20191401 Ver 1_B4931_PreliminaryJD_Request_20191014

Jurisdictional Determination Request
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination QD) 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/RegulatoryPermitPro rg am.aspx , by
telephoning: 910-251-4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE
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]
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E and F.
If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
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.
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.
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
RPcrmirr`PQ Cnnean7atinn CPm71!`P nrinr to etartincr Az7n1-lr
Version: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: N/A Linear Transportation Project
City, State: Pinetops, North Carolina
County: Edgecombe
DirectivriS: See Figure 1: Vicinity Map
Parcel Index Number(s) (PIN): N/A (Linear Transportation Project)
B. REQUESTOR INFORMATION
Name: NCDOT; ATTN: Chris Rivenbark, Natural Environment Section
Mailing Address: 1598 Mail Service Center; Raleigh, NC 27699-1598
Telephone Number: [phone]
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: NCDOT; ATTN: Chris Rivenbark, Natural Environment Section
Mailing Address: 1598 Mail Service Center
Raleigh, NC 27699-1598
Telephone Number: [phone]
Electronic Mail Address i: [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)
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
Date
17 I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
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/project area for the presence or
absence of WOUS5 and provide an approved 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

F.
❑�
❑✓
LI_
G.
Jurisdictional Determination Request
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 12.52
acres
I 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.
JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑✓
Completed and signed Preliminary Jurisdictional Determination Form6.
Project Coordinates: 35.798478
Latitude-77.591359
Maps (no larger than 11x17) with Project Boundary Overlay:
Longitude
❑✓ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
❑✓ USGS Topographic Map
Z 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:
❑✓ Wetland Data Sheets
Tributaries:
❑ 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
(2) Approved 7Ds 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://www.usace.army.miI/Missions/CivilWorks/ReguIatoryProgramandPermits/reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://Portal.ncdenr.org/c/document library/get file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&groupld=38364 and,
htto://www.saw.usace.armv.mil/Portals/59/docs/reeulatorv/Dublicnotices/2013/NCSAM Draft User Manual 130318.odf
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:
❑ Wetland Data Sheets9
Tributaries:
❑ 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"xl7"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"xl7", 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. Uponverification, the Corps can electronically sign these
nn nlate ad ratrn therm vmil ia a-ato flip rpn ipcfr\r
(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
❑ Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
❑ 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
❑ 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 7D 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 «ToT TS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
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:
❑ be at sub -meter accuracy at each survey point.
❑ 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).
❑ 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:
NCDOT; ATTN: Chris Rivenbark, Natural Environment Section
1598 Mail Service Center; Raleigh, NC 27699-1598
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: Pinetops
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.798478 ON; Long. 77.591359
OW.
Universal Transverse Mercator: 18
Name of nearest waterbody: Town creek
Identify (estimate) amount of waters in the review area:
Non -wetland waters:
1,326 linear feet: 5-65 width (ft) and/or NSA acres.
COwardln Class: Riverine
Stream Flow: Perennial (Town Creek, SB)
Wetlands: 0.2 acres.
COwardln Class: Palustrine
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: N/A
Non -Tidal: N/A
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: NCOOT
❑ 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: 1:24,000-Old Sparta
❑✓ USDA Natural Resources Conservation Service Soil Survey.
Citation: Edgecombe County Area, 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: ❑✓ 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.

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 bV the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
Digitally signed by Jason
Dilday
Jason Di ay Date: 2019.10.0910:19:50
-04'00'
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)
11

Estimated
Site
Cowardin
amount of
Class of
number
Latitude
Longitude
Class
aquatic
aquatic
resource in
resource
review area
Town
35.798210
-77.591357
Riverine
1,080 linear
Non -section
Creek
feet
10 — non -tidal
SB
35.232487
-77.821421
Riverine
136linear
Non -section
feet
10 — non -tidal
WA
35.799846
-77.591087
Palustrine
0.2 acre
Non -section
10 — wetland

N
1 3
r ncev,�o7
ccky
m u11t 2s
'E . G �E C-0 M � 13 E "•I IT
" 1"
F4+i7
9Y #
� T rhory ,
1 H
7' �� 1 42, •"11i
17
t P In' • a:a ��
�3
l2a_: 13
42 f rFi, ,• r
Wilson+„L
2221 3
Icon Nu.[ ♦ t ` ,—L Il if it�u' ..0 �'-.
21
1166
1123
1124 '
Plnetops 1366
916g 1367
12
120o B-4931
1604
1361
1301 1335
1297
258
1109 1120 1613 1612
1121 1409
O Other Nearby STIP Project
12
aF "0Rr" o VICINITY MAP
NORTH CAROLINA DEPARTMENT
: 7TI
OF TRANSPORTATION Replace Bridge No. 22 on US 258 0 0.75 Div 4 B 931 Figure
4
DIVISION OF HIGHWAYS over Town Creek in Edgecombe County
PROJECT DEVELOPMENT AND Date:2015
�s ENVIRONMENTAL ANALYSIS UNIT TIP Project B-4931
Miles �DECEMBER
o� »►h

46
-- A "r
Legend
Project Study Area
0 500 1,000
Feet
P
24.1
Figure 2: Project Study Area Map
TIP B-4931
Replace Bridge No. 22 on US 258 over Town Creek
Edgecombe County, NC

Y ; ' t •,, �y fQ
'411VIM3 A.
r
..'+fir!}+ yy - r .�•# k
V To wn�
CreekE
•� r ° f
OV
FIT
r
ti it '. Yet. 258 «•r 'y5 �, 31 ; •s
> r ,� #k
, `
N �
IV
Fi
414
•'' it
Legend
Streams
Wetlands
" ` * Project Study Area
0 200 400
Feet
41
Figure 3: Jurisdictional Features Map
TIP B-4931
Replace Bridge No. 22 on US 258 over Town Creek
Edgecombe County, NC

Map Unit Symbol Map Unit Name Hydric
Lu Lumbee fine sandy loam Yes
Pt Pits N/A
TaB Tarboro loamy sand, Oto 6 percent slopes No
D ,
`"-- Pa
J
i _
Legend
h �J
Project Study Area a j eBJOB-
0 500 1,000.
Feet _-
aB I
Figure 4: NRCS Soil Survey Map
Edgecombe, 1979
TIP B-4931
Replace Bridge No. 22 on US 258 over Town Creek
Edgecombe County, NC

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
Stream SB
Date: 6/6/2016
Project/Site:
TIP #13-4931
Latitude: 35.799535
Evaluator: B. Reed (Kimley-Horn)
J. Hartshorn (Kimley-Horn
n)
County : Edgecombe
Longitude:-77.590662
Total Points: 31.25
Stream is at least intermittent
Stream Determination (cir
Other
Old Sparta Quad
Ephemeral Intermitten Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30
SB
B-4931
A. Geomorphology Subtotal = 16
Absent
Weak
Moderate
Strong
Score
1a. Continuity of channel bed and bank
0
1
2
3
2
2. Sinuosity of channel along thalweg
0
1
2
3
2
3. In -channel structure: ex. riffle -pool, step -pool, ripple
pool sequence
0
1
2
3
2
4. Particle size of stream substrate
0
1
2
3
2
5. Active/relic floodplain
0
1
2
3
1
6. Depositional bars or benches
0
1
2
3
1
7. Recent alluvial deposits
0
1
2
3
2
8. Headcuts
0
1
2
3
0
9. Grade control
0
0.5
1
1.5
0
10. Natural valley
0
0.5
1
1.5
1
11. Second or greater order channel
No = 0
Yes = 3
3
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 8.5
12. Presence of Baseflow
0
1
2
3
2
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
1
15. Sediment on plants or debris
0
0.5
1
1.5
1
16. Organic debris lines or piles
0
0.5
1
1.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Biology Subtotal = 6.75
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos (note diversity and abundance)
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
0
23. Crayfish
0
0.5
1
1.5
0
24. Amphibians
0
0.5
1
1.5
0
25. Algae
0
0.5
1
1.5
1
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5; Other = 0
0.75
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Stream SB is a small perennial tributary of Town Creek within the study corridor.
The bankful width is 3-5' with a height of 14. The water is clear and 2-6" deep.
SB has a moderate flow and a sandy substrate. Algae has formed on the
streambed behind organic debris lines.

North Carolina Division of Water Quality - Stream Identification Form, Version 4.11
Town Creek
Date: 6/6/2016
Project/Site:
TIP #13-4931
Latitude: 35.798176
Evaluator: B. Reed (Kimley-Horn)
J. Hartshorn (Kimley-Horn
n)
County : Edgecombe
Longitude:-77.591345
Total Points: 41.75
Stream is at least intermittent
Stream Determination (cir
Other
Old Sparta Quad
Ephemeral Intermitten Perennial
e.g. Quad Name:
if >_ 19 or perennial if >_ 30
Town
Creek
B-4931
A. Geomorphology Subtotal = 21.5
Absent
Weak
Moderate
Strong
Score
1a. Continuity of channel bed and bank
0
1
2
3
3
2. Sinuosity of channel along thalweg
0
1
2
3
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple
pool sequence
0
1
2
3
2
4. Particle size of stream substrate
0
1
2
3
2
5. Active/relic floodplain
0
1
2
3
3
6. Depositional bars or benches
0
1
2
3
2
7. Recent alluvial deposits
0
1
2
3
2
8. Headcuts
0
1
2
3
0
9. Grade control
0
0.5
1
1.5
0
10. Natural valley
0
0.5
1
1.5
1.5
11. Second or greater order channel
No = 0
Yes = 3
3
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 9.5
12. Presence of Baseflow
0
1
2
3
3
13. Iron oxidizing bacteria
0
1
2
3
0
14. Leaf litter
1.5
1
0.5
0
1
15. Sediment on plants or debris
0
0.5
1
1.5
1
16. Organic debris lines or piles
0
0.5
1
1.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
3
C. Biology Subtotal = 10.75
18. Fibrous roots in streambed
3
2
1
0
2
19. Rooted upland plants in streambed
3
2
1
0
3
20. Macrobenthos (note diversity and abundance)
0
1
2
3
0
21. Aquatic Mollusks
0
1
2
3
0
22. Fish
0
0.5
1
1.5
1.5
23. Crayfish
0
0.5
1
1.5
1.5
24. Amphibians
0
0.5
1
1.5
1.5
25. Algae
0
0.5
1
1.5
0.5
26. Wetland plants in streambed
FACW = 0.75; OBL
= 1.5; Other = 0
0.75
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Town Creek is a perennial coastal plain stream within the study corridor. The
bankful width is roughly 65' with a height of 8'. The water is slightly turbid and 2-
4' deep. Town Creek has a moderate flow and a sandy substrate. Organic debris
lines have formed in the stream.

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjectiSite: TIP# B-4931 City/County: Edgecombe Sampling Date: 6/8/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WA -UP
Investigator(s)B. Reed & 1. Hartshorn (Kimley-Horn) Section, Township, Range: Sparta
Landform (hiilslope, terrace, etc.): Hillslope Local relief (concave, convex, none): Convex slope (%)- 0-2%
Subregion (LRR or MLRA): LRR P Lat: 35.799934 Long:-77.590928 Datum: NAD83
Soil Map unit Name: TaB - Tarboro loamy sand, 0 to 6 percent slopes NWl classification: None
Are climatic f hydro] 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 Soil Present? Yes _ No _ within a Wetland? Yes No
J
Wetland Hydrology Present? Yes _ No-9
Remarks
Data point WA -UP was taken on a hillslope, roughly 10' upslope and 1' higher in elevation than
the wetland data point WA.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is reguired� check all that apply)
Secondary
Indicators (minimum of two required]
❑
Surface Soil Cracks (B6)
Sparsely Vegetated Concave Surface (B8)
Drainage Patterns (1310)
Moss Trim Lines (1316)
Dry -Season Water Table (C2)
Crayfish Burrows (CB)
Saturation Visible on Aerial Imagery (C9)
Geomorphic Position (132)
Shallow Aquitard (D3)
FAC-Neutral Test (D5)
Sphagnum moss (DO) (LRR T, U)
Surface Water (At) ❑Aquatic Fauna (B13)
High Water Table (A2) Marl Deposits (B15) (LRR U)
Saturation (A3) Hydrogen Sulfide odor (C7)
Water Marks (81) Oxidized Rhizospheres along Living Roots (C3)
Deposits (132) Presence of Reduced Iron (C4)
Drift Deposits (133) Recent Iron Reduction in Tilled Soils (C6)
Mat or Crust (134) Thin Muck Surface (C7)
Iron Deposits (135) Other (Explain in Remarks)
Visible on Aerial Imagery (B7)
ater-Stained Leaves (139)
,Sediment
❑Algal
Bnundation
Field Observations:
Surface Water Present? Yes
Water Table Present? Yes
Saturation Present? Yes
includes capillary fringe)
_ No- 4,Depth (inches): N/A
No Depth (inches): > 18
_ No ✓ Depth (inches): > 18
Wetland hydrology
Present? Yes ❑. No 2.
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections], if available
Remarks:
No primary or secondary hydrology indicators were observed at WA -UP.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA -UP
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30' )
% Cover
Species? Status
Number of Dominant Species
9
1.
Liquidambar styraciflua
10%
Y
FAC
That Are OBL, FACW, or FAC: (A)
2.
Acer rubrum
5%
Y
FAC
3.
Liriodendron tulipifera
5%
Y
FACU
Total Number of Dominant
Species Across All Strata: 11 (B)
4.
Carpinus caroliniana
5%
Y
FAC
5.
Percent of Dominant Species 81 8%
That Are OBL, FACW, or FAC: (A1B)
6.
Prevalence Index worksheet:
7.
8
Total % Cover of: Multiply by:
25%
= Total Cover
OBL species x 1 =
0
50 /o of total cover:
0 0
12./0 5 20 /o of total cover:
o
/o 5
FACW species x 2=
Sapling/Shrub Stratum (Plot size: 30'
)
FAC species x 3 =
1.
Carpinus caroliniana
100/0
Y
FAC
FACU species x 4 =
2.
Ligustrum sinense
10%
Y
FAC
UPL species x 5 =
3.
Acer rubrum
5%
N
FAC
Column Totals: (A) (B)
4.
Nyssa biflora
5%
N
OBL
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'
30%
= Total Cover
_
_ Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
15% 20% of total cover: 6%
Herb Stratum (Plot size: 30' )
'Indicators of hydric soil and wetland hydrology must
1.
Woodwardia areolata
10%
Y
OBL
be present, unless disturbed or problematic.
2.
Woodwardia virginica
5%
Y
OBL
Definitions of Four Vegetation Strata:
3.
Microstegium vimineum
5%
Y
FAC
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.
20%
= Total Cover
50% of total cover:
10% 20% of total cover:
4%
Woody Vine Stratum (Plot size: 30'
)
1.
Toxicodendron radicans
5%
Y
FAC
2.
Parthenocissus quinquefolia
5%
Y
FACU
3.
4.
Hydrophytic
Vegetation
✓ Ll
5.
10% = Total Cover
50% of total cover:
5% 20% of total cover:
2%
Present? Yes No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

SOIL
Sampling Point: WA -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
0-6" 10YR 2/2 1000/0
Loam
6-12" 10YR 3/2 100%
Loam
12-18" 10YR 4/2 100%
Sandy 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 Soils3:
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 15313)
❑
❑
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence (A8) (LRR U)
❑
❑
Depleted Dark Surface (F7)
Redox Depressions (F8)
Red Parent Material (TF2)
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)
Sandy Gleyed Matrix
Delta Ochric (F17) (MLRA 151)
Reduced Vertic 150A, 15013)
unless disturbed or problematic.
❑
(S4)
Sandy Redo. (S5)
❑
(F18) (MLRA
Piedmont Floodplain Soils (F19) (MLRA 149A)
❑
Stripped Matrix (S6)
❑
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
0
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth
Hydric Soil Present? Yes No ❑✓
(inches):
_LL
Remarks:
WA -UP soils were dry and friable throughout the 18" profile.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProjectiSite: TIP# B-4931 City/County: Edgecombe Sampling Date: 6/8/2016
Applicant/Owner: NCDOT State: NC Sampling Point: WA -WET
Investigators) B. Reed & 1. Hartshorn (Kimley-Horn) Section, Township, Range: Sparta
Landform (hiilslope, terrace, etc.): Hillslope Local relief (concave, convex, none): None slope (%): 2%
Subregion (LRR or MLRA): LRR P Lat: 35.799846 Long:-77.591083 Datum_ NAD83
Soil Map Unit Name: TaB - Tarboro loamy sand, 0 to 6 percent slopes Nwl classification: None
Are climatic f hydro] 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 m 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 n n Hydric Soil Present? Yes ✓ _ No _ within a Wetland? Yes I� No J�
Wetland Hydrology Present? Yes _ No
Remarks
WA is a headwater forest wetland beginning at many groundwater seeps. WA slopes down to SB
which drains to Town Creek within the study area.
HYDROLOGY
Wetland Hydrology Indicators:
Surface Water (At)
High Water Table (A2)
Saturation (A3)
Water Marks (81)
Sediment Deposits (132)
Drift Deposits (B3)
Algal Mat or Crust (134)
❑Iron Deposits (B5)
HI n u ndation Visible on Aerial Imagery (B7)
Water -Stained Leaves (139)
Field Observations:
Aquatic Fauna (B13)
Marl Deposits (B15) (LRR U)
Hydrogen Sulfide odor (C7)
Oxidized Rhizospheres along Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Surface Soil Cracks (B6)
Sparsely Vegetated Concave Surfaoe (M)
Drainage Patterns (1310)
Moss Trim Lines (B16)
Dry -Season Water Table (C2)
Crayfish Burrows (CB)
Saturation Visible on Aerial Imagery (C9)
Geomorphic Position (132)
Shallow Aquitard (D3)
FAC-Neutral Test (D5)
Sphagnum moss (DO) (LRR T, U)
Surface Water Present? Yes No- 4,Depth (inches): N/A
Water Table Present? Yes - No Depth (inches): > 18��
Saturation Present? Yes_ No Depth (inches): 10" Wetland hydrology Present? Yes©. No E:1.
(includes caoillary frinoe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available
Remarks -
WA is a headwater wetland primarily influenced by groundwater.
US Army Corps of Engineers Atlantic and Guff Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA -WET
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30'
)
% Coover
Species?
Status
Number of Dominant Species 12
1.
Acer rubrum
30 /o
Y
FAC
That Are OBL, FACW, or FAC: (A)
2.
Betula nigra
20%
Y
FACW
3.
Liquidambar styracfflua
20%
Y
FAC
Total Number of Dominant
Species Across All Strata: 12 (B)
4.
Carpinus caroliniana
100/0
N
FAC
5.
Ulmus americana
100/o
N
FAC
Percent of Dominant Species
1000/o
That Are OBL, FACW, or FAC: (A1B)
6.
Prevalence Index worksheet:
7.
8
Total % Cover of: Multiply by:
90%
= Total Cover
OBL species x 1 =
0
50 /o of total cover:
0 0
45 /0 20 /o of total cover:
o
18 /o
FACW species x 2=
Sapling/Shrub Stratum (Plot size: 30'
)
FAC species x 3 =
1.
Nyssa biflora
20%
Y
OBL
FACU species x 4 =
2.
Ligustrum sinense
20%
Y
FAC
UPL species x 5 =
3.
Carpinus caroliniana
20%
Y
FAC
Column Totals: (A) (B)
4.
Acer rubrum
100/0
N
FAC
Prevalence Index = B/A =
5.
Magnolia grandiflora
100/0
N
FAC
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7.
X 2 - Dominance Test is >50%
8.
3 - Prevalence Index is :53.0'
80%
= Total Cover
_
_ Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
40% 20% of total cover:
160/n
Herb Stratum (Plot size: 30'
)
'Indicators of hydric soil and wetland hydrology must
1.
Saururus cernuus
25%
Y
OBL
be present, unless disturbed or problematic.
2.
Woodwardia virginica
20%
Y
OBL
Definitions of Four Vegetation Strata:
3.
Woodwardia areolata
20%
Y
OBL
Impatiens capensis
100/0
N
FACW
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
4
more in diameter at breast height (DBH), regardless of
5.
Microstegium vimineum
100/0
N
FAC
height.
g
Polygonnm sp.
100/0
N
FAC
Sapling/Shrub - Woody plants, excluding vines, less
7.
Boehmeria cylindrica
5%
N
FACW
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:
30' )
1.
Campsis radicans
5%
Y
FAC
2.
Smile rotundifolia
5%
Y
FAC
3.
Toxicodendron radicans
5%
Y
FAC
4.
Hydrophytic
Vegetation
5.
19% = Total Cover
50% of total cover:
7.50/0 20% of total cover:
3%
Present? Yes _ _ No _
Remarks: (If observed, list morphological adaptations below).
WA has an herbaceous layer that blankets the wetland.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

SOIL
Sampling Point: WA -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) % Type Loc Texture Remarks
04' 10YR 3/1 1000/0
Loam
4-10" 10YR 4/1 100%
Loam
10-18" 10YR 5/1 90% 10YR 5/8 10% C M Sandy 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 Soils3:
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 15313)
❑
❑
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence (A8) (LRR U)
❑
❑
Depleted Dark Surface (F7) Red Parent Material (TF2)
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)
Sandy Gleyed Matrix
Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Reduced Vertic 150A, 15013)
❑
(S4)
Sandy Redo. (S5)
❑
(F18) (MLRA
Piedmont Floodplain Soils (F19) (MLRA 149A)
❑
Stripped Matrix (S6)
❑
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
0
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth
Hydric Soil Present? Yes jzL No ❑
(inches):
Remarks:
The sampled soil was saturated at 10", though the water table was not observed in the upper
18". Saturation is likely from recent rainfall seeping through the upper surface.
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0