20001291 Ver 1_COMPLETE FILE_20001005

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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
November 17, 2000
Nash County
DWQ Project #: 001291
APPROVAL OF 401Quality Certification and ADDITIONAL CONDITIONS and Neuse River Buffer Rules
Belcher Land Co.
C/o Ms. Joyce Belcher
Post Office Box 7108
Greenville, NC 27835
Dear Ms. Belcher:
You have our approval, in accordance with the attached conditions and those listed below, to place fill material in 0.07 acres
of wetlands, 104 linear feet of streams for the purpose of constructing the Belcher Land Subdivision Phase II at SR 1947 near SR
1945, as you described in your application dated October 5, 2000. After reviewing your application, we have decided that this fill
is covered by General Water Quality Certification Number 3106. This certification allows you to use Nationwide Permit Number
18 when the Corps of Engineers issues it. This approval is also valid for the Neuse River buffer rules (15A NCAC 2B .033). In
addition, you should get any other federal, state or local permits before you go ahead with your project including (but not limited
to) Sediment and Erosion Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations. This approval
will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the General Certification.
This approval is only valid for the purpose and design that you described in your application except as modified below. If
you change your project, you must notify us and you may be required to send us a new application.. If the property is sold, the
new owner must be given a copy of this Certification and approval letter and is thereby responsible for complying with all
conditions. If total wetland fills for this project (now or in the future) exceed one acre, compensatory mitigation may be required
as described in 15A NCAC 2H.0506 (h) (6) and (7). This approval shall expire when the corresponding Nationwide Permit
expires or as otherwise provided in the General Certification. For this approval to be valid, you must follow the conditions listed
in the attached certification and any additional conditions listed below.
1. Deed notifications or similar mechanisms shall be placed on all remaining jurisdictional wetlands and waters or areas within
50 feet of all streams and ponds to notify the state in order to assure compliance for future wetland and/or water impact.
These mechanisms shall be put in place within 30 days of the date of this letter or the issuance of the 404 Permit (whichever
is later).
2. Stormwater shall be directed to flow at non-erosive velocities across the entire protected stream buffers.
3. The protected 50 foot buffer around the pond must be shown on all plats which depict the pond.
If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act
within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition, which conforms to Chapter
150B of the North Carolina General Statutes to the Office of Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-
7447. This certification and its conditions are final and binding unless you ask for a hearing.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have
any questions, please telephone John Domey at 919-733-9646.
in rel
tevens
Division of Water Quality • Wetlands/401 Unit
1621 Mail Service Center • Raleigh NC 27669-1621 •Telephone [phone] • FAX # [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/10% post consumer paper
I
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
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NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Attachment
cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
File copy
Central Files
Raleigh Division of Land Resources
Steve Stokes; Appian Consulting Engineers
Division of Water Quality • Wetlands/401 Unit
1621 Mail Service Center • Raleigh NC 27669-1621 *Telephone [phone] • FAX # [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/10% post consumer paper
State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
1 • •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DWQ Project No.: County:
Annlicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable
Buffer Rules, and any subsequent modifications, the applicant is required to return this certificate to
the 401/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh,
NC, 27699-1621.This form may be returned to DWQ by the applicant, the applicant's authorized
agent, or the project engineer.It is not necessary to send certificates from all of these.
Applicant's Certification
I, , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed
to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date:
Agent's Certification
I, , hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction was observed
to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer
Rules, the approved plans and specifications, and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, ect.) in the State of North Carolina, having been
authorized to observe (periodically, weekly, full time) the construction of the project, for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the construction such that the construction was observed to be•built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans
and specifications, and other supporting materials.
Signature Registration No.
Date
Division of Water Quality .• Wetlands/401 Unit
1621 Mail Service Center • Raleigh NC 27669-1621 :Telephone [phone] • FAX # [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/10% post consumer paper
MEMORANDUM
TO: John Dorney
Non-Discharge Branch
Regional Contact: Steve Mitchell
WQ Supervisor: Ken Rchtister
Date:
SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS
Facility Name Belcher Land Company County Nash
Project Number 00 1291 County2
Recvd From APP Region Raleigh
Received Date 1015100 Recvd By Region
Project Type subdivision
Certificates Stream Stream Impacts (ft.)
Permit Wetland Wetland Wetland Stream Class Acres Feet
Type Type Impact Score Index Prim. Supp. Basin Req. Req.
18 OTH O Y O N 27-86-11-( WSIII NSW F 0.07 104.00 r-
NWP F-O T -@N ??????? F _1F_
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P-770 N I -????? I
Mitigation Wetland
MitigationType Type Acres Feet
Is Wetland Rating Sheet Attached? O Y ON Did you request more info? O Y ON
Have Project Changes/Conditions Been Discussed With Applicant? O Y O N
Is Mitigation required? O Y O N Recommendation: O Issue 0 Issue/fond O Deny
Provided by Region: Latitude (ddmmss) 354937 Longitude (ddmmss) 780121
Comments:
Nand to show buffer on stream feature into pond,
cc: Regional Office
Central Office Page Number 1
Facility Name Belcher Land Company County Nash
Project Number 00 1291 Regional Contact: Steve Mitchell
Date:
Comments (continued from page 1):
cc: Regional, Office
Central Office Page Number 2
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DEM ID. CORPS ACTION ID:
NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDEPERMIT#): NWP18
PRE-CONSTRUCTION NOTIFICATION APPLICATION
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FOR NATIONWIDE PERMITS THAT REQUIRE:
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1) NOTIFICATION TO THE CORPS OF ENGINEERS -t
2) APPLICATION FOR SECTION 401 CERTIFICATION
3) COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT
SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD
OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7)
COPIES SHOULD BE SENT TO THE N.C. DIVISION OF ENVIRONMENTAL MANAGEMENT (SEE
AGENCY ADDRESSES SHEET). PLEASE PRINT.
1. OWNER'S NAME: Belcher Land Company c/o Joyce Belcher
2. MAILING ADDRESS: P. O. Box 7108
SUBDIVISION NAME: Belcher Land Subdivision Phase III
CITY: Greenville STATE: NC ZIP CODE: 27835
PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM
MAILING ADDRESS ABOVE):
The protect site is south of Strickland Crossroads in Nash county North Carolina on the south side of
SR 1947 approximately 1500 feet from the intersection of SR 1945 and SR 1947.
3. TELEPHONE NUMBER (HOME): [phone] WORK:
4. IF APPLICABLE: AGENT'S NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
AND PHONE NUMBER:
Appian Consulting Engineers PA c/o Steven F. Stokes
331 S. White St., Wake Forest, NC 27587
Phone (919) 562 - 4673
5. LOCATION OF WORK (PROVIDE A MAP, PREFERABLY A COPY OF USGS
TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE):
COUNTY : Nash NEAREST TOWN OR CITY: Bailey
Located on the Bailey USGS Quad
OCT 5 2MO

SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
The property is located south of Strickland Crossroads in Nash county North Carolina. The property is
located to the south of SR 1947 approximately 1500 feet from the intersection of SR 1947 and SR
1945. The proposed location of the road runs west of Lee Road and will cross a tributary to Toisnot
Swamp that flows from north to south across the property into a pond.
6. IMPACTED OR NEAREST STREAM/RIVER:
Toisnot Swamp
RIVER BASIN: Neuse
7a. IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER (SA),
HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY
(WS-I OR WS-II)? YES ( ) NO (X) IF YES, EXPLAIN:
7b. IF THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL
MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ( ) NO (X)
7c. IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF
COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION?
8a. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES ( ) NO (X) IF YES, PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT
AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION):
8b. ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE?
YES ( ) NO (X) IF YES, DESCRIBE ANTICIPATED WORK:
9a. ESTIMATED TOTAL NUMBER OF ACRES IN TRACT OF LAND: 66.8 acres
9b. ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE:
A total of 0.0746 acres of wetlands have been delineated for the road project only and not the entire
site A 0.0287 acre section of stream will be impacted due to the road crossing and a 0.0459 acre
wetland area adjoining the stream will also be impacted.
10a. NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY:
FILLING: NWP 18*, 0.0287 acres of stream channel EXCAVATION:
and 0.0459 acres of adjoining wetlands
FLOODING: OTHER:
DRAINAGE: TOTAL ACRES TO BE IMPACTED: 0.0746 acres
10b. (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF
RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION):
LENGTH BEFORE: 104 FT AFTER:
WIDTH BEFORE (based on normal high water contours):
WIDTH AFTER:
AVERAGE DEPTH BEORE: 3
(2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY)
OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X
CONSTRUCTION OF A DAM/FLOODING: CHANNEL EXCAVATION:
OTHER: Rip-rap will also be placed in the channel.
11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED
DRAINING TO THE POND?
WHAT IS THE EXPECTED POND SURFACE AREA?
12. DESCRIPTION OF PROPOSED WORK INCLUDING. DISCUSSION OF TYPE OF
MECHANICAL EQUIPMENT TO BE USED (ATTACH PLANS: 8 Y " X 11" DRAWINGS ONLY):_
A 56-foot pipe 48 inches in diameter will be placed along the contour of the channel Class I rip-rap
will be installed on the pipe's inlet and outlet. Sixteen feet of rip-rap will placed on the inlet side and 32
feet at the inlet. The rip-rap will be 48 inches thick on both sides Temporary sediment traps will be
used along the stream during construction. Fill will be spread over the pipe and be graded accordingly.
13. PURPOSE OF PROPOSED WORK: The construction of the road will be necessary to
access the future subdivision .
14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN
WETLANDS. (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IMPACTS) :
Measures have been taken to reduce the wetland impacts to one stream crossing and to less than 0.1
acres.
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE (USFWS)
AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) (SEE AGENCY ADDRESSES SHEET)
REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING
ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT
MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: 1019100 (ATTACH
RESPONSES FROM THESE AGENCIES).
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) (SEE AGENCY ADDRESSES SHEET) REGARDING THE PRESENCE OF HISTORIC
PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT.
DATE CONTACTED: 10/9/00
104 FT
12 FT
12 FT
FT AFTER: 3 FT
17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF
PUBLIC (STATE) LAND?
YES ( ) NO (X) (IF NO, GO TO 18)
a. IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL
DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL
POLICY ACT?
YES-( ) NO ( )
b. IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE?
YES ( ) NO ( )
IF ANSWER TO 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE
CLEARINGHOUSE TO THE DIVISION OF ENVIRONMENTAL MANAGEMENT REGARDING
COMPLIANCE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT.
QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE
DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA
DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA
27603-8003, TELEPHONE [phone].
18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF
PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO
.WETLANDS:
a. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES AND PONDS
ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29 AND 38). ALL
STREAMS (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE
MAP. MAP SCALES SHOULD BE 1 INCH EQUALS 50 FEET OR 1 INCH EQUALS 100 FEET OR
THEIR EQUIVALENT.
b. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE
IMPACTED BY PROJECT.
c. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
d. ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED.
e: WHAT IS LAND USE OF SURROUNDING PROPERTY?
A powerline runs to the south of the property with a wooded area to the west A subdivision of
trailer homes is iust to the east and north of the Property. Also to the north of the property are
cultivated fields.
f. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
g. SIGNED AND DATED AGENT AUTHORIZATION LETTER, IF APPLICABLE.
NOTE: WETLANDS OR WATERS OF THE U.S. MAY NOT BE IMPACTED PRIOR TO:
1) ISSUANCE OF A SECTION 404 CORPS OF ENGINEERS PERMIT,
2) EITHER THE ISSUANCE OR WIAVER OF A 401 DIVISION OF ENVIRONMENTAL
MANAGEMENT (WATER QUALITY) CERTIFICATION, AND
3) (IN THE TWENTY COASTAL COUNTIES ONLY), A LETTER FROM THE NORTH
CAROLINA DIVISION OF COASTAL MANAGEMENT STATING THE PROPOSED
ACTIVITY IS CONSISTENT WITH THE NORTH CAROLINA COASTAL MANAGEMENT
PROGRAM.
OWNER'S / AGENT'S SIGNATURE
1015(60
DATE
(AGENT'S SIGNATURE VALID ONLY
IF AUTHORIZATION LETTER FROM
THE OWNER IS PROVIDED (18G.))
Publick envi ronmental.Jenn ifer. PreconstapplicBelcherLand Ph I I I.doc

Sep- 2S-O^ 02 : SG
September 27, 2000
TO: Appian Consulting Engineers, P.A.
331 S_ White Street
Wake Forest. North Carolina 27587
FRONT:
1, Joyce Belcher , as a representative concerning the property on Belcher
Land Subdivision do hereby authorize and give permission for Appian Consulting
Engineers to represent or act as agent on our behalf and allow the COE or any other
regulatory agency to go on the property with an Appian representative for such
purposes as necessary to perform the job tasks-
J iV -IZ e loo
L(Na(fne, Address andrPhone No. below this line) Date
Belcher Land Company
c!o Joyce Belcher
P.O. Box 7108
Greenville, NC 27835
asa - _75-6 73 3 5
D_02
SITE INFORMATION
TRACT ACREAGE: t 66.8 Ac,
No. OF LOTS: 20
LINEAR FOOTAGE
OF STREET: t 1370 LF
AREA OF
STREET R/W: 1.63 Ac.
ZONE: R-40
MINIMUM BUILDING SETBACK
REQUIREMENTS:
FRONT: _ 50 Feet
SIDE 15 Feet
REAR 30 Feet
SIDE STREET: 25 Feet
MIN. FRONTAGE
AT MBL 1.00 Feet
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SR 1947
STRICKLANDS
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DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: &JUPY ?a"J S bd(vi 5f c o Date: 10 2 00
Applicant/Owner: AW i4" Caf-+? l f+ aq rc,.?t; a ?5 Pfl County: ?l0. 5
Investigator: !TK State: NC
Do Normal Circumstances exist on the site? Yes No Community ID: Wef1CVA
Is the site significantly disturbed (Atypical Situation)? NNoo Transect ID: LO _SS
Is the area a potential Problem Area? Yes k of Plot ID: t
If needed, explain on reverse.
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Soecies Stratum Indicator
1.?o1??um ?an;tkatum 2 06L s. Lr??,?Ceft? a.nno; A L
FAC-
2. 11 J _
10
314'lyAnt'x ? c e 1Js; ?F)tXum O &L 11.
n
4. r? 2
3 p B L
12.
5._ LLI?. W5 P_4u 5w5 3 FAC + 13.
6. ker rubriA V"
7.L??rode,xQ?o?,?4ut?Pi?U0. Z _ AC
2 FAC 14.
15.
e.EuQta+?>rium C ap; II'?'OIjLk M 3 r r"tW 16.

Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC
-). 61.
? /o
((
Remarks: (t T ? ?>COI ('fQt totr-?c ppCA l?Yl0.L tt-,ct blcaabVr,-I
HYDROLOGY
_ Recorded Data (Describe in Remarks):
- Stream, Lake, or Tide Gauge
_ Aerial Photographs
_ Other
X No Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
_ Inundated
_ Saturated in Upper 12 Inches
_ Water Marks
Drift Lines
_ Sediment Deposits
Field Observations: /Drainage Patterns in Wetlands
Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) Oxidized Root Channels in Upper 12 Inches
"' Watei-Stained Leaves
ie
Depth to Free Water in Pit: to (in.) -
Local Soil Survey Data
FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
B2 Appendix B Blank and Example Data Forms
SOILS
Map Unit Name
(Series and Phase):
_ 'VU o,; yn-rI ?11
?
Drainage Class: 6) no r drQ, Neil
Taxonomy (Subgroup): T`/O IC. YQd C
-? -RA LLLLI i Field Observations
Confirm Mapped Type? Yes No
Profile Description:
Depth
(inches) Horizon Matrix Color
IMunsell
Mois
t) Mottle Colors Mottle Abundance/ Texture, Concretions,
1Munsell Moist) Size/Contrast Structure- etc.

b-3 f7 /
)
`?2r11
2 ?-
_ t `.7? t t 1 ?r
3-? t r 11
t K s? t? ???k
8- 1t -6}42 Ep 9 311 I I g
r
01
5' a
S?- j5 t r??

2? - ??
goy {r

?« ,b
SCI
.
Hydric Soil Indicators:
- Hstosol
_ Histic Epipedon
ulfidic Odor _ Concretions
T High Organic Content In Surface Layer In Sandy Soils
4
V Aquic Moisture Regime _ Organic Streaking in Sandy Soils
-/Listed on Local Hydric Soils List
_ Reducing Conditions
L/Gieyed or Low-Chroma Colors AZUsted on National Hydric Soils List
_ Other (E)plain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes No (Circle) (Circle)
Wetland Hydrology Present? es No
Hydric Soils Present? es No Is this Sampling Point Within a Wetland? Yes No
Remarks:
Approved by HQUSACE 3192
Appendix B Blank and Example Data Forms B3
DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Delineation Manual)
Project/Site: t7Ic? lP'r La.N Date: ld Z Ott
Applicant/Owner: PK)PIO-0 C??5u1+?Na E?a?t-?ees? PA County: (_3CLJ( ,
Investigator: ?? 3 K J State: w c_
Do Normal Circumstances exist on the site? No No Community I D: !IQ IQ W
Is the site significantly disturbed (Atypical Situation)? Yes Transect ID: 6t- <Z
Is the area a potential Problem Area? Yes o Plot ID: Z
If needed, explain on reverse.
VEGETATION
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1.6LJLpa+orium on Dilt;-Coliurh '?7
FAW s.
2J-01JiCtrQ_ 'Iaf?N C.Q _
_
3 FAC- 10.
3. Q O ?? i Drum 3 0&_ 11.
4. R S Lx "QLALX
z' _ 12
`
ki5 (??UrJrtO?rQ
5. yr 3 SAC 13.
--
6._C-CLCAQ:: t?J r-0,A ('-a t,35 14.
7. 916t' CQR& I li aum 3 NZ 15.
8. 16.

Percent of Dominant Species that are OBL, FACW or FAC
(excluding FAC-.. n/
6
Remarks: rjOM l7 D rCj 0.Q p (golLtc vcft) (4??? kon7 d J:ACLt
HYDROLOGY
_ Recorded Data (Describe in Remarks):
_ Stream, Lake, or Tide Gauge
_ Aerial Photographs
_ Other
X No Recorded Data Available Wetland Hydrology Indicators:
Primary Indicators:
_ inundated
_ Saturated in Upper 12 Inches
_ Water Marks
Drift Lines
_ Sediment Deposits
Field Observations: _ Drainage Patterns in Wetlands
_ Secondary Indicators (2 or more required):
Depth of Surface Water: (in.) _ Oxidized Root Channels in Upper 12 Inches
_ Water-Stained Leaves
Depth to Free Water in Pit: (in.) _ Local Soil Survey Data
_ FAC-Neutral Test
Depth to Saturated Soil: (in.) _ Other (Explain in Remarks)
Remarks:
132 Appendix B Blank and Example Data Forms
SOILS
Map
Unit (Series es and d Phase):
a4b 1 k
V 0,(t0. ?j?
Drainage Class: 0G1er6L4 L' WGU

Taxonomy (Subgroup)
:
E/?? 1) ?U-'t5 Field Observations
-r? PI C
1? U Confirm Mapped Type? Yes b?
Profile Descriotion:
Depth
(inches) Horizon
Matrix Color
(Munsell Moist)
Mottle Colors Mottle Abundance/ Texture, Concretions,
(Munseil Moist) Size/Contrast Structure. etc.
0-Lo A ID 1R 31t X51 V or
(n-(2 A Ct-: 10 W, 44
. l_?`IR y/l SI - IS 1.,r, Q r
-
(2
E ?a Y? BEY l
/
2(p -2`1+ at
ICAK VY n, ar
10 `f K 5/t I I M
(
G
5YK
Hydric Soil Indicators:
Histosol
_ Hlistic Epipedon
- Sulfidic Odor _ Concretions
T High Organic Content In Surface Layer in Sandy Soils

_ Aquic Moisture Regime _ Organic Streaking in Sandy Soils
- Listed on Local Hydric Soils List
- Reducing Conditions
Gieyed or Low-Chroma Colors - Listed on National Hydric Soils List
_ Other (Explain in Remarks)
Remarks:
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes (Circle) (Circle)
Wetland Hydrology Present? es No
Hydric Soils Present? Yes o Is this Sampling Point Within a Wetland? Yes No
Remarks:
Approved by HOUSACE 3192
Appendix B Blank and Example Data Forms 133
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