7 1.4 km
Project Name: Caleb's Creek
1M,4VWETLANDS
Owner/ Developer:
city /county: Forsyth, Kernersville
& WATERS, I N C.
Tax PIN(s):
Figure 6: Stream Classification
Coordinates:
Scale:
Date:
Lat: 36.0719 Long:-80.0911
graphic
07/24/2015