20191461 Ver 1_Poole RD-17061_PreJD_02282019_DRAFT_20191025

lly/ af'w1609
NORTH CAROLINA
August 30, 2018
Mr. Ross Sullivan
USACE
3331 Heritage Trade Dr. Suite 105
Wake Forest, N.C. 27587
[e-mail]
SUBJECT: City of Raleigh Proposed
Widening Poole Road from Maybrook Drive/Hickory Hollow Lane to
Barwell Road
Wake County, North Carolina
Dear Mr. Sullivan,
Enclosed is a draft Preliminary Jurisdictional Determination (PJD) package for your review,
which includes the following attachments:
■ Figure 1 -Vicinity Map
■ Figure 2 - USGS Quad Map
• Figure 3 - Water Resources
■ USACE Wetland Determination Data Form
■ NCWAM Forms
■ NCSAM Form
■ Preliminary JD Form
■ Jurisdictional Determination Request
Form
• USACE Upland Data Form
Landowner property access notification letters have been mailed and include reference to
the USACE site visit.
In reference to page 11
of the JD Request Form,
the GPS equipment
utilized to locate
features on this project
was the Trimble® R1'""
sub -meter accurate
GPS receiver.
The following tables provide a summary of stream and wetland characteristics for features
within the project study area.
One Exchange Plaza City of Raleigh Municipal Building
1 Exchange Plaza, Suite 1020 Post Office Box 590 •Raleigh 222 West Hargett Street
Raleigh, North Carolina 27601 North Carolina 27602-0590 Raleigh, North Carolina 27601
(Mailing Address)
Printed on Recycled Paper

Table 1. Streams in the study area
Strea
NCDWR
Best Usage
Bank
Bankfull
Dept
in
Map ID
Index
Classificatio
Height
width
h (in)
Name
Number
n
(ft)
(ft)
SA
SA
6-64
C NSW
1.0
3.0
0.5
Table 2. Characteristics of jurisdictional streams in the study area
Compensatory
River
Length
Figure
Map ID
Classification
Mitigation
Basin
(f)
Number
Required
Buffer
SA*
80.5
Perennial
Yes
Yes
3-1
Total
80.5
Table 3. Characteristics of jurisdictional wetlands in the study area
Area
Figure
NCWAM
NCWAM
Hydrologic
Map ID
Number
Classification
Rating
Classification
I Study
Area
Bottomland
WA
3-1
Medium
Riparian
0,02
Hardwood Forest
Bottomland
WB
3 2
Low
Riparian
0,11
Hardwood Forest
Total
0.13
Please contact me at [phone] ([e-mail]) or our consultant, Pete
Stafford at [phone] ([e-mail]) if you have any questions or need
additional information.
Sincerely,
Tim Athy P.E., Senior Engineer
City of Raleigh, Engineering Services Department
Roadway Design & Construction Division
cc: Stephanie Goss, Environmental Specialist, NCDWR
One Exchange Plaza City of Raleigh Municipal Building
1 Exchange Plaza, Suite 1020 Post Office Box 590 •Raleigh 222 West Hargett Street
Raleigh, North Carolina 27601 North Carolina 27602-0590 Raleigh, North Carolina 27601
(Mailing Address)
Printed on Recycled Paper

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CITY OF RALEIGH
r_1 Project Study Area
Delineated Streams
POOLE ROAD IMPROVEMENT
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WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Poole Road Improvements City/County: Wake Sampling Date: 3/22/2018
Applicant/Owner: City of Raleigh State: NC Sampling Point: WA
Investigator(s): Pete Stafford Section, Township, Range: N/A
Landform (hillslope, terrace, etc.): Floodplain Local relief (concave, convex, none): Slope (%): 2-4
Subregion (LRR or MLRA): LRR-N Lat: 35.7595585 Long:-78.5509466 Datum: NAD 83
Soil Map Unit Name: RgC (Rawlins -Rion complex, 6 to 10 percent slopes) NWI classification: N/A
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? NO Are "Normal Circumstances" present? Yes I 7 I No ❑
Are Vegetation ❑ Soil ❑, or Hydrology ❑ naturally problematic? NO (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 NoF___1 Is the Sampled Area
Hydric Soil Present? Yes NoF___­l within a Wetland? Yes Q No
Wetland Hydrology Present? Yes NoF I
Remarks:
Wetland hydrology, hydrophytic vegetation and hydric soils are present at this location.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary
Indicators (minimum of two required)
❑
❑
Surface Soil Cracks (136)
Sparsely Vegetated Concave Surface (138)
Primary Indicators (minimum of one is required; check all that apply)
❑✓ Surface Water (Al) ❑ True Aquatic Plants (1314)
❑✓ High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
❑✓
Drainage Patterns (1310)
Q Saturation (A3)
❑ Oxidized Rhizospheres on Living Roots (C3)
❑
Moss Trim Lines (B16)
❑✓ Water Marks (131)
❑ Presence of Reduced Iron (C4)
❑
Dry -Season Water Table (C2)
❑ Sediment Deposits (62)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑
Crayfish Burrows (C8)
❑ Drift Deposits (133)
❑ Thin Muck Surface (C7)
❑
Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134)
❑ Other (Explain in Remarks)
❑
Stunted or Stressed Plants (D1)
HIron Deposits (135)
❑
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑
Shallow Aquitard (D3)
❑J Water -Stained Leaves (69)
❑
Microtopographic Relief (D4)
❑ Aquatic Fauna (B13)
❑
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
Depth (inches): 4
Water Table Present? Yes ✓ No
✓
Depth (inches): Surface
Surface
-
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology
Present? Yes No=
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology is present at
this location.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 3000 sq. ft. )
% Cover
Species? Status
Number of Dominant Species
7
1. Acer rubrum
40
Yes FAC
That Are OBL, FACW, or FAC: (A)
2. Liquidambar styraciflua
25
Yes FAC
Total Number of Dominant
7
3•
Species Across All Strata: (B)
4.
5•
Percent of Dominant Species o
1 OO.00 �o
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7
65
= Total Cover
Total % Cover of: Multiply by:
50% of total cover: 32.5
20% of total cover: 13
OBL species x 1 = 0
Sapling/Shrub Stratum (Plot size: 3000 sq. ft. )
FACW species x 2 = 0
1. Liquidambar styraciflua
25
Yes FAC
FAC species x 3 = 0
FACU species x 4 = °
UPL species x 5 = °
Column Totals: 0 (A) 0 (B)
Prevalence Index = B/A =
2. Acer rubrum 25 Yes FAC
3. Carpinus caroliniana 15 Yes FAC
4
5.
6.
Hydrophytic Vegetation Indicators:
7.
❑ 1 - Rapid Test for Hydrophytic Vegetation
8.
❑✓ 2 -Dominance Test is >50%
9
❑ 3 - Prevalence Index is <_3.0'
❑ 4 - Morphological Adaptations' (Provide supporting
65 = Total Cover
50% of total cover: 32.5
20% of
total cover: 13
Herb Stratum (Plot size: 3000 sq. ft. )
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation' (Explain)
1. Juncus effusus
10
Yes FAC
2. Carex sp.
5
No NI
3. Microstegium vimineum
5
Yes FAC
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
4. Ludwigia alternifolia
2
No FACW
Definitions of Four Vegetation Strata:
5. Cinna arundinacea
2
No FACW
6
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than or equal to 3.28 ft (1
10.
m) tall.
11.
Herb - All herbaceous (non -woody) plants, regardless
24
= Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover: 12
20% of total cover: 4.80000C
3000 s ft.
q
Woody vine - All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: )
height.
1. Toxicodendron radicans
2
No FAC
2. Lonicera japonica
3
No FACU
3, Smilax rotundifolia
3
No FAC
Hydrophytic
5. Vegetation
8 = Total Cover Present? Yes Y1 No
50% of total cover: 4 20% of total cover: 1.6
Remarks: (Include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is present at this location.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WA
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' Loc2
Texture Remarks
0-5 10YR 4/2
Sandy clay
5-16 1 CYR 5/2
1 CYR 4/4 20 C M
Sandy Clay loam
'Type: C=Concentration, D=Depletion, RM=Reduced
Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
❑ Histosol (Al)
❑ Dark Surface (S7)
❑ 2 cm Muck (A10) (MLRA 147)
❑ Histic Epipedon (A2)
❑ Polyvalue Below Surface (S8) (MLRA 147, 148) ❑ Coast Prairie Redox (A16)
❑ Black Histic (A3)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑ Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19)
❑ Stratified Layers (A5)
❑ Depleted Matrix (F3)
(MLRA 136, 147)
❑ 2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
❑ Very Shallow Dark Surface (TF12)
❑ Depleted Below Dark Surface (Al 1)
❑ Depleted Dark Surface (F7)
❑ Other (Explain in Remarks)
❑ Thick Dark Surface (Al2)
❑ 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? Yesa No
Remarks:
Hydric soils are present
at this location.
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Poole Road Improvements
Applicant/Owner: City of Raleigh
City/County: Wake
State: NC
Sampling Date: 3/22/2018
_ Sampling Point: Wb
Investigator(s): Pete Stafford Section, Township, Range: N/A
Landform (hillslope, terrace, etc.): Floodplain Local relief (concave, convex, none): Concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR-N Lat: 35.7542417 Long:-78.5330802 Datum: NAD 83
Soil Map Unit Name: RkA (Riverview fine sandy loam), 0 to 2 percent slope, occasionally flooded NWI classification: N/A
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? NO Are "Normal Circumstances" present? Yes I 7 I No ❑
Are Vegetation ❑ Soil ❑, or Hydrology ❑ naturally problematic? NO (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 NoF___1 Is the Sampled Area
Hydric Soil Present? Yes NoF___­l within a Wetland? Yes Q No
Wetland Hydrology Present? Yes NoF I
Remarks:
Wetland hydrology, hydrophytic vegetation and hydric soils are present at this location.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary
Indicators (minimum of two required)
❑
❑
Surface Soil Cracks (136)
Sparsely Vegetated Concave Surface (138)
Primary Indicators (minimum of one is required; check all that apply)
❑✓ Surface Water (Al) ❑ True Aquatic Plants (1314)
❑✓ High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
❑✓
Drainage Patterns (1310)
Q Saturation (A3)
❑ Oxidized Rhizospheres on Living Roots (C3)
❑
Moss Trim Lines (B16)
❑✓ Water Marks (131)
❑ Presence of Reduced Iron (C4)
❑
Dry -Season Water Table (C2)
❑ Sediment Deposits (62)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑
Crayfish Burrows (C8)
❑ Drift Deposits (133)
❑ Thin Muck Surface (C7)
❑
Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134)
❑ Other (Explain in Remarks)
❑
Stunted or Stressed Plants (D1)
HIron Deposits (135)
❑
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑
Shallow Aquitard (D3)
❑J Water -Stained Leaves (69)
❑
Microtopographic Relief (D4)
❑ Aquatic Fauna (B13)
❑
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ❑✓ No
Depth (inches): 3
Water Table Present? Yes ✓ No
✓
Depth (inches): Surface
Surface
-
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology
Present? Yes No=
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology is present at
this location.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: Wb
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 3000 sq. ft. )
% Cover
Species?
Status
Number of Dominant Species
7
1. Acer rubrum
40
Yes
FAC
That Are OBL, FACW, or FAC: (A)
2. Liquidambar styraciflua
25
Yes
FAC
3. Ulmus americana
20
Yes
FACW
Total Number of Dominant 7
Species Across All Strata: (B)
4.
5•
Percent of Dominant Species o
1 OO.00 �o
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7
85
= Total Cover
Total % Cover of: Multiply by:
50% of total cover: 42.5
20% of total cover: 17
OBL species x 1 = 0
Sapling/Shrub Stratum (Plot size: 3000 sq. ft. )
FACW species x 2 = 0
1. Liquidambar styraciflua
15
No
FAC
FAC species x 3 = 0
FACU species x 4 = °
UPL species x 5 = °
Column Totals: 0 (A) ° (B)
Prevalence Index = B/A =
2. Acer rubrum 20 Yes FAC
3. Carpinus caroliniana 15 No FAC
4. Ulmus americana 20 Yes FACW
5. Ligustrum sinense 10 No FACU
6. Illex opaca 5 No FACU
Viburnum nudum
5
No
OBE
Hydrophytic Vegetation Indicators:
7.
❑ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 -Dominance Test is >50%
9.
❑ 3 - Prevalence Index is 53.0'
❑ 4 -Morphological Adaptations (Provide supporting
90 = Total Cover
50% of total cover: 45
20% of
total cover: 18
Herb Stratum (Plot size: 3000 sq. ft. )
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation' (Explain)
1. Juncus effusus
5
Yes
FACW
2. Carex sp.
5
No
NI
3. Microstegium vimineum
5
Yes
FAC
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
4. Ludwigia alternifolia
2
No
FACW
Definitions of Four Vegetation Strata:
5. Cinna arundinacea
2
No
FACW
6
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than or equal to 3.28 ft (1
10.
m) tall.
11.
Herb - All herbaceous (non -woody) plants, regardless
19
= Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover: 9.5
20% of total cover: 3.80000C
3000 s ft.
q
Woody vine - All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: )
height.
1. Toxicodendron radicans
2
No
FAC
2. Lonicera japonica
3
No
FACU
3, Smilax rotundifolia
3
No
FAC
Hydrophytic
5. Vegetation
8 = Total Cover Present? Yes Y1 No
50% of total cover: 4 20% of total cover: 1.6
Remarks: (Include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is present at this location.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: Wb
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' Loc2
Texture Remarks
0-5 10YR 4/3 100
Sandy clay
5-16 1 CYR 5/2 60
1 CYR 4/4 20 C M
Sandy Clay loam
'Type: C=Concentration, D=Depletion, RM=Reduced
Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
❑ Histosol (Al)
❑ Dark Surface (S7)
❑ 2 cm Muck (A10) (MLRA 147)
❑ Histic Epipedon (A2)
❑ Polyvalue Below Surface (S8) (MLRA 147, 148) ❑ Coast Prairie Redox (A16)
❑ Black Histic (A3)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑ Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19)
❑ Stratified Layers (A5)
❑ Depleted Matrix (F3)
(MLRA 136, 147)
❑ 2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
❑ Very Shallow Dark Surface (TF12)
❑ Depleted Below Dark Surface (Al 1)
❑ Depleted Dark Surface (F7)
❑ Other (Explain in Remarks)
❑ Thick Dark Surface (Al2)
❑ 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? Yesa No
Remarks:
Hydric soils are present
at this location.
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Poole Road Improvements
Applicant/Owner: City of Raleigh
City/County: Wake
State: NC
Sampling Date: 3/22/2018
_ Sampling Point: WA WB upland
Investigator(s): Hal Bain Section, Township, Range: N/A
Landform (hillslope, terrace, etc.): Flood plain/Levee Local relief (concave, convex, none): Concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR-N Lat: 35.7542417 Long:-78.5330802 Datum: NAD 83
Soil Map Unit Name: RkA (Riverview fine sandy loam, 0 to 2 percent slope, occasionally flooded) NWI classification: N/A
Are climatic / hydrologic conditions on the site typical for this time of year? Yes F✓ No = (If no, explain in Remarks.)
Are Vegetation ❑, Soil or Hydrology significantly disturbed? NO Are "Normal Circumstances" present? Yes I 7 I No Q
Are Vegetation Soil �, or Hydrology naturally problematic? NO (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 ❑ No1­71 Is the Sampled Area
Hydric Soil Present? Yes ❑ NoF7 I within a Wetland? Yes Q No
Wetland Hydrology Present? Yes ❑ NoFTJ
Remarks:
Wetland hydrology, hydrophytic vegetation and hydric soils are present at this location.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary
Indicators (minimum of two required)
❑
❑
Surface Soil Cracks (136)
Sparsely Vegetated Concave Surface (138)
Primary Indicators (minimum of one is required; check all that apply)
❑ Surface Water (Al) ❑ True Aquatic Plants (1314)
❑ High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
❑
Drainage Patterns (1310)
❑ Saturation (A3)
❑ Oxidized Rhizospheres on Living Roots (C3)
❑
Moss Trim Lines (B16)
❑ Water Marks (131)
❑ Presence of Reduced Iron (C4)
❑
Dry -Season Water Table (C2)
❑ Sediment Deposits (62)
❑ Recent Iron Reduction in Tilled Soils (C6)
❑
Crayfish Burrows (C8)
❑ Drift Deposits (133)
❑ Thin Muck Surface (C7)
❑
Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (134)
❑ Other (Explain in Remarks)
❑
Stunted or Stressed Plants (D1)
HIron Deposits (B5)
❑
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑
Shallow Aquitard (D3)
❑ Water -Stained Leaves (69)
❑
Microtopographic Relief (D4)
❑ Aquatic Fauna (B13)
❑
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes = No
✓ Depth (inches): None
Water Table Present? Yes No
R
✓ Depth (inches):' 14
✓ 14
-
Saturation Present? Yes No
Depth (inches):'
Wetland Hydrology
Present? Yes No=
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology is not present at this location.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA WB upland
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 3000 sq. ft. )
% Cover
Species? Status
Number of Dominant Species
3
1. Quercus michauxii
30
Yes FACW
That Are OBL, FACW, or FAC: (A)
2. Liquidambar styraciflua
25
Yes FAC
3. Acer saccharum
20
No FACU
Total Number of Dominant 6
Species Across All Strata: (B)
4.
5•
Percent of Dominant Species o
50.00 �o
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7
75
= Total Cover
Total % Cover of: Multiply by:
50% of total cover: 37.5
20% of total cover: 15
OBL species ° x 1 = 0
Sapling/Shrub Stratum (Plot size: 3000 sq. ft. )
FACW species 2 x 2 = 4
1. Acer saccharum
30
Yes FACU
FAC species 4 x 3 = 12
FACU species 6 x 4 = 24
UPL species 1 x 5 = 5
Column Totals: 13 (A) 45 (B)
Prevalence Index = B/A = 3.46
2. Liqustrum sinense 10 No FACU
3. Euonymus americanus 10 No FAC
4. Ilex decidua 5 NO FACW
5.
6.
Hydrophytic Vegetation Indicators:
7.
❑ 1 - Rapid Test for Hydrophytic Vegetation
8.
❑ 2 -Dominance Test is >50%
9.
❑ 3 - Prevalence Index is 53.0'
❑ 4 -Morphological Adaptations (Provide supporting
55 = Total Cover
50% of total cover: 27.5
20% of
total cover: 11
Herb Stratum (Plot size: 3000 sq. ft. )
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation' (Explain)
1. Asarum canadense
25
Yes FACU
2. Microstegium vimineum
5
No FAC
3. Botrychium virginianum
5
No FACU
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
7.
8.
9.
10.
11.
50% of total cover: 17.5
Woody Vine Stratum (Plot size: 3000 sq. ft. )
1. Lonicera japonica 10
2. Toxicodendron radicans 10
3. Pueraria montana 2
= Total Cover
20% of total cover: 7
Yes FACU
Yes FAC
No UPL
cc = Total Cover
50% of total cover: 11 20% of total cover: 4.4
Remarks: (Include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is not present at this location.
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
heiaht.
Hydrophytic
Vegetation
Present? Yes No LZJ
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WA WB upland
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' Loc2
Texture Remarks
0-14 10YR 5/4 100
Loam
'Type: C=Concentration, D=Depletion, RM=Reduced
Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
❑ Histosol (Al)
❑ Dark Surface (S7)
❑ 2 cm Muck (A10) (MLRA 147)
❑ Histic Epipedon (A2)
❑ Polyvalue Below Surface (S8) (MLRA 147, 148) ❑ Coast Prairie Redox (A16)
❑ Black Histic (A3)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑ Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19)
❑ Stratified Layers (A5)
❑ Depleted Matrix (F3)
(MLRA 136, 147)
❑ 2 cm Muck (A10) (LRR N)
❑ Redox Dark Surface (F6)
❑ Very Shallow Dark Surface (TF12)
❑ Depleted Below Dark Surface (A11)
❑ Depleted Dark Surface (F7)
❑ Other (Explain in Remarks)
❑ Thick Dark Surface (Al2)
❑ 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:
Soil
Depth (inches):
Hydric Present? Yesa No
Remarks: Hydric soils are not present at this location.
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2.0

NC WAM FIELD ASSESSMENT FORM
Accompanies user rvianuai version o.0
USACE AID #
NCDWR#
Project Name
Poole Road Widening
Date of Evaluation
03/22/2018
Applicant/Owner Name
City of Raleigh
Wetland Site Name
WA
Wetland Type
Bottomland Hardwood Forest
Assessor Name/Organization
Bain/Stafford - RK&K
Level III Ecoregion
Piedmont
Nearest Named Water Body
Walnut Creek
River Basin
Neuse
USGS 8-Digit Catalogue Unit
03020201
County
Wake
NCDWR Region
Raleigh
® Yes ❑ No
Precipitation within 48 hrs?
Latitude/Longitude (deci-degrees)
35.7595585/-78.5509466
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations - Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
® Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
®A ®A Not severely altered
❑B ❑B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
®A ®A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
®C ®C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

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

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
TAA WT
o ®A ®A Canopy closed, or nearly closed, with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g ❑A ❑A Dense mid-story/sapling layer
®B ®B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
1E ®B ®B Moderate density shrub layer
U) ❑C ❑C Shrub layer sparse or absent
-0 ❑A ❑A Dense herb layer
_ ®B ®B Moderate density herb layer
❑C ❑C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
®A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
❑C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
®B Not A
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ❑D
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
❑A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
®C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
overland flow upslope of wetland is altered by Poole Road.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WA Date of Assessment
03/22/2018
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization
Bain/Stafford - RK&K
Notes on Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
YES
Wetland is intensively managed (Y/N)
NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
NO
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
NO
Assessment area is on a coastal island (Y/N)
NO
Sub -function Rating Summary
Function Sub -function Metrics
Rating
Hydrology Surface Storage and Retention Condition
MEDIUM
Sub -surface Storage and
Retention Condition
LOW
Water Quality Pathogen Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Particulate Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Soluble Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Physical Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Habitat Physical Structure
Condition
HIGH
Landscape Patch Structure
Condition
LOW
Veqetation Composition
Condition
MEDIUM
Function Ratina Summar
Function
Metrics
Rating
Hydrology
Condition
MEDIUM
Water Quality
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Habitat
Condition
MEDIUM
Overall Wetland Rating MEDIUM

NC WAM FIELD ASSESSMENT FORM
Accompanies user rvianuai version o.0
USACE AID #
NCDWR#
Project Name
Poole Road Widening
Date of Evaluation
03/22/2018
Applicant/Owner Name
City of Raleigh
Wetland Site Name
WB
Wetland Type
Bottomland Hardwood Forest
Assessor Name/Organization
Bain/Stafford - RK&K
Level III Ecoregion
Piedmont
Nearest Named Water Body
Neuse River
River Basin
Neuse
USGS 8-Digit Catalogue Unit
03020201
County
Wake
NCDWR Region
Raleigh
® Yes ❑ No
Precipitation within 48 hrs?
Latitude/Longitude (deci-degrees)
35.7542417/-78.5330802
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ❑ Yes ® No
Regulatory Considerations - Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
® Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
®A ®A Not severely altered
❑B ❑B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
®A ®A Water storage capacity and duration are not altered.
❑B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
®B ®B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

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

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

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
TAA WT
o ®A ®A Canopy closed, or nearly closed, with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
g ❑A ❑A Dense mid-story/sapling layer
®B ®B Moderate density mid-story/sapling layer
❑C ❑C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
1E ®B ®B Moderate density shrub layer
U) ❑C ❑C Shrub layer sparse or absent
-0 ❑A ❑A Dense herb layer
_ ❑B ❑B Moderate density herb layer
®C ®C Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B Not A
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
®A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
❑C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
®B Not A
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ❑D
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
❑A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
®C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
overland flow upstream of wetland is altered by Poole Road.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WB Date of Assessment
03/22/2018
Wetland Type Bottomland Hardwood Forest Assessor Name/Organization
Bain/Stafford - RK&K
Notes on Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
YES
Wetland is intensively managed (Y/N)
NO
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N)
NO
Assessment area is substantially altered by beaver (Y/N)
NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N)
NO
Assessment area is on a coastal island (Y/N)
NO
Sub -function Rating Summary
Function Sub -function Metrics
Rating
Hydrology Surface Storage and Retention Condition
LOW
Sub -surface Storage and
Retention Condition
LOW
Water Quality Pathogen Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Particulate Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Soluble Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Physical Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Habitat Physical Structure
Condition
HIGH
Landscape Patch Structure
Condition
LOW
Veqetation Composition
Condition
HIGH
Function Ratina Summar
Function
Metrics
Rating
Hydrology
Condition
LOW
Water Quality
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Habitat
Condition
HIGH
Overall Wetland Rating LOW

NC SAM FIELD ASSESSMENT RESULTS
user manual version z.-i
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any):
Poole Road
3. Applicant/owner name:
City of Rale
5. County:
Wake
7. River basin:
Neuse
2. Date of evaluation: 03/22/2018
4. Assessor name/organization: Stafford/Bain - RKK
6. Nearest named water body
on USGS 7.5-minute quad: Walnut Creek
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.7587033/-78.5494626
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SA 10. Length of assessment reach evaluated (feet): 80
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 1 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 3 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ® Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
SA
16. Estimated geomorphic ®A .
valley shape (skip for ❑B
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ❑Size 1 (< 0.1 mil) ®Size 2 (0.1 to < 0.5 mil) ❑Size 3 (0.5 to < 5 miz) ❑Size 4 (>_ 5 miz)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ®NCDWR Riparian buffer rule in effect ®Nutrient Sensitive Waters
❑Anadromous fish ®303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? []Yes ®No
1. Channel Water — assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction — assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
®B Not A
3. Feature Pattern — assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile — assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability — assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
®A < 10% of channel unstable
❑B 10 to 25% of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A
Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B
Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
®C ®C
Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
®J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A Multiple aquatic macrophytes and aquatic mosses N ❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) m ❑G Submerged aquatic vegetation
®B Multiple sticks and/or leaf packs and/or emergent o ❑H Low -tide refugia (pools)
vegetation Y ❑1 Sand bottom
®C Multiple snags and logs (including lap trees) r Co ❑J 5% vertical bank along the marsh
❑D 5% undercut banks and/or root mats and/or roots ❑K Little or no habitat
in banks extend to the normal wetted perimeter
❑E Little or no habitat
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
1la. ❑Yes ®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
❑B Pool -glide section (evaluate 11d)
❑C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
® ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑ ❑ ® ❑ ❑ Silt/clay (< 0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
® ❑ ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ®Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ®Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ®Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ❑ Salamanders/tad poles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
® ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
®C ®C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water > 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
CAN ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
®A Streams and/or springs (jurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
El Urban stream (>_ 24% impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
®F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
®A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width - streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB
RB
❑A ❑A ❑A
❑A >_ 100 feet wide or extends to the edge of the watershed
®B ®B ®B
®B From 50 to < 100 feet wide
❑C ❑C ❑C
❑C From 30 to < 50 feet wide
❑D ❑D ❑D
❑D From 10 to < 30 feet wide
❑E ❑E ❑E
❑E < 10 feet wide or no trees
20. Buffer Structure -
streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB RB
®A ®A
Mature forest
❑B ❑B
Non -mature woody vegetation or modified vegetation structure
❑C ❑C
Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D ❑D
Maintained shrubs
❑E ❑E
Little or no vegetation
21. Buffer Stressors - streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density - streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
®A ®A Medium to high stem density
❑B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer - streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition - streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
®A ®A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
El ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity - assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes ®No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑ B 46 to < 67 ❑ C 67 to < 79 ❑ D 79 to < 230 ❑ E >- 230
Notes/Sketch:
Channelized reach - historical - relatively high spoil berms on both right and left banks

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name Poole Road —SA Date of Assessment
03/22/2018
Stream Category Pb2 Assessor Name/Organization Stafford/Bain - RKK
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
YES
Additional stream information/supplementary measurements included (Y/N)
NO
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
USACE/ NCDWR
Function Class Rating Summary
All Streams Intermittent
(1) Hydrology
LOW
(2) Baseflow
HIGH
(2) Flood Flow
LOW
(3) Streamside Area Attenuation
LOW
(4) Floodplain Access
LOW
(4) Wooded Riparian Buffer
HIGH
(4) Microtopography
NA
(3) Stream Stability
LOW
(4) Channel Stability
HIGH
(4) Sediment Transport
LOW
(4) Stream Geomorphology
LOW
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
MEDIUM
(2) Baseflow
HIGH
(2) Streamside Area Vegetation
HIGH
(3) Upland Pollutant Filtration
HIGH
(3) Thermoregulation
HIGH
(2) Indicators of Stressors
NO
(2) Aquatic Life Tolerance
LOW
(2) Intertidal Zone Filtration
NA
(1) Habitat
LOW
(2) In -stream Habitat
LOW
(3) Baseflow
HIGH
(3) Substrate
LOW
(3) Stream Stability
MEDIUM
(3) In -stream Habitat
MEDIUM
(2) Stream -side Habitat
HIGH
(3) Stream -side Habitat
MEDIUM
(3) Thermoregulation
HIGH
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall
LOW

Jurisdictional Determination Request
LMLJ
US Army Corps
of Engineers
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on-line at: litt :iiwww.saw.usace.anrl .inillMissions/Re lator PerrnitPro anti.as x , 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
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must be
signed by the current property owner to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for JD
requests associated with North Carolina Department of Transportation (NCDOT) projects will be
conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program participants, or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version: December 2013 Page 2

jurisdictional Determination Request
A. PARCEL INFORMATION
B.
C.
Street Address:
City, State:
County:
Directions:
Poole Road from Maybrook Drive/Hickory Hollow Lane to Barwell Road
Raleigh, North Carolina
Wake County, NC
Please see attached Natural Resource Report - Figures 1-4 for directions
Parcel Index Number(s) (PIN): City of Raleegh ROW
REQUESTOR INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Addresst:
Tim Athy, P.E.
127 West Hargett Street, Raleigh N.C., 27601
919-996-4173
[e-mail]
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant2
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address3:
City of Raleigh
127 West Hargett Street, Raleigh N.C., 27601
919-996-4173
[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.
Tim Athy, P.E.
Property Owner (please print)
Timothy B. Athy
Property Owner Signature
Date
Digitally signed by Timothy B. Athy
Date: 2018.09.27 10:58:06-04'00'
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
FI 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 preLlimina JD for the property identified herein.
This request does NOT include a delineation.
171 I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUS5 and provide an Aa i roved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
❑� Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
W1Size of Property or Project Area 36
acres
III verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
✓❑ Completed and signed Preliminary Jurisdictional Determination Form6.
0
Project Coordinates: 35.7567
Latitude-78.5431 Longitude
Maps (no larger than I Ix17) with Project Boundary Overlay:
Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
✓❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
W1 Wetland Data Sheetsg
0
a
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
❑ USACE Assessment Forms
❑ Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Latitude
Maps (no larger than I Ix17) 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
❑ 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.u5ace.2rrny.mil/missions/Civi[Works/RegulatoryProjzraMandPermitsireR supmasox
Wetland and Stream Assessment Methodologies can be found at:
htt ortal.ncdenr.or c document I'brar et ile?uuid=76f3c58b-dab8-4960-ha43-45b7fafO6f4c& rou Id=38364 and,
http://www.saw.0 sace.arrn i Portals 9 dots re ulato uhlicnotices 2013 NCSAM Draft User Manual 130318, d
a 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)")
❑1 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 "x 17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"x17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
Must be sealed and signed by a licensed professional land surveyor
Must be to scale (all maps must include both a graphic scale and a verbal scale)
Must be legible
Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
1-1 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
71 When tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
■ Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
❑ all depicted WoUS (wetland polygons and tributary lines) must intersect or tie -to
surveyed project/property boundaries
Must include the location of wetland data points and/or tributary assessment
reaches
Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands", "non -
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
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 be 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:
Tim Athy, P.E., Senior Engineer, City of Raleigh - Engineering Services Department, Roadway Design & Construction
Pete Slafford/Hal Bain - RK&K - Raleigh, NC
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Poole Road Improvements, City of Raleigh, NC See attached Natural Resource report and mapping
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC
County/parish/borough: Wake
City: Raleigh
Center coordinates of site (lat/long in degree decimal format):
Lat. 357567 . °N; Long. 785431
oW
Universal Transverse Mercator: 2.135,781 Northing 730,614 Easting
Name of nearest waterbody: Neuse River
Identify (estimate) amount of waters in the review area:
Non -wetland waters:
Stream =80.5 linear feet: 3 width (ft) and/or acres.
Cowardln Class: Riverine Upper Perennial Unconsolidated Bottom Sand (R3UB2)
Stream Flow: Moderate
Wetlands: 0.13 acres.
COwardln Class: Palustrine Forested Broad-leaved Deciduous Seasonally Flooded (PF01C)
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: N/A
Non -Tidal: NSA

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑✓ Field Determination. Date(s): 03/22-23/2018
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: RKK
✓❑ Data sheets prepared/submitted by or on behalf of the
appli nt/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
❑✓ U.S. Geological Survey map(s). Cite scale & quad name:1:2000 Raleigh East, NC
0 USDA Natural Resources Conservation Service Soil Survey.
Citation: USDA Web Soil Service: Wake County, NC
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
FE
100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date): or
❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
2

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

This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for_
later iurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
Oigilally signed by Timothy B.
Timothy B. Athy Dole 2018.09?711:10:53-04'00'
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)
4

SAMPLE
Estimated
Site
Cowardin
amount of
Class of
number
Latitude
Longitude
Class
aquatic
aquatic
resource in
resource
review area
1
0.1 acre
Non -section 10
— non -wetland
2
100 linear feet
Non-section10
— wetland
3
15 square feet
Non -section 10
— wetland
4
0.01 acre
Non -section 10
— non -wetland

Amount of
Feat —Name/
Cowardin
Resource in review
Class of Aquatic
Feat Type
Site Number
Class
area
LAT
LONG
Resource
Non -section 10 -
Stream - Perennial
SA
R3UB2
80.5 LF
35.7587033
-78.5494626
non -wetland
Non -section 10 -
Wetland
WA
PF01 C
0.02 acres
35.7595585
-78.5509466
wetland
Non -section 10-
Wetland
WB
PFO1C
0.11 acres
35.7542417
-78.5330802
wetland
Pre —JD —Attachment Table —Poole Road.xls