20141150 Ver 2_More Info Received_20200131

Strickland, Bev
From: Michael Brame <[e-mail]>
Sent: Thursday, February 6, 2020 8:46 AM
To: Homewood, Sue
Subject: [External] FW: SAW-2019-02010 - High Knolls Subdivision
Attachments: 5233_High Knoll-PCN Application_1.31.2020.pdf
IWxernal email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
c�nc. c
Sincerely,
Michael T. Brame
336.708-4620 (c)
336.310.4527 (o)
PO Box 128
Kernersville, NC 27285
www.Dilotenviro.com
[e-mail]
From: Michael Brame
Sent: Friday, January 31, 2020 12:32 PM
To: Homewood, Sue <[e-mail]>; Roden Reynolds, Bryan K CIV (US)
<Bryan.K.Roden [e-mail]>
Cc: Pete RAMEY <[e-mail]>; Russ Willard <[e-mail]>; Alex Carter
<[e-mail]>; Seren Homer <[e-mail]>
Subject: SAW-2019-02010 - High Knolls Subdivision
Good Afternoon Sue and Bryan,
Please find attached an updated PCN application for the attached project. As you will recall, a Nationwide Permit was
previously issued for this project that expired. A more recent PCN application was submitted dated August 15, 2019 by
the applicant. Based on a request for additional information, the applicant contracted Pilot Environmental to assist with
the response. Pilot completed a wetland delineation on the site. The delineation was verified in the field on December
20, 2019. Following the verification, our flags were surveyed and used to produce impact exhibits. The attached PCN
application is a revised version of the previously submitted PCN application and provides additional information
intended to address previously noted concerns. Please let me know if you need additional information in order to
process the PCN. Thank -you for working with us on this project. Have a good weekend.
Sincerely,
Michael T. Brame
336.708-4620 (c)
336.310.4527 (o)
PO Box 128
Kernersville, NC 27285

www.pilotenviru.com
[e-mail]

a`'oF wArE�Q�
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
High Knoll Subdivision
2b.
County:
Forsyth
2c.
Nearest municipality / town:
Walkertown
2d.
Subdivision name:
High Knoll
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Ramey Properties LLC/Hubbard Realty of Winston-Salem, Inc.
3b.
Deed Book and Page No.
003367/01052
3c.
Responsible Party (for LLC if
applicable):
C.J. Ramey
3d.
Street address:
P.O. Box 10/5121 N. Causeway Dr
3e.
City, state, zip:
Bethania, NC 27010/Winston-Salem, NC 27106
3f.
Telephone no.:
336-922-4000
3g.
Fax no.:
3h.
Email address:
[e-mail]/ [e-mail]
Page 1 of 12
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Michael T. Brame
5b.
Business name
(if applicable):
Pilot Environmental, Inc.
5c.
Street address:
PO Box 128
5d.
City, state, zip:
Kernersville, NC 27285
5e.
Telephone no.:
336-708-4620
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 12
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
6867-07-1323
Latitude:36.155027' Longitude: -
1 b. Site coordinates (in decimal degrees):
80.151300'
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
22.05 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Lowery Mill Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS-III
2c. River basin:
Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains forested land. General land use in the vicinity of the site is residential and agricultural.
3b. List the total estimated acreage of all existing wetlands on the property:
Wetland=0.53 Ac
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Streams=1,020 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a single-family residential subdivision on the property.
3e. Describe the overall project in detail, including the type of equipment to be used:
The proposed project includes the construction of 35 single-family residential units, associated access roads, parking
spaces, landscaped areas, and stormwater devices. A stream crossing is necessary to provide access to the northern
portion of the subdivision. To facilitate the construction of the access road and development of the site, clearing and
grading the site is necessary. Graders, haulers, excavators, and other heavy equipment will be used during grading and
construction of the site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes El No El Unknown
project (including all prior phases) in the past?
Comments: A JD was issued by the USACE dated 12.20.20
4b. If the Corps made the jurisdictional determination, what type
®Preliminary ❑Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
12/20/19
5. Project History
5a. Have permits or certifications been requested or obtained for
® Yes ❑ No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
The permit for this project was applied for and approved 12/2004. However, the permit was not used as the project was
delayed, and has since expired. An additional PCN application was submitted in 2019. We have completed this PCN
application in ann effort to address a request for additional information associated with the 2019 PCN aplication.
Page 3 of 12
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
There are not currently plans for future development associated with this project.
Page 4 of 12
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number -
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ - non-404, other)
(acres)
Temporary T
W1 ®P ❑ T
Fill
Bottomland
® Yes
® Corps
0.094
Hardwood
El No
El DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
0.094
2h. Comments: The proposed road crossing will permanently impact .094 acres of wetland from fill.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ - non-404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Culvert
UT1 to Lowery Mill
® PER
® Corps
3
131
Creek
❑ INT
❑ DWQ
S2 ❑ P ® T
Riprap
UT1 to Lowery Mill
® PER
® Corps
3
20
Creek
❑ INT
❑ DWQ
S3 [-]PET
Dike and Pump
UT1 to Lowery Mill
® PER
® Corps
3
30
Around
Creek
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
181
3i. Comments: The proposed stream crossing will permanently impact 131 linear feet of stream from culvert fill. Rip rap will be
keyed into 20 linear feet of stream. The dike and pump around will temporarily impact 30 linear feet of stream channel. Areas
of temporary impact will be restored to similar pre -construction conditions.
Page 5 of 12
PCN Form - Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
K Total
5g. Comments: Neither pond nor lake construction is proposed.
5h. Is a dam high hazard permit required?
❑ Yes ®No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse El Tar -Pamlico El Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
B1 ❑P❑T
❑Yes
❑ No
B2 ❑P❑T
❑Yes
❑ No
B3 ❑P❑T
❑Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 12
PCN Form — Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the proposed residential subdivision to avoid additional impacts to streams and wetlands other
than those essential for the project viability. In order for the applicant to develop the northern portion of the site, it is necessary
to cross a stream and associated wetlands.
The crossing was designed in the location of a breeched pond dam to avoid impacts to higher quality reaches of the stream.
Shifting the crossing further to the east would impact a larger amount of wetland within the drained pond basin. Shifting the
crossing to the west would impact higher quality stream with more aquatic value than the stream within the drained pond basin
and breeched dam. Existing developed lots also constrain how far the crossing could be shifted to the west.
In an effort to avoid and minimize stream impacts within the footprint of the crossing, the initial design had the culvert outlet
discharging into the breech of the dam at a nearly perpendicular angle. This design would have lead to increased erosion and
instability of the stream bank, especially considering that the opposite stream bank is less stable and more erosion prone dam
fill. To avoid this situation, potential culvert failure and stream degradation, the culvet was extended to discharge at a better
angle. The proposed culvert placement minimizes bank erosion and impacts to the higher quality stream segment
downstream of the outflow point.
A water line will be buried within the right-of-way to avoid additional impacts to streams or wetlands. The applicant is
proposing 2:1 slopes to further minimize the proposed impacts. The remaining 839 linear feet of stream and 0.429 acres of
wetlands are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. A temporary impervious dike and pump around will be installed
around the stream crossing location. Appropriate stream bank protection will be provided in the channel during construction
and all excess excavated material will be immediately removed from the stream bank crossing area. The rip rap will be keyed
in to further minimize the impacts to the stream. Upon completion of the culvert installation, the temporary pump around and
dike will be removed and flow will be diverted through the culvert. Following construction, disturbed banks will be matted,
seeded, live -staked, and restored to similar pre -construction conditions.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 12
PCN Form — Version 1.3 December 10, 2008 Version

3c. Comments: Mitigation is not proposed.
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b.
Stream mitigation requested:
linear feet
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non -riparian wetland mitigation requested:
acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a.
Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g.
If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h.
Comments:
Page 8 of 12
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ®No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
18.3 %
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: Due to the percentage impervious
surface area, this project is under the 24% impervious area threshold for requiring a stormwater
management plan.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Walkertown
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ® No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ® No
Comments: A NEPA or SEPA is not required as part of this project.
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes ® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
Additional development beyond what is being proposed is not anticipated that could impact nearby downstream water
quality.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Sanitary sewage for the lots located north of the proposed stream crossing will be gravity fed to an existing manhole
located northwest of the project area. Sanitary sewage for the lots located south of the proposed crossing will be gravity fed
to an existing manhole located south of the project area. Therefore, sanitary sewage disposal will not result in additional
impacts to streams and wetlands.
Page 10 of 12
PCN Form — Version 1.3 December 10, 2008 Version

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected species or
® Yes ❑ No
habitat?
5b.
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c.
If yes, indicate the USFWS Field Office you have contacted.
® Asheville
5d.
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
https://ecos.fws.gov/ipac/
The site -specific IPaC list generated for the site identified the northern long-eared bat, bog turtle, and small-anthered
bittercress in the vicinity of the site. No critical habitats were identified at the project location. The majority of the forested
land on the site is less than 20 years old and would not be considered optimal summer roosting habitat. Furthermore, the
12-digit HUC with the nearest confirmed hibernation and/or maternity sites is located more than 89 miles from the site.
The bog turtle is listed due to similarity of appearance and therefore does not require Section 7 consultation. The site is
located within the historic range of the small-anthered bittercress, as it has not been found in Forsyth County since the
1980s and is only known to occur in the Dan River basin. Therefore, it is our opinion that the proposed project is not likely
to adversely affect federally protected species or critical habitat.
6.
Essential Fish Habitat (Corps Requirement)
6a.
Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b.
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
https://www.habitat.noaa.gov/application/efhmapper/index.htmi
7.
Historic or Prehistoric Cultural Resources (Corps Requirement)
7a.
Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b.
What data sources did you use to determine whether your site would impact historic or archeological resources?
NC Historic Preservation Office's HPOWEB 2.0 - General Audience
(https://nc.maps.arcgis.com/apps/webappviewer/index.htm1)
The map does not identify historic properties or properties eligible for listing on or within 0.5 miles of the site. A copy of
the map is included as an attachment.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes ® No
8b.
If yes, explain how project meets FEMA requirements:
8c.
What source(s) did you use to make the floodplain determination? FEMA FIRM Panels 3710685700J & 3710686700J
(Drawing 4)
6.28.19
Page 11 of 12
PCN Form — Version 1.3 December 10, 2008 Version

Michael T. Brame PWS DlgltayslgnedbyMchael9mme Date
Michael Brame Dme°--hae amine,o-Fi of Envim--I,oa.
=eCapilotenviro.co.... S
U
Dal e�mbmm
: 2020 01.31 12:12'.10-05'00'
Applicant/Agent's Printed Name Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 12 of 12
PCN Form — Version 1.3 December 10, 2008 Version

Proposal for Environmental Services
Pilot Proposal 5233
October 3, 2019
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: d
-Yn
Owner Information:
Address: a° _
S _
Telephone Number: ;
Fax Number:
E-mail Address:
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
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. 1, 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 Agent
_iU-'�'11
Date
Signature
11

O
|O | O
0

10/3/2019
Property Summary
Tax Year: 2019
Print Property Info
REID 6867071323000 PIN
6867-07- Property Owner RAMEY PROPERTIES LLC;HUBBARD REALTY OF
1323
WINSTON-SALEM INC
Location 4957 Reidsville Property
L0112E Owner's Mailing
PO BOX 10
Address RD
Description
BL3252 Address
BETHANIA NC 27010
Administrative Data
Transfer Information
Property Value
Old Map #
660874
Deed Date
9/11/2017 Total Appraised Land Value
$501,300
Market Area
659875
Deed Book
003367 Total Appraised Building Value
Township
MIDDLEFORK II
Deed Page
01052 Total Appraised Misc
Improvements Value
Planning Jurisdiction
COUNTY WIDE
Revenue Stamps
$172
Total Cost Value
$501,300
City
WALKERTOWN
Package Sale Date
Total Appraised Value -valued
$501,300
Fire District
Package Sale Price
By cost
Spec District
Land Sale Date
9/11/2017 Other Exemptions
Land Class
1.01-SFD Dwelling
Land Sale Price
$86,000 Exemption Desc
History REID 1
Use Value Deferred
History REID 2
Improvement Summary
Historic Value Deferred
Acreage
22.81
Total Buildings
0
Total Deferred Value
Permit Date
Total Units
0
Total Taxable Value
$501,300
Permit #
Total Living Area
0
Total Gross Leasable Area
0
Building Summary
Misc Improvements Summary
Card Unit Base Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (%
# Quantity Measure Type Price Year Bad) Bad) Bad) Good) Value
No Data
Total Misc Improvements Value Assessed:
Land Summary
Land Class: 1.01-SFD Dwelling Deeded Acres: 22.81 Calculated Acres: 21.98
Zoning Soil Class Description Size Rate Land Adjustment Land Value
RS9 RES-ACREAGE 22.81 BY THE ACRE PRICE $37,000 LOCATION-110.00 $501,300
ROAD FRONTAGE-90.00
TOPOGRAPHY-75.00
SHAPE-80.00
Total Land Value Assessed: $501,300
Ownership History
Owner Name
Deed Type
Current RAMEY PROPERTIES LLC/ HUBBARD REALTY OF WARRANTY-
WINSTON-SALEM INC DEED
Stamps Sale Book Page Deed
Ownership Price Date
50 172 $86,000 003367 01052 9/11/2017
tellus.co.forsyth.nc.us/Ircpwa/PrintPRC.aspx?PARCELPK=152578 1 /2

10/3/2019
Print Property Info
°/ Sale Deed
Owner Name
Deed Type
°
Stamps
Book
Page
Ownership
Price
Date
1 Back Hubbard Realty Of Winston-salem, Inc./ Ramey
DEED
50
1213
$606,500 003067
03241
7/2/2012
Properties Llc/ Cranfill Properties, Inc
2 Back Southern Community Bank And Trust/ Ramey
DEED
50
450
$225,000 003067
02683
7/2/2012
Properties Llc/ Cranfill Properties, Inc
3 Back Westview Development Co/ Ramey Properties Llc/
DEED
50
0
000052
00152
7/27/2007
Cranfill Properties, Inc
Notes Summary
Building Card
No Data
Date Line Notes
tellus.co.forsyth.nc.us/Ircpwa/PrintPRC.aspx?PARCELPK=152578 2/2

DocuSign Envelope ID: ABFFD226-9B96-46EA-BBB2-3C47OC2F510C
IMPORTANT NOTES:
919.44'
Inv: 909.44' — �— — — / Rim: 926.00' Rim: 929.85' %/ 1
Existing SMH `( -Inv: 918.80' Inv: 921.58' I I I — I I I 1 \ \ \ \ \ \ C \\ \ \ \ \I I 1. Boundary shown is from a survey by Beeson & Carter, PA,
/ `S� SMH -//—Ex' ing SMFi I I I \ \ \ \ \ \ \ / \ \ > ( Dated 1-13-2020, Titled High Knoll,Sec 3 Boundary and
' «gs Existing SMH \ /
<s�<ss \ \ \ > / I Environmental Survey.
Swain/Lane "ss <<SS / 2. This ma is a compilation of information from survey, deeds,
/ I 8"VC Sewer -iCOWs Prow 99R I p p yr
/ 60' Pu lic R/W
/ / / / / \ \ I I ' SWAIN county tax information, structures and other information
/
-� \ \ I I I LANE I \ furnished by the Forsyth County GIS.
/ 1 — 3. Existing conditions have been field located.
Pt. J / 1 \ \ ICI 11 \ \ XC FIf, \ / \ \ \ I / _ ^ I \ \ 4. This site is located in the Salem Lake WS-1II Protected
Watershed.
5. Site has NO FEMA designated flood area.
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6EES0R 8 CARTER, PR.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
4970 US Highway 311 N #669, Walkertown, NC 27051
OFFICE:[phone] FAX:[phone]
WEB: www.bc-eng.com
Corp #: C-4017
Email: [e-mail]
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RAMEY PROPERTIES LLC
HUBBARD REALTY OF WINSTON-SALEM INC
PO Box 10
Bethania, NC 27010
Ph. No.: 336-922-4000
Email: [e-mail]
in
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NC Grid - NAD83 (2011)
DATE: 01.13.2020
DRAWN BY: TBC / ATC / DLH
JOB NO.: 02-202
REVISIONS:
SCALE: 1" = 60'
30 0 15 30 60 120
SHEET TITLE:
EXISTING CONDITIONS
/ Beeson & Carter, P.A.
,! PIN: BLOCK -LOT:
325 . / / / / / / / /
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OWNER: Steve . & Deborah Pegra / / SHEET N O:
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DocuSign Envelope ID: ABFFD226-9B96-46EA-BBB2-3C470C2F510C
IMPORTANT NOTES:
-H 1. Boundary shown is from a survey by Beeson & Carter, PA,
/ A ing S \ Dated 1-13-2020, Titled High Knoll,Sec 3 Boundary and
\ \ Existing S H \
Environmental Survey.
Swain/Lane I 8"VC ewer- OW� Proi4226 / 2. This map is a compilation of information from survey, deeds,
/ so' Pu ric R/W /
\ \ \ I / / county tax information, structures and other information
SWAIN LANE furnished by the Forsyth County GIS.
Pt. \ - \ �� II I FI /' ` 3. Existing conditions have been field located.
/ / I \ / l \ \ 4. This site is located in the Salem Lake WS-III Protected
o Watershed.
5. Site has NO FEMA designated flood area.
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LOCATION MAP (NOT TO SCALE)
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DEED OOK- AGE: dQ3293-0240� \ f� \ \ \ \ / ` \ I \
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17 / 15932 ±SQ FT / \ \ \ \ \ DEED BOOK -PAGE: 790-1834
O r o I BLOCK -LOT: 32GE 48
l OWNER: HARRY A DIANNE M BOLE:
/ 0.366 ±ACRES \ \ U) I
27 I 26 16830 ±SQ FT 16824 ±SQ FT 16819 ±SQ FT 16813 ±SQ FT 16808 ±SQ FT - - .. A A • / \ \ \
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P O N BID -PAGE: 492-14 PAGE 3C \
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\ / \ BLI�CK LOT\3252C- \ \ \ \� CF t /I i \ 11
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-- \ -\ / / 1 I
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TYPICAL STREET SECTION NTS \ 1 \ \ \ \ \ \ / - / / / _ // OWNER PHONGT LY
50' PUBLIC R/W \ \ \ A 220-±.4 \ \ \ \ \ \\\ \ / �/ M // //�/ � roximaw�ocation
\ - \ \ -
7-s7-5135.00 / / _ \ \ \ \ '7\ \ ` \\ / / / / ' / �EI6w
OWNER:
\ \ BL K-LOT: 3252�43
\ Alan rt��8 Kimberly E McDonald \\�` E: 001125- \\ \\\`\ / / / TM BLOCK -LOT: 3252-2\ PIN: 6867-07-7058.00
OWNER: Joy ore
DEED BOOK-
10' Public sp' 10' Public \ \ \ / \ / / - \ \ \ -1 / / / /� / /_ / - \ ^ ' / 93 / 13185 ±SQ
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Existing Zoning: RS9 Proposed Uses: Single Family Residential / / / \ o �- / / / /' N z a I _ / / - 23561 ±SQ FT _ - - - - - - /
/ \ / to / 10.541 ±ACRES / �, /
Proposed Zoning: RS9 Parking CaIc.: 2 Spaces/ Lot /� rt Z / i / / c /
Type of Review Requested: Site Permitting Required Parking: 70 Spaces. / / / / / / \ I / / \ - / - - _ _ _ _ - - - _ - _ -' - / / / \
Parking Provided: 70 Spaces. I \ \ I \303'
Jurisdiction: Forsyth County "
"PIN: 6857-96-771 I I / I \ °c' / m \ �.1t O
R
SITE SIZE AND COVERAGES -STREET LOADING (if applic / BLOCK-LOT:3252C-038 I \ / 4 J=o / czp \ I' J \I / SFDAHome/ 1
OWNER: Michele Catherine 8 Wayne Woodbeck /
/ \ DEED BOOK -PAGE: 003075-01021 S IC8) / 24963 ±SQ FT
Total Acreage: 22.050± Acres. Req'd Load/Unloa es: \ \ I m N <Q ' I / / o U o / a o \ 1 80' / 0i573 ±ACREs
Watershed: Salem Lake WS - III Watershed Load/Unload Sp rovided:
moo /m 11, 8a
21'
Site Coverages: Size: ft. x ft. I o Z o lI/I I o Y
m
Building to Land: 13.8 °/D I aJ3wZom O e w
4 5 0 PIN 6867- -574
/
/
/
Pavement to Land. /o / - \ / \ C) / i BLOCK- T: 32f2-017C /
Open Space: 81.7 % BUFFERYARDS (if applicable) / / / / I / / I // I I/-� OWN : David fA. B Frances C na Garton
k / DE BOOK- GE 003252- 7C
(Total - 100%) Adjoining Zoning: RS9 - /
_ J g g� - - \ \ -� 125547 ±SQ FT S � - �
/ Type Required: None \ I \ / / / \ I 10.586 ±ACRES
\ \ ( \ / , I - - - - -
Building Sq. Footage (Max.): 2600 Sq. Ft. Width Provided: \ \ \ \ 1 / / - - - / / I III w I - s�7,
Buildin Hei ht: 2 Stories _ - - - - ) I \ I I / I / I J I I 298.44' f N89°31'04"W -
g g Fence Option: Yes No - \ \ \ _ - - _ - / / / I I LL / J
Z f 1 PIN: 6867-06-1790.00 /
¢¢V
b BLOCK -LOT: 3252C-001 /
OWNER:Michael Wayne 8 S. Thompson /
DEED BOOK -PAGE: 002781- 0851
INFRASTRUCTURE DENSITY CALCULATIONS If a licable I - -\ I % \ ��� PIN: 6867-06-4636.
applicable) BLOCK -LOT: 325 17J
A / OWNER: Steve .8 Deborah Pegra \
•CJC DEED BOOK-P GE: 001979-02154
Water: x Public Private Number of Units or Lots: 35 Units/Lots \ \ - - - \ Sos,/92
Sewer: x Public Private Density: 1.59 Units/Acre or Lots/Acre - - - _- _ _ - -1- - - - - - ----:- L
Streets: x Public Private ( 0.63 Acres/Unit or Acres/Lot) -
/
I TYPICAL LOT LAYOUT - RS9
/ 65' Minimum Frontage � Building Line
10' Public Utility Easement
20' Front S/B from R/W
10' Side S/B
54'
I m
Proposed Bldg.
bo Envelope
V a
2600 SF
ifJ
rive ay `�
10' Side S/B
Proposed BUA
Home: 2,600 SF
Drives, SW & Patio: 1200 SF
TOTAL: 3,800 SF
SEAL:
•oFEss�o
_
038574
1/31/2020
IN
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CLIENT / PREPARED FOR:
RAMEY PROPERTIES LLC
HUBBARD REALTY OF WINSTON-SALEM INC
PO Box 10
Bethania, NC 27010
Ph. No.: 336-922-4000
Email: [e-mail]
in
E
S
NC Grid - NAD83 (2011)
DATE: 01.13.2020
DRAWN BY: TBC / ATC / DLH
JOB NO.: 02-202
REVISIONS:
01.29.20 Revise horizontal road curves and
stream crossing design
SCALE: 1" = 60'
30 0 15 30 60 120
SHEET TITLE:
PROPOSED SITE PLAN
© Beeson & Carter, P.A.
SHEET NO:
C-1.1

DocuSign Envelope ID: ABFFD226-9B96-46EA-BBB2-3C470C2F510C
Culvert Report
Hydraflow Express Extension for Autodesk® Civil 3D® by Autodesk, Inc. Monday, Jan 20 2020
36 RCP - 10 Yr Storm Event
Invert Elev Dn (ft) = 918.40 Calculations
Pipe Length (ft) = 82.20 Qmin (cfs) = 23.50
Slope (%) = 4.38 Qmax (cfs) = 23.50
Invert Elev Up (ft) = 922.00 Tailwater Elev (ft) = (dc+D)/2
Rise (in) = 36.0
Shape = Circular Highlighted
Span (in) = 36.0 Qtotal (cfs) = 23.50
No. Barrels = 1 Qpipe (cfs) = 23.50
n-Value = 0.012 Qovertop (cfs) = 0.00
Culvert Type = Circular Concrete Veloc Dn (ft/s) = 4.08
Culvert Entrance = Square edge w/headwall (C) Veloc Up (ft/s) = 6.33
Coeff. K,M,c,Y,k = 0.0098, 2, 0.0398, 0.67, 0.5 HGL Dn (ft) = 920.68
HGL Up (ft) = 923.56
Embankment Hw Elev (ft) = 924.23
Top Elevation (ft) = 932.00 Hw/D (ft) = 0.74
Top Width (ft) = 32.00 Flow Regime = Inlet Control
Crest Width (ft) = 200.00
ew (n) 36 RCP -10 Yr Sturm Event Hw 0•DIR IN
933.00
11.00
9J000
93]00
93<.00
B31.00
B00
500
200
., OD
91-
A99
91500 -7.90
0 10 30 30 W 50 fi0 ]0 80 90 1w 110 1. 1.
GrMerGYVM HGL fmWnk
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Culvert Report
Hydraflow Express Extension for Autodesk® Civil 3138 by Autodesk, Inc. Monday, Jan 20 2020
36 RCP - 25 Yr Storm Event
Invert Elev Dn (ft) = 918.40 Calculations
Pipe Length (ft) = 82.20 Qmin (cfs) = 25.90
Slope (%) = 4.38 Qmax (cfs) = 25.90
Invert Elev Up (ft) = 922.00 Tailwater Elev (ft) = (dc+D)/2
Rise (in) = 36.0
Shape = Circular Highlighted
Span (in) = 36.0 Qtotal (cfs) = 25.90
No. Barrels = 1 Qpipe (cfs) = 25.90
n-Value = 0.012 Qovertop (cfs) = 0.00
Culvert Type = Circular Concrete Veloc Dn (ft/s) = 4.41
Culvert Entrance = Square edge w/headwall (C) Veloc Up (ft/s) = 6.54
Coeff. K,M,c,Y,k = 0.0098, 2, 0.0398, 0.67, 0.5 HGL Dn (ft) = 920.72
HGL Up (ft) = 923.64
Embankment Hw Elev (ft) = 924.37
Top Elevation (ft) = 932.00 Hw/D (ft) = 0.79
Top Width (ft) = 32.00 Flow Regime = Inlet Control
Crest Width (ft) = 200.00
eev Inl 36 RCP - 75 Yr Storm Event Hw oepl (n)
9J3.00
9J0.00
BI]90
BI1.00
831.00
1100
600
500
2W
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916.00 -]00
0 10 30 30 n0 50 fi0 ]0 80 90 100 110 1. ,m
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Culvert Report
Hydraflow Express Extension for Autodesk® Civil 3130 by Autodesk, Inc. Monday, Jan 20 2020
36 RCP - 50 Yr Storm Event
Invert Elev Dn (ft) = 918.40 Calculations
Pipe Length (ft) = 82.20 Qmin (cfs) = 27.30
Slope (%) = 4.38 Qmax (cfs) = 27.30
Invert Elev Up (ft) = 922.00 Tailwater Elev (ft) = (dc+D)/2
Rise (in) = 36.0
Shape = Circular Highlighted
Span (in) = 36.0 Qtotal (cfs) = 27.30
No. Barrels = 1 Qpipe (cfs) = 27.30
n-Value = 0.012 Qovertop (cfs) = 0.00
Culvert Type = Circular Concrete Veloc Dn (ft/s) = 4.61
Culvert Entrance = Square edge w/headwall (C) Veloc Up (ft/s) = 6.67
Coeff. K,M,c,Y,k = 0.0098, 2, 0.0398, 0.67, 0.5 HGL Dn (ft) = 920.74
HGL Up (ft) = 923.69
Embankment Hw Elev (ft) = 924.46
Top Elevation (ft) = 932.00 Hw/D (ft) = 0.82
Top Width (ft) = 32.00 Flow Regime = Inlet Control
Crest Width (ft) = 200.00
EIr In) 36 RCP - 50 Yr St Event Hw DePl IN
993.00
9]O.OD
9Z].90
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916.00 .7,00
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RaM Iq
IMPORTANT NOTES:
\I
1. Boundary shown is from a survey by Beeson & Carter, PA,
\ Dated 1-13-2020, Titled High Knoll,Sec 3 Boundary and
Environmental Survey.
2. This map is a compilation of information from survey, deeds,
county tax information, structures and other information
- - furnished by the Forsyth County GIS.
3. Existing conditions have been field located.
4. This site is located in the Salem Lake WS-III Protected
Watershed.
- _ \ 5. Site has NO FEMA designated flood area.
I�
6EE8011 8 CARTER, PR.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
4970 US Highway 311 N #669, Walkertown, NC 27051
OFFICE:[phone] FAX:[phone]
WEB: www.bc-eng.com
Corp #: C-4017
Email: [e-mail]
SEAL:
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1/31/2020
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Ph. No.: 336-922-4000
Email: [e-mail]
in
0
S
NC Grid - NAD83 (2011)
DATE: 01.13.2020
DRAWN BY: TBC / ATC / DLH
JOB NO.: 02-202
REVISIONS:
01.29.20 Revise horizontal road curves and
stream crossing design
SCALE: 1" = 60'
E
30 0 15 30 60 120
SHEET TITLE:
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OWNER: Maria Guadalupe Galvan Gonzalez &
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DEED BOOK -PAGE: 003308-02490
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BEE8011111 8 CARTER, PR.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
4970 US Highway 311 N #669, Walkertown, NC 27051
OFFICE:[phone] FAX:[phone]
WEB: www.bc-eng.com
Corp #: C-4017
SEAL:
038574
1/31/202�0
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RAMEY PROPERTIES LLC
HUBBARD REALTY OF WINSTON-SALEM INC
PO Box 10
Bethania, NC 27010
Ph. No.: 336-922-4000
Email: [e-mail]
IMPORTANT NOTES: See Plan area for North Reference
1. Vertical separation between water line and storm lines shall be a minimum
of 12". Vertical separation between sanitary sewer and storm lines shall
be a minimum of 24". See sections on sheet C-2.4 for additional
information on water line depths at storm pipes crossing the street.
2. All street basins are NCDOT 840.02 or equal. All pipe invert in/invert out
shall have a minimum of 0.10' difference across basins.
3. All Frames and Grates for street basins are NCDOT 840.03 or equal.
4. All storm pipe is Class III concrete pipe laid in a fashion that ensures soil
and water tightness. Pipe over 12% is corrugated aluminum pipe.
5. All outfall lines shall have a flaired end section( FES) at the end of pipe
and energy dissipating riprap. See details for further information.
Approval of these water & sanitary sewer plans does not DATE: 01.13.2020
constitute approval for construction. Approval of construction DRAWN BY: TBC / ATC / DLH
must be in formal written agreement. Failure to obtain such
agreement prior to beginning of construction will relieve the City JOB NO.: 02-202
of any financial participation in this project whatsoever.
REVISIONS:
01.29.20 Revise horizontal road curves and
By: stream crossing design
City of Winston-Salem
PERMIT NUMBER
WATER
SEWER
DATE
Approval by the Utilities Director of the water and sewer SCALE: 1" = 40'
infrastructure depicted in these plans does not constitute
approval for any other purpose than that set forth in Section 20 0 10 20 40 80
64 of the Water System Policy and Section 36 of the Sewer
System Policy of the City/County Utility Commission. To the
extent other permits, licenses, permissions or the like must
be obtained to complete this project, such are specifically SHEET TITLE:
not granted by this approval and must be obtained by the
Developer and/or his designee. CRANFILL LANE PLAN & PROFILE
STREET AND UTILITY DESIGN APPROVED
EROSION CONTROL Streets & Drainage c
PLAN APPROVED O Beeson &Carter, P.A.
CITY ENGINEER DATE SHEET NO:
Water & Sewer
Grading Permit Required
Prior To Land Disturbing UTILITIES DIRECTOR
DATE
C-2.0

DocuSign Envelope ID: ABFFD226-9B96-46EA-BBB2-3C470C2F510C
ti 1
1
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I II \ \ See Details below for impervious dike and pump around I I 33 LF of Temporary impacts for pump
I \ operations. At completion Of pumping operations I I - around and channel lining; Approximate
\ I p p p p g p I - extent of impact area is shaded. _ 31 4' - - - - - -
PIN: 6857-96-9�58it,0 stream bed shall be restored to natural conditions. No I I I I \ I I I \ \ \
I \ BLOCK -LOT: 3252C-W�5 I stone or construction materials shall be left in stream. I I I \ \
L \ OWNER: Maria Guadalupe Galvan Gonzalez USE PUMP AROUND ONLY IF NEEDED FOR THIS I I \ I See Details below for temporary impervious dike and pump around I I \ \ \
\ � Jose Angel �ylontealvo Nolazco \ \
operations. At completion of pumping operations stream bed shall I I \
\ � DEED BOOK -PAGE: 003�i08-02490 / INSTALLATION. The stream is intermittent and I I 06 \ \ \
\ / / installation may be achieved during no flow conditions. Sec: a+g� \ I \ be restored to natural conditions. No stone or construction
� materials shall be left in stream channel.
FES2 I 1 I I I I \ 33 \
10' Private Sewer Easement Class 1 and B Riprap channel lining and energy I I I I \ \ \
dissipater. Key stone into stream bed and banks to I I I I \ \
10' Utility Easement match natural channel profile. Riprap length 20' L x I I \
top of bank to top of bank x 2.0' D I I I I I I \ \\
w !w� w \ w
\ o
\ \ to
0) I \ CRANFILL LANE,
/ / 51' Public
< �� tility Ea�a 8 � � � � � =� � 8 1 � �'
-« - I � _ \ \ � � \ � �
/----- \ �\ I \ \ I\ \\ I I I I 1�.1'of36"RCP @8.33%�/�
17 LF of Temporary impacts for ' FES1, \
IT
\ J I Pump around; Approximate
I I \ I I \ I \ I I I extent of impact area is shaded
I I \ I I \ See Details below for temporary impervious dike and pump around
I I I \ \ 1 I I I \ operations. At completion of pumping operations stream bed shall
I m O rA � I I I \ 1 I I I \ be restored to natural conditions. No stone or construction /
/ m m 0 rn I I \ 1 I I I I I materials shall left in stream channel.
I
1 I I \ \ 1 \ \ \ \ - - --
------
9°� �\ I I \ \ \ I 1 \ \ \ \ 1 \ I I (�----- �.
/
ran ,. I / , \
STREAM CROSSING SECTION VIEW
4+97 08
STREAM CHANNEL RIPRAP KEY DETAILS
960 N.T.S.
9
F
9
F
F
F
EG
EG
E
EG
G
F
9
�G
RCP @ 8.33%
Inv:921.50'
9
EG
Inv: 912.00'
STREAM
114.8
XING
LF of 36"
-F
9
9
Q
-70 -60 -50 -40 -30 -20 -10 0 10 20 30 40 50
H&V SCALE: 1" = 10'
5 0 2.5 5 10 20
PUMP -AROUND DETAILS
TEMPORARY IN -STREAM CONSTRUCTION MEASURES
DESCRIPTION
The work should consist of installing a temporary pump around and supporting measures to divert
flow around in -stream construction sites.
CONSTRUCTION SEQUENCE
1. Construction activities including the installation of erosion and sediment control measures should
not begin until a pre -construction meeting is held with the erosion inspector. All existing utilities
shall be marked in the field prior to construction. The contractor is responsible for any damage to
existing utilities that may result from construction and should repair the damage at his/her own
expense.
2. The contractor should notify the Division of Water Resources at least 5 days before beginning
construction.
3. The contractor should conduct a pre -construction meeting on site with the erosion control
inspector, the project manager, and the engineer to review limits of disturbance, erosion and
sediment control requirements, and the sequence of construction. The contractor shall stake out
all limits of disturbance prior to the pre -construction meeting so they may be reviewed. The
participants will also designate the contractor's staging areas and flag all trees within the limit of
disturbance which will be removed for construction access.
4. Construction shall not begin until all sediment and erosion control measures have been installed
and approved by the erosion control inspector. The contractor shall stay within the limits of the
disturbance as shown on the plans and minimize disturbance within the work area whenever
possible.
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Z11
5. Upon installation of all sediment control measures and approval by the erosion control inspector,
the contractor should begin work at the upstream section and proceed downstream. The
sequence of construction must be followed unless the contractor gets written approval for
deviations from the Engineer or DENR-DWR. The contractor shall only begin work in an area
which can be completed by the end of the day including grading adjacent to the channel. At the
end of each work day, the work area must be stabilized and the pump around removed from the
channel. Work shall not be conducted in the channel during rain events.
6. Sandbag dikes should be situated at the upstream and downstream ends of the work area as
shown on the plans, and stream flow should be pumped around the work area. The pump should
discharge onto a stable velocity dissipater made of riprap or sandbags.
7. Water from the work area should be pumped to a sediment filtering measure such as a
dewatering basin, sediment bag, or other approved source. The measure should be located such
that the water drains back into the channel below the downstream sandbag dike.
8. Traversing a channel reach with equipment within the work area where no work is proposed shall
be avoided. If equipment has to traverse such a reach for access to another area, then timber
mats or similar measures shall be used to minimize disturbance to the channel. Temporary
stream crossings shall not be be used without prior approval of the Engineer or DWR.
9. The contractor is responsible for providing access to and maintaining all erosion and sediment
control devices until the sediment control inspector approves their removal.
10. After construction, all disturbed areas shall be regraded and revegetated as per the erosion
control plan details.
11. Temporary impacts to the stream channel shall be repaired and restored per the details on this
sheet.
0;r ^A C+r��rr� n..+I^+ 1=C\
Wr-ttf "R.Jrlll� 1 t 9 ■.13•J
PLAN VIEW
CROSS SECTION
PLAN VIEW
approved
dewatering device
Vl nl +h - ') n'
Approximate vviacn
stream
diversion pumps
discharge hoses
P intake
dewatering pump hose
� P
------ - --_ A A
flow
--- f5 intake hose fah
sediment dike clean water dike sump -hole
-or pool
(12" to 18" deep
work area 2' dia.)
pumps should discharge length not to exceed
onto a stable velocity that which can be
dissipator made of rip rap completed in one day
orsandbags
SECTION A -A
impervious sheeting
base flow + 1 foot
work area _ (2 foot minimum)
cross section of sandbag dike
IMPORTANT NOTES:
1. Pipe shall be Class III RCP.
2. Install per manufactures specifications. Pipe shall be bedded on a firm foundation of
soils. Notify Engineer to address unsuitable soils or rock below pipe area.
3. Soils around pipe shall be hand compacted in 6" lifts until filled to top of pipe. Lifts
shall be no more than V and well compacted above pipe. See cover sheet for
details on soil compaction standards.
4. Use impervious weir and pump around per details below during pipe installation.
5. A 2" semi trash pump rated at 8000 GPH or higher shall be the minimum used for
pump around operations.
6. All temporary impact areas shall be restored to natural conditions by contractor prior
to de -mobilizing from site.
STREAM CHANNEL RESTORATION DETAILS
N.T.S.
Restore stream bed and channel slopes back to
natural grades. Use stream bed gravels and
materials excavated from stream bed for final 1.0' lift.
eam Bed
Seed slopes and approaches with native grass mixture
� 2 rows of Live Cuttings spaced 2.0' O.0 in all directions
North American Green
Channel Liner; SC150BN
or equal
LIVE STAKE SPECIES SUITABLE FOR RIPARIAN REFORESTATION
SILKY DOGWOOD, BLACK WILLOW (MAXIMUM 20%), SILKY WILLOW, ELDERBERRY, BUTTONBUSH,
BEE1100 & CARTER, PR.
CIVIL ENGINEERS LAND SURVEYORS
LAND PLANNING
4970 US Highway 311 N #669, Walkertown, NC 27051
OFFICE:[phone] FAX:[phone]
WEB: www.bc-eng.com
Corp #: C-4017
SEAL:
041
038574
�/31/2020 •:
%, 9�.•. ,yG I N El��
.• ``
❑ Preliminary - Do Not Use for Construction
X Final Drawing - For Review Purposes Only
❑ Final Drawing
PROJECT:
NINEBARK
co
Notes:
Z
O
1. Stockpiled topsoil shall be used to cover disturbed bank stabilization areas prior to seeding and matting/mulching
C:
to facilitate vegetative growth.
O_
2. After bringing the surface to final grade, clear surface of trash, woody debris, stones and clods larger than 1 ". Fill
U)
or level low spots in order to avoid standing water. Mix fertilizer and/or lime into the soil surface where necessary.
U >
3. Disturbed areas inside the riparian buffer restoration zone shall be seeded as established in the adjacent ground
W
cover and seed mixes schedule, using an application rate of 20 lbs. per acre along with a cover crop of rye grain
�^
or winter wheat applied at a rate of 30 lbs. per acre.
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4. Native trees and shrubs will be planted along the stream bank as indicated in the plans.
F0
5. Trees and shrubs may be clustered to provide a natural appearance.
+- p
J
6. All plant materials shall be nursery grown stock using regional ecotype seed or starts. Planting stock may include
O
containerized, bare root or balled and burlaped (B&B) trees and shrubs, but no more than 25 percent of the
_J �_ N
introduced plants should be bare root stock. Plants grown in tubelings or tree bands are recommended.
O M
7. A minimum of 4 live cutting species should be selected to enhance the species diversity at the site. The density,
olf U
effectiveness and ecological function of the forested buffer will be enhanced by combining canopy trees,
Z >1 Z ti
understory trees and shrubs in a mix that approximates a natural riparian forest at an old -growth site.
- O
8. All planting stock shall be handled in such a manner as to promote the health and vigor of the plant material and
E
reduce the stress of transplanting and reestablishment.
c�
p
9. Plant materials shall be delivered to the project site directly from the nursery in a covered vehicle to prevent wind
Cfl
burn and excessive drying.
10. Plants shall be protected from drying and overheating by storing in full shade out of the wind or in a cool interior
- Z
space, and shall be kept moist by watering, spraying and/or misting at least daily.
_ U)
11. All plants shall be watered with 3-4 gallons of fresh water at time of planting.
12. Live stakes shall be 1/2-2" (12-50 mm) in diameter. Stakes shall also be 2 - 4 feet (.6 - 1 meter) in length. Stakes
shall be spaced approximately 3 Feet (0.91 meters) on center. Live stakes should be installed according to the
configuration presented in the details of the plan sheets.
CLIENT / PREPARED FOR:
13. All plant material shall be harvested locally (within the same physiographic ecoregion and plant hardiness zone)
or purchased from a local nursery. All live stakes shall be dormant at time of acquisition and planting. Live stakes
RAMEY PROPERTIES LLC
can be installed between November 15 and March 15.
HUBBARD REALTY OF WINSTON-SALEM INC
14. Cuttings for live stakes shall be harvested in manner such that they are cut, immediately put into water to be
PO Box 10
soaked for ten days, and Then planted immediately after the ten days are completed.
Bethania, NC 27010
15. Cuttings shall remain wet until they are planted. Outside storage locations should be continually shaded and
Ph. No.: 336-922-4000
protected from wind and direct sunlight.
16. During preparation, the basal ends of the live stakes shall be cleanly cut at an angle to facilitate easy insertion
Email: [e-mail]
into the soil, while the tops shall be cut square or blunt for tamping.
17. All limbs shall be removed from the sides of the live cutting prior to installation.
18. Live stakes shall be tamped perpendicularly into the finished bank slope with a dead blow hammer, with buds
oriented in an upward direction. Stakes should be tamped until approximately 3/4 of the stake length is within the
See Plan area for North Reference
ground.
19. If less than 12 inches of penetration is achieved, the stake should be removed, discarded if damaged, and a
replacement stake should be driven nearby.
20. One to two inches shall be cut cleanly off of the top of each live stake (with loppers) at an angle of approximately
15 degrees Following installation.
21. Any stakes that are split or damaged during installation shall be removed and replaced. The area around each
live stake shall be compacted by foot after the live stake has been installed.
22. Once areas will no longer be disturbed within the work area, seed and stabilize remaining disturbed areas
immediately upon completion of grading following the most recent edition of NCDEQ Erosion and
23. Sediment control planning and design for specifications regarding permanent seeding.
24. Prepare areas to receive seeding by loosening the soil by raking, disking, harrowing, or other suitable methods
DATE: 01.13.2020
prior to placing seed.
25. Water seeded areas as needed to maintain growth but not to the extent to cause erosion.
DRAWN BY: TBC / ATC / DLH
GROUND COVER AND SEED MIXES SCHEDULE
JOB NO.: 02-202
REVISIONS:
NATIVE GRASS AND HERB MIXES SIMILAR TO THE FOLLOWING CAN BE MADE FROM
COMMERCIALLY AVAILABLE SOURCES. THE RECOMMENDED SEED MIXTURE FOR THE
STREAM BANKS AND RIPARIAN CORRIDOR SHALL BE APPROXIMATELY AS FOLLOWS:
01.29.20 Revise horizontal road curves and
stream crossing design
OAT GRAIN, Avena sativa 20%
01.30.20 Revise temporary impacts and details
DEER TONGUE GRASS, Panicum clandestinum 20%
VIRGINIA WILD RYEGRASS, Elymus virginicus 20%
SWITCHGRASS, Panicum virgatum var. Carthage 20%
NATIVE WILDFLOWER MIX 20%
ALTERNATIVELY, A COMMERCIALLY AVAILABLE MIX IS AVAILABLE FROM ERNST
CONSERVATION SEEDS (NC PIEDMONT RIPARIAN MIX, ERNMX #307).
A SUITABLE WILDFLOWER MIX IS AVAILABLE FROM ERNST CONSERVATION SEEDS
SCALE: 1" = 40'
(SOUTHEAST WILDFLOWER MIX, ERNMX #169).
20 0 10 20 40 80
SHEET TITLE:
STREAM CROSSING DETAILS
© Beeson & Carter, P.A.
SHEET NO:
C-2.4

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2019-02010 County: Forsyth U.S.G.S. Quad: NC- Walkertown
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Requestor:
Ramey Properties, LLC
C.J. Ramey
Address:
P.O. Box 10
Bethania, NC 27010
Telephone Number:
336-922-4000
E-mail:
peteramey(&earthlink.net
Size (acres) —23 Nearest Town Walkertown
Nearest Waterway Lowery Mill Creek River Basin Upper Pee Dee
USGS HUC 03040101 Coordinates Latitude: 36.155027
Longitude:-80.1513
Location description: The review area is located on the north side of Knoll Ridge Drive; approximately 0.1 miles west of the
intersection of Know Ridge Drive and Reidsville Road. PIN: 6867-07-1323. Reference review area description shown in
Jurisdictional Determination Request package entitled "Drawing 1, USGS Topographic Mad'.
Indicate Which of the Following Apply:
A. Preliminary Determination
® There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. The approximate boundaries of these waters are shown on the enclosed delineation map dated 10/9/2019. Therefore
this preliminary jurisdiction determination may be used in the permit evaluation process, including determining compensatory
mitigation. For purposes of computation of impacts, compensatory mitigation requirements, and other resource protection
measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that would be affected in any
way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may
request an approved JD, which is an appealable action, by contacting the Corps district for further instruction.
❑ There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403).
However, since the waters, including wetlands have not been properly delineated, this preliminary jurisdiction determination
may not be used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is
merely an effective presumption of CWA/RHA jurisdiction over all of the waters, including wetlands at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters,
including wetlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination
❑ There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
❑ There are waters, including wetlandson the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ We recommend you have the waters, including wetlands on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.

SAW-2019-02010
❑ The waters, including wetlands on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. We strongly
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once
verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided
there is no change in the law or our published regulations, may be relied upon for a period not to exceed five years.
❑ The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below onDATE. Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ There are no waters of the U.S., to include wetlands, present on the above described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
❑ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (LAMA).
You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to determine their
requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Bryan Roden -Reynolds at 704-510-1440 or
brvan.roden-revnolds(ausace. armv.mil.
C. Basis For Determination: Basis For Determination: See the preliminary jurisdictional determination
form dated 12/20/2019.
D. Remarks: None.
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination 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 request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.KEN N ETH.1263385574
Corps Regulatory Official: REYNOLDS. BRYANXEN N ETH. 1263385574 Date: 201 9.12.20 09:26:36 -05'00'
Date of JD: 12/20/2019 Expiration Date of JD: Not applicable

SAW-2019-02010
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.anny.mil/cm apex/Pp=136:4:0
Copy furnished:
Agent:
Pilot Environmental, Inc.
Spencer Burnett
Address:
P.O. Box 128
Kernersville, NC 27285
Telephone Number:
336-310-4527
E-mail:
sburnett(doilotenviro.com

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Rame Pro erties LLC, C.J. Ramey File Number: SAW-2019-02010 Date: 12/20/2019
Attached
is:
See Section below
PROFFERED PERMIT Standard Permit or Letter of ermission
A
RED PERMIT Standard Permit or Letter of ermission
B
DENIAL
LAPPROVED
C
JURISDICTIONAL DETERMINATION
D
INARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or hLtp://www.usace.q=.mil/Missions/CivilWorks/ReizulatoEyProgramandPermits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section 1I of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.

SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: Bryan Roden -Reynolds
CESAD-PDO
Charlotte Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 1OM15
8430 University Executive Park Drive, Suite 615
Atlanta, Georgia 30303-8801
Charlotte, North Carolina 28262
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the opportuni to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: Bryan Roden -Reynolds, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 12/20/2019
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Ramey Properties, LLC, C.J. Ramey, P.O. Box 10
, Bethania, NC 27010
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Reidsville Road, SAW-2019-02010
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The review area is located on the north side
of Knoll Ridge Drive; approximately 0.1 miles west of the intersection of Know Ridge Drive and Reidsville Road. PIN:
6867-07-1323. Reference review area description shown in Jurisdictional Determination Request package entitled
"Drawing 1, USGS Topographic Map".
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Forsyth City: Watkertown
Center coordinates of site (lat/long in degree decimal format): Latitude: 36.155027 Longitude:-80.1513
Universal Transverse Mercator:
Name of nearest waterbody: Lowery Mill Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
® Field Determination. Date(s): 12/20/2019
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Estimated amount of
Geographic authority to
Type of aquatic
aquatic resources in
which the aquatic resource
Latitude (decimal
Longitude (decimal
resources (i.e.,
Site Number
review area (acreage
"may be" subject (i.e.,
degrees)
degrees)
wetland vs. non-
and linear feet, if
Section 404 or Section
wetland waters)
applicable
10/404)
Stream SA
36.154846
-80.150779
320 linear feet
Non -wetland
404
1-19
Stream SA
36.154745
-80.152621
700 linear feet
Non -wetland
404
20-59
Wetland
36.154725
-80.151194
0.302 acre
Wetland
404
WA 1-23
Wetland
36.154705
-80.152248
0.227 acre
Wetland
404
WA 24-59
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: Drawings 1-5
® 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
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: Drawing 1, USGS Topographic Map (1:24,000
Walkertown, NC)
® Natural Resources Conservation Service Soil Survey. Citation: Drawing 2, Webs Soil Map (Web Soil Survey of
Forsyth County) and Drawing 2A, Published Soil Map (Soil Survey of Forsyth County)
® National wetlands inventory map(s). Cite name: Drawing 3, NWI Map (USFWS NWI Mapper)
❑ State/local wetland inventory map(s):
® FEMA/FIRM maps: Drawing 4, FEMA FIRM (National Flood Hazard Layer)
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): Drawing 5, Wetland Map (Dated 10/09/2019)
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.
RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.KEN N ET
REYNOLDS.BRYAN.KE H.1263385574
NNETH.1263385574 Date: 2019.12.2009:26:16
-05'00'
Signature and date of Regulatory
staff member completing PJD
12/20/2019
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester 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.

P
•. P
'DP-2� -
r . ' 4. •¢
-1►
LEGEND
FLAG NUMBERS/INFO Site Boundary
Perennial Stream
WETLAND FLAGS =
STREAM FLAGS =` '• Wetland
Stream Flags = 59 sa 1-s Flag Number
Wetland Flags = 50
x
Total Flags = 109 DP-1 Data Point
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE APPROXIMATE. THEY WERE VERIFIED BY MR. BRYAN RODEN REYNOLDS WITH
THE US
ON DECEMBER 19, 2019. THIS EXHIBIT INCLUDES GPS LOCATIONS OF DELINEATED FEATURES. DELINEATION CONDUCTED BY
MTB/CLC/SCB ON 10.8.19
- �l -, 9F�/ �]i1�J3£ i• � •'f - Y-- - ^ S�La. i f i �L' ' !L\O f • . �i �. _ �
Drawing 5 ? Wetland Map
Satellite Imagery from ESRI r` E ` '' . Approximate 23-Acre Tract
and Pilot GPS Data 4957 Reidsville Road
Scale: 1 = 250 �11��1 Walkertown, Forsyth County, NC
Date:10.9.19 PILOT ENVIR0NMENTAE.INC Pilot Project5233

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LEGEND,:
... # # .\' Site Boundary
Drawing 2A Published Soil Map
USDA Soil Survey x Approximate 23-Acre Tract
of Forsyth County, NC -�' -- - 4957 Reidsville Road
Published 1976, Sheets 18 and 25 PIL01� Walkertown, Forsyth County, NC
Not to Scale PILOT FNVIR0NMFNTAL,INC Pilot Project5233

iT 1 r�
, A a
,; ! , T
Af";
LEGEND
f rt a'r Site Boundary
v eft Freshwater Emergent
4W • Freshwater Forested/Shrub
J { _ Estuarine and Marine Deepwater
f ' ' Estuarine and Marine
Freshwater Pond
4*f'F k Lake
1 Riverine
Other
Drawing 3 }:: NWI Map
USFWS NWI Approximate 23-Acre Tract
4957 Reidsville Road
Wetlands Mapper — ,�,
Scale: = pp PILOT Walkertown, Forsyth County, NC
""°T E""'RONMENTAL.IN` Pilot Project5233

i ! yy -4#
1 ae
All-
LEGEND
Site Boundary
1 %Annual Chance Flood Hazard
R egulatoiy Flood vay
* Special Floodvay
Area of Undetermined Flood Hazard
0.21/4Annual Chance Flood Hazard
Future Conditions 1 '¢Annual Chance Flood Hazard
Are@with Reduced Risk Due to Levee
Drawing 4 FEMA FIRM
National Flood Hazard Layer 1 Approximate 23-Acre Tract
s - 4957 Reidsville Road
From FEMA Web Map Service
Scale: 1" = 500' p11.0T Walkertown, Forsyth County, NC
P I LOT ENVIRONM E N 7 A E I N C Pilot Project 5233

. dr
y
"4V LEGEND
1P Site Boundary
FLAG NUMBERS/INFO 3ou nda ry
po ?6 1 t
Perennial Stream
WETLAND FLAGS
STREAM FLAGS Wetland
Stream Flags = 59 �u m r
Flag Number
Wetland Flags = 50
Total Flags = 109 DP 1 Q Data Point
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINARY. THEY HAVE NOT BEEN VERIFIED BY THE USACE AND/OR THE
NCDEQ-DWR. THIS EXHIBIT INCLUDES GPS LOCATIONS OF DELINEATED FEATURES. DELINEATION CONDUCTED BY MTB/CLC/SCB ON
10.8.19
Drawing 5 y Wetland Map
Satellite Imagery from ESRI Approximate 23-Acre Tract
and Pilot GPS Data 4957 Reidsville Road
Scale: 1" = 250' Walkertown, Forsyth County, NC
Date: 10.9.19 PILOT E N V I R 0 N M E N 7 A L I N C Pilot Project 5233

U.S. Army Corps of Engineers Requirement Control Symbol
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(Authority. AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: 4957 Reidsville Road City/County: Walkertown/Forsyth Sampling Date: 10.8.19
Applicant/Owner: Ramey Properties, LLC State: NC Sampling Point: DP-1
Investigator(s): Pilot Section, Township, Range: NA
Landform (hillside, terrace, etc.): Side slope Local relief (concave, convex, none): Slope Slope (%): 2-4
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.154880 Long:-80.152957 Datum: WGS 87
Soil Map Unit Name: Pacolet clay loam (PcF2) NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X 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 X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X 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 (136)
_Surface Water (Al) _True
Aquatic Plants (1314)
_Sparsely Vegetated Concave Surface (138)
x High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
x Drainage Patterns (1310)
x Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _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)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
x Water -Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
x Depth (inches):
Water Table Present? Yes x No
Depth (inches): 0
Saturation Present? Yes x No
Depth (inches): 0
Wetland
Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1
/iU5U1UW
UUnnndnl
II IU IGdIUI
Tree Stratum (Plot size: 30' )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Fraxinus pennsylvanica
20
Yes
FACW
Number of Dominant Species
2.
Acer rubrum
20
Yes
FAC
That Are OBL, FACW, or FAC: 6 (A)
3.
Liquidambar styrac/flua
20
Yes
FAC
Total Number of Dominant
4.
Species Across All Strata: 6 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
60
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
30 20% of total cover:
12
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 30'
)
FACW species 35 x 2 = 70
1.
Liquidambar styraciflua
10
Yes
FAC
FAC species 100 x 3 = 300
2.
Fraxinus pennsylvanica
10
Yes
FACW
FACU species 0 x 4 = 0
3.
UPL species 0 x 5 = 0
4.
Column Totals: 135 (A) 370 (B)
5.
Prevalence Index = B/A = 2.74
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is 53.0'
20
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
10 20% of total cover:
4
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30' )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Microstegium vimineum
40
Yes
FAC
Indicators of hydric soil and wetland hydrology must
2.
Polygonum sp.
10
No
FAC
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Woodwardia areolata 5 No FACW
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
55
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
28 20% of total cover:
11
height.
Woody Vine Stratum (Plot size: 30' )
1.
2.
3.
4.
5
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont -Version 2.0

SOIL Sampling Point: DP-1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
0-18 2.5Y 4/1 90 7.5YR 4/6 10 c m Loamy/Clayey Prominent redox concentrations
Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
RM=Reduced Matrix, MS=Masked Sand Grains
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
—Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soi
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers Requirement Control Symbol
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(Authority. AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: 4957 Reidsville Road City/County: Walkertown/Forsyth Sampling Date: 10.8.19
Applicant/Owner: Ramey Properties, LLC State: NC Sampling Point: DP-2
Investigator(s): Pilot Section, Township, Range: NA
Landform (hillside, terrace, etc.): Side slope Local relief (concave, convex, none): Slope Slope (%): 2-4
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.154713 Long:-80.152765 Datum: WGS 87
Soil Map Unit Name: Pacolet clay loam (PcF2) NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X 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 X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
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 (136)
—Surface Water (Al) _True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _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)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
x Depth (inches):
Water Table Present? Yes No
x Depth (inches):
Saturation Present? Yes No
x Depth (inches):
Wetland
Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
HDsoiute
uommant
inaicator
Tree Stratum (Plot size: 30' )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Quercus alba
30
Yes
FACU
Number of Dominant Species
2.
Carya glabra
15
Yes
FACU
That Are OBL, FACW, or FAC: 4 (A)
3.
Liquidambar styraciflua
10
No
FAC
Total Number of Dominant
4.
Liriodendron tulipifera
10
No
FACU
Species Across All Strata: 9 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 44.4% (A/B)
7.
Prevalence Index worksheet:
65
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
33
20% of total cover:
13
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 30'
)
FACW species 5 x 2 = 10
1.
Cornus florida
10
Yes
FACU
FAC species 35 x 3 = 105
2.
Juniperus virginiana
5
Yes
FACU
FACU species 75 x 4 = 300
3.
Ulmus americana
5
Yes
FACW
UPL species 0 x 5 = 0
4.
Column Totals: 115 (A) 415 (B)
5.
Prevalence Index = B/A = 3.61
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
20
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
10
20% of total cover:
4
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30' )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Microstegium vimineum
15
Yes
FAC
Indicators of hydric soil and wetland hydrology must
2.
Polystichum acrostichoides
5
Yes
FACU
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
20
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
10
20% of total cover:
4
height.
Woody Vine Stratum (Plot size: 30' )
1.
Vitis rotundifolia
5
Yes
FAC
2.
Toxicodendron radicans
5
Yes
FAC
3.
4.
5
Hydrophytic
10
=Total Cover
Vegetation
50% of total cover:
5
20% of total cover:
2
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont -Version 2.0

SOIL Sampling Point: DP-2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
0-18 10YR 4/6 100 Loamy/Clayey
Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
RM=Reduced Matrix, MS=Masked Sand Grains
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
—Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soi
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

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