20180794 Ver 1_Calamar Burlington PJD Request_20180607

S&ME, Inc. | 3201 Spring Forest Road | Raleigh, NC 27616 | p 919.872.2660 | www.smeinc.com
November 28, 2017
Raleigh Regulatory Field Office
U.S. Army Corps of Engineers, Raleigh District
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Attention: Mr. David Bailey
Reference: Preliminary Jurisdictional Determination Request and Supporting Documentation
St. Marks Church Road Senior Living Site
Burlington, Alamance County, North Carolina
S&ME Project 1335-17-075
Dear Mr. Bailey:
On behalf of our client, S&ME, Inc. (S&ME) hereby submits this preliminary Jurisdictional Determination request. In
support of this request, please find enclosed the following:

 Jurisdictional Determination Request Form
 Preliminary Jurisdictional Determination Form
 Agent Authorization form completed by Property Owner
 Figures –USDA- SCS Soil Survey Exhibit (Figure 1), USGS Topographic Exhibit (Figure 2), 2012 Color Aerial
Exhibit (Figure 3), Feature Exhibit (Figures 4), LIDAR Exhibit (Figure 5), National Wetlands Inventory Exhibit
(Figure 6), National Hydrography Dataset Exhibit (Figure 7), FEMA Flood Zone Exhibit (Figure 8)
 USACE Routine Data Forms
 NCDWR Stream Identification Forms
 Site Photographs
Please let me know when you are available to review the jurisdictional features on -site. If you have questions or
need additional information, please contact me at 919.986.0758.
Sincerely,
S&ME, Inc.

Darrin M. Peine, QEP
Project Manager
Ashley Bentz
Staff Scientist

Jurisdictional Determination Request
Version: May 2017 Page 1

This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.army.mil/Missions/RegulatoryPermitProgram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.

ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]

RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]

WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]

INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D – PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Jurisdictional Determination Request
Version: May 2017 Page 2
A. PARCEL INFORMATION
Street Address: _______________________________________________
City, State: _______________________________________________
County:
Parcel Index Number(s) (PIN):
B. REQUESTOR INFORMATION
Name:
Mailing Address:
_________________________________________
Telephone Number: _________________________________________
Electronic Mail Address: ________________________________________
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant1
Interested Buyer or Under Contract to Purchase
Other, please explain. ________________________________________
__________________________________________________________
C. PROPERTY OWNER INFORMATION2
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Jurisdictional Determination Request
Version: May 2017 Page 3

D. PROPERTY ACCESS CERTIFICATION3,4

By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.

Print Name
Capacity: Owner Authorized Agent5

Date

Signature

E. REASON FOR JD REQUEST: (Check as many as applicable)

I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:___________________________________________________________________
_______________________________________________________________________
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Jurisdictional Determination Request
Version: May 2017 Page 4

F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)

I am requesting that the Corps provide a preliminary JD for the property identified herein.

A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be “waters of the United States” or “navigable waters of the United States”on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional “waters of
the United States”. PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
“preliminary” in the sense that an approved JD can be requested at any time. PJDs do
not expire.

I am requesting that the Corps provide an approved JD for the property identified herein.

An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional “waters of the United States” or “navigable waters of the United
States” are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other “affected
party” (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).

I am unclear as to which JD I would like to request and require additional information
to inform my decision.

G. ALL REQUESTS

Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.

Size of Property or Review Area acres.

The property boundary (or review area boundary) is clearly physically marked on the site.

Jurisdictional Determination Request
Version: May 2017 Page 5

H. REQUESTS FROM CONSULTANTS

Project Coordinates (Decimal Degrees): Latitude: ______________________
Longitude: ______________________

A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
 North Arrow
 Graphical Scale
 Boundary of Review Area
 Date
 Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
 Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
 Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
 Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non-jurisdictional (i.e.
“Isolated”, “No Significant Nexus”, or “Upland Feature”). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
 Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.

Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)

____________________________________________________________________________
6 Please refer to the guidance document titled “Survey Standards for Jurisdictional Determinations” to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
Jurisdictional Determination Request
Version: May 2017 Page 6

Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form7 and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form8

Vicinity Map

Aerial Photograph

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)

Landscape Photos (if taken)

NCSAM and/or NCWAM Assessment Forms and Rating Sheets

NC Division of Water Resources Stream Identification Forms

Other Assessment Forms

_____________________________________________________________________________
7 www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
8 Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/

Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory authorities referenced above. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD)
FORM BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 11/27/2017
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Darrin Peine of S&ME, Inc.
9751 Southern Pine Blvd, Charlotte, NC 28273
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Alamance City: Burlington
Center coordinates of site (lat/long in degree decimal format):
Lat.: 36.063080 Long.: -79.507257
Universal Transverse Mercator: NAD83
Name of nearest waterbody: Back Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALTHAT APPLY): Office (Desk)
☐ Determination. Date:
☐ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH “MAY BE” SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e.,
wetland vs. non-
wetland waters)
Geographic authority
to which the aquatic
resource “may be”
subject (i.e., Section
404 or Section 10/404)
OW1 36.062566 -79.507043 0.67 ac non-wetland waters Section 404
W1 36.062935 -79.506215 0.05 ac wetland Section 404
W2 36.062350 -79.507770 0.02 ac wetland Section 404
1) The Corps of Engineers believes that there may be jurisdictional aquatic resources
in the review area, and the requestor of this PJD is hereby advised of his or her
option to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring “pre-
construction notification” (PCN), or requests verification for a non-reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant
can accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant’s
acceptance of the use of the PJD; (6) accepting a permit authorization (e.g., signing
a proffered individual permit) or undertaking any activity in reliance on any form of
Corps permit authorization based on a PJD constitutes agreement that all aquatic
resources in the review area affected in any way by that activity will be treated as
jurisdictional, and waives any challenge to such jurisdiction in any administrative or
judicial compliance or enforcement action, or in any administrative appeal or in any
Federal court; and (7) whether the applicant elects to use either an AJD or a PJD,
the JD will be processed as soon as practicable. Further, an AJD, a proffered
individual permit (and all terms and conditions contained therein), or individual permit
denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If, during an
administrative appeal, it becomes appropriate to make an official determination
whether geographic jurisdiction exists over aquatic resources in the review area, or
to provide an official delineation of jurisdictional aquatic resources in the review area,
the Corps will provide an AJD to accomplish that result, as soon as is practicable.
This PJD finds that there “may be” waters of the U.S. and/or that there “may be”
navigable waters of the U.S. on the subject review area, and identifies all aquatic
features in the review area that could be affected by the proposed activity, based on
the following information:
SUPPORTING DATA. Data reviewed for 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: .
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps: .
Corps navigable waters’ study: .
U.S. Geological Survey Hydrologic Atlas: .
USGS NHD data.
USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name:2016 Gibsonville, NC USGS Topographic
Quadrangle, 1:24,000 scale.
USDA Natural Resources Conservation Service Soil Survey. Citation:1983 Published Soil Survey of
Alamance County.
National wetlands inventory map(s). Cite name: .
State/Local wetland inventory map(s): .
FEMA/FIRM maps: .
100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
Photographs: Aerial (Name & Date):2014 NC One Map aerial orthoimagery.
or Other (Name & Date):Site photos taken 11-20-17.
Previous determination(s). File no. and date of response letter: .
Other information (please specify): .

IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the
Corps and should not be relied upon for later jurisdictional determinations.

_________________________ __________________________
Signature and date of Signature and date of
Regulatory Project Manager person requesting preliminary JD
(REQUIRED) (REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not
respond within the established time frame, the district may presume concurrence and no additional follow up
is necessary prior to finalizing an action.
Su bject Prop erty
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
11 " = 200 '
11-16-17
1335-17-075
ST MARK S CHURCH ROAD SENIO R LIVING SITEST MARKS CHURCH ROADBURLINGTON, AL AMANCE COUNT Y, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\SOIL.mxd plotted by jahn 11-16-20170 200 400(FE ET)
USDA-SCS SOIL SURVEY EXHIBIT
³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 1960 USDA-SCS ALAMANCE COUNTY, NCSOIL SURVEY. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURELOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEYINFORMATION, UNLESS STATED OTHERWISE.
SOILS:EcC3: ENON CLAY LOAM, SEVERELY ERODED SLOPING PHASE, 6-10%EeC: ENON LOAM, SLOPING PHASE, 6-10%EeD: ENON LOAM, STRONGLY SLOPING PHASE, 10-15%IbB2: IREDELL SANDY LOAM, ERODED GENTLY SLOPING PHASE, 2-6%Lc: LOCAL ALLUVIAL LAND, POORLY DRAINEDMbB2: MECKLENBURG LOAM, ERODED GENTLY SLOPING PHASE, 2-6%Mg: MODERATELY GULLIED LAND, HELENA, ENON, AND WILKES MATERALS, 6-25%
Su bject Prop erty
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
21 " = 300 '
11-16-17
1335-17-075
ST MARK S CHURCH ROAD SENIO R LIVING SITEST MARKS CHURCH ROADBURLINGTON, AL AMANCE COUNT Y, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\USGS.mxd plotted by jahn 11-16-20170 300 600(FE ET)
USGS TOPOGRAPHIC EXHIBIT
³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2016 USGS BURLINGTON, NC ANDGIBSONVILLE, NC TOPOGRAPHIC QUADRANGLES, 1:24,000 SCALE. THIS MAP IS FORINFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONS DISPLAYED AREAPPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION, UNLESS STATEDOTHERWISE.
OLD ST MARKS CHURCH
Su bject Prop erty
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
31 " = 150 '
11-16-17
1335-17-075
ST MARK S CHURCH ROAD SENIO R LIVING SITEST MARKS CHURCH ROADBURLINGTON, AL AMANCE COUNT Y, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\SITE_NR.mxd plotted by jahn 11-16-20170 200 400(FE ET)
2014 COLOR AERIAL EXHIBIT
³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2014 NCONEMAP.COM AERIALORTHIMAGERY LAYER. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURELOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEYINFORMATION, UNLESS STATED OTHERWISE.
!>
!>
!>
!>
Potential Jurisdictional Feature W10.05 acresPotential Jurisdictional Feature W10.05 acres
Potential Jurisdictional Feature OW10.67 acres
Potential Jurisdictional Feature W20.02 acres
Data Point 4
Data Point 3
Data Point 2
Data Point 1
.001.002
.003
.004
.005
.006
.007
.008
.009
.010
.012
.013
.014
.015 .016 .017
.018
.019
.020
.021
.022
.023
.024
.025
.026
.001
.002
.003
.004
.005
.006
.007
.008
.009
.010
.011
.012
.013
.014
.015
.016
.017
.018
.019
.001 .002
.003
.004
.005
.006
.007
.008
.009
.010
.011
.012.013.014
W1.002
W1.004
W1.006
W1.010
W1.018
W1.023
OW.003
OW.006
OW.013
OW.017
OW.019
W2.003
W2.005 W2.008
W2.012
Legend
!>Wetland Data Point
!>Upland Data Point
Culverts
Wetlands
Open Water
Subject Property
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.4
1 " = 100 '
11-21-17
1335-17-075ST MARKS CHURCH ROAD SENIOR LIVING SITEST MARKS CHURCH ROADBURLINGTON, ALAMANCE COUNTY, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\FEATURES.mxd plotted by jahn 11-21-20170 100 200
(FEET)FEATURE EXHIBIT³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2014 NCONEMAP.COM AERIALORTHIMAGERY LAYER. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURELOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEYINFORMATION, UNLESS STATED OTHERWISE.
Su bject Prope rtyElevation
ValueHigh : 10 00
Low : 400
HillshadeValueHigh : 10 00
Low : 0
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
51 " = 500 '
11-28-17
1335-17-075
ST MARKS CHURCH ROAD SENIOR LIVING SITEST MARKS CHURCH ROADBURLINGTON, ALAM ANCE COUNTY, N ORTH CARO LIN ADrawing Path: Q:\PROJECTS\2017\1335-17-075\LIDAR.mxd plotted by abentz 11-28-20170 500 1,000(FE ET)
LIDAR EXHIBIT
³
REFEREN CE:GIS BASE LAYERS WERE OBTAINED FROM THE 2007 NCONEMAP.COM DEM AND HILLSHADELAYERS. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONSDISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION,UNLESS STATED OTHERWISE.
OLD ST MARKS CHURCH
PUBHh
R4SBC
R5UBH
Su bject Prop erty
NWI Wetland s
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
61 " = 200 '
11-16-17
1335-17-075
ST MARK S CHURCH ROAD SENIO R LIVING SITEST MARKS CHURCH ROADBURLINGTON, AL AMANCE COUNT Y, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\NWI.mxd plotted by jahn 11-16-20170 200 400(FE ET)
NATIONAL WETLAND INVENTORY EXHIBIT
³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2017 USFWS NATIONAL WETLANDSINVENTORY DATASET. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURELOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEYINFORMATION, UNLESS STATED OTHERWISE.
OLD ST MARKS CHURCH
NHD Flo wline
NHD Wa terb ody
Su bject Prop erty
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
71 " = 200 '
11-16-17
1335-17-075
ST MARK S CHURCH ROAD SENIO R LIVING SITEST MARKS CHURCH ROADBURLINGTON, AL AMANCE COUNT Y, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\NHD.mxd plotted by jahn 11-16-20170 200 400(FE ET)
NATIONALY HYDROGRAPHY DATASET EXHIBIT
³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2017 USGS NATIONAL HYDROGRAPHYDATASET. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURE LOCATIONSDISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEY INFORMATION,UNLESS STATED OTHERWISE.
OLD ST MARKS CHURCH
Su bject Prop ertyFEMA Flood Zone
0.2 % Annua l Floo d Hazard
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.
81 " = 1,000 '
11-16-17
1335-17-075
ST MARK S CHURCH ROAD SENIO R LIVING SITEST MARKS CHURCH ROADBURLINGTON, AL AMANCE COUNT Y, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\FEMA.mxd plotted by jahn 11-16-20170 1,000 2,000(FE ET)
FEMA FLOODPLAIN INSURANCE EXHIBIT
³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2017 FEMA FlOOD INSURANCE DATASET FORALAMANCE COUNTY. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURELOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEYINFORMATION, UNLESS STATED OTHERWISE.
NC Division of Water Quality –Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11

41

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30*
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:

A. Geomorphology (Subtotal =_________) Absent Weak Moderate Strong
1a. 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
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _________)
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. Biology (Subtotal = _________)
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 0 0.5 1 1.5
25. Algae 0 0.5 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:

NC Division of Water Quality –Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11

41

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30*
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:

A. Geomorphology (Subtotal =_________) Absent Weak Moderate Strong
1a. 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
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _________)
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. Biology (Subtotal = _________)
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 0 0.5 1 1.5
25. Algae 0 0.5 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:

WETLAND DETERMINATION DATA FORM – Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:

Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):

Subregion (LRR or MLRA): Lat: Long: Datum:

Soil Map Unit Name: 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?
Hydric Soil Present?
Wetland Hydrology Present?
Yes
Yes
Yes
No
No
No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY

Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) True Aquatic Plants (B14) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (B10)
Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (B16)
Water Marks (B1) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
Water-Stained Leaves (B9) Microtopographic Relief (D4)
Aquatic Fauna (B13) 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):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
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. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Sapling Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (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 >50%
3 - Prevalence Index is ≤3.01
4 - Morphological Adaptations1 (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
1Indicators 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
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks
1Type: 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 (A1) 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 (A12) 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) 3Indicators 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: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:

Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):

Subregion (LRR or MLRA): Lat: Long: Datum:

Soil Map Unit Name: 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?
Hydric Soil Present?
Wetland Hydrology Present?
Yes
Yes
Yes
No
No
No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY

Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) True Aquatic Plants (B14) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (B10)
Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (B16)
Water Marks (B1) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
Water-Stained Leaves (B9) Microtopographic Relief (D4)
Aquatic Fauna (B13) 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):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
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. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Sapling Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (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 >50%
3 - Prevalence Index is ≤3.01
4 - Morphological Adaptations1 (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
1Indicators 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
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks
1Type: 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 (A1) 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 (A12) 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) 3Indicators 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: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:

Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):

Subregion (LRR or MLRA): Lat: Long: Datum:

Soil Map Unit Name: 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?
Hydric Soil Present?
Wetland Hydrology Present?
Yes
Yes
Yes
No
No
No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY

Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) True Aquatic Plants (B14) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (B10)
Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (B16)
Water Marks (B1) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
Water-Stained Leaves (B9) Microtopographic Relief (D4)
Aquatic Fauna (B13) 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):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
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. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Sapling Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (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 >50%
3 - Prevalence Index is ≤3.01
4 - Morphological Adaptations1 (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
1Indicators 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
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks
1Type: 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 (A1) 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 (A12) 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) 3Indicators 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: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:

Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):

Subregion (LRR or MLRA): Lat: Long: Datum:

Soil Map Unit Name: 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?
Hydric Soil Present?
Wetland Hydrology Present?
Yes
Yes
Yes
No
No
No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY

Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) True Aquatic Plants (B14) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Hydrogen Sulfide Odor (C1) Drainage Patterns (B10)
Saturation (A3) Oxidized Rhizospheres on Living Roots (C3) Moss Trim Lines (B16)
Water Marks (B1) Presence of Reduced Iron (C4) Dry-Season Water Table (C2)
Sediment Deposits (B2) Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (C8)
Drift Deposits (B3) Thin Muck Surface (C7) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Other (Explain in Remarks) Stunted or Stressed Plants (D1)
Iron Deposits (B5) Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7) Shallow Aquitard (D3)
Water-Stained Leaves (B9) Microtopographic Relief (D4)
Aquatic Fauna (B13) 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):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
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. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Sapling Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
= Total Cover
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (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 >50%
3 - Prevalence Index is ≤3.01
4 - Morphological Adaptations1 (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation1 (Explain)
1Indicators 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
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks
1Type: 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 (A1) 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 (A12) 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) 3Indicators 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
NC Division of Water Quality –Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11

41

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30*
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:

A. Geomorphology (Subtotal =_________) Absent Weak Moderate Strong
1a. 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
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _________)
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. Biology (Subtotal = _________)
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 0 0.5 1 1.5
25. Algae 0 0.5 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:

NC Division of Water Quality –Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11

41

NC DWQ Stream Identification Form Version 4.11
Date: Project/Site: Latitude:
Evaluator: County: Longitude:
Total Points:
Stream is at least intermittent
if ≥ 19 or perennial if ≥ 30*
Stream Determination (circle one)
Ephemeral Intermittent Perennial
Other
e.g. Quad Name:

A. Geomorphology (Subtotal =_________) Absent Weak Moderate Strong
1a. 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
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _________)
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. Biology (Subtotal = _________)
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 0 0.5 1 1.5
25. Algae 0 0.5 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:

St Marks Church Road Senior Living Site
St. Marks Church Road
Burlington, Alamance County, North Carolina
S&ME Project No. 1335-17-075
Taken by: Justin Ahn Date Taken: 11/20/2017
1
1 A view of the eastern portion of potentially jurisdictional
wetland, W1, located in the eastern portion of the subject
property, facing northeast.
2 A view of the western portion of the potentially
jurisdictional wetland, W1, located in the eastern portion of
the subject property, facing west.
3 A view of pond OW1, located in the southern portion of
the subject property, facing west. 4 A second view of pond OW1, located in the southern
portion of the subject property, facing east, southeast.
St Marks Church Road Senior Living Site
St. Marks Church Road
Burlington, Alamance County, North Carolina
S&ME Project No. 1335-17-075
Taken by: Justin Ahn Date Taken: 11/20/2017
2
5 View of a potentially non-jurisdictional ditch located in the
southwestern portion of the subject property, facing east. 6 A second view of a potentially non-jurisdictional ditch
located in the southwestern portion of the subject
property, facing west.
7 A view of a potential jurisdictional wetland, W2, located in
the southwestern portion of the subject property, facing
north
8 A view of a potential jurisdictional wetland, W2, located in
the southwestern portion of the subject property, facing
east.
!>
!>
!>
!>
!>
!>
Potential Jurisdictional Feature W10.05 acres
Potential Jurisdictional Feature OW10.67 acres
Potential Jurisdictional Feature W20.02 acres
Data Point 3
Stream Form 2
Legend
!>Stream Form
!>Wetland Data Point
!>Upland Data Point
Culverts
Zone 1 and 2 Buffers
30ft_buffer
Wetlands
Open Water
Subject Property
SCALE:
DATE:
PROJECT NUMBER
FIGURE NO.4
1 " = 75 '
11-28-17
1335-17-075ST MARKS CHURCH ROAD SENIOR LIVING SITEST MARKS CHURCH ROADBURLINGTON, ALAMANCE COUNTY, NORTH CAROLINADrawing Path: Q:\PROJECTS\2017\1335-17-075\FEATURES.mxd plotted by abentz 01-12-20180 100 200
(FEET)FEATURE EXHIBIT³
REFERENCE:GIS BASE LAYERS WERE OBTAINED FROM THE 2014 NCONEMAP.COM AERIALORTHIMAGERY LAYER. THIS MAP IS FOR INFORMATIONAL PURPOSES ONLY. ALL FEATURELOCATIONS DISPLAYED ARE APPROXIMATED. THEY ARE NOT BASED ON CIVIL SURVEYINFORMATION, UNLESS STATED OTHERWISE.