20161002 Ver 1_401 Application_20161016

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Kimley>>)Horn -
October 19, 2016 nFT 2013 'LU)
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Mr. David Bailey
U.S. Army Corps of Engineers DEQ-WXFE=.a:woUii�,E S
Raleigh Regulatory Field Office 401 &BUFFER P KNITTING
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Ms. Karen Higgins
NC Division of Water Resources '
401 & Buffer Permitting Unit $'PA 1
512 North Salisbury Street
Raleigh, NC 27604
RE: Nationwide Permit 14 Application— Tarboro Eastern Petroleum Site
Tarboro, Edgecombe County, North Carolina
Dear Mr. Bailey and Ms. Higgins:
On behalf of our client, Eastern Petroleum Corporation, who is under option to purchase a portion of
the Hilma LLC property, Kimley-Horn is submitting the attached application for authorization under
Nationwide Permit(NWP) 14 for the above referenced project in Edgecombe County. Eastern
Petroleum Corporation is proposing to construct the Tarboro Eastern Petroleum Site within a currently
undeveloped 2.6-acre property spanning two parcels in Tarboro, North Carolina. The proposed
development will consist of a two-lane linear roadway entrance that will connect a proposed
convenience store with associated fueling stations to West Wilson Street.
One wetland (W1)was located within the project study area. W1 is a linear depressional wetland
located within the floodplain of Holly Creek. No streams or open waters were delineated within the
study area. Holly Creek is a perennial stream that is mapped on both the USGS Topographic Map
(Tarboro Quad)and the NRCS Soil Survey Map for Edgecombe County. However, no buffer impacts
will result from the proposed project construction.
Impacts to jurisdictional features have been avoided and minimized to the extent practical by
designing the development to be located as close to the Western Boulevard and West Wilson Street
road frontage as possible, avoiding much of the eastern portion of the properties where the riparian
buffer associated with Holly Creek extends into the property and minimizing the proposed impacts to
W1. The driveway is located at the minimum allowable distance from the Western Boulevard/West
Wilson Street intersection for permitting by NCDOT.

Kimley>>>Horn Page 2
To assist in your review of this NWP application, the following information has been included:
• PCN Application Form
• Signed Agent Authorization Forms
• Vicinity Map
• USGS Topographic Map
• Jurisdictional Features Map
• USDA/NRCS Soil Survey Map
• Property Parcels Maps
• Permit Impacts Map
• Wetland Data Forms
• Preliminary Jurisdictional Determination Request
• Plan Sheet
• NCDWR 401 Application Fee of$240
If there is any additional information that would assist in the processing of this NWP application,
please do not hesitate to contact me at 919-677-2104 or [e-mail].
Sincerely,
Ross Sullivan
Environmental Analyst
Cc: Yvonne Jones, Eastern Petroleum Corporation

OF W ATF9
0 pG Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PCN Form
A. Applicant Information
1. Processing
1a. Type(s) of approval sought from the
® Section 404 Permit El Section 10 Permit
Corps:
1b. Specify Nationwide Permit(NWP) number: 14 or General Permit(GP) number:
1c. Has the NWP or GP number been verified by the Corps? ❑Yes ® No
1d. Type(s) of approval sought from the DWQ (check all that apply):
®401 Water Quality Certification—Regular ❑ Non-404 Jurisdictional General Permit
❑401 Water Quality Certification—Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record For the record only for DWQ 401 For the record only for Corps Permit:
because written approval is not required? Certification:
❑Yes ® No ❑Yes ® No
1f. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation ❑Yes ® No
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program.
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h ❑Yes ® No
below.
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ❑Yes ® No
2. Project Information
2a. Name of project: Eastern Petroleum Tarboro Site
2b. County: Edgecombe
2c. Nearest municipality/town: Tarboro
2d. Subdivision name: N/A
2e. NCDOT only, T.I.P. or state N/A
project no:
3. Owner Information
3a. Name(s) on Recorded Deed: Eastern Petroleum Corporation;ATTN: Yvonne Jones
3b. Deed Book and Page No.
3c. Responsible Party(for LLC if
applicable):
3d. Street address: P.O. Box 398
3e. City, state,zip: Enfield, NC 27823
3f. Telephone no.: 252-445-5131
3g. Fax no.: 252-445-3634
3h. Email address: [e-mail]
Page 1 of 12
PCN Form—Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is: ®Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City,state,zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information(if applicable)
5a. Name: Ross Sullivan
5b. Business name Kimley-Horn
(if applicable):
5c. Street address: 421 Fayetteville Street, Suite 600
5d. City, state,zip: Raleigh, NC 27601
5e. Telephone no.: 919-677-2104
5f. Fax no.:
5g. Email address: [e-mail]
Page 2 of 12
PCN Form—Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID): 472894019300 and 472883658000
1 b. Site coordinates(in decimal degrees): Latitude: 35.893590 Longitude: -77.551074
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: 2.6 acres
2. Surface Waters
2a. Name of nearest body of water(stream, river, etc.)to Holly Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C;NSW
2c. River basin: Tar-Pamlico
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 project site is located on an abandoned golf course and is mostly undeveloped except for several sand traps and a
paved cart path. Roughly two-thirds of the project site is maintained as a grassy field,whereas the remaining third is
forested. Land use in the vicinity of the project consists of medium-density residential housing, scattered commercial and
industrial developments, and large tracts of agricultural fields and forestland outside of Tarboro.
3b. List the total estimated acreage of all existing wetlands on the property:
0.009 acres
3c. List the total estimated linear feet of all existing streams(intermittent and perennial) on the property:
No streams exist within the project site or within 50 feet of the project area.
3d. Explain the purpose of the proposed project:
The proposed project will construct a linear roadway entrance to connect a proposed convenience store and fueling
station to West Wilson Street.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed project will construct a two-way, linear roadway entrance connecting a proposed convenience store and
fueling station to West Wilson Street.The linear roadway entrance is located at the minimum allowable distance from the
intersection of West Wilson Street and Western Boulevard. Typical site preparation and construction equipment will be
utilized, including bulldozers, excavators, graders, cranes dump trucks,concrete trucks, and pavers.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property/
project(including all prior phases) in the past?
El Yes ® No El Unknown
Comments:A preliminary jurisdictional determination and a
stream buffer determination are being requested as a part of
this application.
4b. If the Corps made the jurisdictional determination,what type ❑ Preliminary ❑ Final
of determination was made?
4c. If yes,who delineated the jurisdictional areas? Agency/Consultant Company: Kimley-Horn
Name (if known): Ross Sullivan Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 12
PCN Form—Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for ❑Yes ❑ No ® Unknown
this project(including all prior phases)in the past?
5b. If yes,explain in detail according to"help file"instructions.
6. Future Project Plans
6a. Is this a phased project? ❑Yes ® No
6b. If yes, explain.
N/A
Page 4 of 12
PCN Form—Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project(check all that apply):
®Wetlands ❑ Streams-tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site,then complete this question for each wetland area impacted.
2a. 2b. 2c. 2d. 2e. 2f.
Wetland impact Type of jurisdiction
number— Type of impact Type of wetland Forested (Corps-404, 10 Area of impact
Permanent(P)or (if known) DWQ—non-404, other) (acres)
Temporary T
Site 1 ❑Yes ® Corps
® P E]T Fill Riparian ® No ❑ DWQ 0.009
W2 ❑ P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W3 ❑ P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W4 ❑ P❑ T ❑Yes ❑ Corps
❑ No ❑ DWQ
W5 ❑ P❑T ❑Yes ❑ Corps
❑ No ❑ DWQ
W6 ❑ P❑ T ❑Yes ❑ Corps
❑ No ❑ DWQ
2g.Total wetland impacts 0.009
2h. Comments: Unavoidable impacts to jurisdictional wetlands will result from the construction of fill slopes associated with the
proposed linear roadway entrance.A portion of W1 will be filled to accommodate site development.
3. Stream Impacts
If there are perennial or intermittent stream impacts(including temporary impacts) proposed on the site,then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number- (PER)or (Corps-404, 10 stream length
Permanent(P)or intermittent DWQ—non-404, width (linear
Temporary(T) (INT)? other) (feet) feet)
S1 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S2 ❑ P ❑ T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S3 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S4 ❑ P ❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S5 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
S6 ❑ P❑T ❑ PER ❑ Corps
❑ INT ❑ DWQ
3h.Total stream and tributary impacts
3i. Comments: No stream impacts will result from the proposed construction.
Page 5 of 12
PCN Form—Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries,tributaries, sounds,the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number- (if applicable) Type of impact Waterbody type Area of impact(acres)
Permanent(P)or
Temporary T
01 ❑ P❑ T
02 ❑ P❑T
03 ❑ P❑T
04 ❑ P❑T
4f.Total open water impacts
4g. Comments: No impacts to open waters will result from the proposed construction.
5. Pond or Lake Construction
If pond or lake construction proposed,then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts(acres) Stream Impacts(feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
P1
P2
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 mitigation,then you MUST fill out Section D of this form.
6a.
❑ Neuse ®Tar-Pamlico E] Other:
Project is in which protected basin? ❑ Catawba ❑ Randleman
6b. 6c. 6d. 6e. 6f. 6g.
Buffer impact
number- Reason Buffer Zone 1 impact Zone 2 impact
Permanent(P)or for Stream name mitigation (square feet) (square feet)
Temporary T impact required?
B1 [-I POT F1 Yes
❑ No
B2 ❑ P❑ T
EI Yes
❑ No
B3 ❑ P ❑T ❑Yes
❑ No
6h.Total buffer impacts
6i. Comments: No buffer impacts will result from the proposed construction. The top of bank for Holly Creek is located more
Page 6 of 12
PCN Form-Version 1.3 December 10, 2008 Version

than 50 feet outsite of the proposed project's limits of disturbance throughout the study area.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Impacts have been avoided and minimized to the extent practical by designing the development to be located as close to the
Western Boulevard and West Wilson Street road frontage as possible, avoiding much of the eastern portion of the property
where the riparian buffer associated with Holly Creek extends into the property and minimizing the proposed impacts to W1.
The driveway is located at the minimum allowable distance from the Western Boulevard/West Wilson Street intersection for
permitting by NCDOT. Further,the driveway's location needed to be situated directly across from an entrance on the opposite
side of W.Wilson Street.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Impacts to streams,wetlands, and protected riparian buffers within the corridor will be minimized to the extent practical
throughout the construction process by avoiding these features with equipment, materials, and access corridors. Silt fencing
will be installed around the limits of disturbance to help ensure that all construction equipment will remain within the project
area throughout the construction process. Stormwater controls and erosion control features will be utilized to avoid impacts to
downstream waters and to help minimze runoff from the Site.
2. Compensatory Mitigation for Impacts to Waters of the U.S.or Waters of the State
2a. Does the project require Compensatory Mitigation for ❑Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes,mitigation is required by(check all that apply): ❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes,which mitigation option will be used for this
El Payment to in-lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to In-lieu Fee Program
4a.Approval letter from in-lieu fee program is attached. ❑Yes
4b. Stream mitigation requested: linear feet
4c. If using stream mitigation,stream temperature: ❑warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only): square feet
4e. Riparian wetland mitigation requested: acres
4f. Non-riparian wetland mitigation requested: acres
4g. Coastal (tidal)wetland mitigation requested: acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 12
PCN Form—Version 1.3 December 10, 2008 Version

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 ® 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 8of12
PCN Form—Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified ®Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes,then is a diffuse flow plan included? If no, explain why.
Comments: Stormwater generated by the proposed project will be directed to and
treated by a wet detention pond that is proposed to be located just north of the ®Yes ❑ No
proposed linear transportation project.Treated stormwater will discharge through a
dissipater pad (located outside of the Tar-Pamlico protected riparian buffer)to
ensure non-erosive velocities at the bottom of a slight slope.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project? 60.2%
2b. Does this project require a Stormwater Management Plan? ®Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Stormwater generated by the proposed project will be directed to and treated by a wet detention pond that is proposed to
be located just north of the proposed linear transportation project. Treated stormwater will discharge through a dissipater
pad (located outside of the Tar-Pamlico protected riparian buffer)to ensure non-erosive velocities outside at the bottom of
a slight slope.
® Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan? ❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project? Tarboro
® Phase II
3b. Which of the following locally-implemented stormwater management programs ® NSW
apply(check all that apply): El USMP❑Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ❑Yes ® No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state-implemented stormwater management programs apply ❑ ORW
(check all that apply): ❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached? ❑Yes ❑ No
5. DWQ 401 Unit Stormwater Review
Page 9 of 12
PCN Form—Version 1.3 December 10, 2008 Version

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
F. Supplementary Information
1. Environmental Documentation(DWQ Requirement)
1 a. Does the project involve an expenditure of public(federal/state/local)funds or the ❑Yes ® No
use of public(federal/state) land?
1 b. If you answered"yes"to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State ❑Yes ❑ No
(North Carolina) Environmental Policy Act(NEPA/SEPA)?
1 c. If you answered"yes"to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.) ❑Yes ❑ No
Comments: N/A
2. Violations(DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules(15A NCAC 2H .0500), Isolated
Wetland Rules(15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ❑Yes ® No
or Riparian Buffer Rules(15A NCAC 2B .0200)?
2b. Is this an after-the-fact permit application? ❑Yes ® No
2c. If you answered"yes"to one or both of the above questions, provide an explanation of the violation(s): N/A
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project(based on past and reasonably anticipated future impacts) result in ❑Yes ® No
additional development,which could impact nearby downstream water quality?
3b. If you answered "yes"to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered"no,"provide a short narrative description.
N/A
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.
No sewage will generated by the proposed linear transportation project. Sewage generated by the associated
convenience store and fueling station will connect to the existing Tarboro sanitary sewer line located south of Western
Boulevard.
Page 10 of 12
PCN Form—Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat(Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or ®Yes ❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act ❑Yes ® No
impacts?
❑
5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program(NHP) indicate there is an occurrence of the Tar River spinymussel within 1.0 mile of the
project study area. However,there are no impacts to streams or stream buffers as a result of the proposed project.
Suitable habitat is not present for red-cockaded woodpecker, but suitable roosting habitat is present for northern long-
eared bat. However, NC NHP data indicates that there are no known maternity roosts within the project or within 1.0 mile
of the project area.
6. Essential Fish Habitat(Corps Requirement)
6a.Will this project occur in or near an area designated as essential fish habitat? ❑Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Essential Fish Habitat Mapper
7. Historic or Prehistoric Cultural Resources(Corps Requirement)
7a. Will this project occur in or near an area that the state,federal or tribal
governments have designated as having historic or cultural preservation ®Yes ❑ 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?
NC State Historic Preservation Office HPOWEB GIS Service was reviewed on September 30,2016 and multiple historic
resources were located near to the project study area. The closest resource is Merriemeade(HPO Site ID: ED1312)
which is a Study List house that is located roughly 900 feet north of the project study area.The other nearby historic
resources are located more than 4,000 feet east of the project study area and are within the Tarboro Historic District
(HPO Site ID: ED0017). Three National Register historic sites located within the Tarboro Historic District are within one
mile of the project study area and they are:the Cotton Press(HPO Site ID: ED0007),The Barracks(HPO Site ID:
ED0001), and the Tarboro Town Common (ED0015). The proposed project is not anticipated to have an impact on the
nearby historic sites due to the project being a one story convenience store/fueling station that is separated from the
closest historic resource by a dense stand of trees. Further,there are gas stations and other commercial developments in
the immediate vicinity of the proposed project.
8. Flood Zone Designation(Corps Requirement)
8a.Will this project occur in a FEMA-designated 100-year floodplain? ®Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: A portion of the proposed project is located within the FEMA Flood
Hazard Zone AE(1%Annual Chance Flood Hazard). None of the proposed project falls within a regulatory floodway.
Coordination with the local floodplain administrator will be conducted prior to site construction.
8c.What source(s) did you use to make the floodplain determination? FEMA DFIRM Panel 3720472800J (eff. Nov.3, 2004)
Page 11 of 12
PCN Form—Version 1.3 December 10, 2008 Version

10/19/2016
Ross Sullivan
Date
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 12 of 12
PCN Form—Version 1.3 December 10, 2008 Version

AGENT AUTHORIZATION FORM
Name: E .t)t( rio ( alt&"Yl
Address:
Phone:r— —Ll 4 5- 5 ,
Project Name/Description: Eastern Petroleum Tarboro Site
Date: I0 (�
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
Attention: David Bailey
Field Office: Raleigh Regulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
Eastern Petroleum Corporation hereby designates and authorizes Kimley-Horn and Associates, Inc.to
act in my/our behalf as my/our agent solely for the purpose of processing Jurisdictional Determinations,
Section 404 permits/Section 401 Water Quality Certifications applications,and Tar-Pamlico River Basin
Riparian Buffer Determinations,and to furnish upon request supplemental information in support of
applications, etc. from this day forward until successful completion of the permitting process or
revocation by the owner.
In addition, I,the undersigned, being under contract to purchase the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers(Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations and
issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction under Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Authorized this the day ,of te- ry, ,
-Yr --�.-
int Property Optionee's Name Pr p O tionee's ignature
Cc: Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh,NC 27699-1650

AGENT AUTHORIZATION FORM
Name:_%-11 L AI A �,-.-
Address: X00 W 1N,<6,2a NL oZ7,??e,
Phone: -R,5,1, -
P/-:,- 016 rJ
Project Name/Description:Eastern Petroleum Tarboro Site
Date: /D o�/
The Department of the Army
U.S.Army Corps of Engineers,Wilmington District
Attention: DavidBailey
Field Office: Raleieh RegulatoM Field Office
Re:Wetland Related Consulting and Permitting
To Whom It May Concern:
I,CblKif—' A14/ gY hereby designate and authorize Kimley-Horn and Associates,Inc.
to act in my/our behalf as'my/our agent solely for the purpose of processing Jurisdictional
Determinations,Section 404 permits/Section 401 Water Quality Certifications applications,and Tar-
Pamlico River Basin Riparian Buffer Determinations,and to furnish upon request supplemental
information in support of applications,etc.from this day forward until successful completion of the
permitting process or revocation by the owner.
In addition,I,the undersigned,a duly authorized owner of record of the property/properties identified
herein,do authorize representatives of the Wilmington District,U.S.Army Corps of Engineers(Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations and
issuing a determination associated with Waters of the U.S.subject to Federal jurisdiction under Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Authorized this the Z day of 'dJ22- _ale,
r/melfs /i//t1. xy
Print Property Owner's Name Property Owner's Si ature /
Cc: Karen Higgins
NC Division of Water Resources
401&Buffer Permitting Unit
1650 Mail Service Center
Raleigh,NC 27699-1650

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0 Edgecombe County 258 0 1,000 2,000
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Kentucky � 4 �`�" Virginia HALIFAX
Tennessee BERTIE
North NASH
� � EDGECOMBE
Carolina
MARTIN
Project Location
South
WILSON
Carolina
Georgia �`, Atlantic Ocean PITT
c.
0 40 80 0 1 GREENE
mmmi=Miles Mlles
Figure 1: Vicinity Map
Kimle >>>Horn Eastern Petroleum Tarboro Site
Y Tarboro, North Carolina
October 2016

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Feet Project Study Area
0 250 500
ir IV
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Figure 2: USGS Topographic Map
Kimley))) Horn (Tarboro Quad)
Eastern Petroleum Tarboro Site
Tarboro, North Carolina
October 2016

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Legend
Wetland
Feet (� Project Study Area
0 150 300
Figure 3: Jurisdictional Features Map
Eastern Petroleum Tarboro Site
Kimley>)) Horn Tarboro, North Carolina
October 2016

Hydric Soil Table t
Symbol Name Hydric
;V
GoA Goldsboro fine sandy loam (0-2%slopes) Incl.
IWaB Wagram loamy sand (0-6% slopes) Incl. .
j
V
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Legend
Feet
t - Project Study Area
0 250 500
Figure 4: NRCS Soil Survey Map
(Edgecombe County, 19XX)
Kimley))) Horn Eastern Petroleum Tarboro Site
Tarboro, North Carolina
October 2016

PIN: 472894019300
OWNER: HILMA LLC
ADDRESS: 300 W ST JAMES ST
CITY: TARBORO
STATE: NC
ZIP: 27886-4923
LOCATION: 1001 W WILSON ST
PROPERTY DESCRIPTION:
IR
TR 1 BEVERLY BRIDGERS SHORT EST HI
DEED DATE: 7/31/2012
SALE PRICE: $525,000
DEED LOC: 1585/0992
ACCOUNT: 199793
ACREAGE: 40.78
LAND VALUE:$196,790
BLDG VAL: $196,652
NET VALUE: $393,442
DEFERRED: $0
SUBDIVISION:
TAX CODES: C01
' ZONING: RA12
s
u
Edgecombe County
.t c October 18, 2016
1 inch = 200 feet
m d � 0 0.02 0.04 0.08 mi
�f 0 0.0325 0.065 0.13 km

PI N: 472 88 365 80 00
OWNER: HILMA LLC
ADDRESS: 300 W ST JAMES ST
CITY: TARBORO
STATE: NC
ZIP: 27886-4923
LOCATION: HWY 64 OFF
PROPERTY DESCRIPTION:
BARLOW LD
DEED DATE: 7/31/2012
SALE PRICE: $525,000
DEED LOC: 1585/0992
ACCOUNT: 199793
ACREAGE: 2.2
LAND VALUE:$220,000
BLDG VAL: $0
NET VALUE: $220,000
DEFERRED: $0
SUBDIVISION:
TAX CODES: C01
ZONING: 01
a
d
r� 1
+{Y.y.. nn rrcR.rsu
vex 'k } « Edgecombe County
October 18, 2016
4 ,
0 0.02 inch 0.04 feet
0.08 mi
0 0.0325 0.065 0.13 km

/
/ \\\\ ! /
Site 1: 0.009 acres of \\\\\\\
impacts to wetland W1 / \\\
\
1!1
'' 1 11
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It 19
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46,
1�1 111 Ar
/ /1 tl ,�3ses � � � i � •��
Legend
Holly Creek Left Top of Bank
Wetland Impacts (0.009 acres)
s�+,'� /"� •°`� *0 "Ck 50' Tar-Pamlico Riparian Buffer
0 50 100eet , Limits of Disturbance (LOD)
Figure 5: Permit Impacts Map
Kimley>>> Horn Eastern Petroleum Tarboro Site
Tarboro, North Carolina
October 2016

WETLAND DETERMINATION DATA FORM—Atlantic and Gulf Coastal Plain Region
Projewsite: Eastern Petroleum Tarboro Site City/County: Tarboro/Edgecome Sampling Date: 10/3/2016
Applicant/owner: Eastern Petroleum Corporation State: NC Sampling Point: W1-UP
Investigator(s): R. Sullivan (Kimley-Horn) Section,Township,Range: Township 1, Tarboro
Landform(hillslope,terrace,etc.): Floodplain Local relief(concave,convex,none): None Slope(%) 2%
Subregion(LRR or MLRA): LRR P Let: 35.893652 Long: -77.550751 Datum: NAD 83
Soil Map unit Name: Wagram loamy sand (0-6% slopes) NWI classification: None
Are climatic/h drol is cendttions 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? YesNo ✓ Is the Sampled Area F71 Hydric Soil Present? Yes ✓ No within a Wetland? Yes❑ No r�
Wetland Hydrology Present? Yes No ✓
Remarks:
The upland data point was taken N 14' east of and N1' higher in elevation than the wetland data
point in a maintained grassy field. The site is situated on an abandoned golf course.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators(minimum of one is required:check all that a Surface Sal Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsely Vegetated Concave Surface(138)
High Water Table(A2) Marl Deposits(815)(LRR U) Drainage Pattens(1310)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss Trim Lines(B16)
Water Marks(B1) Oxidized Rhizospheres along Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(132) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(133) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) Thin Muck Surface(C7) Geomorphic Position(132)
❑Iron Deposits(95) Other(Explain in Remarks) Shallow Aquitard(D3)
Inundation Visible on Aerial Imagery(67) FAC-Neutral Test(D5)
Water-Stained Leaves(69) Sphagnum moss(138)(LRR T,U)
Field Observations:
Surface Water Present? YesNo ZDepth(inches):
Water Table Present? Yes No Depth(inches): >24"
Saturation Present? Yes No I✓I Depth(inches): >24" Wetland Hydrology Present? Yes El Nor .
includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks:
No wetland hydrology indicators were observed at the upland data point.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region—Version 2.0

VEGETATION(Four Strata)-Use scientific names of plants. Sampling Point: W1-UP
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: 30' ) %CoverSpecies? Status Number of Dominant Species
1. None That Are OBL,FACW,or FAC: 1 (A)
2. Total Number of Dominant
3. Species Across All Strata: (B)
4. Percent of Dominant Species
5 That Are OBL,FACW,or FAC: 50% (A/B)
6.
7 Prevalence Index worksheet:
8 Total%Cover of: Multiply by:
=Total Cover OBL species x 1 =
50%of total cover: 20%of total cover: FACW species 10 x2= 20
SaolinQ/Shrub Stratum (Plot size: 15' ) FAC species 5 x 3= 15
1. Liquidambar styraciflua 5% Y FAC FACU species 90 x 4= 360
2 UPL species x 5=
3 Column Totals: 105 (A) 395 (B)
4• Prevalence Index =B/A= 3.76
5. Hydrophytic Vegetation Indicators:
6. _ 1-Rapid Test for Hydrophytic Vegetation
7. _ 2-Dominance Test is>50%
8. _ 3-Prevalence Index is 53.0'
5% =Total Cover _ Problematic Hydrophytic Vegetation'(Explain)
50%of total cover: 2.5% 20%of total cover: 10/n
Herb Stratum (Plot size: 5' ) 'Indicators of hydric soil and wetland hydrology must
1. Festuca ovina 80% Y FACU be present,unless disturbed or problematic.
2. Arundinaria Qigantea 10% N FACW Definitions of Four Vegetation Strata:
3. Eupatorium capillifolium 10% N FACU Tree-Woody plants,excluding vines,3 in.(7.6 cm)or
4. more in diameter at breast height(DBH),regardless of
5 height.
6. Sapling/Shrub-Woody plants,excluding vines,less
7 than 3 in.DBH and greater than 3.28 ft(1 m)tall.
8. Herb-All herbaceous(non-woody)plants,regardless
g. of size,and woody plants less than 3.28 ft tall.
10. Woody vine-All woody vines greater than 3.28 ft in
11. height.
12.
100% =Total Cover
50%of total cover: 50% 20%of total cover: 20%
Woody Vine Stratum (Plot size: 15' )
1. None
2.
3.
4.
5• Hydrophytic
=Total Cover Vegetation
50%of total cover: 20%of total cover:
Present? Yes n No-Z
Remarks: (If observed,list morphological adaptations below).
Most of the upland area is a maintained grassy field.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region-Version 2.0

SOIL Sampling Point: W1-UP
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) °/a Color(moist) % Tvoe Loc Texture Remarks
0-11" 10YR 2/2 95% 10YR 3/5 5% C M Loam
11-18" 10YR 4/1 95% 10YR 3/5 5% C M Loam
18-24" 10YR 6/1 90% 10YR 3/5 10% C M Silty loam
'Type: C=Concentration,D=De letion,RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Metrix.
Hydric Soil Indicators: (Applicable to all LRRs,unless otherwise noted.) Indicators for Problematic Hydric Soils':
Histosol(Al) Polyvalue Below Surface(S8)(LRR S,T,U) 1 cm Muck(A9)(LRR O)
Histic Epipedon(A2) Thin Dark Surface(S9)(LRR S,T,U) 2 cm Muck(A10)(LRR S)
Black Histic(A3) Loamy Mucky Mineral(Fl)(LRR O) Reduced Vertic(F18)(outside MLRA 150A B)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) Piedmont Floodplain Soils(F19)(LRR P,S,T)
Stratified Layers(A5) ✓ Depleted Matrix(F3) Anomalous Bright Loamy Soils(F20)
Organic Bodies(A6)(LRR P,T, U) Redox Dark Surface(F6) (M LRA 153B)
5 cm Mucky Mineral(A7)(LRR P,T,U) Depleted Dark Surface(F7) Red Parent Material(TF2)
Muck Presence(A8)(LRR U) Redox Depressions(F8) Very Shallow Dark Surface(TF1 2)
1 cm Muck(A9)(LRR P,T) Marl(F10)(LRR U) Other(Explain in Remarks)
✓ Depleted Below Dark Surface(A11) Depleted Ochric(F11)(MLRA 151)
Thick Dark Surface(Al2) Iron-Manganese Masses(F12)(LRR O,P,T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox(A16)(M LRA 150A) Umbric Surface(F13)(LRR P,T,U) wetland hydrology must be present,
Sandy Mucky Mineral(S1)(LRR O,S) Delta Ochric(F17)(MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix(S4) Reduced Vertic(F18)(MLRA 150A,1506)
Sandy Redox(S5) Piedmont Floodplain Soils(F19)[M LRA 149A)
Stripped Matrix(S6) Anomalous Bright Loamy Soils(F20)(MLRA 149A,153C,153D)
_ Dark Surface(S7)(LRR P,S,T, U)
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
No water table or soil saturation was observed at the upland data point.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region—Version 2.0

WETLAND DETERMINATION DATA FORM—Atlantic and Gulf Coastal Plain Region
Projectlsite: Eastern Petroleum Tarboro Site City/County: Tarboro/Edgecome Sampling Date: 10/3/2016
Applicanvowner: Eastern Petroleum Corporation state: NC Sampling Point: W1-WET
Investigator(s): R. Sullivan (Kimley-Horn) Section,Township,Range: Township 1,Tarboro
Landform(hillslope,terrace,etc.): Floodplain depression Local relief(concave,convex,none): Concave slope(%): 1-2%
Subregion(LRR or MLRA): LRR P Lat: -77.550788 Long: 35.893673 Daum: NAD 83
Soil Map Unit Name: Wagram loamy sand (0-6% slopes) NWI classification: None
Are climatic/h drol is 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 Sol[Present? Yes—FV7 No within a Wetland? Yes Q No❑
Wetland Hydrology Present? Yes No 14
Remarks:
Wetland W1 is a linear wetland within a depressional crenulation at the toe of a steep upland slope that
drains towards Holly Creek. Strong evidence of hydrology was observed within the wetland (water stained
leaves, iron oxidizing bacteria). Also, distinct hyrdrophytic vegetation was observed in the wetland.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two mouireM
Pri ary Indicators minimum of one is reauirt d:check all that a Surface Soil Cracks(86)
Surface Water(Al) Aquatic Fauna(B13) Sparsely Vegetated Concave Surface(68)
High Water Table(A2) Marl Deposits(B15)(LRR U) Drainage Patterns(B10)
Saturation(A3) Hydrogen Sulfide Odor(C1) Moss Trim Lines(B16)
Water Marks(B1) Oxidized Rhizospheres along Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(B2) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(83) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) Thin Muck Surface(C7) ✓ Geomorphic Position(D2)
❑Iron Deposits(B5) Other(Explain in Remarks) Shallow Aquitard(D3)
®Inundation Visible on Aerial Imagery(137) FAC-Neutral Test(D5)
Water-Stained Leaves(69) Sphagnum moss(138)(LRR T,U)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches): Surface
Saturation Present? Yes No Depth(inches): Surface Wetland Hydrology Present? Yes W1 No
includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks:
Both saturation and the water table was observed at the surface. Hydrology appears to be
influenced mostly by groundwater. W1 also likely ponds stormwater runoff immediately after
precipitation events.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region-Version 2.0

VEGETATION(Four Strata)-Use scientific names of plants. Sampling Point: W1-WET
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: 30' ) ° Cover cies? Status Number of Dominant Species
1. NoneThat Are OBL,FACW,or FAC: 5 (A)
2. Total Number of Dominant
3• Species Across All Strata: 5 (B)
4.
Percent of Dominant Species 100%
5. That Are OBL,FACW,or FAC: (AB)
6.
7 Prevalence Index worksheet:
8 Total%Cover of: Multiply by:
=Total Cover OBL species x 1 =
50%of total cover: 20%of total cover: FACW species x 2=
Saplina/Shrub Stratum (Plot size: 15' )
FAC species x 3=
1. Arundinaria gigantea 50% Y FACW FACU species x 4=
2. Liquidambar styraciflua 5% N FAC UPL species X5=
3.
Column Totals: (A) (B)
4. Prevalence Index =B/A=
5• Hydrophytic Vegetation Indicators:
6. _ 1 -Rapid Test for Hydrophytic Vegetation
7. X 2-Dominance Test is>50%
8 _ 3-Prevalence Index is 53.0'
55% =Total Cover _ Problematic Hydrophytic Vegetation'(Explain)
50%of total cover: 27.5% 20%of total cover: 11%
Herb Stratum (Plot size: 5' )
Indicators of hydric soil and wetland hydrology must
1. Murdannia keisak 20% Y OBL be present,unless disturbed or problematic.
2. Microstegium vimineum 20% Y FAC Definitions of Four Vegetation Strata:
3_ Boehmeria cylindrica 10% Y FACW
Tree-Woody plants,excluding vines,3 in.(7.6 cm)or
4. more in diameter at breast height(DBH),regardless of
5 height.
6. SaplingtShrub-Woody plants,excluding vines,less
7 than 3 in.DBH and greater than 3.28 ft(1 m)tall.
8. Herb-All herbaceous(non-woody)plants,regardless
9. of size,and woody plants less than 3.28 ft tall.
10. Woody vine-All woody vines greater than 3.28 ft in
11. height.
12.
50% =Total Cover
50%of total cover: 25% 20%of total cover: 10%
Woody Vine Stratum (Plot size: 15' )
1. Mikania scandens 5% Y FACW
2.
3.
4.
5.
Hydrophytic
5% =Total Cover Vegetation
50°x6 of total cover: 2.5% 20°x6 of total cover: 1% Present? Yes IL No Ll
Remarks: (If observed,list morphological adaptations below).
Vegetation within W1 was distinctly FACW or OBL as opposed to more upland species observed in
the surrounding upland areas.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region-Version 2.0

SOIL Sampling Point: W1-WET
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) % Twe Loc Texture Remarks
0-5" 10YR 2/2 100% Loam
5-12" 10YR 4/1 95% 7.5YR 4/5 5% C M Clay
12-18" 10YR 4/1 100% Silty clay loam
18-24" 10YR 5/1 100% Sandy clay loam
'Type: C=Concentration,D=De letion,RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining,M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs,unless otherwise noted.) Indicators for Problematic Hydric Solls3:
Histosol(Al) Polyvalue Below Surface(S8)(LRR S,T,U) 1 cm Muck(A9)(LRR O)
Histic Epipedon(A2) Thin Dark Surface(S9)(LRR S,T,U) 2 cm Muck(A10)(LRR S)
Black Histic(A3) Loamy Mucky Mineral(F1)(LRR O) Reduced Vertic(F18)(outside MLRA 150A,B)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) Piedmont Floodplain Soils(F19)(LRR P,S,T)
Stratified Layers(A5) ✓ Depleted Matrix(F3) Anomalous Bright Loamy Soils(F20)
Organic Bodies(A6)(LRR P,T, U) Redox Dark Surface(F6) (MLRA 153B)
5 cm Mucky Mineral(A7)(LRR P,T,U) Depleted Dark Surface(F7) Red Parent Material(TF2)
Muck Presence(A8)(LRR U) Redox Depressions(F8) Very Shallow Dark Surface(TF12)
1 cm Muck(A9)(LRR P,T) Mari(F10)(LRR U) Other(Explain in Remarks)
✓ Depleted Below Dark Surface(A11) Depleted Ochric(F11)(M LRA 151)
Thick Dark Surface(Al2) Iron-Manganese Masses(F12)(LRR O,P,T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox(A16)(MLRA 150A) Umbric Surface(F13)(LRR P,T,U) wetland hydrology must be present,
Sandy Mucky Mineral(S1)(LRR O,S) Delta Ochric(F17)(MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix(S4) Reduced Vertic(F18)(MLRA 150A,1506)
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 149A)
Stripped Matrix(S6) Anomalous Bright Loamy Soils(F20)(MLRA 149A,153C,153D)
_ Dark Surface(S7)(LRR P,S,T, U)
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes No
Remarks:
Both soil saturation and the water table was observed at the surface at the wetland data point
location.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region—Version 2.0

Jurisdictional Determination Request
0
US Army Corps
of Engineers
Wilmington Distrct
This form is intended for use by anyone requesting a jurisdictional determination(JD)from the
U.S. Army Corps of Engineers,Wilmington District(Corps). Please include all supporting
information, as described within each category,with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known)via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on-line at: http://www.saw.usace.army.mil/Missions/RegiilatoI3PermitPro, rraam.aWx,by
telephoning: 910-251-4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers US Army Corps of Engineers
151 Patton Avenue,Room 208 2407 West Fifth Street
Asheville,North Carolina 28801-5006 Washington,North Carolina 27889
General Number: [phone] General Number: [phone]
Fax Number:[phone] Fax Number:[phone]
RALEIGH REGULATORY FIELD OFFICE WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers US Army Corps of Engineers
3331 Heritage Trade Drive,Suite 105 69 Darlington Avenue
Wake Forest,North Carolina 27587 Wilmington,North Carolina 28403
General Number: [phone] General Number: 910-251-4633
Fax Number: [phone] Fax Number:[phone]
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C,D,E and F.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D—PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must be
signed by the current property owner to be considered a complete request.
NOTE ON PART D -NCDOT REQUESTS: Property owner authorization/notification for JD
requests associated with North Carolina Department of Transportation(NCDOT)projects will be
conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program participants, or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: N/A
City, State: Tarboro,North Carolina
County: Edgecombe
Directions: The site is located in the northern quadrant of the Western Boulevard/West
Wilson Street intersection
Parcel Index Number(s) (PIN): 4728-94-0193,4728-83-6580
B. REQUESTOR INFORMATION
Name: Ross Sullivan,Kimley-Horn
Mailing Address: 421 Fayetteville Street,Suite 600;Raleigh,NC 27601
Telephone Number: 919-677-2104
Electronic Mail Addressi: [e-mail]
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Eastern Petroleum Corporation,ATTN:Yvonne Jones
Mailing Address: P.O.Box 398
Enfield,NC 27823
Telephone Number: 252-445-5131
Electronic Mail Addressi: [e-mail]
❑Proof of Ownership Attached(e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District,U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner(please print) Date
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
ZI am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
F] I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include a delineation.
❑ I am requesting that the Corps investigate the property/proj ect area for the presence or
absence of WoUS5 and provide an Uproved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
❑ I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols,skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
❑✓ Map of Property or Project Area(attached). This Map must clearly depict the boundaries
of the area of evaluation.
�✓ Size of Property or Project Area 2.6 acres
III verify that the property (or project)boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
Completed and signed Preliminary Jurisdictional Determination Form6.
❑] Project Coordinates: 35.893554 Latitude -77.551145 Longitude
Maps (no larger than l lxl7)with Project Boundary Overlay:
❑✓ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
USGS Topographic Map
❑✓ Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No.08-02,dated June 26,2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands: Tributaries:
❑✓ Wetland Data Sheets ❑ USACE Assessment Forms
n✓ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑✓ Landscape Photos, if taken
❑✓ Field Sketch overlain on legible Map that includes:
■ All aquatic resources(for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates: Latitude Longitude
Maps(no larger than 11x17)with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections,towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map,Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
http:/Iwww.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits/res supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://Portal.ncdenr.org/c/document library/set file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&groupld=38364 and,
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/publicnotices/2013/NCSAM Draft User Manual 130318.pdf
8 Delineation information must include,at minimum,one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands: Tributaries:
❑ Wetland Data Sheets ❑ USACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information(for Approved JDs only)
❑ Approved Jurisdictional Determination Form(s) (also known as"Rapanos
Form(s)")
❑ Map(s) depicting the potential (or lack of potential)hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include,at minimum,one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records,the Corps requires that all hard-
copy submittals include at least one original Plat(to scale)that is no larger than 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"x17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format(PDF) file. Upon verification,the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
❑ Must be sealed and signed by a licensed professional land surveyor
❑ Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
❑ Must include a North Arrow, Scale(s), Title, Property Information
❑ Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
Must clearly depict surveyed property or project boundaries
F] Must clearly identify the known surveyed point(s)used as reference(e.g. property
corner, USGS monument)
F] When wetlands are depicted:
• Must include acreage (or square footage)of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

Jurisdictional Determination Request
E] When tributaries are depicted:
• Must include either a surveyed,approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM)of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area(using approximate
widths or surveyed OHWM)
• Must include name of tributary(based on the most recent USGS topographic
map)or,when no USGS name exists,identify as"unnamed tributary"
❑ all depicted WoUS (wetland polygons and tributary lines)must intersect or tie-to
surveyed project/property boundaries
❑ Must include the location of wetland data points and/or tributary assessment
reaches
Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA(e.g. "isolated wetlands", "non-
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
Must include and survey all existing conveyances (pipes, culverts, etc.)that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
F] When the entire actual Jurisdictional Boundary is depicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five(5)years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S.Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
When uplands may present within a depicted Jurisdictional Boundary:
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S.Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
Version: December 2013 Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
F] be at sub-meter accuracy at each survey point.
F] include an accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS and cross-referenced with the existing traditional property survey (metes and
bounds).
F] include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Ross Sullivan,Kimley-Horn on behalf of Eastern Petroleum Corporation
421 Fayetteville Street,Suite 600;Raleigh,NC 27601
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Edgecombe City: Tarboro
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.893554 °N; Long. 77.551145 0W.
Universal Transverse Mercator: UTM Zone 18
Name of nearest waterbody: Holly Creek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
0.0 linear feet: 0.0 width (ft) and/or 0.0 acres.
Cowardin Class: NSA
Stream Flow: N/A
Wetlands: 0.009 acres.
Cowardin Class: Riverine
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: N/A
Non-Tidal: NSA
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
❑✓ Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:Kimley-Hom
❑ Data sheets prepared/submitted by or on behalf of the
appli nt/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000 Tarboro Quad
❑✓ USDA Natural Resources Conservation Service Soil Survey.
Citation:Edgecombe County(1979)
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑✓ Photographs: 0✓ Aerial (Name & Date): NC statewide orthoimagery Project(2015)or
❑ Other(Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
3

This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
t10/18/16
Signature and date of Signature and date of
Regulatory Project Manager person requesting preliminary JD
(REQUIRED) (REQUIRED, unless obtaining
the signature is impracticable)
4

Estimated
Site Cowardin amount of Class of
number Latitude Longitude Class aquatic aquatic
resource in resource
review area
w1 35.893722 -77.550781 Riparian 0.009 acres non-section
10—wetland
1

AGENT AUTHORIZATION FORM
Name: �Ct�fC Ydl �l-' t t(Yl C'�✓D �VCt�-l� Y)
Address: C e)U. F a
Phone:LjL,�—U(4 5- 1.` )1
Project Name/Description: Eastern Petroleum Tarboro Site
Date: I�' 11 (a
The Department of the Army
U.S.Army Corps of Engineers, Wilmington District
Attention: David Bailey
Field Office: Raleigh Regulatory Field Office
Re: Wetland Related Consulting and Permitting
To Whom It May Concern:
Eastern Petroleum Corporation hereby designates and authorizes Kimley-Horn and Associates, Inc.to
act in my/our behalf as my/our agent solely for the purpose of processing Jurisdictional Determinations,
Section 404 permits/Section 401 Water Quality Certifications applications, and Tar-Pamlico River Basin
Riparian Buffer Determinations, and to furnish upon request supplemental information in support of
applications,etc. from this day forward until successful completion of the permitting process or
revocation by the owner.
In addition, 1,the undersigned, being under contract to purchase the property/properties identified
herein,do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers(Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations and
issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction under Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Authorized this the JF' day of LkhV 1/ ,-Yr
int Property Optionee's Name Pr p Optionee's ignature
Cc: Karen Higgins
NC Division of Water Resources
401 & Buffer Permitting Unit
1650 Mail Service Center
Raleigh,NC 27699-1650

AGENT AUTHORIZATION FORM
Name:i 1 L M A �L,G
Address: ,-00 W S TN'r" R gam{? Alf-
Phone:
C Phone:
Project Name/Description:Eastern Petroleum Tarboro Site
Date:-
The
ate:_The Department of the Army
U.S.Army Corps of Engineers,Wilmington District
Attention: David Bailey
Field Office: Raleieh Reeulatory Field Office
Re:Wetland Related Consulting and Permitting
To Whom It May Concern:
I, CHiwr5 &V r ,hereby designate and authorize Kimley-Horn and Associates,Inc.
to act in my/our behalf as'my/our agent solely for the purpose of processing Jurisdictional
Determinations,Section 404 permits/Section 401 Water Quality Certifications applications,and Tar-
Pamlico River Basin Riparian Buffer Determinations,and to furnish upon request supplemental
information in support of applications,etc.from this day forward until successful completion of the
Permitting process or revocation by the owner.
In addition,I,the undersigned,a duly authorized owner of record of the property/properties identified
herein,do authorize representatives of the Wilmington District,U.S.Army Corps of Engineers(Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations and
issuing a determination associated with Waters of the U.S.subject to Federal jurisdiction under Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Authorized this the � day of
Print Property Owner's Name "�.wnelsre /
Cc: Karen Higgins
NC Division of Water Resources
401 &Buffer Permitting Unit
1650 Mail Service Center
Raleigh,NC 27699-1650

St 'Zi
r
`O` o` Cres Creek
122 yG y ^war y� r
a
orP �O p e pr do �
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arc 5` \aa�P
d�
64 Nr
8�r�0
oA
o Project Location
P
S e bw
n sj �Q-
Legend SR,r294 Seer lant00 LJ /�tl
Project Study Area
Town of Tarboro
0 Edgecombe County 258 0 1,000 2,000
Feet
Kentucky �
Virginia HALIFAX
Tennessee BERTIE
North NASH
-r-�- - EDGECOMBE
Carolina
MARTIN
�� Project Location
South
Carolina WILSON
Georgia Atlantic Ocean PITT
0 40 $0 0 1 GREENE
mmmr=Miles iles
Figure 1: Vicinity Map
Kimle >>>Horn Eastern Petroleum Tarboro Site
Y Tarboro, North Carolina
October 2016

4
, F
i, AI R 6
ri - t
€ s
�• �. E �.:« r war•.µ�
' r
mss.
, ► ..
4 07
GolgiCourse
f'
a
IL
la
♦ w
t Legend
Feet ' ' Project Study Area
0 250 500
Figure 2: USGS Topographic Map
(Tarboro Quad)
Kimley))) Horn Eastern Petroleum Tarboro Site
Tarboro, North Carolina
October 2016

4i
T AF
�Sti
F
F .
Y r
u=
• .K
\ \ is 1 1 1 «'• �•,+ "�.�lc�;. `„ — .
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4
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Al
lo
; a Legend
1 `u •t Ct.!J
Wetland
Feet „ N
0 150 300 ` Y' " ` € r Project Study Area
Uwl
Figure 3: Jurisdictional Features Map
Eastern Petroleum Tarboro Site
Kimley))) Horn Tarboro, North Carolina
October 2016

Hydric Soil Table
Symbol Name Hydric
GoA Goldsboro fine sandy loam (0-2% slopes) Incl
WaB Wagram loamy sand (0-6% slopes) Incl.
A
aD
ExA
10-.00
o �_
A a
k
oB
. i
U
u
= Al
�r ~
ei
1
Nod
Legend
�F
Feet s.a
0 250 500 Project Study Area
"
JP
Figure 4: NRCS Soil Survey Map
(Edgecombe County, 19XX)
Kimley))) Horn Eastern Petroleum Tarboro Site
Tarboro, North Carolina
October 2016

PIN: 472894019300
OWNER: HILMA LLC
ADDRESS: 300 W ST JAMES ST
CITY: TARBORO
STATE: NC
ZIP: 27886-4923
LOCATION: 1001 W WILSON ST
PROPERTY DESCRIPTION:
TR 1 BEVERLY BRIDGERS SHORT EST HI
DEED DATE: 7/31/2012
SALE PRICE: $525,000
DEED LOC: 1585/0992
ACCOUNT: 199793
ACREAGE: 40.78
LAND VALUE:$196,790
BLDG VAL: $196,652
NET VALUE: $393,442
DEFERRED: $0
SUBDIVISION:
TAX CODES: C01
ZONING: RA12
�. Edgecombe County
October 18, 2016
1 inch = 200 fleet
0 0.02 0.04 0.08 mi
a , 0 0.0325 0.065 0.13 km

PIN: 472883658000
'tl OWNER: HILMA LLC
ADDRESS: 300 W ST JAMES ST
CITY: TARBORO
' STATE: NC
y ZIP: 27886-4923
krt LOCATION: HWY 64 OFF
DIXr
PROPERTY DESCRIPTION:
BARLOW LD
L ; DEED DATE: 7/31/2012
SALE PRICE: $525,000
DEED LOC: 1585/0992
o-' ACCOUNT: 199793
{ ACREAGE: 2.2
LAND VALUE:$220,000
BLDG VAL: $0
NET VALUE: $220,000
DEFERRED: $0
SUBDIVISION:
TAX CODES: C01
ZONING: 01
e � Y
,1
Ed ecombe County
October 18, 2016
�y 1 inch _- 200 feet
0 0.02 0.04 0.08 mi
,m '
0 0.0325 0.065 0.13 km

WETLAND DETERMINATION DATA FORM—Atlantic and Gulf Coastal Plain Region
Project/Site: Eastern Petroleum Tarboro Site City/County: Tarboro/Edgecome Sampling Date: 10/3/2016
Applicanvowner: Eastern Petroleum Corporation State: NC Sampling Point: W1-UP
Investigator(s): R. Sullivan (Kimley-Horn) Section,Township,Range: Township 1, Tarboro
Landform(hillslope,terrace,etc.): Floodplain Local relief(concave,convex,none): None slope(%) 2%
Subregion(LRR or MLRA): LRR P Let: 35.893652 Long: -77.550751 Datum: NAD 83
Soil Map unit Name: Wagram loamy sand (0-6% slopes) NWI classification: None
Are climatic!hydrologic conditions on the site typical for this time of year? Yes© No= (If no,explain in Remarks.)
Are Vegetation Soil R or Hydrology significantly disturbed? Are'Nonnal 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? YesF--] No J� l
Welland Hydrology Present? Yes No ✓
Remarks:
The upland data point was taken N 14' east of and N1' higher in elevation than the wetland data
point in a maintained grassy field. The site is situated on an abandoned golf course.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two reauired)
Primary Indicators minimum of one is remiouired check all that a Surface Soil Cracks(136)
Surface Water(Al) Aquatic Fauna(B13) Sparsely Vegetated Concave Surface(138)
High Water Table(A2) Marl Deposits(B15)(LRR U) Drainage Patterns(1310)
Saturation(A3) Hydrogen Sulfide Odor(Cl) Moss Trim Lines(B16)
Water Marks(B1) Oxidized Rhizospheres along Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(B2) Presence of Reduced Iron(C4) Crayfish Burrows(CO)
Drift Deposits(B3) Recent Iron Reduction in Tilled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) Thin Muck Surface(C7) Geomorphic Position(D2)
Iron Deposits(B5) Other(Explain in Remarks) Shallow Aquitard(D3)
Inundation Visible on Aerial Imagery(B7) FAC-Neutral Test(D5)
Water-Stained Leaves(69) Sphagnum moss(D8)(LRR T,U)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes NoZ Depth(inches): >24"
Saturation Present? Yes No ✓I Depth(inches): >24" Wetland Hydrology Present? Yes 1:1 No 21
includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks:
No wetland hydrology indicators were observed at the upland data point.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region—Version 2.0

VEGETATION(Four Strata)-Use scientific names of plants. Sampling Point: W1-UP
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: 30' ) ° CoverSpecies? Status Number of Dominant Species
1. None That Are OBL,FACW,or FAC: 1 (A)
2. Total Number of Dominant
2
3. Species Across All Strata: (B)
4.
cies
5. That Are ercent oOBL FACW,of Dominant r FAC: 50% (A/B)
6.
Prevalence Index worksheet:
7.
8 Total%Cover of: Multiply by:
=Total Cover OBL species x 1 =
50%of total cover: 20%of total cover: FACW species 10 x 2= 20
Saplina/Shrub Stratum (Plot size: 15' ) FAC species 5 x 3= 15
1. Liquidambar styraciflua 5% Y FAC FACU species 90 x 4= 360
2 UPL species x 5=
3 Column Totals: 105 (A) 395 (B)
4• Prevalence Index =B/A= 3.76
5. Hydrophytic Vegetation Indicators:
6. _ 1 -Rapid Test for Hydrophytic Vegetation
7. _ 2-Dominance Test is>50%
8 _ 3-Prevalence Index is 53.0'
5% =Total Cover _ Problematic Hydrophytic Vegetation'(Explain)
50%of total cover: 2.5% 20%of total cover: 1%
Herb Stratum (Plot size: 5' ) 'Indicators of hydric soil and wetland hydrology must
1. Festuca ovina 80% Y FACU be present,unless disturbed or problematic.
2. Arundinaria Qigantea 10% N FACW Definitions of Four Vegetation Strata:
3. Eupatorium capillifolium 10% N FACU
Tree-Woody plants,excluding vines,3 in.(7.6 cm)or
4. more in diameter at breast height(DBH),regardless of
5 height.
6. SaplinglShrub-Woody plants,excluding vines,less
7 than 3 in.DBH and greater than 3.28 ft(1 m)tall.
8• Herb-All herbaceous(non-woody)plants,regardless
g• of size,and woody plants less than 3.28 ft tall.
10. Woody vine-All woody vines greater than 3.28 ft in
11. height.
12.
100% =Total Cover
50%of total cover: 50% 20%of total cover: 20%
Woody Vine Stratum (Plot size: 15' )
1. None
2.
3.
4.
5• Hydrophytic
=Total Cover Vegetation _/
50%of total cover: 20%of total cover: Present? Yes No
Remarks: (If observed,list morphological adaptations below).
Most of the upland area is a maintained grassy field.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region-Version 2.0

SOIL Sampling Point: W1-UP
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) % Color(moist) % Type, Loc Texture Remarks
0-11" 10YR 2/2 95% 10YR 3/5 5% C M Loam
11-18" 10YR 4/1 95% 10YR 3/5 5% C M Loam
18-24" 10YR 6/1 90% 10YR 3/5 10% C M Silty loam
—'Type: C=Concentration,D=Depletion,RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining,M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs,unless otherwise noted.) Indicators for Problematic Hydric Solls3:
Histosol(Al) Polyvalue Below Surface(S8)(LRR S,T,U) 1 cm Muck(A9)(LRR O)
Histic Epipedon(A2) Thin Dark Surface(S9)(LRR S,T,U) 2 cm Muck(A10)(LRR S)
Black Histic(A3) Loamy Mucky Mineral(Fl)(LRR O) Reduced Vertic(1`18)(outside MLRA 150A,B)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) Piedmont Floodplain Soils(1`19)(LRR P,S,T)
Stratified Layers(A5) ✓ Depleted Matrix(F3) Anomalous Bright Loamy Soils(F20)
Organic Bodies(A6)(LRR P,T, U) Redox Dark Surface(F6) (MLRA 1538)
5 cm Mucky Mineral(A7)(LRR P,T,U) Depleted Dark Surface(F7) Red Parent Material(TF2)
Muck Presence(A8)(LRR U) Redox Depressions(F8) Very Shallow Dark Surface(TF1 2)
1 cm Muck(A9)(LRR P,T) Marl(F10)(LRR U) Other(Explain in Remarks)
✓ Depleted Below Dark Surface(A11) Depleted Ochric(F11)(M LRA 151)
Thick Dark Surface(Al2) Iron-Manganese Masses(F12)(LRR O,P,T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox(A16)(MLRA 150A) Umbric Surface(F13)(LRR P,T,U) wetland hydrology must be present,
Sandy Mucky Mineral(S1)(LRR O,S) Delta Ochric(F17)(MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix(S4) Reduced Vertic(F18)(MLRA 150A,150B)
Sandy Redox(S5) Piedmont Floodplain Soils(1`19)(MLRA 149A)
Stripped Matrix(S6) Anomalous Bright Loamy Soils(F20)(MLRA 149A,153C,153D)
_ Dark Surface(37)(LRR P,S,T, U)
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes . No
Remarks:
No water table or soil saturation was observed at the upland data point.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region—Version 2.0

WETLAND DETERMINATION DATA FORM—Atlantic and Gulf Coastal Plain Region
Project/Site: Eastern Petroleum Tarboro Site City/County: Tarboro/Edgecome Sampling Date: 10/3/2016
Applicanvowner: Eastern Petroleum Corporation State: NC Sampling Point: W1-WET
Investigator(s): R. Sullivan (Kimley-Horn) Section,Township,Range: Township 1,Tarboro
Landform(hillslope,terrace,etc.): Floodplain depression Local relief(concave,convex,none): Concave Slope(%): 1-2%
Subregion(LRR or MLRA): LRR P Let: -77.550788 Long: 35.893673 Datum: NAD 83
Soil Map unit Name: Wagram loamy sand (0-6% slopes) NWI dassiecation: None
Are climatic/hl droI is 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 M the Sampled Area
Hydric Soil Present? Yes ✓ No within a Wetland? Yes ✓Q No
Wetland Hydrology Present? Yes WT No
Remarks:
Wetland W1 is a linear wetland within a depressional crenulation at the toe of a steep upland slope that
drains towards Holly Creek. Strong evidence of hydrology was observed within the wetland (water stained
leaves, iron oxidizing bacteria). Also, distinct hyrdrophytic vegetation was observed in the wetland.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators(minimum of two required)
Primary Indicators minimum of one is reauired check all that a Surface Soil Cracks(86)
Surface Water(Al) Aquatic Fauna(B13) Sparsely Vegetated Concave Surface(68)
High Water Table(A2) Marl Deposits(815)(LRR U) Drainage Patterns(810)
Saturation(A3) Hydrogen Sulfide Odor(Cl) Moss Trim Lines(816)
Water Marks(B1) Oxidized Rhizospheres along Living Roots(C3) Dry-Season Water Table(C2)
Sediment Deposits(B2) Presence of Reduced Iron(C4) Crayfish Burrows(C8)
Drift Deposits(83) Recent Iron Reduction in Tiled Soils(C6) Saturation Visible on Aerial Imagery(C9)
Algal Mat or Crust(64) Thin Muck Surface(C7) ✓ Georrx phic Position(132)
Iron Deposits(65) Other(Explain in Remarks) Shallow Aquitard(D3)
Inundation Visible on Aerial Imagery(137) FAC-Neutral Test(05)
Water-Stained Leaves(89) tj Sphagnum moss(138)(LRR T,U)
Field Observations:
Surface Water Present? Yes No Depth(inches):
Water Table Present? Yes No Depth(inches): Surface
Saturation Present? Yes No Depth(inches): Surface Wedand Hydrology Present? Yes_ No Ll
includes capillary fringe)
Describe Recorded Data(stream gauge,monitoring well,aerial photos,previous inspections),if available:
Remarks:
Both saturation and the water table was observed at the surface. Hydrology appears to be
influenced mostly by groundwater. W1 also likely ponds stormwater runoff immediately after
precipitation events.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region—Version 2.0

VEGETATION(Four Strata)-Use scientific names of plants. Sampling Point: Wl-WET
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: 30' ) °%CoverSpecies? Status Number of Dominant Species
1. None That Are OBL,FACW,or FAC: 5 (A)
2.
Total Number of Dominant
3. Species Across All Strata: 5 (B)
4.
cies
5. That Are BLercent of mFACW,orinant e FAC: 100% (A1B)
6.
Prevalence Index worksheet:
7.
Total°%Cover of: Multiply by:
8.
=Total Cover OBL species x 1 =
50%of total cover: 20°%of total cover: FACW species x 2=
Sapling/Shrub Stratum (Plot size: 15' ) FAC species x 3=
1. Arundinaria gigantea 50% Y FACW FACU species x 4=
2. Liquidambar styraciva 5% N FAC UPL species x 5=
Column Totals: (A) (B)
3.
4• Prevalence Index =B/A=
5. Hydrophytic Vegetation Indicators:
6• _ 1 -Rapid Test for Hydrophytic Vegetation
7. X 2-Dominance Test is>50%
8. _ 3-Prevalence Index is:53.0'
55% =Total Cover _ Problematic Hydrophytic Vegetation'(Explain)
50%of total cover: 27.5% 20%of total cover: 110/h
Herb Stratum (Plot size: 5' ) 'Indicators of hydric soil and wetland hydrology must
1. Murdannia keisak 20% Y OBL be present,unless disturbed or problematic.
2. Mierostekrium vimineum 20% Y FAC Definitions of Four Vegetation Strata:
3, Boehmeria cylindrica 10% Y FACW
Tree-Woody plants,excluding vines,3 in.(7.6 cm)or
4. more in diameter at breast height(DBH),regardless of
5 height.
6. Sapling/Shrub-Woody plants,excluding vines,less
7. than 3 in.DBH and greater than 3.28 ft(1 m)tall.
8. Herb-All herbaceous(non-woody)plants,regardless
g of size,and woody plants less than 3.28 ft tall.
10.
Woody vine-All woody vines greater than 3.28 ft in
11. height.
12.
50% =Total Cover
50%of total cover: 25% 20%of total cover: 10%
Woody Vine Stratum (Plot size: 15' )
1. Mikania scandens 5% Y FACW
2.
3.
4.
5 Hydrophytic
5% =Total Cover Vegetation
50%of total cover: 2.5% 20%of total cover: 1% Present? Yes Z No
Remarks: (If observed,list morphological adaptations below).
Vegetation within W1 was distinctly FACW or OBL as opposed to more upland species observed in
the surrounding upland areas.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region-Version 2.0

SOIL Sampling Pant: W1-WET
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color(moist) °/b Color(moist) % Type Loc Texture Remarks
0-5" 10YR 2/2 100% Loam
5-12" 10YR 4/1 95% 7.5YR 4/5 5% C M Clay
12-18" 10YR 4/1 100% Silty clay loam
18-24" 10YR 5/1 100% Sandy clay loam
-'Type: C=Concentration,D=De letion,RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining,M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs,unless otherwise noted.) Indicators for Problematic Hydric Solls3:
Histosd(Al) Polyvalue Below Surface(S8)(LRR S,T,U) 1 cm Muck(A9)(LRR O)
Histic Epipedon(A2) Thin Dark Surface(S9)(LRR S,T,U) 2 cm Muck(A10)(LRR S)
Black Histic(A3) Loamy Mucky Mineral(F1)(LRR O) Reduced Vertic(F18)(outside MLRA 150A,B)
Hydrogen Sulfide(A4) Loamy Gleyed Matrix(F2) Piedmont Floodplain Soils(F19)(LRR P,S,T)
Stratified Layers(A5) ✓ Depleted Matrix(F3) Anomalous Bright Loamy Soils(F20)
Organic Bodies(A6)(LRR P,T, U) Redox Dark Surface(F6) (MLRA 153B)
5 cm Mucky Mineral(A7)(LRR P,T,U) Depleted Dark Surface(F7) Red Parent Material(TF2)
Muck Presence(A8)(LRR U) Redox Depressions(F8) Very Shallow Dark Surface(TF12)
1 cm Muck(A9)(LRR P,T) Marl(F10)(LRR U) Other(Explain in Remarks)
✓ Depleted Below Dark Surface(A11) Depleted Ochric(F11)(MLRA 151)
Thick Dark Surface(Al2) Iron-Manganese Masses(F12)(LRR O,P,T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox(A16)(MLRA 150A) Umbric Surface(F13)(LRR P,T,U) wetland hydrology must be present,
Sandy Mucky Mineral(S1)(LRR O,S) Delta Ochric(F17)(MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix(S4) Reduced Vertic(F18)(MLRA 150A,15013)
Sandy Redox(S5) Piedmont Floodplain Soils(F19)(MLRA 149A)
Stripped Matrix(S6) Anomalous Bright Loamy Soils(1720)(MLRA 149A,153C,153D)
_ Dark Surface(S7)(LRR P,S,T, U)
Restrictive Layer(if observed):
Type:
Depth(inches): Hydric Soil Present? Yes . No
Remarks:
Both soil saturation and the water table was observed at the surface at the wetland data point
location.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region-Version 2.0

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