20200048 Ver 1_Hornpipe_JD_Package_final_20200109

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder Assign Action ID Number in ORM
1. Project Name [PCN Form A2a]:
2. Work Type: Private Institutional Government Commercial
3. Project Description / Purpose [PCN Form B3d and B3e]:
4. Property Owner / Applicant [PCN Form A3 or A4]:
5. Agent / Consultant [PNC Form A5 – or ORM Consultant ID Number]:
6. Related Action ID Number(s) [PCN Form B5b]:
7. Project Location – Coordinates, Street Address, and/or Location Description [PCN Form B1b]:
8. Project Location – Tax Parcel ID [PCN Form B1a]:
9. Project Location – County [PCN Form A2b]:
10. Project Location – Nearest Municipality or Town [PCN Form A2c]:
11. Project Information – Nearest Waterbody [PCN Form B2a]:
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form B2c]:
Authorization: Section 10 Section 404 Section 10 and 404
Regulatory Action Type:
Standard Permit Pre-Application Request
Nationwide Permit # Unauthorized Activity
Regional General Permit # Compliance
Jurisdictional Determination Request No Permit Required
Revised 20150602
2018-01762
Hornpipe Branch Tributaries Mitigation Site
✔
Stream compensatory mitigation bank
Various - see table in JD package
Water & Land Solutions, LLC; Kyle Obermiller
2018-01762
35.132984, -77.655525, Sandy Foundation Road, Deep Run, NC 28525
450000362113, 450000157485, 450000570958, 450
Lenoir
Deep Run
Hornpipe Branch
03020202
✔
✔

December 11, 2019

US Army Corps of Engineers
Washington Regulatory Field Office Attn: Emily Thompson 2407 West Fifth Street Washington, NC 27889
Subject: Hornpipe Branch Tributaries Stream Mitigation Project, Preliminary
Jurisdictional Determination Concurrence Request, Lenoir County, NC
Dear Emily: Please find the attached Preliminary Jurisdictional Determination Request attached for the Hornpipe Branch Tributaries Stream Mitigation Project. The project is located in Lenoir County, North Carolina, in the Town of Deep Run. Attached you will find the following:
• Preliminary Jurisdictional Determination (PJD) Form
• Landowner Authorization Forms
• Four Maps: Project Vicinity Map, USGS Topographic Map, Soils Map, and Preliminary Jurisdictional Waters Map
• Army Corps of Engineers Wetland Determination Forms
• NC DWR Stream Identification Forms
• ORM Aquatic Resources Upload Sheet and Aquatic Resources Shapefiles If you need any additional information, please feel free to contact me directly. Sincerely,
Kyle Obermiller 7721 Six Forks Road, Suite 130 Raleigh, NC 27615 Office Phone: [phone] Mobile Phone: [phone] Email: [e-mail]
Jurisdictional Determination Request
Version: May 2017 Page 1

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

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

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

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

INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D – PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Jurisdictional Determination Request
Version: May 2017 Page 2
A. PARCEL INFORMATION
Street Address:
City, State:
_______________________________________________
____________________________________________
County:
Parcel Index Number(s) (PIN):
B.REQUESTOR INFORMATION
Name:
Mailing Address:
_________________________________________
Telephone Number: _________________________________________
Electronic Mail Address: ________________________________________
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant1
Interested Buyer or Under Contract to Purchase
Other, please explain. ________________________________________
__________________________________________________________
C.PROPERTY OWNER INFORMATION2
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Landowner Mailing
Address
PIN County Deed Book
& Parcel
Number
Parcel
Acreage
James Oliver
Smith Jr. and
Rebecca
Karen Aycock
Smith
662 P A
Nobles
Store
Road,
Deep Run,
NC 48525
450000157485,
450000570958
Lenoir 1817/820,
1817/820
54.43,
62.69
Edward
Randolph
Smith and
Virginia
Graves Smith
496 P A
Nobles
Store
Road,
Deep Run,
NC 28525
450000168662,
450000179525
Lenoir 1817/813,
1679/171
48.28,
24.06
Paula Smith
Hare and
Edward
Glenn Hare
3532
Stanton
Court,
Graham,
NC 27523
450000362113 Lenoir 1817/827 138.13

Jurisdictional Determination Request
Version: May 2017 Page 3

D. PROPERTY ACCESS CERTIFICATION3,4

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

Print Name
Capacity: Owner Authorized Agent5

Date

Signature

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

I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:___________________________________________________________________
_______________________________________________________________________
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1817 Page: 827 County: Lenoir
Parcel ID Number: 450000362113
Street Address: Sandy Foundation Road
Deep Run, NC 28525
Property Owner (please print): Paula Smith Hare
Property Owner (please print): Edward Glenn Hare
The undersigned, registered property owner(s) of the above property, do hereby authorize
Water & Land Solutions LLC
Full Delivery Provider', the NC Department of Environment and Natural Resources, and the US
Army Corps of Engineers, their employees, agents or assigns to have reasonable access to the above
referenced property for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s).
Property Owners(s) Address: 3532 Stanton Court
(if different from above)
Graham NC 27523
Property Owner Telephone Number: 336-693-4333
Property Owner Telephone Number: 336-524-4556
I/We hereby certify the above information to be true and accurate to the best of my/our knowledge.
(Property Owner Authorized Signature)
(Property Owner Authorized Signature)
'Name of full delivery company
4 _2-7 to
(Date)
-11- (e
(Date)

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1817 Page: 820 County: Lenoir
Parcel ID Number: 450000157485
Street Address: Sandy oundation Road
Deep Run, NC 28525
Property Owner (please print): James Oliver Smith, Jr.
Property Owner (please print): Rebecca Karen Aycock Smith
The undersigned, registered property owner(s) of the above property, do hereby authorize
Water & Land Solutions LLC
Full Delivery Provider', the NC Department of Environment and Natural Resources, and the US
Army Corps of Engineers, their employees, agents or assigns to have reasonable access to the above
referenced property for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s).
Property Owners(s) Address: _662 P A Nobles Store Road
(if different from above)
Deep Run, NC 28525
Property Owner Telephone Number: 252-560-4906
Property Owner Telephone Number:
I/We hereby certify the above
Pf eaSe c�c�C c��,eCt�
Signature)
(Property Owner Authorized
'Name of full delivery company
be true and accurate to the best of my/our knowledge.
1g,
N

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1817 Page: 820 County: Lenoir
Parcel ID Number: 450000570958
Street Address: HWY 258 South
Deep Run, NC 28525
Property Owner (please print): James Oliver Smith Jr.
Property Owner (please print): Rebecca Karen Aycock Smith
The undersigned, registered property owner(s) of the above property, do hereby authorize
Water & Land Solutions LLC
Full Delivery Provider', the NC Department of Environment and Natural Resources, and the US
Army Corps of Engineers, their employees, agents or assigns to have reasonable access to the above
referenced property for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s).
Property Owners(s) Address: 662 P A Nobles Store Road ;
(if different from above)
Deep Run, NC 28525
Property Owner Telephone Number: 252-5604906
Property Owner Telephone Number:
I/We hereby certify the above
rAQle'se- cC I 'C' �-L
Owner
'Name of full delivery company
to be true and accurate to the best of my/our knowledge.

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1817 Page: 813 County: Lenoir
Parcel ID Number: 450000168662
Street Address: 1075 Sandy Foundation Road
Deer Run, NC 28525
Property Owner (please, print): Edward Randolph Smith
Property Owner (please print): Virginia Graves Smith
The undersigned, registered property owner(s) of the above property, do hereby authorize
Water & Land Solutions LLC
Full Delivery Provider', the NC Department of Environment and Natural Resources, and the US
Army Corps of Engineers, their employees, agents or assigns to have reasonable access to the above
referenced property for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s).
Property Owners(s) Address: 496 P A Nobles Store Road
(if different from above)
Deep Run, NC 28525
Property Owner Telephone Number: 252-560-3096.
Property Owner Telephone Number: N/A
We hereby certify the above information to be true and accurate to the best of my/our knowledge.
�Le,se C-�, I i lattieu L) n _A I i
(Property Owner
I-- y-
Owner Authorized Signature)
'Name of full delivery company
8
(Date)
(Date)

NORTH CAROLINA ECOSYSTEM ENHANCEMENT PROGRAM
LANDOWNER AUTHORIZATION FORM
PROPERTY LEGAL DESCRITION:
Deed Book: 1679 Page: 171 County: Lenoir
Parcel ID Number: 450000179525
Street Address: San
dv Foundation Road
Deep Run, NC 28525
Property Owner (please print): Edward Randolph Smith
Property Owner (please print): Virginia Graves Smith
The undersigned, registered property owner(s) of the above property, do hereby authorize
Water & Land Solutions LLC
Full Delivery Provider', the NC Department of Environment and Natural Resources, and the US
Army Corps of Engineers, their employees, agents or assigns to have reasonable access to the above
referenced property for the evaluation of the property as a potential stream, wetland and/or
riparian buffer mitigation project, including conducting stream and/or wetland determinations and
delineations, as well as issuance and acceptance of any required permit(s) or certification(s).
Property Owners(s) Address: 496 P A Nobles Store Road
(if different from above)
Dee1Run, NC 28525
Property Owner Telephone Number: 252-560-3096
Property Owner Telephone Number: N/A
I/We hereby certify the
-abovinformation to be true and accurate to the best of my/our knowledge.
G e
(9
(Property Owner Author' ed Signature) (Date)
Owner Authorized Signature)
'Name of full delivery company
7 A/— r t
(Date)

Jurisdictional Determination Request
Version: May 2017 Page 4

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

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

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

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

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

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

G. ALL REQUESTS

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

Size of Property or Review Area acres.

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

Jurisdictional Determination Request
Version: May 2017 Page 5

H. REQUESTS FROM CONSULTANTS

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

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

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

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

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

Vicinity Map

Aerial Photograph

USGS Topographic Map

Soil Survey Map

Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)

Landscape Photos (if taken)

NCSAM and/or NCWAM Assessment Forms and Rating Sheets

NC Division of Water Resources Stream Identification Forms

Other Assessment Forms

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

Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory authorities referenced above. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A.REPORT COMPLETION DATE FOR PJD:
B.NAME AND ADDRESS OF PERSON REQUESTING PJD:
C.DISTRICT OFFICE, FILE NAME, AND NUMBER:
D.PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: County/parish/borough: City:
Center coordinates of site (lat/long in degree decimal format):
Lat.: Long.:
Universal Transverse Mercator:
Name of nearest waterbody:
E.REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH “MAY BE” SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non-wetland
waters)
Geographic authority
to which the aquatic
resource “may be”
subject (i.e., Section
404 or Section 10/404)
Wetland
ID/Reach
Latitude Longitude Estimated amount
of resource in
review area
(acreage and linear
ft, if applicable)
Type of aquatic
resource (i.e.
wetland vs. non-
wetland waters)
Geographic authority
to which the aquatic
resource “may be”
subject (i.e. Section
404 or Section 10/401)
MS1 35.135488 -77.65766 1711 Non-wetland Section 404/401
MS2 35.13498 -77.65485 756 Non-wetland Section 404/401
MS3 35.13335 -77.65766 1552 Non-wetland Section 404/401
UT1 35.13266 -77.65463 1050 Non-wetland Section 404/401
UT2 35.13345 -77.65406 893 Non-wetland Section 404/401
D1 35.13268 -77.65988 *80 Non-wetland Section 404/401
D2 35.13293 -77.65897 *75 Non-wetland Section 404/401
D3 35.13329 -77.65866 *80 Non-wetland Section 404/401
D4 35.13557 -77.65446 *30 Non-wetland Section 404/401
WA 35.13427 -77.65524 0.35 Wetland Section 404/401
*Ditch length estimate include areas only inside proposed conservation easement
1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2)In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring “pre-
construction notification” (PCN), or requests verification for a non-reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant’s acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there “may be” waters of the U.S. and/or that there “may be” navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:
SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: ___________________________________________________.
Data sheets prepared/submitted by or on behalf of the PJD requestor.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report. Rationale: ___________________.
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: _______________________________.
Natural Resources Conservation Service Soil Survey. Citation: ___________________________.
National wetlands inventory map(s). Cite name: ______________________________________.
State/local wetland inventory map(s): _______________________________________________.
FEMA/FIRM maps: ____________________________________________________________.
100-year Floodplain Elevation is: ________________.(National Geodetic 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): _________________________________________________.
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of Signature and date of
Regulatory staff member person requesting PJD
completing PJD (REQUIRED, unless obtaining
the signature is impracticable)1
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.
HWY 258MARK N SMI
THSA N D Y FO U N D A TIO N
NATHAN HILLBLANEY BLIZZARDJOHN G R EEN SM ITHBIG OA K
J O H N N I E S M I T HARBIEPERRY BLIZZARDP A N O B L E S S T O R E
DAVENPORTSMITHS NE
W HO
MEBUDSHORSE SHOE£¤258
±0 0.5 1
Miles
FIGURE1Hornpipe Branch Tributaries
Mitigation Project
NAD 1983 2011 State PlaneNorth Carolina FIPS 3200 FT US
Project Location
^_Duplin County
Craven
CountyWayne County
Jones County
Lenoir County
Greene County
Legend
^_Project Location
TLWs
TLW: 03020202050010
Potential Conservation Easem ent
HUC-8 (Neuse 02)
HUC-12
Lenior Co. Hydrography
Lenoir County
NC Counties
0 3.5 7
Miles050100Miles
Project is located in
TLW HUC-14: 03020202050010
Copyright:© 2013 National Geographic Society, i-cubed
Legend
Conservation Easement
±0 500 1,000
Feet
FIGURE2Hornpipe Branch Tributaries
Mitigation Project
NAD 1983 2011 State PlaneNorth Carolina FIPS 3200 FT US
USGS
Topographic
Map
Deep Run Quadrangle
North Carolina - Lenior Co.
St
Po
JS
Nb
Nb
Na
St
Po
PoNb
JS
Co
JS
Cr
Ly
Na
Na
Cr
Po
Cr
Nb
JS
Wb
W
To
Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CNES/Airbus
DS, USDA, USGS, AeroGRID, IGN, and the GIS User Community
±
FIGURE3Hornpipe Branch Tributaries
Mitigation Project
NAD 1983 2011 State PlaneNorth Carolina FIPS 3200 FT US
NRCS
Soils Map
Legend
Conservation Easement
Existing StreamSoil Map Units (NRCS Data from Web SoilSurvey)
Co: Coxville loam (Hydric
Cr: Craven fine sandy loam, 1-4% slopes
(Hydric B)
JS: Johnston soils (Hydric
Ly: Lynchburg sany loam, 0-2% slopes
(Hydric B)
Na: Norfolk loamy sand, 0-2% slopes
(Hydric B)
Nb: Norfolk loamy sany, 2-6% slopes
(Hydric B)
Po: Pocalla loamy sand, 0-6% slopes
(Hydric B)
St: Stallings loamy sand (Hydric B)
To:Torhunta loam (Hydric
W: Water
Wb: Wagram loamy sand, 0-6% slopes
(Hydric B)
UT1
MS2
UT2
MS1
MS3
0 450225 Feet
^_^_
Source: Esri, DigitalGlobe, GeoEye, Earthstar Geographics, CN ES/Airbus
DS, U SDA, USGS, AeroGRID, IGN, and the GIS User Community
±0 500 1,000
Fe et
FIGURE4Hornpipe Branch Tributaries
Mitigation Project
NAD 1983 2011 State PlaneNorth Carolina FIPS 3200 FT US
Existing
Hydrography
Legend
Proposed Conservation Easement
Existing Str eams
Wetlands (unverified)
^_Wetland Data Point
^_Upland Data Point
Ditches
UT1
MS2
UT2
MS1
MS3
WA
D1
D3
D2
D4
NC DWQ Stream Identification Form Version 4.11 M5 ` 1
Date: la. _ y _ ap 1�
Project/Site: I iorr,�`Q2
t- ► ton S'►�
Latitude: 35, 35y $8
Evaluator: WtL _ K Obe-rm't 11 ey'-
County: U2111D'\ r-
Longitude:
Total Points:
Stream is at least intermittent Is
Stream Determination (circle one
Other (�
if z 19 or perennial if 2! 30* ��
Ephemeral Intermittent Perennia
e.g. Quad Name
A. Geomorphology (Subtotal = 10. C )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = q . O
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5Cl)
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes 3
C. Biology (Subtotal = (;�. )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 6'1}C.� , -Styoq Gi 4�10L
r v� ®. t?a2 'ru t
1; k '► LLA
bw
dvai ns
a PA
Sketch:

NC DWQ Stream Identification Form Version 4.11 `V ` J - 2-
Date: )a _ LA _ aptq
Project/Site' 400-'nPIP $
Latitude:
Evaluator: w US _ 0 bevAr `t i I ex-
County: p � �
Longitude: _ 74
Total Points:
Stream is at least intermittent
Stream Determination (circle one
Other DpR 12 YI
V
if z 19 or perennial if t 30*
Ephemeral Intermitten Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal =
I I - 1�) )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1)
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdrologv (Subtotal = 'I . 0 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes - 3
C. BiologV (Subtotal = q , O )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
; 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0 i
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: era f S h r
espE nt
iCLa
b
Sketch:

NC DWQ Stream Identification Form Version 4.11 I\SS
Date: 3 _ ! LA - 10 t$
Project/Site:
Latitude: '6s . \333 5
Evaluator: ri 5 Sits " U LS
County: Ulna \ c-
Longitude: _3 (OS_%
Total Points: Q
Stream is at least intermittent 38. 5
Stream Determination (circle one
Ephemeral Intermittent erennia
Other n
e.9 Quad Name: T q!eq (_V o
if 2: 19 or perennial if z 30`
A. Geomorphology (Subtotal = I `� • )
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
1 3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
Q
3
4. Particle size of stream substrate
0
1
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes 3
aroticiai ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = Q .5 )
12. Presence of Baseflow
0
1
2
O
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes t 3
C. Biology Subtotal = 1 0 . O )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
(2
3
21. Aquatic Mollusks
CD
1
2
3
22. Fish
CO
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
CD
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other <D
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: tillS 2
MS -S
�T 2
UTI

NC DWQ Stream Identification Form Version 4.11 UT -I
Date: 3 _ 1 y _ apCg
Project/Site: 1%Y�p�p2�i�h ��,
Latitude:
Evaluator: �hrk*S Shpats _ (,B LS
County: L2,()O� r
Longitude: _ -US
Total Points: a�
Stream is at least intermittent
Stream Determination (cir a
Other p�,p Ran
•
if 2 19 or perennial if 2 30*
Ephemeral Intermitten Perennial
e.g. Quad Name:
r
A. Geomorphology (Subtotal =
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
IL
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool.
ripple -pool sequence
0
©
2
3
4. Particle size of stream substrate
0
CD
2
3
5. Active/relict floodplain
0
CD
2
3
6. Depositional bars or benches
0
1f )
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
0.5
2
1
3
1.5
9. Grade control
0
10. Natural valley
0
ca
1
1.5
11. Second or greater order channel
No 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = B . S )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
Ps
1.5
1.5
16. Organic debris lines or piles
0
1 0.5
17. Soil -based evidence of high water table?
No = 0
Yes 03
C. Biology (Subtotal = I a -C )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
0
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
cm
26. Wetland plants in streambed
FACW = 0.75; OBL
1. Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: -Mv r-d rAS4
I r
a,t►L n M
06or,% (cLr d_
Sketch:
�S 3
u71.
0

NC DWQ Stream Identification Form Version 4.11 L% a
Date: 1&- LA _ Q_okcl
Project/Site:
Latitude:35, t33(�S
Evaluator: W LG - 1.0WAO NX
County: Lzr'\61 r-
Longitude: -�-� a WS LA NO
Total Points: /�
Stream is at least intermittent a a , V
Stream Determination (circle one)
Ephemer er itten Perennial
Other CLV
e.g. Quad Name
if z 19 or perennial if z 30*
A. Geomorphology (Subtotal = _- +'Z) )
Absent
Weak
Moderate
Strong
1a Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
Co
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No 0
Yes = 3
dI WH:1dl U111:10.75 d1U IIUL IdWU, bUt7 UISGU551U115 M 111d11Udl
B. Hydrology (Subtotal = Q_• O)
12. Presence of Baseflow
0
1
2
0
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes Cp
C. Biolociv (Subtotal = (o . D )
18. Fibrous roots in streambed
3
M
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
DO
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
90
0.5
1
1.5
25. Algae
0
0.5
63
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 OtherCO)
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

US Army Corps of Engineers
WETLAND DETERMINATION DATA FORM – Atlantic and Gulf Coastal Plain Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:
Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):
Subregion (LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present? Yes No
Wetland Hydrology Present? Yes No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) Aquatic Fauna (B13) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Marl Deposits (B15) (LRR U) Drainage Patterns (B10)
Saturation (A3) Hydrogen Sulfide Odor (C1) Moss Trim Lines (B16)
Water Marks (B1) Oxidized Rhizospheres along Living Roots (C3) Dry-Season Water Table (C2)
Sediment Deposits (B2) Presence of Reduced Iron (C4) Crayfish Burrows (C8)
Drift Deposits (B3) Recent Iron Reduction in Tilled Soils (C6) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Thin Muck Surface (C7) Geomorphic Position (D2)
Iron Deposits (B5) Other (Explain in Remarks) Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) FAC-Neutral Test (D5)
Water-Stained Leaves (B9) Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers
VEGETATION (Four Strata) – Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
50% of total cover: 20% of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
50% of total cover: 20% of total cover:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)

Total Number of Dominant
Species Across All Strata: (B)

Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)

Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is 3.01
Problematic Hydrophytic Vegetation1 (Explain)

1Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:

Tree
more in diameter at breast height (DBH), regardless of
height.

Sapling/Shrub
than 3 in. DBH and greater than 3.28 ft (1 m) tall.

Herb
of size, and woody plants less than 3.28 ft tall.

Woody vine
height.
Hydrophytic
Vegetation
Present? Yes No
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers
SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks

1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils3:
Histosol (A1) Polyvalue Below Surface (S8) (LRR S, T, U) 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2) Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
Black Histic (A3) Loamy Mucky Mineral (F1) (LRR O) Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5) Depleted Matrix (F3) Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U) Redox Dark Surface (F6) (MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P, T, U) Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (A8) (LRR U) Redox Depressions (F8) Very Shallow Dark Surface (TF12)
1 cm Muck (A9) (LRR P, T) Marl (F10) (LRR U) Other (Explain in Remarks)
Depleted Below Dark Surface (A11) Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (A12) Iron-Manganese Masses (F12) (LRR O, P, T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A) Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
Sandy Mucky Mineral (S1) (LRR O, S) Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4) Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):

Hydric Soil Present? Yes No
Remarks:
US Army Corps of Engineers
WETLAND DETERMINATION DATA FORM – Atlantic and Gulf Coastal Plain Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:
Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):
Subregion (LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation , Soil , or Hydrology No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present? Yes No
Wetland Hydrology Present? Yes No
Is the Sampled Area
within a Wetland? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply) Surface Soil Cracks (B6)
Surface Water (A1) Aquatic Fauna (B13) Sparsely Vegetated Concave Surface (B8)
High Water Table (A2) Marl Deposits (B15) (LRR U) Drainage Patterns (B10)
Saturation (A3) Hydrogen Sulfide Odor (C1) Moss Trim Lines (B16)
Water Marks (B1) Oxidized Rhizospheres along Living Roots (C3) Dry-Season Water Table (C2)
Sediment Deposits (B2) Presence of Reduced Iron (C4) Crayfish Burrows (C8)
Drift Deposits (B3) Recent Iron Reduction in Tilled Soils (C6) Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) Thin Muck Surface (C7) Geomorphic Position (D2)
Iron Deposits (B5) Other (Explain in Remarks) Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7) FAC-Neutral Test (D5)
Water-Stained Leaves (B9) Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches):
Saturation Present? Yes No Depth (inches):
(includes capillary fringe)
Wetland Hydrology Present? Yes No
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers
VEGETATION (Four Strata) – Use scientific names of plants. Sampling Point:
Absolute Dominant Indicator
Tree Stratum (Plot size: ) % Cover Species? Status
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
= Total Cover
50% of total cover: 20% of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
= Total Cover
50% of total cover: 20% of total cover:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)

Total Number of Dominant
Species Across All Strata: (B)

Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)

Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is 3.01
Problematic Hydrophytic Vegetation1 (Explain)

1Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:

Tree
more in diameter at breast height (DBH), regardless of
height.

Sapling/Shrub
than 3 in. DBH and greater than 3.28 ft (1 m) tall.

Herb
of size, and woody plants less than 3.28 ft tall.

Woody vine
height.
Hydrophytic
Vegetation
Present? Yes No
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers
SOIL Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type1 Loc2 Texture Remarks

1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Soils3:
Histosol (A1) Polyvalue Below Surface (S8) (LRR S, T, U) 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2) Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
Black Histic (A3) Loamy Mucky Mineral (F1) (LRR O) Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5) Depleted Matrix (F3) Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U) Redox Dark Surface (F6) (MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P, T, U) Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (A8) (LRR U) Redox Depressions (F8) Very Shallow Dark Surface (TF12)
1 cm Muck (A9) (LRR P, T) Marl (F10) (LRR U) Other (Explain in Remarks)
Depleted Below Dark Surface (A11) Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (A12) Iron-Manganese Masses (F12) (LRR O, P, T) 3Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A) Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
Sandy Mucky Mineral (S1) (LRR O, S) Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4) Reduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):

Hydric Soil Present? Yes No
Remarks: