SAW No. 2020-00259, SR 2140 High Rock Lake, PJD Signed Culvert 311

­STATFo
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
Roy COOPER
GovERNOR
November 15, 2019
U. S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, NC 28801-5006
ATTN: Ms. Nicholle Braspennickx
NCDOT Division 9 Coordinator
JAMES H.TROGDON, III
SECRETARY
SUBJECT: Preliminary Jurisdictional Determination Package: WBS No. 17BP.9.R.106:
Replace Culvert No. 108 on SR 2140 (St Matthews Church Road) over High Rock
Lake in Rowan County, North Carolina.
Ms. Braspennickx
The North Carolina Department of Transportation (NCDOT) proposes the replacement of Culvert
No. 2311 on SR 2140 (St Matthews Church Road) over High Rock Lake in Rowan County, North
Carolina. Below and attached are a brief description of the project, figures depicting all features,
and appropriate forms.
On July 9 and September 18, 2019, WSP USA (WSP) Environmental Scientists Caleb Sullivan
and Amanda Johnson conducted a site investigation (Figure 1). One potential jurisdictional feature,
a potential surface water, was identified in the study area (Table 1; Figures 2 and 3). No potential
jurisdictional streams or wetlands were identified within the study area. A United States Army
Corps of Engineers (USACE) wetland determination form is included to document upland
conditions within the study area.
Table 1: Potential jurisdictional surface water in the study area
NCDWR
Best Usage
Area (ac) in
Surface Water
Jurisdictional
Index
Classification
Study Area
Number
High Rock Lake
Yes
12-117-(3)
WS-IV, B
2.47
If you have any questions, require additional information, or would like to schedule a site visit,
please contact me at [phone] or by email at [e-mail]. This is a request for
Telephone: [phone]
NC DEPARTMENT OF TRANSPORTATION Customer Service: 1-877-368-4968 375 SILAS CREEK PARKWAY
DIVISION OF HIGHWAYS — DIVISION 9 Website: www.ncdot.gov WINSTON-SALEM, NC 27127

concurrence with our assessment. We appreciate your assistance with this project.
Sincerely,
-4 17 coa-'&dl
Amy Euliss
North Carolina Department of Transportation
Highway Division 9
Cc: Dave Wanucha, NCDWR

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name Culvert No. 2311 on SR 2140 over High Rock Lake (1713P.9.R.106)
2. Name of Property Owner/Applicant: NCDOT Division 9
3. Name of consultant/Agent: WSP USA/Adam Karagosian, PWS
*Agent authorization needs to be attached.
4. Related/Previous Action ID nuimber(s):
5. Site Address: St. Matthews Church Road
6. Subdivision Name:
7. City: Pooletown
8. County: Rowan
9. Lat:35.597581
Long:-80.312481
10. Quadrangle Name: Gold Hill
1 L Waterway: High Rock Lake
12. Watershed: HUC 03040103
13. Requested Action:
Nationwide Permit #
General Pen -nit #
(Decimal Degrees Please)
Jurisdictional Determination Request IPreliminary Jurisdictional Determination
— Pre -Application Request
The following information will be completed by Corps office:
10
Prepare File Folder Assign number in ORM
Authorization: Section 10
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:
Section 404
Begin Date

urisdictional Determination Reauest
US Army Corps
of Engineers
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.4,M.mil/Missions/Re ug latoEyPermitProgram/Contact/CounlyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: St. Matthews Road
City, State:
County:
Pooletown, NC
Rowan
Parcel Index Number(s) (PIN): Multiple
B. REQUESTOR INFORMATION
Name: Amy Euliss
Mailing Address: 375 Silas Creek Parkway
Winston-Salem, NC 27127
Telephone Number: 336-747-7800
Electronic Mail Address: [e-mail]
Select one:
❑ I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant'
❑ Interested Buyer or Under Contract to Purchase
❑✓ Other, please explain. NCDOT Representative
C. PROPERTY OWNER INFORMATION'
Name: Multiple Owners
Mailing Address:
Telephone Number:
Electronic Mail Address:
1 Must provide completed Agent Authorization Form/Letter.
z Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ❑ Owner ❑ Authorized Agents
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
✓❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
I intend to construct/develop a projector perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 4.5 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
Longitude
35.504964
-80.312481
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than I Ix17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Pro,gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
✓❑ Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Forms
✓❑ Vicinity Map
✓❑ Aerial Photograph
✓❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
❑✓ Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
❑ NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/rep�ulatorv/re,gdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
s Please see http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approvedjurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 11 /12/19
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Amy Euliss, NCDOT Division 9
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: 375 Silas Creek Parkway, Winston-Salem, NC 27127
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Rowan City: Pooletown
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.597581 Long.:-80.312481
Universal Transverse Mercator:
Name of nearest waterbody: High Rock Lake
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑■ Field Determination. Date(s): 9/18/19
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
High Rock Lake
35.504869
-80.217078
2.47 ac.
Non -wetland waters
Section 404

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:

AGENT AUTHORIZATION FORM
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
Project Name: CulvertNo. 311 on SR 2140overHigh Rock Lake
Project Number: No.17BP.9.R.106
Date: September 2019
The North Carolina Department of Transportation, undersigned, does hereby authorize:
The Professional Engineers and Scientists WSP USA
of
(Contractor/Agent)
(Name of Consulting Firm)
To act on our behalf and take all actions necessary for the processing, issuance, and acceptance of this
permit or certification and any and all standard and special conditions attached.
NCDOT Highway Division 9
375 Silas Creek Parkway
Winston Salem, NC 27127
[phone]
I hereby acknowledge the above information submitted in this application is true and accurate to the best
of my knowledge.
Amy Euliss
NCDOT Division 9
Environmental Officer
Date

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
❑■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:
Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
USGS NHD data.
USGS 8 and 12 digit HUC maps.
Geological Survey map(s). Cite scale & quad name: USGS The National Map
❑ Natural Resources Conservation Service Soil Survey. Citation:
❑ National wetlands inventory map(s). Cite name:
State/local wetland inventory map(s):
FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
❑■ Photographs: ❑■ Aerial (Name & Date): Esri Aerial Imagery, 2018
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

HGM_Code Local_Waterway
High Rock Lake NORTH CAROLINA L1UB LACUSTRINF Area 2.4 ACRE RPW 35.59732000-80,31263000

Appendix A
Figures

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Legend
a Study Area (4.5 ac.)
Panther Creek
Sources: Esri, HERE, Garmin, USGS, Intermap, INCREMENT P,
0 1,000 2,000 NRCan, Esri Japan, METI, Esri China (Hong Kong), Esri Korea, Esri
Feet (Thailand), NGCC, © 0penStreetIK4ap contributors, and the GIS
User Community
�0, NORTH C,yC Vicinity Map
Culvert No. 311 on SR 2140 over High Rock Lake ®�
0 Project No. 1713PAR.106
yp���NT OF TRPNSQOP~e November 2019
Rowan County, North Carolina Figure 1

Potential Jurisdictional Features Map
Culvert No. 311 on SR 2140 over High Rock Lake
Project No. 17BP.9.R.106
November 2019
Rowan County, North Carolina
Figure 2

1
A Al
' High Rock Lake
2.47 ac.
---� ( ' � -
0 100 200
m Feet
Legend
Study Area (4.5 ac.)
Potential Non -wetland Waters of the U.S.
® Upland Data Point
Source: USGS The National Map: National Boundaries Dataset, 3DEP Elevation Program, Geographic Names Information System, National Hydrography Dataset, National Land Cover Database,
National Structures Dataset, and National Transportation Dataset; USGS Global Ecosystems; U.S. Census Bureau TIGER/Line data; USFS Road Data; Natural Earth Data; U.S. Department of State
Humanitarian Information Unit; and NOAA National Centers for Environmental Information, U.S. Coastal Relief Model. Data refreshed October 2018.
USGS Topographic Map Figure 3
Culvert No. 311 on SR 2140 over High Rock Lake
Project No. 1713P.9.R.106
November 2019
Rowan County, North Carolina

Appendix B
Wetland Determination Form

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT.•
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Culvert No. 2311 on SR 2140 over High Rock Lake City/County: Rowan Sampling Date: 9/18/19
Applicant/Owner: NCDOT State: NC Sampling Point: Upl A
Investigator(s): A. Johnson & C. Sullivan Section, Township, Range: Morgan
Landform (hillside, terrace, etc.): terrace Local relief (concave, convex, none): None Slope (%): 5-10
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.597251 Long:-80.31131 Datum: NAD83
Soil Map Unit Name: Ud - Udorthents, loamy 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 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 (Cl)
_ Drainage Patterns (B10)
—Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1316)
—Water Marks (131) —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:
Wetland hydrology not present at this location.
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: Upl A
ADSOlute
uominant
Inaicator
Tree Stratum (Plot size: 30' )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Acer rubrum
25
Yes
FAC
Number of Dominant Species
2.
Pinus echinata
25
Yes
UPL
That Are OBL, FACW, or FAC: 4 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 7 (B)
5•
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 57.1 % (A/B)
7.
Prevalence Index worksheet:
50
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
25 20% of total cover:
10
OBL species 40 x 1 = 40
Sapling/Shrub Stratum (Plot size: 15'
)
FACW species 0 x 2 = 0
1.
Alnus serrulata
40
Yes
OBL
FAC species 66 x 3 = 198
2.
Acer rubrum
10
No
FAC
FACU species 25 x 4 = 100
3.
Prunus serotina
1
No
FACU
UPL species 25 x 5 = 125
4.
Ulmus rubra
1
No
FAC
Column Totals: 156 (A) 463 (B)
5.
Prevalence Index = B/A = 2.97
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is <_3.0'
52
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
26 20% of total cover:
11
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Panicum virgatum
15
Yes
FAC
'Indicators of hydric soil and wetland hydrology must
2.
Mitchella repens
10
Yes
FACU
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Bignonia capreolata 10 Yes FAC
4.
Lespedeza cuneata
10
Yes
FACU
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
So/idago rugosa
5
No
FAC
more in diameter at breast height (DBH), regardless of
6.
Juniperus virginiana
2
No
FACU
height.
7.
Chamaecrista fasciculata
1
No
FACU
Sapling/Shrub - Woody plants, excluding vines, less
8.
Smilax bona-nox
1
No
FACU
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.
54
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
27 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.)
Hydrophytic vegetation present at this location.
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: Upl A
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
0-4 10YR 5/4 100 Loamy/Clayey
4-8 10YR 6/4 100 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: Rock
Depth (inches): 8
Remarks:
Hydric soil not present at this location.
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)
31ndicators 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

Appendix C
Photographs

17BP.9.R.106 (Culvert No. 311 on SR 2140 over High Rock Lake)
Page 1 of 2 WSP USA
Photo 1: High Rock Lake, facing north (photo taken 7.9.19).
Photo 2: High Rock Lake, facing south (photo taken 7.9.19).

17BP.9.R.106 (Culvert No. 311 on SR 2140 over High Rock Lake)
Page 2 of 2 WSP USA
Photo 3: Upland A, facing north (photo taken 9.18.19).