20120198 Ver 1_401 Application_20120212

Corps Submittal Cover Sheet
1 Project Name Mount Mourne Gravity Outfall ( +/ 17 34 acres)
2 Name, Mailing Address, Phone Number of Property Owner /Applicant
Company and /or Name Town of Mooresville
Address P 0 Box 878 Mooresville, NC 28115
Phone [phone]
3 Name of Consultant /Agent Jennifer L Robertson
4 Related /Previous Action ID number(s)
20 120 19 8
5 Site Address NC 115 /Faith Road Intersection to Presbyterian Road Mount Mourne
6 Subdivision Name no subdivision
7 City Mooresville
8 County Iredell
9 Lat 035 5276266 N Long 080 8322889 W
10 Quadrangle Name Mooresville
11 Waterway UT (local name is Hobbs Branch) to West Branch Rocky River
12 Watershed Yadkin — Pee Dee River Basin
13 Jurisdictional Features on the Site (Approximations Only )
Stream Length + 13 7351inear feet
Wetland Area 2 8 acres
Open Water Area 1 1 acres
14 Requested Action
q 0
® Nationwide Permit # 12
FEB 2 2 2012
❑ General Permit # DENR WATER QUALITy
�nANGa AND STORMWATER BRANCH
❑ Jurisdictional Determination Request
❑ Pre Application Request
The following information will be completed by Corps office
AID Prepare File Folder Assign number in ORM
Begin Date Authorization Section 10 Section 404
Project Description / Nature of Activity / Project Purpose
Site /Waters Name
Keywords

VIRONMENTAL
February 13, 2012
US Army Corps of Engineers NC Division of Water Quality
Attn Mr Steve Kichefski Attn Mrs Karen Higgins
151 Patton Ave, Room 208 1650 Mail Service Center
Asheville, North Carolina 28801 -5006 Raleigh, North Carolina 27699 -1650
Re Town of Mooresville - Mount Mourne Gravity Outfall
Mooresville, Iredell County, North Carolina
Steve /Karen
The attached Pre Construction Notification (PCN) is being submitted on behalf of The
Town of Mooresville (Town) to install a 2 6 mile gravity outfall sewer line that will
connect to an existing gravity outfall sewer line that parallels West Branch Rocky River
There is approximately 13,735 linear feet of stream, 2 8 acres of wetlands, and 1 1
acres of open water within the project area Not all of the open water is jurisdictional
as some of the ponds are excavated in high ground but all are shown on the enclosed
impact maps The Town is seeking authorization under nationwide permit 12 for 90
linear feet of permanent stream impacts for rip rap bank and stream bed stabilization,
420 linear feet of temporary stream impacts during construction, 0 264 acres of
temporary forested wetland impacts (0 089 acres of which will be forested wetland
conversion), and 0 461 acres of temporary non - forested wetland impacts
The construction of the sewer line will consist of an open cut trench at all locations but
for the crossings at West Branch Rocky River and Midway Lake Road The 90 linear
feet of permanent stream impact is needed in order to protect the stream bed and
banks from erosion at the necessary stream crossings The stream bed material at
these crossings is very loose sand In addition, there is ATV activity along the UT to
WBRR which has created unstable stream banks at many locations The proposed rip -
rap will help protect the stream banks at the crossings No permanent culverts are
being requested for maintenance access The rip -rap at these locations will be pressed
into the stream bed with the bucket of a track hoe to better stabilize it The temporary
impacts are necessary for access, installation, and sediment/erosion control during
construction and stabilization once construction is completed
The permanent impacts at unnamed tributary 8 (UT 8) have been reduced from 100
linear feet of rip -rap stream stabilization to 20 linear feet The remaining 80 linear feet
will be temporarily impacted with coir fabric and the banks will be lined with live stakes
ATLAS Environmental Inc
PO Box 882 / 68 Poplar St
Canton North Carolina 28716
828 712 9205 (m) / 828 648 8801 (o) / 828 648 8802 (1)
www atlasenw com

ww
VIRONMENTAL
If this bioengineering method proves unstable a permit modification may be submitted
in the future for an engineered structure solution such as additional rip -rap The
stream bed material at this crossing is loose, sandy material
While there is a 0 089 acre conversion of forested wetlands to emergent herbaceous
wetlands proposed along the permanent easement, permanent impacts to wetlands
have been avoided and temporary impacts to wetlands have been minimized through
routing alternatives and design revisions The highest quality wetland (wetland D)
along the potential alignment was completely avoided during early routing options The
original design specified a 30' maintenance corridor at stream and wetland crossings
but through discussions with the design team and Town the maintenance corridor has
been reduced to 15' at the jurisdictional crossings The topsoil at wetland crossings will
be stock piled and re -used to establish the existing contours once construction is
completed A wetland restoration plan for the temporary Impacts and conversion at
wetland crossings is enclosed
The Town will not be using State or Federal bond funding but they will be using local
fee monies to fund the project Atlas coordinated with Mrs Hannah Headrick, DWQ
SEPA, during the early stages of this project concerning the potential requirement of an
Environmental Assessment (EA) This project does not meet the general or specific
criteria for an EA per 15A NCAC 01C 0408 Minor Construction Activities which was
verified by Mrs Headrick This is a gravity line that is less than 3 miles in length
The construction easement for this project is 55' wide and the permanent easement Is
30' wide (15' wide at stream and wetland crossings) To address the necessity for a 55'
wide construction easement the design team and Town provided the following
Information According to Black & Veatch International Company, the project engineer,
typical utility line construction easements are 70' wide The geotechnical Investigation
for the project recommended 3 1 side slopes for the open trench which may not be
possible in all locations due to the construction easement width The contractor will
more than likely have to employ a trench box due to the side slope recommendations
and the depth of installation The reaches of deeper pipeline (18' deep In some
locations) will more than likely require double staking of trench boxes to adhere to a 55'
construction corridor The construction easement will consist of the open trench, the
pipe string, the spoil pile (in wetlands, not streams), the equipment access road, and
erosion control devices (In streams) Where possible, within wetlands, the spoil will be
placed In high ground as opposed to adjacent wetland areas
The spoil pile width may be approximately 20 wide depending on the depth of the
sewer line The depth of the sewer line from ground level ranges from 7' to 18' deep
ATLAS Environmental Inc
PO Box 882 / 68 Poplar St
Canton North Carolina 28716
828 712 9205 (m) / 828 648 8801 (o) / 828 648 8802 (17
www atlasenvi corn

�VI ONMENTAL
and the topography ranges from 830' at Faith Road and NC 115 to 670' at West Branch
Rocky River (a 160' change) The slope of the sewer line ranges from 0 17% to 1%
and thirteen drop manholes are required in order to maintain the pipeline slopes given
the significant change in topography along the 2 6 miles Lying of the pipe outside of
the trench typically takes approximately 5 linear feet and the access road for equipment
will be approximately 10 linear feet (20' of stream culvert is required for the 10' wide
access road for shoulders) The temporary sediment and erosion control measures
within streams will require approximately 15' which doesn't leave much room for the
open trench itself within a 55' construction corridor
The construction easement is shown to be located within 10' of the UT to WBRR along
700 linear feet at an existing farm dust upstream of the Midway Lake Road culverted
crossing (Sheets 3 and 4) The placement of the easement at this reach is being
dictated by the location of an existing barn and pond at the farm The sewer line will
be installed 26' to 28' from the top of bank of the UT to WBRR The Town has no
intentions of disturbing land that will create unstable banks along the UT along this
reach but the Town's construction easement does extend to the top of bank There are
also three different power lines along this reach that are dictating the placement of
easements as well There is a Duke Power transmission line, an Energy United line, and
a residential line The Town and Black & Veatch have to coordinate with all three utility
companies for the installation of the sewer line and corresponding easements
This permit application package contains the following enclosures agent authorization
form, pre - construction notification, driving directions for Corps and DWQ, vicinity map,
USGS maps, aerial map, NWI and FEMA map, soil map and legend, soil table, water
quality map, cultural resources map, NHP map and element occurrences, stream impact
table, wetland impact table, impact maps, Corps JD forms, Corps wetland data forms,
DWQ stream forms, representative photographs, wetland restoration plan, and live
stake typical Feel free to contact me if you have any questions regarding the attached
PCN If there are no questions prior to, we can discuss any at the site meeting
scheduled for March 15, 2012
Thanks,
Jennifer L Robertson
Copies To
Mr Alan Johnson — NC DWQ, Mooresville
Mr Jonathan Young — The Town of Mooresville
ATLAS Environmental Inc
PO Box 882 / 68 Poplar St
Canton North Carolina 28716
828 712 9205 (m) / 828 648 8801 (o) / 828 648 8802 (f)
www atlasenvi com

VIRONMENTAL
AGENT AUTHORIZATION FORM
Department of the Army
Wilmington District, Corps of Engineers
Attn Ken Jolley, Chief Regulatory Division
PO Box 1890
Wilmington, North Carolina 28402 1890
and
NC Division of Water Quality
Attn Karen Higgins, Supervisor
1650 Mail Service Center
Raleigh, North Carolina 27699 1650
I, the current landowner of the property identified below, hereby authorize Atlas Environmental
Inc to act on my behalf as my agent during the processing of permits to impact Wetlands and
Waters of the US that are regulated by the Clean Water Act and the Rivers and Harbors Act
Federal and State agents are authorized to be on said property when accompanied by Atlas
Environmental Inc staff Atlas Environmental Inc is authorized to provide supplemental
information needed for permit processing at the request of the Corps or DWQ
Property Owner of Record
Town of Mooresville
Project Address
476 Presbyterian Road
Project Address
Mooresville NC 28115
Mailing Address
P 0 Box 878
Mailing Address
Mooresville NC 28115
Phone Number
704- 799 -4065
Fax Number
704- 662 -6298
Email Address
Jyoung @ci mooresville nc us
Owners Name
Ryan Rase
Owners Signature
Date
? 'Z
ATLAS Environmental Inc
PO Box 882 / 68 Poplar St
Canton North Carolina 28716
828 712 9205 (m) / 828-648 -8801 (o) / 828 - 648 -8802 (1)
jrobertson @atla enw corn
www atlasenvi com

O�DFry\N A TF�
0 111iii;�'Vowsaw "C
20 12 0 19 8
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification (PCN) Form
A Applicant Information
1
Processing
1 a
Type(s) of approval sought from the
Corps
FZ ection 404 Permit ❑ Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 12 or General Permit (GP) number
1 c
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1 d
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
if
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
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Mount Mourne Gravity Outfall
2b
County
Iredell
2c
Nearest municipality / town
Mooresville
2d
Subdivision name
not in a subdivision
2e
NCDOT only T I P or state
project no
not a DOT project
3
Owner Information
3a
Name(s) on Recorded Deed
Town of Mooresville
3b
Deed Book and Page No
numerous property owners along the righ of way
3c
Responsible Party (for LLC if
applicable)
Town of Mooresville
3d
Street address
2523 Charlotte Hwy
3e
City state zip
Mooresville North Carolina 28115
3f
Telephone no
704 799 4065
3g
Fax no
704 662 6298
3h
Email address
lyoungQa ci mooresville nc us
Page 1 of 11
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
Jennifer L Robertson
5b
Business name
(if applicable)
Atlas Environmental Inc
5c
Street address
68 Poplar Street / PO Box 882
5d
City state zip
Canton North Carolina 28716
5e
Telephone no
828 712 9205 / 828 648 8801
5f
Fax no
828 648 8802
5g
Email address
jrobertson @atlasenvi corn
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
alignment traverses easement through multiple properties
Latitude 035 457632 N Longitude
lb Site coordinates (in decimal degrees)
080 772600 W
(DD DDDDDD) (DD DDDDDD)
1 c Property size
17 34 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
UT to WBRR (Hobbs Branch) / West Branch Rocky River
proposed project
2b Water Quality Classification of nearest receiving water
Class C
2c River basin
Yadkin Pee Dee
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 land use of the project area is a mixture of residential agricultural and forested land Channel conditions include
sandy substrate incision and active erosion A Chinese privet sub canopy dominates a lot of the forested project area in
the middle reach
3b List the total estimated acreage of all existing wetlands on the property
2 8 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
-13 735 linear feet
3d Explain the purpose of the proposed project
To install a gravity oufall pipe connecting from the Faith Road /Hwy 115 intersection to an existing gravity line that
parallels WBRR terminates at the Presbyterian Road Pump Station
3e Describe the overall project in detail including the type of equipment to be used
The project consists of burying 2 6 miles of 24 30 gravity outfall pipe along an UT to WBRR stream corridor
Construction equipment to be used will include trackhoes chainsaws and other typical equipment used for utility line
installation
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes ®No El Unknown
project (including all prior phases) in the pasty
Comments
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
Name (if known)
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
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
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project9 ❑ Yes ® No
6b If yes explain
Page 4 of 11
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
❑ Yes
❑ Corps
❑ No
❑ 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
0 725/0 089
2h Comments All wetland impacts are temporary but 0 089 will be considered converted See attached wetland impact table
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
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ 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
90/420
31 Comments 90 of permanent stream impacts and 420 of temporary stream impacts See attached stream impact table
Page 5 of 11
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 no open water impacts
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
51' Total
5g Comments there is no on line pond or lake proposed
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
none proposed
5j Size of pond watershed (acres)
none proposed
5k Method of construction
none proposed
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 ❑ Tar Pamlico ❑ 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 ❑ PEI T
❑Yes
❑ No
B2 ❑ PEI T
El Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
61 Comments There are no buffers or buffer impacts in the project area
Page 6 of 11
PCN Form — Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1 a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Alternative alignments were explored and final layout was adjusted to avoid wetlands including the two stream crossings
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Directional drilling will be used at the West Branch Rocky River crossing While trenching excavated wetland spoil will be
returned to its original wetland and elevation and re seeded if necessary
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigation option will be used for this
project
❑ Mitigation bank
❑ Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank See Restoration Plan for Temporary Wetland Impacts and Converted Wetland Impacts
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
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
The temporary wetland impacts will be restored The converted wetland impacts will be mitigated through hand trimming
of woody vegetation within these areas
Page 7 of 11
PCN Form — Version 1 3 December 10 2008 Version

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 no buffer mitigation required
Page 8 of 11
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?
lb
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?
0 /
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why no impervious surface proposed
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
NPDES Construction Stormwater permit will be obtained since greater than 1 acre is
being disturbed Black & Veatch
obtaining all other necessary approvals through DEN Mooresville office
❑ 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 governments jurisdiction is this project?
Iredell County
® 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 11
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?
lb 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 Local water and sewer funds are being used Hannah Headrick with
DWQ SEPA was contacted and this protect does not meet the minimum
requirements of an EA
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 (DWO 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
This project will provide municipal sewer to the Lowe s headquarters which currently has a package plant This project
should(improve downstream water quality by eliminating individual package plants and potentially eliminating private
septic systems If additional development occurs within the watershed then the Town will be able to comment on these
developments since this area will now be served by municipal sewer
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
This project involves the expansion of the Town of Mooresville Sewage Treatment System
Page 10 of 11
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?
NC Natural Heritage Program Website and Workroom Map / FWS Website
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?
Office of Habitat Protection Website
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 State Historic Preservation Website
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 The engineer (Black & Veatch) is coordinating to ensure all FEMA
regulations are met No additional fill within the 100 year floodplain will occur Existing contours will be reestablished
once construction is completed
8c What source(s) did you use to make the floodplain determination? NC Floodplain Mapping / Map Enclosed
Jennifer L Robertson
�'�
2/15/2012
Applicant/Agent s Printed Name
Date
Applicant/Agent s Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided
Page 11 of 11
PCN Form — Version 1 3 December 10 2008 Version

mapquest
Trip to
[100 -133] Faith Rd
Mooresville NC 28115
123 71 miles 12 hours 5 minutes
Notes
Town of Mooresville Mount Mourne Gravity Sewer
151 Patton Ave Asheville NC 28801 2638
If
1 Start out going east on Patton Ave toward Otis St Map
0 3 Mi
0 3 Mi Total
2 Turn left onto Broadway St I US 25 Map
�j Green Sage Coffeehouse & Cafe is on the left
0 3 Mi
0 6 Mi Total
RAMP
3 Take the US 74 ALT E 11 240 E I US 70 E ramp Map
010 M1
Just past Woodfin St
0 7 Mi Total
If you are on US 25 and reach Elm St you ve gone about 0 1 miles too far
4 Merge onto 1 240 E Map
3 8 Mi
4 5 Mi Total
t
5 Merge onto 1-40 E via the exit on the left toward Statesville Map
99 4 Mi
103 9 Mi Total
--r; 6 Merge onto 1 77 S via EXIT 152A toward Charlotte Map
17 8 Mi
1218 Mi Total
®
7 Take the US 21 N exit EXIT 33 Map
0 3 Mi
122 0 Mi Total
41
8 Turn left onto US 21 Map
20 If you are on Alcove Rd and reach Catalina Dr you ve gone a little too far
0 3 Mi
122 3 Mi Total
9 Turn right onto Fairview Rd Map
10 M1
If you are on US 21 and reach Medical Park Rd you ve gone about 0 1 miles too far
123 3 Mi Total
10 Turn right onto Mecklenburg Hwy I NC 115 Map
Mecklenburg Hwy is 0 1 miles past Lagacy Village Blvd
0 3 Mi
123 6 Mi Total
If you are on Steam Engine Dr and reach Boxcar Ln you ve gone about 0 1 miles too
far
11 Take the 2nd left onto Faith Rd Map
0 07 Mi
Faith Rd Is just past Shu Ln
123 7 Mi Total
If you reach Quality Ln you ve gone about 0 1 miles too far
■
12 [100 133] FAITH RD Map
If you reach Fairbrook Ln you ve gone a little too far
[100 133] Faith Rd Mooresville NC 28115

Total Travel Estimate: 123.71 miles - about 2 hours 5 minutes
Johnson CItW t2
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mapquest'
Trip to:
[100 -133] Faith Rd
Mooresville, NC 28115
4.08 miles / 9 minutes
Notes
Town of Mooresville Mount Mourne Gravity Sewer
610 E Center Ave, Mooresville, NC 28115 -2578
1. Start out going west on E Center Ave toward E Statesville Ave. Map
0.6 Mi
0.6 Mi Total
2. Turn left onto S Main St I NC -152. Continue to follow S Main St. Map
1.0 Mi
S Main St is 0.1 miles past S Church St
1.6 Mi Total
Epic Chophouse is on the left
If you are on W Center Ave and reach N Broad St you've gone a little too far
t
3. S Main St becomes Mecklenburg Hwy I NC -115. Map
2.4 Mi
4.0 Mi Total
4. Turn left onto Faith Rd. Map
0.07 Mi
Faith Rd is just past Shu Ln
4.1 Mi Total
If you reach Quality Ln you've gone about 0.1 miles too far
■
5. [100 -133] FAITH RD. Map
If you reach Fairbrook Ln you've gone a little too far
[�
[100 -133] Faith Rd, Mooresville, NC 28115

Total Travel Estimate: 4.08 miles - about 9 minutes
~'rip Mooresville
i' 21 �I
Al�1
' -air riew RfJ
Mourne
�a 15000# x
4 ©2012 MapQuest - Portions ©2012 rtAV T 10, Intermap I Terms
©2011 MapQuest, Inc. Use of directions and maps is subject to the MapQuest Terms of Use. We make no guarantee of the accuracy of
their content, road conditions or route usability. You assume all risk of use. View Terms of Use

. Go. ogle
River 61,, 9 —4
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Mooresville
Project Location
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Name: MOORESVILLE Location: 035.5282654° N 080.8335892° W
Date: 2/3/2012 Caption: Town of Mooresville
Scale: 1 inch equals 4000 feet Mount Mourne Gravity Sewer
Iredell County, NC

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Location: 035.5276266' N 080.8322889' W
Caption: Town of Mooresville
Mount Mourne Gravity Sewer
Iredell County, NC

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Farmland Classification - Iredell County, North Carolina
Farmland Classification
Mount Mourne Gravity Outfall Project Area
Farmland Classification- Summary by Map Unit - Iredell County, North Carolina (NC097)
Map unit symbol
Map unit name
Rating
Acres in AOI
Percent of AOI
Cecil -Urban land complex, 2 to 10 Not prime farmland
1.7 0.7%
�CgC
percent slopes
i
ChA
Chewacla loam, 0 to 2 percent Prime farmland if drained and
19.3 8.0%
slopes, frequently flooded either protected from flooding
or not frequently flooded
during the growing season
DrB
Dorian fine sandy loam, 0 to 6
All areas are prime farmland
2.2
0.9%
percent slopes, rarely flooded
IrB
Iredell loam, 2 to 6 percent slopes
Farmland of statewide
1.4
0.6%
importance
IrC
Iredell loam, 6 to 10 percent slopes
Farmland of statewide
15.9
6.6%
Lloyd clay loam, 2 to 6 percent
importance
LcB2
All areas are prime farmland
5.4
2.3%
slopes, moderately eroded
LcC2
Lloyd clay loam, 6 to 10 percent
Farmland of statewide
39.4
16.4%
slopes, moderately eroded
importance
LcD2
Lloyd clay loam, 10 to 15 percent
Farmland of statewide
20.9
8.7%
slopes, moderately eroded
importance
Not prime farmland
LcE2
Lloyd clay loam, 15 to 25 percent
4.7
2.0%
slopes, moderately eroded
Not prime farmland
MaD4
Madison - Udorthents complex, 2 to
1.5
0.6%
15 percent slopes, gullied
MaE4
Madison - Udorthents complex, 15 to Not prime farmland
7.3
3.0%
25 percent slopes, gullied
McD2
Mecklenburg clay loam, 8 to 15 Farmland of statewide
3.3
1.4%
percent slopes, moderately importance
eroded
PcD2
Pacolet sandy clay loam, 10 to 15
Farmland of statewide
20.4
8.5%
percent slopes, moderately
importance
eroded
Poindexter -Rowan complex, 8 to 15
Farmland of statewide
PrD
11.7
4.9%
percent slopes
importance
PrE
Poindexter -Rowan complex, 15 to
Not prime farmland
18.3
7.6%
25 percent slopes
Poindexter -Rowan complex, 25 to
Not prime farmland
PrF
9.5
3.9%
45 percent slopes
Udorthents -Urban land complex, 0
Not prime farmland
UmF
1.7
0.7%
to 45 percent slopes
W
Water
Not prime farmland
0.5
0.2%
WeA Wehadkee loam, 0 to 2 percent Not prime farmland
55.3
23.0%
slopes, frequently flooded
240.5
100.0%
Totals for Area of Interest
USDA Natural Resources Web Soil Survey 8/5/2011
Conservation Service National Cooperative Soil Survey Page 3 of 4

Farmland Classification— I red elI County, North Carolina
Description
Mount Moume Gravity Outfall Project Area
Farmland classification identifies map units as prime farmland, farmland of
statewide importance, farmland of local importance, or unique farmland. It identifies
the location and extent of the soils that are best suited to food, feed, fiber, forage,
and oilseed crops. NRCS policy and procedures on prime and unique farmlands
are published in the "Federal Register," Vol. 43, No. 21, January 31, 1978.
Rating Options
Aggregation Method: No Aggregation Necessary
Aggregation is the process by which a set of component attribute values is reduced
to a single value that represents the map unit as a whole.
A map unit is typically composed of one or more "components ". A component is
either some type of soil or some nonsoil entity, e.g., rock outcrop. For the attribute
being aggregated, the first step of the aggregation process is to derive one attribute
value for each of a map unit's components. From this set of component attributes,
the next step of the aggregation process derives a single value that represents the
map unit as a whole. Once a single value for each map unit is derived, a thematic
map for soil map units can be rendered. Aggregation must be done because, on
any soil map, map units are delineated but components are not.
For each of a map unit's components, a corresponding percent composition is
recorded. A percent composition of 60 indicates that the corresponding component
typically makes up approximately 60% of the map unit. Percent composition is a
critical factor in some, but not all, aggregation methods.
The majority of soil attributes are associated with a component of a map unit, and
such an attribute has to be aggregated to the map unit level before a thematic map
can be rendered. Map units, however, also have their own attributes. An attribute
of a map unit does not have to be aggregated in order to render a corresponding
thematic map. Therefore, the "aggregation method" for any attribute of a map unit
is referred to as "No Aggregation Necessary".
Tie -break Rule: Lower
The tie -break rule indicates which value should be selected from a set of multiple
candidate values, or which value should be selected in the event of a percent
composition tie.
USDA Natural Resources Web Soil Survey 8/5/2011
r� Conservation Service National Cooperative Soil Survey Page 4 of 4

Soils Found Along Project Corridor
Symbol
Soil
Characteristics
Acres
% of Area
The Cecil series consists of very deep,
CgC
Cecil -Urban land complex, 2 to 10
well drained, moderately permeable
1.7
o
0.7 /o
percent slopes
soils on ridges and side slopes of the
Piedmont u Ins.
The Chewacla series consists of very
deep, somewhat poorly drained,
ChA
Chewacla loam, 0 to 2 percent
moderately permeable soils in
19.3
8.0%
slopes, frequently flooded
Piedmont and Coastal Plain river
valleys.
The Dorian series consists of very
DrB
Dorian fine sandy loam, 0 to 6
deep, moderately well drained soils
2.2
°
0.9 /o
percent slopes, rarely flooded
with moderately slow permeability
along piedmont stream terraces.
The Iredell series consists of
IrB
Iredell loam, 2 to 6 percent slopes
moderately well drained, very slowly
permeable soils on uplands
1.4
0.6%
IrC
Iredell loam, 6 to 10 percent slopes
throughout the piedmont.
15.9
6.6%
LcB2
Lloyd clay loam, 2 to 6 percent
The Lloyd series consists of very deep,
5.4
2.3%
slopes, moderately eroded
well drained, moderately permeable
soils on uplands in the Southern
LcC2
Lloyd clay loam, 6 to 10 percent
39.4
16.4%
slopes, moderate) eroded
Piedmont. The soils formed in
residuum derived from intermediate
LcD2
Lloyd clay loam, 10 to 15 percent
20.9
8.7%
slopes, moderately eroded
and mafic igneous and high -grade
LcE2
Lloyd clay loam, 15 to 25 percent
metamorphic rocks.
4.7
°
2.0 /o
slopes, moderate) eroded
Madison- Udorthents complex, 2 to
The madison series consists of well
MaD4
15 percent slopes, gullied
drained, moderately permeable soils
on gently sloping to steep uplands in
1.5
0.6%
Madison- Udorthents complex, 15 to
MaE4
25 percent slopes, gullied
the piedmont.
7.3
3.0%
The Pacolet series consists of very
deep, well drained, moderately
Pacolet sandy clay loam, 10 to 15
permeable soils that formed in
PcD2
percent slopes, moderately eroded
residuum weathered mostly from
20.4
8.5%
felsic igneous and metamorphic rocks
of the Piedmont uplands.
PrD
Poindexter -Rowan complex, 8 to 15
Soils of the Poindexter series are
11.7
4.9%
percent slopes
moderately deep to weathered
bedrock, well drained and moderately
Poindexter -Rowan complex, 15 to 25
PrE
percent slopes
permeable. Formed in residuum from
basic rocks or a mixture of basic and
18.3
7.6%
Poindexter -Rowan complex, 25 to 45
PrF
percent slopes
acidic rocks.
9.5
3.9%
Udorthents -Urban complex, 0 to 45
UmF
percent slopes
1.7
0.7%
W
Water
0.5
0.2%
The Wehadkee series consists of very
Wehadkee loam 0 to 2 percent
deep and poorly drained soils on flood
WeA
slopes, frequently flooded
plains along streams that drain from
55.3
23.0%
the mountains and the Piedmont.
They are formed in loamy sediments.
Totals within project corridor
1 240.5
100%

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Riverwood Estates WWTP
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MOORESVILLE
Mallard Head WW_ TP Diamonnd Head WWTP _
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Harbour Well Syste�m)WTP, . , m it e
4� The Harbour WTr-
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a tU of
The Point WTP GceeV o A
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Rocky River WWTP
o Bridgeport WWTP I
Alexander Island WWT Davidson Downes Subdivision
DAVIDSON
Go v rnor's Island WWTP c
i
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Location Map
x River Run Country Club Inc.
I DELL COUN m • 1
0.3 R
o a
fah Creek ® °
0 0.5 2 3 4
MO
Date:
Mount Mourne Gravity Outfall aF " ° ° "f8,. - - N August 29, 2011
Drawn By:
~ �`J IRONMENTAL Eric Krouse
Stream Classifications and �� -- Source:
P.O. eDX 882
NPDES Sites ° J 9' Canton NC 28716 NCDENRDWQ
�9EaVILL�'� (828) 648 -8801

S,
AS
Ir
jr
S,
Pump Station
Xx
Ir
Pump Station

5 record(s) found within 2 miles of the selected point
Scientific
ED
Common
Date Last
ED
ED
State
Federal
State
Global
Habitat
Name
Nb
Name
Observed
Rank
Accuracy
Protection
Protection
Rank
Rank
Comments
Status
Status
Colonial
Wading Bird
128
2004
C
G5
Colony
Low
Moist
meadows
Star nosed
bogs
Condylura
Mole
swamps
cristata pop
17
Coastal
1950
H
Low
Sc
S2
GST2Q
bottomlands
1
Plain
[mountain
population
population
not of
concern]
Bogs wet
Glyptemys
49
Bog Turtle
1968 06
H
Low
T
T(S /A)
S2
G3
Pastures
muhlenbergii
06
wet
thickets
Fields and
Lamus
Loggerhead
pastures
ludovicianus
68
Shrike
1988
E
Low
SC
S3B S3N
G4
[breeding
season
only]
Trifolwm
Buffalo
2007 OS
Open woods
reflexum
25
Clover
18
E
High
T
SiS2
G3G4
and
clearings

6 record(s) found within 2 miles of the selected point
Scientific
EO
Common
Date Last
EO
EO
State
Federal
State
Global
Habitat
Name
Nb
Name
Observed
Rank
Accuracy
Protection
Protection
Rank
Rank
Comments
Status
Status
Colonial
Wading Bird
128
2004
C
Low
S3
GS
Colony
Moist
meadows
Star nosed
bogs
Condylura
Mole
swamps
cristata pop
17
Coastal
1950
H
Low
SC
S2
GST2Q
bottomlands
1
Plain
[mountain
population
population
not of
concern]
Bogs wet
Glyptemys
49
Bog Turtle
1968 06
H
Low
T
T(S /A)
S2
G3
pastures
muhlenbergu
06
wet
thickets
Fields and
Lamus
68
Loggerhead
1988
E
Low
SC
S38 S3N
G4
pastures
[breeding
ludovicianus
Shrike
season
only]
Rhachithecmm
4
Budding
194808
H
Low
SR D
S1S2
G4GS
Bark of
perpusdlum
Tortula
10
hardwoods
Open woods
Trifolium
2S
Buffalo
2007 OS
E
High
T
SiS2
G3G4
and
reflexum
Clover
18
clearings

4 record(s) found within 2 miles of the selected point
Scientific
ED
Common
Date Last
ED
ED
State
Federal
State
Global
Habitat
Name
Nb
Name
Observed
Rank
Accuracy
Protection
Protection
Rank
Rank
Comments
Status
Status
Moist
meadows
Star nosed
bogs
Condylura
Mole
swamps
cristata pop
17
Coastal
1950
H
Low
SC
S2
G5T2Q
bottomlands
1
Plain
[mountain
population
population
not of
concern]
Bogs wet
Glyptemys
49
Bog Turtle
196806
H
Low
T
T(S /A)
S2
G3
Pastures
muhlenbergu
06
wet
thickets
Rhachithecium
4
Budding
194808
Bark of
perpusdlum
Tortula
10
H
Low
SR D
SiS2
G4G5
hardwoods
Trifolium
Buffalo
2007 05
Open woods
reflexum
25
Clover
i8
E
High
T
SiS2
G3G4
and
clearings

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Wetland Impact Table
Impact
Permanent or
Type of Impact
Type of Wetland
Forested)
Type of Jurisdiction
Area of Impact
Conversion
Number
Temporary
(Acres)
Mitigation
A
None
Construction
Rivenne Emergent Lower Peren
No
Corps and DWQ
0
0
8
Temporary
Construction
Palustrine Forested
Yes
Corps and DWQ
0 037
0
C
Temporary
Construction
Palustrine Forested /Emergent
Yes
Corps and DWQ
003
0 006
D
None
Construction
Palustrine Forested
Yes
Corps and DWQ
0
0
E
Temporary
Construction
Palustrine Forested /Emergent
Yes
Corps and DWQ
0 028
0 009
F
Temporary
Construction
Palustrine Emergent
Yes
Corps and DWQ
0 002
0
G
Temporary
Construction
Palustrine Emergent
Yes
Corps and DWQ
0 001
0
H
Temporary
Construction
Palustrine Emergent
Yes
Corps and DWQ
0 002
0
1
Temporary
Construction
Palustrine Emergent
Yes
Corps and DWQ
0 028
001
Temporary
Construction
Palustrine Emergent
Yes
Corps and DWQ
0 073
0 028
K
Temporary
Construction
Palustrine Emergent
Yes
Corps and DWQ
0 059
0 003
L
None
Construction
Palustrine Emergent
No
Corps and DWQ
0
0
M
Temporary
Construction
Palustrine Emergent
No
Corps and DWQ
0 018
0
N
Temporary
Construction
Palustrine Emergent
No
Corps and DWQ
0 009
0
Q
Temporary
Construction
Palustrine Emergent
No
Corps and DWQ
0 006
0
P
Temporary
Construction
Palustrine Emergent
No
Corps and DWQ
0 006
0
Q
Temporary
Construction
Palustrine Emergent
No
Corps and DWQ
0 017
0
R
Temporary
Construction
Palustrine Emergent
No
I Corps and DWQ
0 013
0
S
Temporary
Construction
Palustrine Emergent
No
Corps and DWQ
0 041
0
T
None
Construction
Palustrine Forested
Yes
Corps and DWQ
0
0
U
Temporary
Construction
Palustrine Forested
Yes
Corps and DWQ
0 004
0 002
V
Temporary
Construction
Palustrine Emergent / Forested
No
Corps and DWQ
0 241
0
W
Temporary
Construction
Palustrine Forested
Yes
Corps and DWQ
0 003
0 001
X
Temporary
Construction
Palustrine Forested
Yes
Corps and DWQ
0 097
0 029
Y
Temp rarV
Construction
Palustrine Forested
Yes
Corps and DWQ
0 005
0 001
2
Temporary
Construction
Palustrine Emergent
Partially
Corps and DWQ
0 005
0
Total Wetland Impacts 0 725 0 089
Total Non Forested Wetland Impacts 0 461 Total Forested Wetland Impacts 0 264

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APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Corps of Engineers
This form should be completed by following the instructions provided in Section N of the JD Form Instructional Guidebook
SECTION I BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)
B DISTRICT OFFICE FILE NAME AND NUMBER
C PROJECT LOCATION AND BACKGROUND INFORMATION UT s to UT (Hobbs Branch) to WBRR
State NC County/parish/borough Iredell City Mooresville
Center coordinates of site (]at/long in degree decimal format) Lat 035 5276266 N Long 080 8322889 W
Universal Transverse Mercator
Name of nearest waterbody West Branch Rocky River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows Pee Dee River below Blewett Falls Dam
Name of watershed or Hydrologic Unit Code (HUC) Yadkin Pee Dee River Basin Rocky River Sub Basin 03040105
® Check if map /diagram of review area and /or potential jurisdictional areas is /are available upon request
❑ Check if other sites (e g offsite mitigation sites disposal sites etc ) are associated with this action and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY)
® Office (Desk) Determination Date 1/05/12
® Field Determination Date(s) 06/29/11 06/30/11 01/24/12 and 01/26/12
SECTION II SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION
There Are no navigable waters of the US within Rivers and Harbors Act (RHA) junsd►ct►on (as defined by 33 CFR part 329) in the
review area [Required]
❑ Waters subject to the ebb and flow of the tide
❑ Waters are presently used or have been used in the past or may be susceptible for use to transport interstate or foreign commerce
Explain
B CWA SECTION 404 DETERMINATION OF JURISDICTION
There WA—re waters of the U S within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area [Required]
1 Waters of the U S
a Indicate presence of waters of U S in review area (check all that apply) '
❑ TNWs including territorial seas
❑ Wetlands adjacent to TNWs
® Relatively permanent waterS2 (RPWs) that flow directly or indirectly into TNWs
® Non RPWs that flow directly or indirectly into TNWs
® Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
® Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
® Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
® Impoundments of jurisdictional waters
❑ Isolated (interstate or intrastate) waters including isolated wetlands
b Identify (estimate) size of waters of the U S in the review area
Non wetland waters 13 735 linear feet 2 4 width (ft) and /or 1 I open water (0 291 jurisdictional other is excavated in high
ground) acres
Wetlands 2 8 acres
c Limits (boundaries) of Jurisdiction based on 1987 Delmeation Manual
Elevation of established OHWM (if known) 670 to 830
2 Non regulated waters /wetlands (check if applicable) 3
❑ Potentially jurisdictional waters and /or wetlands were assessed within the review area and determined to be not jurisdictional
Explain
Boxes checked below shall be supported by completing the appropriate sections in Section III below
For purposes of this form an RPW is defined as a tributary that is not a TNW and that typically flows year round or has continuous flow at least seasonally
(e g typically 3 months)
3 Supporting documentation is presented in Section IiI F

SECTION III CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW complete
Section III A I and Section IIi D 1 only if the aquatic resource is a wetland adjacent to a TNW complete Sections III A 1 and 2
and Section III D 1 otherwise see Section III B below
1 TNW
Identify TNW
Summarize rationale supporting determination
2 Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is adjacent
B CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND iTS ADJACENT WETLANDS (IF ANY)
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands if any and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met
The agencies will assert jurisdiction over non navigable tributaries of TNWs where the tributaries are relatively permanent
waters (RPWs) i e tributaries that typically flow year round or have continuous flow at least seasonally (e g typically 3
months) A wetland that directly abuts an RPW is also jurisdictional If the aquatic resource is not a TNW but has year round
(perennial) flow slap to Section III D 2 If the aquatic resource is a wetland directly abutting a tributary with perennial flow
slap to Section iIi D 4
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water even
though a significant nexus finding is not required as a matter of law
If the waterbody° is not an RPW or a wetland directly abutting an RPW a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW If the tributary has adjacent wetlands the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands This significant nexus evaluation that combines for
analytical purposes the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary or its adjacent wetlands or both If the JD covers a tributary with adjacent wetlands complete Section III B 1 for
the tributary Section III B 2 for any onsite wetlands and Section III B 3 for all wetlands adjacent to that tributary both onsite
and offsite The determination whether a significant nexus exists is determined in Section III C below
1 Characteristics of non TNWs that flow directly or indirectly into TNW
(i) General Area Conditions
Watershed size 12'§ qua
Drainage area 1 68Esquare miles
Average annual rainfall 43 35 inches
Average annual snowfall 4 inches
(n) Physical Characteristics
(a) Relationship with TNW
❑ Tributary flows directly into TNW
® Tributary flows through 3 tributaries before entering TNW
Project waters are 30 (or more) river miles from TNW
Project waters are l (or less)nver miles from RPW
Project waters are 30 (or more) aerial (straight) miles from TNW
Protect waters are l(or less) aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain no
identify flow route to TNW5 UT s to UT to West Branch Rocky River West Branch Rocky River Rocky River Pee Dee
River
Note that the Instructional Guidebook contains additional information regarding swales ditches washes and erosional features generally and in the and
West
5 Flow route can be described by identifying e g tnbutary a which flows through the review area to flow into tributary b which then flows into TNW

Tributary stream order if known first
(b) General Tributary Characteristics (check all that apply)
Tnbutary is ® Natural
❑ Artificial (man made) Explain
® Manipulated (man altered) Explain some of the UT s are straightened and ditched
Tributary properties with respect to top of bank (estimate)
Average width 2 4 feet
Average depth 2 6 feet (Cl Average side slopes Vertical 1 or less)
Primary tributary substrate composition (check all that apply)
® Silts ® Sands ❑ Concrete
❑ Cobbles ❑ Gravel ® Muck
❑ Bedrock ❑ Vegetation Type // cover
❑ Other Explain
Tributary condition /stability [e g highly eroding sloughing banks] Explain some instability erosion
Presence of run/nffle /pool complexes Explain not strongly present
Tributary geometry Meandering
Tributary gradient (approximate average slope) < 5 A
(c) Flow _ __
Tributary provides for In_ termitten_ t but _ not _ seasonal flow _
Estimate average number of flow events in review area/year 6 10
Describe flow regime low flow all UT s are intermittent but one some are more standing water after storm events
Other information on duration and volume
Surface flow is Confined Characteristics
Subsurface flow Unknown Explain findings
❑ Dye (or other) test performed
Tributary has (check all that apply)
® Bed and banks
® OHWM6 (check all indicators that apply)
® clear natural line impressed on the bank
❑
the presence of litter and debris
❑ changes in the character of soil
❑
destruction of terrestrial vegetation
❑ shelving
❑
the presence of wrack line
❑ vegetation matted down bent or absent
❑
sediment sorting
❑ leaf litter disturbed or washed away
®
scour
❑ sediment deposition
❑
multiple observed or predicted flow events
❑ water staining
®
abrupt change in plant community
❑ other (list)
❑ Discontinuous OHWM 7 Explain
if factors other than the OHWM were used to determ
❑ High Tide Line indicated by
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings /characteristics
❑ tidal gauges
❑ other (list)
ine lateral extent of CWA jurisdiction (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum
❑ physical markings
® vegetation lines /changes in vegetation types
(in) Chemical Charactenstics
Characterize tributary (e g water color is clear discolored oily film water quality general watershed characteristics etc )
Explain discolored from sedimentation and natural bed material some iron present low density residential development
Identify specific pollutants if known
6A natural or man made discontinuity in the OHWM does not necessarily sever jurisdiction (e g where the stream temporarily flows underground or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbody s flow
regime (e g flow over a rock outcrop or through a culvert) the agencies will look for indicators of flow above and below the break
'Ibid

(iv) Biological Characteristics Channel supports (check all that apply)
® Riparian corridor Characteristics (type average width) > 30
® Wetland fringe Characteristics floodplam forested and non forested palustrine and emergent
® Habitat for
❑ Federally Listed species Explain findings
❑ Fish /spawn areas Explain findings
❑ Other environmentally sensitive species Explain findings
® Aquatic /wildlife diversity Explain findings deer raccoon coyote birds
2 Characteristics of wetlands adjacent to non TNW that flow directly or indirectly into TNW
(i) Physical Characteristics
(a) General Wetland Characteristics
Properties
Wetland size 2 8 acres
Wetland type Explain forested and non forested some wetlands within pasture land
Wetland quality Explain range from high quality to low quality due to grazing
Project wetlands cross or serve as state boundaries Explain no
(b) General Flow Relationship with Non TNW
Flow is Intermittent flow Explain some are perennial flow and some are no flow as well
Surface flow is Discrete and confined
Characteristics some from drainage patterns and some overland during storm events
Subsurface flow Unirnowri Explain findings but assumed present
❑ Dye (or other) test performed
(c) Wetland Adjacency Determination with Non TNW
® Directly abutting
❑ Not directly abutting
® Discrete wetland hydrologic connection Explain some have an underground hydrologic connection
® Ecological connection Explain some are riparian but not directly abutting
❑ Separated by berm/barrier Explain
(d) Proximity (Relationship) to TNW
Project wetlands are 30 (or eorm river miles from TNW
Project waters are 30 (or morel aenal (straight) miles from TNW
Flow is from Wetland to navigable waters _
Estimate approximate location of wetland as within the 50 100 y a floodplam
(u) Chemical Characteristics
Characterize wetland system (e g water color is clear brown oil film on surface water quality general watershed
characteristics etc ) Explain some clear and some brown some excellent water quality and some poor water quality
watershed is low density residential development
Identify specific pollutants if known
(m) Biological Characteristics Wetland supports (check all that apply)
® Riparian buffer Characteristics (type average width) some wetlands are within forested areas and some are within
pastures
® Vegetation type /percent cover Explain some woody shrubs sparse trees and herbaceous vegetation
® Habitat for
❑ Federally Listed species Explain findings
❑ Fish /spawn areas Explain findings
❑ Other environmentally sensitive species Explain findings
® Aquatic /wildlife diversity Explain findings deer raccoon coyote birds etc
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis 25 30
Approximately ( 2 8 ) acres in total are being considered in the cumulative analysis

For each wetland specify the following
Directly abuts9 (Y/N) Size (in acres) Directly abuts9 (Y/N) Size in acres,)
8 non abutting 0 961 18 abutting
1 848
Summarize overall biological chemical and physical functions being performed the wetlands provide for aquatic and
non aquatic fauna habitat filtration of stormwater habitat for flora habitat
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysts will assess the flow charactenstics and functions of the tnbutary itself and the functions performed
by any wetlands adjacent to the tnbutary to determine if they significantly affect the chemical physical and biological integnty
of a TNW For each of the following situations a significant nexus exists if the tnbutary in combination with all of its adjacent
wetlands has more than a speculative or insubstantial effect on the chemical physical and /or biological integnty of a TNW
Considerations when evaluating significant nexus include but are not limited to the volume duration and frequency of the flow
of water to the tributary and its proximity to a TNW and the functions performed by the tnbutary and all its adjacent
wetlands It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e g between a
tnbutary and its adjacent wetland or between a tnbutary and the TNW) Similarly the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus
Draw connections between the features documented and the effects on the TNW as identified in the Rapanos Guidance and
discussed to the Instructional Guidebook Factors to consider include for example
Does the tnbutary in combination with its adjacent wetlands (if any) have the capacity to carry pollutants or flood waters to
TNWs or to reduce the amount of pollutants or flood waters reaching a TNW9
Does the tributary in combination with its adjacent wetlands (if any) provide habitat and lifecycle support functions for fish and
other species such as feeding nesting spawning or rearing young for species that are present in the TNW9
Does the tnbutary in combination with its adjacent wetlands (►f any) have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs9
Does the tnbutary in combination with its adjacent wetlands (if any) have other relationships to the physical chemical or
biological integrity of the TNW9
Note the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below
1 Significant nexus findings for non RPW that has no adjacent wetlands and flows directly or indirectly into TNWs Explain
findings of presence or absence of significant nexus below based on the tnbutary itself then go to Section III D
2 Significant nexus findings for non RPW and its adjacent wetlands where the non RPW flows directly or indirectly into
TNWs Explain findings of presence or absence of significant nexus below based on the tnbutary in combination with all of its
adjacent wetlands then go to Section III D
3 Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW Explain findings of
presence or absence of significant nexus below based on the tnbutary in combination with all of its adjacent wetlands then go to
Section III D
D DETERMINATIONS OF JURISDICTIONAL FINDINGS THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY)
1 TNWs and Adjacent Wetlands Check all that apply and provide size estimates in review area
❑ TNWs linear feet width (ft) Or acres
❑ Wetlands adjacent to TNWs acres
2 RPWs that flow directly or indirectly into TNWs
® Tnbutanes of TNWs where tr►butanes typically flow year round are jurisdictional Provide data and rationale indicating that
tnbutary is perennial Defined bed and bank significant flow observed on site rocky substrate
❑ Tributaries of TNW where tributaries have continuous flow seasonally (e g typically three months each year) are
,jurisdictional Data supporting this conclusion is provided at Section III B Provide rationale indicating that tnbutary flows
seasonally

Provide estimates for junsdictional waters in the review area (check all that apply)
® Tributary waters 346 linear feet 4 width (ft)
® Other non wetland waters 1 1 open water acres
Identify type(s) of waters tributaries wetlands and open water
3 Non RPWss that flow directly or indirectly into TNWs
® Waterbody that is not a TNW or an RPW but flows directly or indirectly into a TNW and it has a significant nexus with a
TNW is jurisdictional Data supporting this conclusion is provided at Section III C
Provide estimates for jurisdictional waters within the review area (check all that apply)
® Tributary waters l 900 linear feet 2 3 width (ft)
® Other non wetland waters 1 1 open water (0 291 is Iunsdictional other is excavated in high ground) acres
Identify type(s) of waters non forested and forested wetlands
4 Wetlands directly abutting an RPW that flow directly or indirectly into TNWs
® Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
® Wetlands directly abutting an RPW where tributaries typically flow year round Provide data and rationale
indicating that tributary is perennial in Section III D 2 above Provide rationale indicating that wetland is
directly abutting an RPW
❑ Wetlands directly abutting an RPW where tributaries typically flow seasonally Provide data indicating that tributary is
seasonal in Section III B and rationale in Section III D 2 above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates forjunsdictional wetlands in the review area 0 015 acres
5 Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
® Wetlands that do not directly abut an RPW but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands have a significant nexus with a TNW are,lunsidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for jurisdictional wetlands in the review area 0 96 acres
6 Wetlands adiacent to non RPWs that flow directly or indirectly into TNWs
® Wetlands adjacent to such waters and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section IiI C
Provide estimates for jurisdictional wetlands in the review area 1 833 acres
7 Impoundments of jurisdictional waters 9
As a general rule the impoundment of a junsdictional tributary remains jurisdictional
® Demonstrate that impoundment was created from waters of the U S or
❑ Demonstrate that water meets the criteria for one of the categories presented above (1 6) or
❑ Demonstrate that water is isolated with a nexus to commerce (see E below)
E ISOLATED [INTERSTATE OR INTRA STATEI WATERS INCLUDING ISOLATED WETLANDS THE USE
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) 10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
❑ which are or could be used for industrial purposes by industries in interstate commerce
❑ Interstate isolated waters Explain
❑ Other factors Explain
8See Footnote # 3
9 To complete the analysis refer to the key in Section III D 6 of the Instructional Guidebook
Pnor to asserting or declining CWA jurisdiction based solely on this category Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos

Identify water body and summarize rationale supporting determination
Provide estimates for jurisdictional waters in the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
❑ Wetlands acres
F NON JURISDICTIONAL WATERS INCLUDING WETLANDS (CHECK ALL THAT APPLY)
❑ If potential wetlands were assessed within the review area these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Prior to the Jan 2001 Supreme Court decision in SWANCC the review area would have been regulated based solely on the
Migratory Bird Rule (MBR)
❑ Waters do not meet the Significant Nexus standard where such a finding is required for jurisdiction Explain
❑ Other (explain if not covered above)
Provide acreage estimates for non Jurisdictional waters in the review area where the sole potential basis of jurisdiction is the MBR
factors (i a presence of migratory birds presence of endangered species use of water for imgated agriculture) using best professional
Judgment (check all that apply)
❑ Non wetland waters (i a rivers streams) linear feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
Provide acreage estimates for non Jurisdictional waters in the review area that do not meet the Significant Nexus standard where such
a finding is required for Jurisdiction (check all that apply)
❑ Non wetland waters (i a rivers streams) linear feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
SECTION IV DATA SOURCES
A SUPPORTING DATA Data reviewed for JD (check all that apply checked items shall be included in case file and where checked
and requested appropriately reference sources below)
® Maps plans plots or plat submitted by or on behalf of the applicant /consultant
® Data sheets prepared /submitted by or on behalf of the applicant /consultant
❑ Office concurs with data sheets /delineation report
❑ Office does not concur with data sheets /delineation report
❑ Data sheets prepared by the Corps
❑ Corps navigable waters study
❑ U S Geological Survey Hydrologic Atlas
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
® U S Geological Survey map(s) Cite scale & quad name 1 4000 and 1 1333 Mooresville Quad
® USDA Natural Resources Conservation Service Soil Survey Citation Web Soil Survey (NC 097)
❑ National wetlands inventory map(s) Cite name
❑ State /Local wetland inventory map(s)
® FEMA/FIRM maps Iredell County GIS
❑ 100 year Floodplam Elevation is (National Geodectic Vertical Datum of 1929)
® Photographs ® Aerial (Name & Date)
or ® Other (Name & Date) Photographs taken by consultant
❑ Previous determination(s) File no and date of response letter
❑ Applicable /supporting case law
❑ Applicable /supporting scientific literature
❑ Other information (please specify)
B ADDITIONAL COMMENTS TO SUPPORT JD

APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)
B DISTRICT OFFICE FILE NAME AND NUMBER
C PROJECT LOCATION AND BACKGROUND INFORMATION UT (Hobbs Branch) to WBRR
State NC County/pansh / borough Iredell City Mooresville
Center coordinates of site (lat/long in degree decimal format) Lat 035 5276266 N Long 080 8322889 W
Universal Transverse Mercator
Name of nearest waterbody West Branch Rocky River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows Pee Dee River below Blewett Falls Dam
Name of watershed or Hydrologic Unit Code (HUC) Yadkin Pee Dee River Basin Rocky River Sub Basin 03040105
® Check if map /diagram of review area and /or potential jurisdictional areas is /are available upon request
❑ Check if other sites (e g offsite mitigation sites disposal sites etc ) are associated with this action and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY)
® Office (Desk) Determination Date 1/05/12
® Field Determination Date(s) 06/29/11 06/30/11 01/24/12 and 01/26/12
SECTION II SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION
There pre no navigable waters of the US within Rivers and Harbors Act (RHA),junsdiction (as defined by 33 CFR part 329) in the
review area [Required]
❑ Waters subject to the ebb and flow of the tide
❑ Waters are presently used or have been used in the past or may be susceptible for use to transport interstate or foreign commerce
Explain
B CWA SECTION 404 DETERMINATION OF JURISDICTION
There FA-re waters of the US within Clean Water Act (CWA). jurisdiction (as defined by 33 CFR part 328) in the review area [Required]
I Waters of the U S
a Indicate presence of waters of U S in review area (check all that apply) '
❑ TNWs including territorial seas
❑ Wetlands adjacent to TNWs
® Relatively permanent waters2 (RPWs) that flow directly or indirectly into TNWs
❑ Non RPWs that flow directly or indirectly into TNWs
❑ Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
❑ Impoundments of. jurisdictional waters
❑ Isolated (interstate or intrastate) waters including isolated wetlands
b Identify (estimate) size of waters of the U S in the review area
Non wetland waters H 490 linear feet 2 5 width (fl) and /or acres
Wetlands acres
c Limits (boundaries) of jurisdiction based on 1987 Delmeahon Mauual
Elevation of established OHWM (if known) 670 to 830
2 Non regulated waters /wetlands (check if applicable) 3
❑ Potentially jurisdictional waters and /or wetlands were assessed within the review area and determined to be not jurisdictional
Explain
i Boxes checked below shall be supported by completing the appropriate sections in Section III below
2 For purposes of this forth an RPW is defined as a tributary that is not a TNW and that typically flows year round or has continuous flow at least seasonally
(e g typically 3 months)
3 Supporting documentation is presented in Section III F

SECTION III CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW complete
Section III A 1 and Section III D 1 only if the aquatic resource is a wetland adjacent to a TNW complete Sections III A 1 and 2
and Section III D 1 otherwise see Section III B below
1 TNW
Identify TNW
Summarize rationale supporting determination
2 Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is adjacent
B CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY)
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands if any and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met
The agencies will assert jurisdiction over non navigable tributaries of TNWs where the tributaries are relatively permanent
waters (RPWs) i e tributaries that typically flow year round or have continuous flow at least seasonally (e g typically 3
months) A wetland that directly abuts an RPW is also jurisdictional If the aquatic resource is not a TNW but has year round
(perennial) flow slap to Section III D 2 If the aquatic resource is a wetland directly abutting a tributary with perennial flow
slop to Section III D 4
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water even
though a significant nexus finding is not required as a matter of law
If the waterbody° is not an RPW or a wetland directly abutting an RPW a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW If the tributary has adjacent wetlands the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands This significant nexus evaluation that combines for
analytical purposes the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary or its adjacent wetlands or both If the JD covers a tributary with adjacent wetlands complete Section III B 1 for
the tributary Section III B 2 for any onsite wetlands and Section III B 3 for all wetlands adjacent to that tributary both onsite
and offsite The determination whether a significant nexus exists is determined in Section III C below
1 Characteristics of non TNWs that flow directly or indirectly into TNW
(i) General Area Conditions
Watershed size 12 rs—q—uaremiles
Drainage area 1 681square miles
Average annual rainfall 43 35 inches
Average annual snowfall 4 inches
(u) Physical Characteristics
(a) Relationship with TNW
❑ Tributary flows directly into TNW
® Tributary flows through 2 tributaries before entering TNW
Project waters are 30 (or more) ever miles from TNW
Project waters are 1 (or less) river miles from RPW
Project waters are 30 (or more) aerial (straight) miles from TNW
Project waters are 1 (or less) aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain no
Identify flow route to TNW5 West Branch Rocky River Rocky River Pee Dee River
Tributary stream order if known second
Note that the Instructional Guidebook contains additional information regarding swales ditches washes and erosional features generally and in the and
West
'Flow route can be described by identifying e g tnbutary a which flows through the review area to flow into tributary b which then flows into TNW

(b) General Tributary Characteristics (check all that annlv)
Tributary is ® Natural
❑ Artificial (man made) Explain
® Manipulated (man altered) Explain some manipulation of banks from atv activity
Tnbutary properties with respect to top of bank (estimate)
Average width 2 5 feet
Average depth 2 6 feet
Average side slopes Venccal 1 I or less
Primary tributary substrate composition (check all that apply)
® Silts ® Sands ❑ Concrete
® Cobbles ❑ Gravel ® Muck
® Bedrock ❑ Vegetation Type // cover
❑ Other Explain
Tributary condition /stability [e g highly eroding sloughing banks] Explain some instability erosion
Presence of run /riffle /pool complexes Explain present
Tributary geometry Meandenng
Tributary gradient (approximate average slope) > 5 /
(c) Flow _
Tributary provides for Seasonal flow _
Estimate average number of flow events in review area/year 20 (or great—er)
Describe flow regime year round perennial flow
Other information on duration and volume
Surface flow is Confined Characteristics
Subsurface flow Unlrnown Explain findings
❑ Dye (or other) test performed
Tributary has (check all that apply)
® Bed and banks
® OHWM6 (check all indicators that apply)
® clear natural line impressed on the bank
® changes in the character of soil
❑
® shelving
❑ vegetation matted down bent or absent
® leaf litter disturbed or washed away
® sediment deposition
❑ water staining
❑ other (list)
❑ Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to determ
❑ High Tide Line indicated by
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings /characteristics
❑ tidal gauges
❑ other (list)
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
me lateral extent of CWA jurisdiction (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum
® physical markings
® vegetation lines /changes in vegetation types
(m) Chemical Charactenshcs
Characterize tributary (e g water color is clear discolored oily film water quality general watershed characteristics etc )
Explain discolored from sedimentation and natural bed material some iron present low density residential development
identify specific pollutants if known
6A natural or man made discontinuity in the OHWM does not necessarily sever jurisdiction (e g where the stream temporarily flows underground or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbody s flow
regime (e g flow over a rock outcrop or through a culvert) the agencies will look for indicators of flow above and below the break
Ibid

(w) Biological Characteristics Channel supports (check all that apply)
® Riparian corridor Characteristics (type average width) > 30 to pasture land with no buffer
® Wetland fringe Characteristics floodplam forested and non forested palustrine and emergent
® Habitat for
❑ Federally Listed species Explain findings
® Fish /spawn areas Explain findings fish present
❑ Other environmentally sensitive species Explain findings
® Aquatic /wildlife diversity Explain findings deer raccoon coyote birds aquatic fauna
2 Characteristics of wetlands adjacent to non TNW that flow directly or indirectly into TNW
(i) Physical Characteristics
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Protect wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non TNW
Flow is Pick List Explain
Surface flow is Pick List
Characteristics
Subsurface flow Pick ListList Explain findings
❑ Dye (or other) test performed
(c) Wetland Adjacency Determination with Non TNW
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection Explain
❑ Ecological connection Explain
❑ Separated by berm/barrier Explain
(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW
Project waters are Pick List aerial (straight) miles from TNW
Flow is from Pick List _ _
Estimate approximate location of wetland as within the Pick List floodplam
(u) Chemical Characteristics
Characterize wetland system (e g water color is clear brown oil film on surface water quality general watershed
characteristics etc ) Explain
Identify specific pollutants if known
(in) Biological Characteristics Wetland supports (check all that apply)
❑ Riparian buffer Characteristics (type average width) some wetlands are within forested areas and some are within
pastures
❑ Vegetation type /percent cover Explain some woody shrubs sparse trees and herbaceous vegetation
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish /spawn areas Explain findings
❑ Other environmentally sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis

For each wetland specify the following
Directly abuts9 (Y/N) Size (in acres) Directly abuts9 (YM) Size (in acres)
Summarize overall biological chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the cheiical physical and biological integrity
of a TNW For each of the following situations a significant nexus exists if the tnbutary in combination with all of its adjacent
wetlands has more than a speculative or insubstantial effect on the chemical physical and /or biological integrity of a TNW
Considerations when evaluating significant nexus include but are not limited to the volume duration and frequency of the flow
of water in the tnbutary and its proximity to a TNW and the functions performed by the tnbutary and ail its adjacent
wetlands It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e g between a
tnbutary and its adjacent wetland or between a tnbutary and the TNW) Similarly the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus
Draw connections between the features documented and the effects on the TNW as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook Factors to consider include for example
Does the tributary in combination with its adjacent wetlands (if any) have the capacity to cant' pollutants or flood waters to
TNWs or to reduce the amount of pollutants or flood waters reaching a TNW9
Does the tributary in combination with its adjacent wetlands (if any) provide habitat and lifecycle support functions for fish and
other species such as feeding nesting spawning or reanng young for species that are present in the TNW?
Does the tributary in combination with its adjacent wetlands (if any) have the capacity to transfer nutnents and organic carbon that
support downstream foodwebs9
• Does the tnbutary in combination with its adjacent wetlands (if any) have other relationships to the physical chemical or
biological integrity of the TNW9
Note the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below
1 Significant nexus findings for non RPW that has no adjacent wetlands and flows directly or indirectly into TNWs Explain
findings of presence or absence of significant nexus below based on the tnbutary itself then go to Section III D
2 Significant nexus findings for non RPW and its adjacent wetlands where the non RPW flows directly or indirectly into
TNWs Explain findings of presence or absence of significant nexus below based on the tributary in combination with all of its
adjacent wetlands then go to Section III D
3 Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW Explain findings of
presence or absence of significant nexus below based on the tnbutary in combination with all of its adjacent wetlands then go to
Section III D
D DETERMINATIONS OF JURISDICTIONAL FINDINGS THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY)
1 TNWs and Adjacent Wetlands Check all that apply and provide size estimates in review area
❑ TNWs linear feet width (ft) Or acres
❑ Wetlands adjacent to TNWs acres
2 RPWs that flow directly or indirectly into TNWs
® Tnbutanes of TNWs where tributaries typically flow year round are junsdictional Provide data and rationale indicating that
tributary is perennial Defined bed and bank significant flow observed on site rocky /sandy loam substrate
❑ Tributaries of TNW where tributaries have continuous flow seasonally (e g typically three months each year) are
jurisdictional Data supporting this conclusion is provided at Section IiI B Provide rationale indicating that tributary flows
seasonally

Provide estimates for jurisdictional waters in the review area (check all that apply)
® Tributary waters 11 490 linear feet 2 5 width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
Non RPWs8 that flow directly or indirectly into TNWs
❑ Waterbody that is not a TNW or an RPW but flows directly or indirectly into a TNW and it has a significant nexus with a
TNW is jurisdictional Data supporting this conclusion is provided at Section III C
Provide estimates for jurisdictional waters within the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
❑ Other non wetland waters acres
identify type(s) of waters
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs
❑ Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
❑ Wetlands directly abutting an RPW where tnbutanes typically flow year round Provide data and rationale
indicating that tributary is perennial in Section III D 2 above Provide rationale indicating that wetland is
directly abutting an RPW
❑ Wetlands directly abutting an RPW where tributaries typically flow seasonally Provide data indicating that tnbutary is
seasonal in Section III B and rationale in Section III D 2 above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates for junsd►ctional wetlands in the review area acres
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
❑ Wetlands that do not directly abut an RPW but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands have a significant nexus with a TNW are junsid►ctional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for jurisdictional wetlands in the review area acres
Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to such waters and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section III C
Provide estimates for jurisdictional wetlands in the review area acres
7 Impoundments of jurisdictional waters 9
As a general rule the impoundment of a jurisdictional tributary remains jurisdictional
❑ Demonstrate that impoundment was created from waters of the U S or
❑ Demonstrate that water meets the criteria for one of the categories presented above (1 6) or
❑ Demonstrate that water is isolated with a nexus to commerce (see E below)
ISOLATED [INTERSTATE OR INTRA STATE[ WATERS INCLUDING ISOLATED WETLANDS THE USE
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) 10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
❑ which are or could be used for industrial purposes by industries in interstate commerce
❑ Interstate isolated waters Explain
❑ Other factors Explain
Identify water body and summarize rationale supporting determination
8See Footnote # 3
9 To complete the analysis refer to the key in Section III D 6 of the Instructional Guidebook
0 Prior to asserting or declining CWA jurisdiction based solely on this category Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanov

Provide estimates for jurisdictional waters in the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
❑ Wetlands acres
F NON JURISDICTIONAL WATERS INCLUDING WETLANDS (CHECK ALL THAT APPLY)
❑ If potential wetlands were assessed within the review area these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Prior to the Jan 2001 Supreme Court decision in SWANCC the review area would have been regulated based solel on the
Migratory Bird Rule (MBR)
❑ Waters do not meet the Significant Nexus standard where such a finding is required for jurisdiction Explain
❑ Other (explain if not covered above)
Provide acreage estimates for non jurisdictional waters in the review area where the sole potential basis of jurisdiction is the MBR
factors (► a presence of migratory birds presence of endangered species use of water for irrigated agriculture) using best professional
,judgment (check all that apply)
❑ Non wetland waters (► a rivers streams) linear feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
Provide acreage estimates for non .jurisdictional waters in the review area that do not meet the Significant Nexus standard where such
a finding is required for. jurisdiction (check all that apply)
❑ Non wetland waters (i a rivers streams) linear feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
SECTION IV DATA SOURCES
A SUPPORTING DATA Data reviewed for JD (check all that apply checked items shall be included in case file and where checked
and requested appropriately reference sources below)
® Maps plans plots or plat submitted by or on behalf of the applicant/consultant
® Data sheets prepared /submitted by or on behalf of the applicant/consultant
❑ Office concurs with data sheets /delineation report
❑ Office does not concur with data sheets /delineation report
❑ Data sheets prepared by the Corps
❑ Corps navigable waters study
❑ U S Geological Survey Hydrologic Atlas
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
® U S Geological Survey map(s) Cite scale & quad name 1 4000 and 1 1333 Mooresville Quad
® USDA Natural Resources Conservation Service Soil Survey Citation Web Soil Survey (NC 097)
❑ National wetlands inventory map(s) Cite name
❑ State /Local wetland inventory map(s)
® FEMA/FIRM maps Iredell County GIS
❑ 100 year Floodplam Elevation is (National Geodectic Vertical Datum of 1929)
® Photographs ® Aerial (Name & Date)
or ® Other (Name & Date) Photographs taken by consultant
❑ Previous determination(s) File no and date of response letter
❑ Applicable /supporting case law
❑ Applicable /supporting scientific literature
❑ Other information (please specify)
B ADDITIONAL COMMENTS TO SUPPORT JD

APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)
B DISTRICT OFFICE FILE NAME AND NUMBER
C PROJECT LOCATION AND BACKGROUND INFORMATION WBRR
State NC County/pansh/borough Iredell City Mooresville
Center coordinates of site (lat/long in degree decimal format) Lat 035 5276266 N Long 080 8322889 W
Universal Transverse Mercator
Name of nearest waterbody West Branch Rocky River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows Pee Dee River below Blewett Falls Dam
Name of watershed or Hydrologic Unit Code (HUC) Yadkin Pee Dee River Basin Rocky River Sub Basin 03040105
® Check if map /diagram of review area and /or potential Jurisdictional areas is /are available upon request
❑ Check if other sites (e g offsite mitigation sites disposal sites etc ) are associated with this action and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY)
® Office (Desk) Determination Date 1/05/12
® Field Determination Date(s) 06/29/11 06/30/11 01/24/12 and 01/26/12
SECTION II SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION
There Are no navigable waters of the US within Rivers and Harbors Act (RHA) Jurisdiction (as defined by 33 CFR part 329) in the
review area [Required]
❑ Waters subject to the ebb and flow of the tide
❑ Waters are presently used or have been used in the past or may be susceptible for use to transport interstate or foreign commerce
Explain
B CWA SECTION 404 DETERMINATION OF JURISDICTION
There Are waters of the US within Clean Water Act (CWA) Jurisdiction (as defined by 33 CFR part 328) in the review area [Required]
1 Waters of the U S
a Indicate presence of waters of U S in review area (check all that apply) '
❑ TNWs including territorial seas
❑ Wetlands adjacent to TNWs
® Relatively permanent waterS2 (RPWs) that flow directly or indirectly into TNWs
❑ Non RPWs that flow directly or indirectly into TNWs
❑ Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
❑ impoundments of jurisdictional waters
❑ isolated (interstate or intrastate) waters including isolated wetlands
b Identify (estimate) size of waters of the U S in the review area
Non wetland waters 40 linear feet 20 width (ft) and/or acres
Wetlands acres
c Limits (boundaries) of jurisdiction based on 1987 Delineation Manual
Elevation of established OHWM (if known) 670
2 Non regulated waters /wetlands (check if applicable) 3
❑ Potentially jurisdictional waters and /or wetlands were assessed within the review area and determined to be not jurisdictional
Explain
Boxes checked below shall be supported by completing the appropriate sections in Section III below
For purposes of this form an RPW is defined as a tributary that is not a TNW and that typically flows year round or has continuous now at least seasonally
(e g typically 3 months)
a Supporting documentation is presented in Section iII F

SECTION III CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW complete
Section III A 1 and Section III D 1 only if the aquatic resource is a wetland adjacent to a TNW complete Sections III A 1 and 2
and Section III D 1 otherwise see Section III B below
1 TNW
Identify TNW
Summarize rationale supporting determination
2 Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is adjacent
B CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY)
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands if any and it helps
determine whether or not the standards for junsdichon established under Rapanos have been met
The agencies will assert jurisdiction over non navigable tributaries of TNWs where the tributaries are relatively permanent
waters (RPWs) i e tributaries that typically flow year round or have continuous flow at least seasonally (e g typically 3
months) A wetland that directly abuts an RPW is also jurisdictional If the aquatic resource is not a TNW but has year round
(perennial) flow slap to Section III D 2 If the aquatic resource is a wetland directly abutting a tributary with perennial flow
slop to Section iIi D 4
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water even
though a significant nexus finding is not required as a matter of law
If the waterbody° is not an RPW or a wetland directly abutting an RPW a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW If the tributary has adjacent wetlands the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands This significant nexus evaluation that combines for
analytical purposes the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary or its adjacent wetlands or both If the JD covers a tributary with adjacent wetlands complete Section III B 1 for
the tributary Section III B 2 for any onsite wetlands and Section III B 3 for all wetlands adjacent to that tributary both onsite
and offsite The determination whether a significant nexus exists is determined in Section III C below
1 Characteristics of non TNWs that flow directly or indirectly into TNW
(i) General Area Conditions
Watershed size 12 sq au re miles
Drainage area 1 68 jsquare miles
Average annual rainfall 43 35 inches
Average annual snowfall 4 inches
(ii) Physical Characteristics
(a) Relationship with TNW
❑ Tributary flows directly into TNW
® Tributary flows through Pick List tributaries before entering TNW
Project waters are 30 (or mo er) river miles from TNW
Project waters are 1 (or less) river miles from RPW
Project waters are 30 (or more) aerial (straight) miles from TNW
Project waters are 1 (or less) aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain no
identify flow route to TNW5 Rocky River Pee Dee River
Tributary stream order if known third at project area
Note that the instructional Guidebook contains additional information regarding swales ditches washes and erosional features generally and in the and
West
5 Flow route can be described by identifying e g tributary a which flows through the review area to flow into tributary b which then flows into TNW

(b) General Tributary Characteristics (check all that apply)
Tnbutary is ® Natural
❑ Artificial (man made) Explain
❑ Manipulated (man altered) Explain
Tributary properties with respect to top of bank (estimate)
Average width 20 feet
Average depth 10 feet
Average side slopes VVertical (L l or less)
Primary tributary substrate composition (check all that apply)
® Silts ® Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation Type /°/ cover
❑ Other Explain
Tributary condition /stability [e g highly eroding sloughing banks] Explain some instability erosion
Presence of run/nfEle /pool complexes Explain present
Tributary geometry Relatively straight
Tributary gradient (approximate average slope) > 2 A
(c) Flow
Tributary provides for Seasonal flow _
Estimate average number of flow events in review area/year 2020 (or greater)
Describe flow regime year round perennial flow
Other information on duration and volume
Surface flow is Confined Characteristics
Subsurface flow Unluiown Explain findings but assumed
❑ Dye (or other) test performed
Tributary has (check all that apply)
® Bed and banks
® OHWM6 (check all indicators that apply)
® clear natural line impressed on the bank
® changes in the character of soil
❑
® shelving
❑ vegetation matted down bent or absent
® leaf litter disturbed or washed away
® sediment deposition
❑ water staining
❑ other (list)
❑ Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to determ
❑ High Tide Line indicated by
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings /characteristics
❑ tidal gauges
❑ other (list)
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
me lateral extent of CWA jurisdiction (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum
® physical markings
® vegetation lines /changes in vegetation types
(ni) Chemical Charactenstics
Characterize tributary (e g water color is clear discolored oily film water quality general watershed characteristics etc )
Explain discolored from sedimentation and natural bed material low density residential development and pasture land
Identify specific pollutants if known
6A natural or man made discontinuity in the OHWM does not necessarily sever jurisdiction (e g where the stream temporarily flows underground or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbody s now
regime (e g flow over a rock outcrop or through a culvert) the agencies will look for indicators of flow above and below the break
ibid

0
(iv) Biological Characteristics Channel supports (check all that apply)
® Riparian corridor Characteristics (type average width) > 30 to pasture land with no buffer
❑ Wetland fringe Characteristics
® Habitat for
❑ Federally Listed species Explain findings
® Fish /spawn areas Explain findings fish present
❑ Other environmentally sensitive species Explain findings
® Aquatic /wildlife diversity Explain findings deer raccoon coyote birds aquatic fauna
2 Characteristics of wetlands adjacent to non TNW that flow directly or indirectly into TNW
(i) Physical Characteristics
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Project wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non TNW
Flow is Pick List Explain
Surface flow is Pick List
Characteristics
Subsurface flow Pick List Explain findings
❑ Dye (or other) test performed
(c) Wetland Adjacency Determination with Non TNW
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection Explain
❑ Ecological connection Explain
❑ Separated by berm/barrier Explain
(d) Proximity (Relationship) to TNW
Protect wetlands are ePick Lir river miles from TNW
Project waters are Pick List aerial (straight) miles from TNW
Flow is from Pick List
Estimate approximate location of wetland as within the Pick List floodplam
(u) Chemical Characteristics
Characterize wetland system (e g water color is clear brown oil film on surface water quality general watershed
characteristics etc ) Explain
Identify specific pollutants if known
(iii) Biological Characteristics Wetland supports (check all that apply)
❑ Riparian buffer Characteristics (type average width) some wetlands are within forested areas and some are within
pastures
❑ Vegetation type /percent cover Explain some woody shrubs sparse trees and herbaceous vegetation
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish /spawn areas Explain findings
❑ Other environmentally sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis

For each wetland specify the following
Directly abuts9 (Y/N) Size (in acres) Directlyabuts9 (Y/N) Size (in acres)
Summarize overall biological chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical physical and biological integrity
of a TNW For each of the following situations a significant nexus exists if the tributary in combination with all of its adjacent
wetlands has more than a speculative or insubstantial effect on the chemical physical and /or biological integrity of a TNW
Considerations when evaluating significant nexus include but are not limited to the volume duration and frequency of the flow
of water in the tributary and its proximity to a TNW and the functions performed by the tributary and all its adjacent
wetlands It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e g between a
tributary and its adjacent wetland or between a tributary and the TNW) Similarly the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus
Draw connections between the features documented and the effects on the TNW as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook Factors to consider include for example
Does the tributary in combination with its adjacent wetlands (if any) have the capacity to carry pollutants or flood waters to
TNWs or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary in combination with its adjacent wetlands (if any) provide habitat and lifecycle support functions for fish and
other species such as feeding nesting spawning or rearing young for species that are present in the TNW?
Does the tributary in combination with its adjacent wetlands (if any) have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
Does the tributary in combination with its adjacent wetlands (if any) have other relationships to the physical chemical or
biological integrity of the TNW?
Note the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below
1 Significant nexus findings for non RPW that has no adjacent wetlands and flows directly or indirectly into TNWs Explain
findings of presence or absence of significant nexus below based on the tributary itself then go to Section III D
2 Significant nexus findings for non RPW and its adjacent wetlands where the non RPW flows directly or indirectly into
TNWs Explain findings of presence or absence of significant nexus below based on the tributary in combination with all of its
adjacent wetlands then go to Section III D
3 Significant nexus findings for wetlands adiacent to an RPW but that do not directly abut the RPW Explain findings of
presence or absence of significant nexus below based on the tributary in combination with all of its adjacent wetlands then go to
Section III D
D DETERMINATIONS OF JURISDICTIONAL FINDINGS THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY)
1 TNWs and Adjacent Wetlands Check all that apply and provide size estimates in review area
❑ TNWs linear feet width (ft) Or acres
❑ Wetlands adjacent to TNWs acres
2 RPWs that flow directly or indirectly into TNWs
® Tributaries of TNWs where tributaries typically flow year round are jurisdictional Provide data and rationale indicating that
tributary is perennial Defined bed and bank significant flow observed on site named stream sandy loam substrate
❑ Tributanes of TNW where tributaries have continuous flow seasonally (e g typically three months each year) are
jurisdictional Data supporting this conclusion is provided at Section III B Provide rationale indicating that tributary flows
seasonally

Provide estimates for jurisdictional waters in the review area (check all that apply)
® Tributary waters 40 linear feet 20 width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
3 Non RPWss that flow directly or indirectly into TNWs
❑ Waterbody that is not a TNW or an RPW but flows directly or indirectly into a TNW and it has a significant nexus with a
TNW is jurisdictional Data supporting this conclusion is provided at Section III C
Provide estimates forjunsdictional waters within the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
4 Wetlands directly abutting an RPW that flow directly or indirectly into TNWs
❑ Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
❑ Wetlands directly abutting an RPW where tributaries typically flow year round Provide data and rationale
indicating that tributary is perennial in Section III D 2 above Provide rationale indicating that wetland is
directly abutting an RPW
❑ Wetlands directly abutting an RPW where tributaries typically flow seasonally Provide data indicating that tributary is
seasonal in Section III B and rationale in Section III D 2 above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates forjunsdictional wetlands in the review area acres
5 Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
❑ Wetlands that do not directly abut an RPW but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands have a significant nexus with a TNW are jurisidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for jurisdictional wetlands in the review area acres
6 Wetlands adjacent to non RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to such waters and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section III C
Provide estimates for jurisdictional wetlands in the review area acres
7 Impoundments of jurisdictional waters 9
As a general rule the impoundment of a jurisdictional tributary remains jurisdictional
❑ Demonstrate that impoundment was created from waters of the U S or
❑ Demonstrate that water meets the criteria for one of the categories presented above (1 6) or
❑ Demonstrate that water is isolated with a nexus to commerce (see E below)
E ISOLATED [INTERSTATE OR INTRA STATE] WATERS INCLUDING ISOLATED WETLANDS THE USE
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) 10
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
❑ which are or could be used for industrial purposes by industries in interstate commerce
❑ Interstate isolated waters Explain
❑ Other factors Explain
Identify water body and summarize rationale supporting determination
8See Footnote # 3
9 To complete the analysis refer to the key in Section III D 6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos

Provide estimates for Jurisdictional waters in the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
❑ Other non wetland waters acres
Identify type(s) of waters
❑ Wetlands acres
F NON JURISDICTIONAL WATERS INCLUDING WETLANDS (CHECK ALL THAT APPLY)
❑ If potential wetlands were assessed within the review area these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Prior to the Jan 2001 Supreme Court decision in SWANCC the review area would have been regulated based solely on the
Migratory Bird Rule (MBR)
❑ Waters do not meet the Significant Nexus standard where such a finding is required for Jurisdiction Explain
❑ Other (explain if not covered above)
Provide acreage estimates for non ,jurisdictional waters in the review area where the sole potential basis of Jurisdiction is the MBR
factors (i a presence of migratory birds presence of endangered species use of water for irrigated agnculture) using best professional
Judgment (check all that apply)
❑ Non wetland waters (i a rivers streams) linear feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
Provide acreage estimates for non Jurisdictional waters in the review area that do not meet the Significant Nexus standard where such
a finding is required for Jurisdiction (check all that apply)
❑ Non wetland waters (i a rivers streams) linear feet width (ft)
❑ Lakes /ponds acres
❑ Other non wetland waters acres List type of aquatic resource
❑ Wetlands acres
SECTION IV DATA SOURCES
A SUPPORTING DATA Data reviewed for JD (check all that apply checked items shall be included in case file and where checked
and requested appropriately reference sources below)
® Maps plans plots or plat submitted by or on behalf of the applicant /consultant
® Data sheets prepared /submitted by or on behalf of the applicant/consultant
❑ Office concurs with data sheets /delineation report
❑ Office does not concur with data sheets /delineation report
❑ Data sheets prepared by the Corps
❑ Corps navigable waters study
❑ U S Geological Survey Hydrologic Atlas
❑ USGS NHD data
❑ USGS 8 and 12 digit HUC maps
® U S Geological Survey map(s) Cite scale & quad name 1 4000 and 1 1333 Mooresville Quad
® USDA Natural Resources Conservation Service Soil Survey Citation Web Soil Survey (NC 097)
❑ National wetlands inventory map(s) Cite name
❑ State /Local wetland inventory map(s)
® FEMA/FIRM maps Iredell County GIS
❑ 100 year Floodplam Elevation is (National Geodectic Vertical Datum of 1929)
® Photographs ® Aerial (Name & Date)
or ❑ Other (Name & Date)
❑ Previous determination(s) File no and date of response letter
❑ Applicable /supporting case law
❑ Applicable /supporting scientific literature
❑ Other information (please specify)
8 ADDITIONAL COMMENTS TO SUPPORT JD

-A'
• r
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont
— ro%lp'1 (` oc>(C? Sv 4 1 t t' 1 ` to- Z�-lli�,- 11
ProtectlSite �ityJCounty �5�iIk!L Z . a,, gA Sampling Date
r
Applicant/owner - State N� Sampling Point WL..5 ! fi
Investigator(s) :UQ6 UACiain Section Township Range MA Me-,j--,r 1 b � t l� ST %
Landform (hilislope terrace etc tj ��{t n Local relief (concave convex none) r1r�V,,j2- Slope (r6) i
Subregion (LRR or MLRA) IVir -1 1 fit, r Lat ;;'� � � . �'� `Z L -;?44 ' N Long [ "1 .s� ;. R ` � � ° ir.) Datum R% IC, 4)1
Soil Map Unit Name (' ` �,ti1 e� �"\r_xr, 1� NWI classification P�s-i l;JYN L Pa-r-
Are climatic t hydrologic conditions on the site typical for this time of year? Yes X No (If no explain in Remarks) 4A-(
Are Vegetation .10 Soil 4,-j_ or Hydrology YN significantly disturbed? Are Normal Circumstances present? Yes X _ No
Are Vegetation no Sail _CLQ _ or Hydrology p c-, naturally problematic') (if needed explain any answers in Remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations transects important features etc
Hydrophybc Vegetation Present? Yes X - No Is the Sampled Area
Hydnc Sod Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
Watland Hydrology Indicators
Secondary Indicators (minimum of two reauiredl
Pnmary Indicators (minimum of one is rSguiMd.
check all That aootv)
_ Surface Sod Cracks (86)
Surface Water (Al)
— True Aquatic Plants (1314)
_ Sparsely Vegetated Concavo Sudace (138)
High Water Table (A2)
_ Hydrogen Suede Odor (Cl)
Drainage Patterns (810)
Saturation (A3)
Oxidrzed Rhizospheres an Living Roots (C3)
_ Moss Trim Lines (616)
,Z{ Water Marks (BI)
Presence of Reduced Iron (C4)
_-„ Dry Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduttion in Tilled SoHs (CO)
X Crayfish Burrows (Ce)
_ Dnft Deposits (63)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (84)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (131)
_ Iron Deposits (B5)
_ Geomorphic Position (132)
Inundation Visible on Aerial Imagery (B7)
Shallow Aquitard (133)
Water Stained Leaves (B9)
_
_ Mlcrotopographic Relief (04)
_ Aquatic Fau na (B13)
FAC Neutral Test (D5)
Field Observations
Surface Water Present? Yes _� . No
Depth (inches) fit � 4
Water Table Present? Yes Na
Depth (inches)i
Saturation Present? Yes No
Depth (inches) C:' r IQ
Wetland Hydrology Present? Yes No —
(includes capillary thn e
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) d available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) — Use scientific names of plants
�TL.AS
Sampling Point Ly
uVli Vii IVeVp4V VfillflollVG fGif �fVl Railer•
Tree Stratum (Plot size �j } Cov ®r Suedes? Status Number of Dominant Species
1 jg2 tOV Xor That Are OBL FACW or FAC (A)
2
3
4
5
6
7
ID =Total Cover
Saplin4l5hrub Stratum (Plot size i u )
1 :j�U t-Ok c� IQ`l.z
2 1r,i �3 PP c 1 t S �.S
4 Ckk t jA i r OtL
5
6
7
8
9
10
Total Number of Dominant
Specie, Across All Strata_ (B)
Percent of Dominant Species
That Are OBL FACW or FAG 0 (AB)
worksheat
Total % Cover of Multiolg by,
OBL species x 1 =
FAGW species x 2 =_
FAG species X3=
FACU species x 4 =
UPL species x 5 =
Column Totals _�l _ (A) (B)
Prevalence Index = B/A = (. l
1 Rapid Test for Hydrophytic Vegetation
2 Dominance Test is y5o /o
? 3 Prevalence Index is 53 0'
_ 4 Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
be present unless disturbed or problematic
Vegetation Strata
Tree — Woody plants excluding vines 3 In (7 6 cm) or
more in diameter at breast height (DBH) regardless of
height
SaplinglShruh — Woody plants excluding vines less
than 3 in DBH and greater than 3 28 ft (1 m) tall
10
Herb —All herbaceous (non woody) plants regardless
11 of size and woody plants less than 3 28 ft tali
12
t = Total Cover Woody vine — All woody vines greater than 3 28 It in
Woody Vine Stratum (Plot $ize \ft + Qf _) height
1 r1C�vt i2
2
3
4
5 Hydrophyttc
Vegetation
6 Present) yes No
Total Cover
Remarks (include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

SOIL
Sampling Point C }
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix Redox Features
_ {inches) Color (moist) _(0 War (moist) _ Texture Remarks
'Type C= Concentration D=De lotion RM= Reduced Matrix MS= Masked Sand Grains location PL =Pore Lining, M =Matrix
Hydric Soil Indicators Indicators for Problematic Hydric Sods'
_ Histosol (A9)
— Histic Epipedon (A2)
— Black Hisbc (A3)
Hydrogen Sulfide (A4)
Stratified Layer's (AS)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Sandy Mucky Mineral (S1) (LRR N
MLRA 147 148)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (96)
Restrictive Layer (if observed)
Type
Depth (Inches)
Remarks
Dark Surface (S7)
_ Polyvalue Below Surface (58) (MLRA 147 148)
Thin Dark Surface (S9) (MLRA 147 148)
Loamy Gleyed Matrix (F2)
? Depleted Matrix (F3)
Redo,c Dark Surface (Ft's)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
Iron Manganese Masses (F12) (LRR N
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122)
Piedmont Ftoodplain Soils (F19) (MLRA i48)
_ 2 can Muck (All 0) (MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147 148)
Pledmont Floodplain Soils (F19)
(MLRA 136 147)
Red Parent Material (TF2)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic
Hydric Soil Present? Yes )-1/1 No
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

trout L.AS
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont ____
� . X tykoc� (es' lc 1 to act - t(ito 3c-1
ProlecGSde i CitylCounty- Wkg2- 6E(,„ ��c- /��-Y&J i L Sampling Date
AppleGentJOuMer t e.. �V tats _ Ji✓ Sampling Point_ W3l_5
Investigator(s) �L' �aAC`;.'1 l �Yit Stj.sCe jirA Section Township Range iYi fyAg'r Af, V , 6-17y- :L �� X
Landform (hillslope terrace etc) 0n "14Lt t✓► Local relief (concave convex none) AQVv- Q Slope (A) ?
Subregion (LRR or MLRA) t Lat _('�_ -I tpinie�� lti1 Long d?3 312 S`� _Datum tife> Y e c> ,1
Soil Map Unit Name (" Q" t 4- y% NWI classification �c X h ;r 1�t2 'iFn-r
Are climatic I hydrologic conditions on the site typical for this time of years Yes -�<— No (if no explain in Remarks) GXV11
Are Vegetation y1r, Soil yA4,' or Hydrology rxo significantly disturbed? Are Normal Circumstances presents Yes No
Are Vegetation 4,3._ Soil vx,— or Hydrology ,,n a naturally problematic? (If needed explain any answers in Remarks )
SUMMARY OF FINDINGS ® Attach site map showing sampling point locations transacts Important features, etc
Hydrophyhc Vegetation Present? Yes No is the Sampled Area
Hydnc Sod Present? Yes No within a wetland? Yes „X No
Wetland Hydrology Present? Yes No
Remarks,
HYDROLOGY
Wetland Hydrollogy Indicators
Secondary Indicators (minimum of two reguiredl
Primary Indicators minimum of one is reguired. check all that apply)
Surface Soil Cracks (B6)
Surface Water (At)
_ True Aquatic Plants (11314)
Sparsely Vegetated Concave Surface (1218)
_
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
RDrainage Patterns (810)
Saturabon (A3)
Oxidized Rhizospheres on Living Roots (C3)
,_,_ Moss Trim Lines (818)
Water Marks (81)
Presence of Reduced Iron (C4)
_ Dry Season Water Table (C2)
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C&)
Crayfish Burrows (C8)
_ Drift Deposits (B3)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (84)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (B5)
_ Geomorphic Position (132)
_ Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (133)
Water Stained Leaves (B9)
Microtopographic Relief (D4)
_ Aquatrc Fauna (B13)
r� FAG- Neutral Test (D5)
Field Observations
,/
Surface Water Present? Yes X No
Depth (inches)
Water Table Present? Yes - No
Depth (inches)
><
Saturation Present? Yes No
Depth (inches) .5.� s�—
wetland
Hydrology Present? Yes No
includes 4;ap Ili U Iii n e
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available
Remarks
US Army Corps od Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) — Use scientific names of plants
Sampling Point.
FrohRTKTAI
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version
Absolute Dominant Indicator
Dominance Test worksheet
Tree Stratum
(Plot sue \AXI I
A Cover Species? Status
L FA C,
Number of Dominant Species
That Are OBL FACW or FAC �_ (A)
�C8
Total Number of Dominant
3
iMLiea
Species Across Ali Strata (ej
4
_
5
f aOA `
iQ7`ir> `)
Percent of Dominant Species
That Are ©BL FACW or FAC (A!B)
6
7
Prevalence Index worksheet
8
Total % Cover of; Multiply by
Sapling /Shrub Stratum (Plot size 444 1 y � )
C)� Total Cover
OSL species _� x 1 = I
FACW species —�_ x 2 = 1A
1
„� c�
PAC species — x3= ��_
2 f��4�
( 5a ��(,} 1r, ..
1 _ � '
FACU species x 4 =
3
UPI-species X6=
4
Column Totals ��� (A) r- (B)
5
3
Prevalence Index = B!A =_
6
7
Hydrophytic Vegetation Indicators
a
1 Rapid Test for Hydrophytic Vegetation
8
_X 2 Dominance Testes >50%
10
3 Prevalence Index is s3 0
Herb Stratum (Plot size YU
ICA, =Total Cover
— 4 Morphological Adaptations (Provide supporting
data in Remarks or on a separate sheet)
1
}
a
i� ��
— Problematic Hydrophytic Vegetation' (Explain)
�L�
r
'Indicators of hydnc sod and wetland hydrology must
4
be present unless disturbed gr "lematic
Definitions of Four Vegetation Strata
—--
5
6
Tree - Woody plants excluding vines 3 in (7 6 cm) or
more in diameter at breast height (DBH) regardless of
height
8
9
Sapling/Shrub - Woody plants excluding vines less
than 3 in DBH and greater than 3 28 ft (1 m) tall
10
11
Herb - All herbaceous (non Woody) plants regardless
of size and woody plants less than 3 28 It tall
12
Total Cover
Woody vine - All woody vines greater than 3 28 ft in
Woody Vine
Stratum (Plot size }
height
1
2
3
4
5
Hydrophytic
Vegetation
6
Present? Yes No
Total Cover
Remarks
(Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
Sampling Point
Profile Description (Describe to the depth needed to document the Indicator or confirm the absence of Indicators)
Depth Matrix Redox Features
clinches) Color (moist) ,� Color imo�stl _� TT Loci Texture Remariis
.Q `T 5 `F= �q14 301--f- M 5L.
'Type C= Concentration, D= Depletion RM= Reduced Matrix MS= Masked Sand Grains
Hydric Soil Indicators
_ Hlstosol (A1)
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 (At 2)
_ Sandy Mucky Mineral (S1) (LRR N
MLRA 147 148)
Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Type
Depth (inches)
Remarks
�rFn.,Fa'ruZNT,W
?Location PL =Pore Lining M =Matrx
Indicators for Problematic Ftydnc 5ods3
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Polyvalue Below Surface (S8) (MLRA 147 148)
_ Coast Prairie Redox (All 6)
Thin Dark Surface (S9) (MLRA 147 148)
(MLRA 147 148)
Loamy Gleyed Matrix (F2)
_ Piedmont Floodptaln Soils (F19)
Depleted Matrix (173)
(MLRA 136 147)
Redox Dark Surface (F6)
_ Red Parent Material (TF2)
Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Redox Depressions (F8)
_ Other (Explain in Remarks)
_ IronAllangenese Masses (F12) (LRR N
MLRA 136)
Umbric Surface (1713) (MLRA 136 122) Indicators of hydrophytic vegetation and
% Piedmont Floodplain Soils (F19) (MLRA 146) wetland hydrology must be present
unless disturbed or problematic
Hydric Sol! Present? Yes -�&— No
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

MArd]YMFN�
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
( ocn Q5ti �� io t 1 („- t 1
ProtecUSde �r 0", City)County ,,[ es tit,? %fir n l Sampling Date 1- �� .1- L t-,)
ApplicanUthvrier ti f C CL State _` L Sampling Point
Investigator(s) -5 Mc-5-L, . ,-. Section Township Range &A ° i'�r�.,l( twk a Vj ►`t? 1�
t�
i
Landform (hiilslope terrace etc) Vk0od n is n Local relief (concave convex none) +n oy%p- Slope (k) 1 �7.7
Subregion (LRR or MLRA) ft-U 11.36 4 Lai 4 .�%3:1(or�lcicl�I long ?a �t �{ t�
L
Soil Map Unit Name lk)eV\ CAL C. NWl classlficabon a-k _ pa`
Are climatic 1 hydrologic conditions on the site typical for this time of year? Yes No (if no explain in Remarks ) pm G%4
Are Vegetation A o Soil )n Q or Hydrology v1 Q significantly disturbed? Are Normal Circumstances present? Yes _,( No
Are Vegetation e\, Soil A. ;i or Hydrology 14f? — 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 Na Is the Sampled Area
Hydric Soil Present? Yes_ Na Within a Wetland? Yes X _ No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators
Secondary Indicators (minimum of two n= wired)
Pnmary Indicators (minimum of one is reouired check all that enolVI
_ Surface Soll Cracks (86)
Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)
X Hydrogen Sulfide Odor (C1)
Drainage Patterns (B10)
Saturation (A3)
Oxidized Rhlzospheres on Living Roots (C3)
Moss Trim Lines (B16)
X Water Marks (B1)
Presence of Reduced Iron (C4)
_
Dry Season Water Table (C2)
Sediment Deposits (82)
_ Recent Iron Reduction In Tilted Sods (CO)
_
Crayfish Burrows (CB)
X Drift Deposits (B3)
p 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 (85)
4_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
Water
, Shallow Aquitard (D3)
Stained Leaves (89)
_„ Microtopographic Relief (D4)
Aquatic Fauna (813)
FAC Neutral Test (D5)
Field Observations
Surface Water Present? Yes Na
Depth (inches)
Water Table Present? Yes No
Depth (Inches) 4 it -- 1� t
Saturation Present? Yes No
Depth (inches)
Wetland Hydrology Present? Yes No
Irtdudes capillary fringe)
,'y_
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont- Interim Version

TLAS
__.___ ,hAFffJAQ'NTAi
VEGETATION (Four Strata) — Use scientific names of plants Sampling Point ( I�" �; � 4
Absolute Dominant Indicator
Tree Stratum } A Cover Species? l
Dominance Test worksheet
(Plot size _ )
Humber of Dominant Species
I Ac p r C i'b(,1" L .(� n y ".
That Are OBL FACW or FAC �••,- (A)
2 'Pk a j o-Q S 0 C.L i < kt) t n�, s CA CA&.4
Total Humber of Dominant
3 Ac AC yAc jj�©
Species Across All Strata
4 �j
5
Percent of Dominant Species ��
That Are OBL FAGW or FAC - 1 0 0 (AJB)
6
Prevalence Index worksheet
7
Total % Cover of Multiply by
8
'T[ ,�1� =Total Cover
Sapling /Shrub Stratum (Plot size �i; )
agL species G x 1 = 0
FACW species x 2 =
r
1 t Ira
FAC species _ x 3 =
2 i
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals (A) (B)
5
Prevalence Index = B1A =_
6
Hydrophytic Vegetation Indicators
7
_ 1 Rapid Test for Hydrophytic Vegetation
8
2 Dominance Test is >50 A
9
3 Prevalence Index is s3 0'
10
Total Cover
Herb Stratum (Plot size )
_
4 Morphological Adaptations (Provide supporting
data in Remarks or on a separate sheet)
1 t.
_ Problematic Hydrophy is Vegetation (Explain)
yr2
Indicators of hydnc sod and wetland hydrology must
3
be present, unless disturbed or problematic
4
Definitions of Four Vegetation Strata
5
6
Tree - Woody plants excluding vines 3 in (7 6 cm) or
more in diameter at breast height (DBH) regardless of
7
height
8
Sapling/Shrub - Woody plants excluding vines less
9
than 3 in DBH and greater than 3 28 ft (1 m) tall
10
Herb - All herbaceous (non woody) plants regardless
11
of size and woody plants less than 3 28 ft tall
12
if 'lam = Total Cover
Woody vine - All woody vines greater than 3 28 R in
Woody Vine Stratum (Flat size Qt f + p �)
height
1 a"tipylo
2
3
4
Hydrophytic
5
Vegetation
8
Present? Yes No
= Total Cover
Remarks (Include photo numbers here or on a separate sheet)
US Army Corps of Engineers Eastern Mountains and Pladmont - Interim Version

SOIL
-'��4TLAS AfM1TdI
Sampling Point.( tA, ,L-
Proflle Descnption (Describe to the depth needed to document the Indicator or confirm the absence of Indicators)
Depth Matrix Redox FeatWres _
finches) Color (moist) —&L Color Imoost) _ � Type Loci Texture Remarks
L�= `k- t o A q 4Z t too mac, L-
0::� I0 `{SA -16�Z516 -0 C-1 -
isai to 14 f,, !�A -v 'M 4/4 T-) fv1 -1,C
Hydric Soil Indicators
Histosol (Al)
Hlstic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers 'Al)
2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N
MLRA 147 148)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Type
Depth (inches)
Sand Gr
_ Dark Surface (S7)
Polyvalue Selow Surface (58) (MLRA 147 148)
_ Thin Dark Surface (S9) (MLRA 147 148)
Loamy Gleyed Matrix (F2)
_ Depleted Matrix (173)
Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
Redox Depressions (F8)
® Iron Manganese Masses (F12) (LRR N
MLRA 136)
_ Umbric Surface (F13) (MLRA 136 122)
_ Piedmont Floodplain Sods (F19) (MLRA 148)
1n PL =Pore Lining, M =Matnx
Indicators for Problematic Hydnc So
_ 2 cm Muds (A10) (MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147 148)
_ Piedmont Floodplain Soils (F19)
(MLRA 136 147)
_ Red Parent Material (TF2)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wettand hydrology must be present,
unless disturbed or problematic
Hydrlc Soli present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Version

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Aw
Prolect)Sde o,) + (�� �CltylCounty fffi ot ^fv � L:r R,42 Sampling Date 11 r-a4 iI . 11 ,,A Ic
ApplicantlOwner T rt c. .s State N C– Sampling Point
Investigator(S) -Ti2 ?�!1'�Y" QL /rr t l S���a r� Section Township Range 6-4 011-° J t ti�
Landform (hdlslopie terrace etc) _ # 1000 OC.t Local relief (concave convex none) Slope {k}
Subregion (LRR orMLRA) f r Lat (ACb0Lt Long C7 ISO . S ���� `1 ° LJ Datum
Soil Map Unit Name lea ri �� NWI classification i'tiC?v�Sl`
Are climatic t hydrologic conditions on the site typical for this time of year? Yes 1, No (ff no explain in Remarks )
Are Vegetation t\L> Sod � -kG or Hydrology .n significantly disturbed? Are Normal Circumstances present? Yes No
Are Vegetation ii:�Q Sod ages or Hydrology ty �3 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 Sod Present? Yes No within a Wetland) Yes No
Wetland Hydrology Present? Yes No 4—
Remarks
HYDROLOGY
Wetland Hydrology Indicators
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required check all that apply)
Surface Soil Cracks (B6)
i Surface Water (Al)
_ True Aquatic Plants (614)
_ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Ct)
Drainage Patterns (B10)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (816)
Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (62)
Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (CB)
_ Drift Deposits (B3)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
— Algal Mat or Crust (84)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (65)
_ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (B7)
` Shallow Aqudard (D3)
_ Water Stained Leaves (89)
s Microtopographic Relief (D4)
Aquatic Fauna (813)
_ FAC- Neutral Test (05)
Field Observations
Surface Water Present? Yes No
Depth (inches)
Water Table Present? Yes No
Saturation Present' Yes No
Depth (inches)
Depth (inches)
Wetland Hydrology Present?
Includes capillary fringe)
Yes No
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Version

VEGETATION (Four Strata) — Use scientific names of plants
Absolute Dominant Indicator
Tree Stratum {Plot size 4cV t P f k Cover es? Status
2 LN !,rs5�
3b - FA Gilt
4
5
6
7
8
= Total Cover
Sapling /Shrub Stratum (Plot size J,,ki( t? )
1
3
4
5
6
7
8
S
10
Total Cover
Herb Stratum (Plot size )
2 s s f ! it
az
3 �f ,,J
4 G �J r' FpC
6 t'titi1 Wj I
7
8
9
10
11
12
= Total Cover
y_QOdy Vine Stratum {Plot
1 t O
2-
4
5
6
0 =Total Cover
Remarks (include photo numbers here or on a separate sheet)
US Army Corps of Engineers
JYd{'htS1r'h1T�i
Sampling Point
Number of Dominant Species
That Are OBL FACW or FAC (A)
Total Number of Dominant
Species Across All Strata At I (B)
Percent of Dominant Species
That Are OBL FACW or FAC (A/B)
worksheet
Total 9' Cover of
Multiply by
081- species C',
x 1 =
FACW species -
x 2 =_
FAC species �_
x 3 =�
FACU species [D
x 4 =_
UPL species I
x 5 =
Column Totals i_
(A) {B)
Prevalence Index = 8/A =
Hydrophytic Vegetation Indicators
Raped Test for Hydrophytic Vegetation
Dominance Test is >50%
—3 Prevalence Index is s3 0
4 Morphological Adaptations (Provide supporting
data on Remarks or on a separate sheet)
_ Problematic Hydmphytic Vegetation' (E)plain)
Indicators of hydric soil and wetland hydrology must
be present unless disturbed or problematic
Definitions of Four Vegetation Strata
Tree - Woody plants excluding vines 31n (7 6 cm) or
more in diameter at breast height (0131-11) regardless of
height
Sapling /Shrub - Woody plants excluding vines less
than 3 in DBH and greater than 3 28 ft (1 m) tall
Herb - All herbaceous (non woody) plants regardless
of size and woody plants less than 3 28 ft tall
Woody vine - All woody vines greater than 3 28 ft in
height
Hydrophytic
Vegetation
Present? Yes -2 No
Eastern Mountains and Piedmont - Intenm Version

Soil
As B
Sampling Point * � VS
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of Indicators)
Depth Matnx Redox Features
(inks) Color (moist) Color (moist) W Loc` �Jexture Remarks
ncentration u=ue letion KNt= Reduced Matrix MS= Masked Sand Grains `location PL =Pore Lining M =Matnx
Hydric Soil Indicators
Indicators for Problematic Hydric Solis'
Histosol (A1)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147 148)
_ Coast Prairie Redox (A16)
_ Black Histic (A3)
® Thin Dark Surface (S9) (MLRA 147 148)
(MLRA 147 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (Fig)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136 147)
® 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (TF2)
_ Depleted Below Dark Surface (A11)
_ Depleted Darn Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Thick Dark Surface (Al2)
_ Redox Depressions (H)
_ Other (Explain in Remarks)
e Sandy Mucky Mineral (S1) (LRR N
_ Iron - Manganese Masses (F12) (LRR N
MLRA 147 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
— Umbnc Surface (F13) (MLRA 136. 122)
'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
_ Piedmont Floodplaln Soils (F19) (MLRA 148)
wetland hydrology must be present
_ Stripped Matnx (SS)
unless disturbed or problematic
Type
Depth (Inches)
Hydric Soil Present? Yes No
US fumy Corps of Engineers Eastem Mountains and Piedmont – Interim Version

LI4MFN -fi
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont AI
cc' 1 l e i
ProlectlSite v l � CitylCounty f'�c%CN(Sv � � i -� j -X
,E � Sampling Date 1 -fir{ -{� i -�,-4
ApplicantlOwner 1
1 Vr tr a N State L Sampling Point
Investigator . s) t`C� , * �f - s Ay Section Township Range
Landform {hlllslope terrace etc) _.0PQjQACA en Local relief tconcave convex none) +rich Slope (°b) L�
Subregion (LRR or MLRAJ MU AL. ,s F Lat K) Long r (;, , 53` l °t�. Datum
Soil Map Unit Name CIA Q 1 �f 1 L p� NWI ctasslflcaUon v o_
Are climatic ! hydrologic conditions on the site typical for this time of year? Yes -2�— No (If no explain in Remarks )
Are Vegetation ,W rr Soil NC+ or Hydrology v-xc significantly disturbed'? Are Normal Cu9cumstancea present? Yes X_ No
Are Vegetation j& -) Soil yA r) or Hydrology 1r) 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 Is the Sampled Area
Hydnc Soil Present) Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks
cvr e-� A 'As "J"" vc�r�v�j aaVr t�S
t+:tlJ(2f i' 3Ci(T ` lakl ' Y%A-W ( 4- 4- 4'J-CV C_Q_ P-
HYDROLOGY
Wetland Hydrology Indicators
Secondary Indicators (minimum of two rerauir�}
Pnmary Indicators (minimum of ane is required check a1 that apply)
_ Surface Sod Cracks (86)
_ Surface Water (A1)
_ True Aquatic Plants (814)
Sparsely Vegetated Concave Surface (88)
_ High Water 7able (A2)
_ Hydrogen Sulfide Odor (Cl)
Drainage Patterns (8 10)
_ Saturation (A3)
— Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (816)
_ Water Marks (81)
— Presence of Reduced Iron (C4)
Dry- Season Water Table (C2)
_ Sediment Deposits (82)
_ Recent Iron Reduction in Tilted Soils (C6)
_ Crayfish Burrows (CB)
Drift Deposits (83)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (94)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (65)
Geomorphic Positron (02)
_ Inundation Visible on Aerial Imagery (87)
— Shallow Aquitard (133)
_ Water Stained Leaves (89)
__,_ Microtopographic Relief (04)
_ Aquaatc Fauna (B13)
w FAC- Neutral Test (135)
Field Observations
Surface Water Present? Yes
No X Depth (inches)
Water Table Present? Yes
No Depth (inches)
Saturation Present? Yes
No X Depth (inches)
y(
Wetland Hydrology Present? Yes No "
includes capillary fringe)
Describe Recorded Data (stream gauge monitoring well aenal photos previous inspec#rons) d avallabie
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

VEGETATION (Four Strata) — Use scientific names of plants
Absolute Dominant Indicator
Tree Stratum (Plot Size Lj � , n } Cover 51sae12 Status
1 -Acs fJ-6 i -• tub, ,
2 g� �zt-II rtv� 1.1( .��c r1 nl„- s 1M
3 .2 r
4 �,
5 -a-� -�
6
7
8
=Total Cover
appIinsllShrub Surat im (Plot size Nr,,,-\ US }
1
2 ,pro
3 J ?-tic, _ , 'A as
4 -��- �-
5
6
7
,�I&Frrt �nr`a�a
Sampling Point \[vWi13y
Dominance Test worksheet
Number of Dominant Species
That Are OBL FACW or FAC (A)
Total Number of Dominant
Species Across All Strata
Mulpply bv.
OBL species U
(B}
Percent of Dominant Species
3;)6
That Are 081- FACW or FAC
(.Ai a)
Index worksheet•
Total m COVer of
Mulpply bv.
OBL species U
x 1= C J
FACW species
FAC species L
X3=
FACU species G-1_
x 4 = �
UPL species
x 5 =_
Column Totals
(A) i (B)
Prevalence Index = WA = _ 3.4
8 — 1
9 2
10 3
= Total Cover
Ijerb Stratum (Plot size Qr.,n
3
4 cc C, vi a 1a
5
6
7
9
10
91
12
Total Cover
Woody Stratum (Plot size
f��{iAn 0-4 _ )
1 Li S f47 .-a!, r: .Atie Alp- jr
4
5
6
AA =Total Cover
Remarks (Include photo numbers here or on a separate sheet 1
US Army Corps of Engineers
hytic Vegetation indicators
Rapid Test for Hydrophytic Vegetation
Dominance Test Is >50%
Prevalence Index is s3 0
4 Morphological Adaptations (Provide supporting
data in Remarks or on a separate sheet)
® Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric sod and wetland hydrology must
be presQnt unless disturbed or preblernatic
Definitions of Four Vegetation Strata
Tree - Woody plants excluding vines 3 in (7 6 cm) or
more in diameter at breast height (DBH) regardless of
height
SaplingiShrub - Woody plants excluding vines less
than 3 In DSH and greater than 3 28 ft (1 m) tall
Herb - All herbaceous (non - woody) plants regardless
of size and woody plants toss than 3 28 ft tall
Woody vine - All woody vines greater than 3 28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
Eastern Mountains and Piedmont - interim Version

I
iwra�,itr ra
.SOIL Sampling Point 'Jil+r &;p C
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of Indicators.)
Depth Matrix Redox Features
(inches) Color Imoist) % Q4QLLM2W-
ge Texture Remgrks
1;? Al 10,% ti 1;51?
Type C= Concentration, D= Depletion RM =Reduced Matnx. MS= Masked Sand Grains 2Lecatinn PL =Pomp Lininn M= Matriv
Hydnc Soil Indicators
Indicators for Problematic Hydric Sousa
_ Histosol (Al )
_ Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
— Polyvalue Below Surface (S8) (MLRA 147 148)
i Coast Prairie Redox (A16)
_ Black Histic (A3)
Thin Dark Surface (S9) (MLRA 147 148)
(MLRA 147 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (AS)
_ Depleted Matrix (173)
(MLRA 136 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Bark Surface (F6)
_ Red Parent Material (TF2)
_ Depleted Below Dark Surface (A11)
^ Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
_ Thick Dark Surface (Al2)
i Redox Depressions (F8)
Other (Explain in Remarks)
_ Sandy Mucky Mineral (Si) (LRR N
_ Iron Manganese Masses (Ft 2) (LRR N
MLRA 147 148)
MLRA 136)
Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136 122)
3Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
Piedmont Fioodplain Solis (Fig) (MLRA 148)
wetland hydrology must be present,
_ Stripped Matrix (S6)
unless disturbed or problematic
Restrictive Layer (If observed)
Type
THydrIcS,.I
Depth (inches)
Present? Yes No _X
US Army Corps of Engineers Eastem Mountains and Piedmont — Interim Version

NC 1)W0 StrPam Identification Form Version 411
Date
aw M " to �p,t + � W iI t
Latitude c
635
Evaluator
County. ' `
Longitude
Total Points
Stream Determination (circle one)
Other
Stream is a teasi intermittent / _
1�
Ephemeral n erm tte t Perennial
e g Quad Name 1Y�LYESv i �fz
if a 19 or Perennial if a 30
0 5
0
U-(-' 6 1 ') 3 4-;� to 1$ t
A Geomar I i ) Subtotal =`
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
o
1
0 5
0
3 In channel structure ex nffle -pool step pool
ripple ool sequence
0
1
tb-/
2
3
4 Particle size of stream substrate
0
65
2
3
5 Active/relict floodplain
0
'
2
3
6 Depositional bars or benches
0
1`
2
3
7 Recent alluvial deposits
0
1 ti
2
3
8 Headcuts
0
FACW = 0 75 OBL = 1 5 Other = 0
2
3
9 Grade control
0
5
f
1 5
10 Natural valley
0
05
1 j
1 15
11 Second or greater order channel
Non 0
Yes = 3
a arbficiat ditches are not rated see discussions in manual --°-
R HvHrnlnrnv tSuhtntai = lc 1
12 Presence of Baseflow
0
i,a
2
3
13 Iron oxidizing bacteria
0 a
1
2
3
14 Leaf litter
15
1
0 5
0
15 Sediment on plants or debris
0
05
1
1 5
16 Organic debris Imes or piles
0
65
1
15
17 Soil based evidence of high water table?
No a 0
Yes = 3
C Biolo (Subtotal
18 Fibrous roots in streambed
3
2
t
0
19 Rooted upland plants in streambed
3
2
1
0
20 MacrobenthoS (note diversity and abundance)
0
1
2
3
21 Aquatic Mollusks
0 )
1
2
3
22 Fish
0
0 5
1
15
23 Crayfish
0
79755
1
1 5
24 Amphibians
0
O S
1
1 5
25 Algae
0
05
1
1 5
26 Wetland plants in streambed
FACW = 0 75 OBL = 1 5 Other = 0
perennial streams may also be identified using other methods See p 35 of manual
Notes } t
Sketch

NC iDWC) fitrearn identtfieatkon Form Version 4 11
Date _ \ _ 7_
Pro ectfslt
I
Latitude
Evaluator �- ` J�
County
Longitude
Total Points
Stream Determination (circle one
Other
Stream Is at feast Intermittent 'r
Ephemeral Intermittent erenn al
e g quad Name M00 I, La
If z IQ or pererintal tf 2:301
3
t .i- - °t
A Geomorphology (Subtotal = )
Absent
1
2
Strong
18 Continuity of channel bed and bank
0
1
3
2 Sinuosity of channel along thalweg
0
1
3
3 In channel structure ex rule pool step -pool
ripple-pool sequence
0
0 5
3
4 Particle size of stream substrate
0
MeakMo(deral,
3
5 Active/relict floodplain
0
Yes = 3
3
6 De osibonal bars or benches
0
—6-5
1
3
7 Recent alluvial deposits
0
05
3
8 Headcuts
0
FACW = 0 75 OBL = 15 ether = 0
3
9 Grade control
0
0 5
15
10 Natural valle
0
05
1
1 5
11 Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated see discussions in manual 'T
R Hvdroloriv (Subtotal= I )
12 Presence of Baseflow
0
1
2
3
13 Iron oxidizing bacteria
0
1
2
3
14 Leaf litter
1 5
1
0
0
15 Sediment on plants or debris
0
0 5
1
15
16 Or anic debris lines or piles
0
05
1
1 5
17 Soil based evidence of high water table9
No = 0
Yes = 3
C Bloloov (Subtotal = "T ::; 1
18 Fibrous roots in streambed
3
2
1
0
19 Rooted upland plants in streambed
3
2
1
0
20 Macrobenthos (note diversity and abundance)
0
1
2
3
21 Aquatic Mollusks
0
1
2
3
22 Fish
0 )
05
1
1 5
23 Crayfish
0
0 5
1
1 5
24 Amphibians
0
—6-5
1
1 5
25 Algae
0
05
1
1 5
26 Wetland plants in streambed
FACW = 0 75 OBL = 15 ether = 0
perennial streams may also be identified using other methods See p 35 of manual
Notes L-L°'°
Sketch

N, r DW0 Stream Identification Form Version 4 11
Date _ _ G,�
T��, 011
ProjectiSite
Latitude _
Evaluator
County
i
Longitude 0so
0
cAg
r
Total Points
Stream Determination (circle oneL
Other
Stream is at feast intermittent ii t�
`T
Ephemeral Intermittent e i
e g Quad Name
` t
rf a 19 or erenmaf t a 30
0
1
i «" i , ..'Q0 9
%_� % `— t. t
A Geomorphology Subtotal =
Absent
Weak
—Moderate
strong
g
12- Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
0
1
05
3
3 In- channel structure ex riffle pool step pool
nipple of sequence
0
1
r;1
3
4 Particle size of stream substrate
0
1
2
3
5 Actrvefrellct floodplam
0
1
2
15
6 Depositional bars or benches
0
1
2
3
7 Recent alluvial deposits
0
1
2
3
8 Headcuts
0
1
2
3
9 Grade control
0
05
1 1
I liL
10 Natural valley
0
05
1
(1 5)
11 Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated see discussions in manual --r°
B H drolo Subtotal =
12 Presence of Baseflow
0
1
2
3
13 Iron oxidizing bacteria
0
2
3
14 Leaf litter
1 5
20 Macrobenthos (note diversity and abundance)
05
0
15 Sediment on plants or debris
0
05
1
1 5
16 Organic debris lines or piles
0
O S}
1
1 5
17 Soil based evidence of high water table?
No = 0
es =.3
C Rlninav (Subtotal= I 1 l
18 Fibrous roots in strearnbed
3
2
1
0
19 Rooted upland plants in streambed
3
2
1
0
20 Macrobenthos (note diversity and abundance)
0
1
2
3
21 A uabc Mollusks
0
1
C21
3
22 Fish
0
05
1
15
23 Crayfish
0
05
1
1 5
24 Amphibians
0
05
1
is
25 Algae
0
0 5
1
1 5
26 Wetland plants in streambed
FACW = 0 735-J681- o 1 5 t6ther = 0
perennial streams may also be identified using other methods Seep 35 of manual
Notes i i"-T �
'k-1c
t
Sketch

U
\Tf' nitkr% CtrUdrm 7AAnt-iftrratmn l:nrm Vprcinn 4 11
Date _ — l l (v� t ( 4
ProtectlSite mac` `� l C i
Latitude --
Evaluator
County
Longitude
0
1
2
Total Pointe
Stream Determination (circle one)
Other
Stream is at feast intermittent
Ephemeral Intermittent erennia
is g Quad Name C 3dCXy k(SL
if a 19 or perennial if 2 30
0
1
in'1�,�fZ
V - L/ �--
A Geomorphology (Subtotal =
Absent
Weak
Moderate
Strong
1'. Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
0
1
2
3
3 In channel structure ex riffle -pool step pool
ripple ool sequence
0
1
2
3
4 Particle size of stream substrate
0
1
2
3
5 Active /relict floodplaln
0
1
2
3
6 Depositional bars or benches
0
1
2
3
7 Recent alluvial deposits
0
1
2
3
8 Headcuts
0
1
2
3
9 Grade control
0
05
1
1 5
10 Natural valley
0
0 5
1
1 5
11 Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated see discussions in manual
R Hvrlrnlnmv I.Ruhtntal = Id ) �:: i
12 Presence of Baseflow
0
1
2
3
13 Iron oxidizing bacteria
0
2
3
14 Leaf litter
1 5
1
0 5
0
15 Sediment on plants or debris
0
D)
1
15
16 Organic debris lines or piles
1 0
01;
1
t 5
17 Soil -based evidence of high water table?
I No = 0
aes = 3
t : Ftininnv fq11ht1)tal = l S 1
18 Fibrous roots In streambed
3
2
1
0
19 Rooted upland plants in streambed
C32
2
1
0
20 Macrobenithos (note diversity and abundance)
0
1
2
3
21 Aquatic Mollusks
0
1
2
22 Fish
0
05
1
(1-5)
23 Crayfish
0
05
1
1 5
24 Amphibians
0
0 5
1
1 5
25 Algae
0
0 5
t nfn
I 1 5
26 Wetland plants in streambed
FAC%A = 0 75 Ol3L = 1 S Qther = 0
perennial streams may also be identified using other melhods See p 35 of manual
Notes yj es���
Sketch

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Town of Mooresville
Mount Mourne Gravity Outfall
Wetland Restoration Plan
February 16, 2012
Prepared by:
ONMENT

•
Introduction
All of the wetland impacts requested in this permit application are temporary in
nature to allow for the construction of a 24" to 30" gravity sewer line Some
wetland areas are considered forested by the Corps and these areas will be
converted to emergent herbaceous wetlands within the permanent easement
There will be 0 089 acres of wetlands converted from forested to non forested
wetlands even though forest land will continue to surround these wetlands as it
does currently The conversion of these wetland areas within the 15' wide
permanent maintenance easement is being mitigated through the maintenance
practices that the Town have adopted that are discussed below The temporary
construction easement is 55' wide
Methods
This plan proposes restoration methods to be used to restore the requested
temporary impacts to wetlands along the Mount Mourne Gravity Outfall The
sewer line will be installed in an open cut trench The topography along the
alignment was surveyed and mapped to 2' accuracy during the design phase of
the project If it is determined to be necessary, additional topography within the
wetland areas will be collected prior to construction
The topsoil within the wetland areas will be stock piled separately from the
subsoil Excavated materials within wetlands will be placed on fabric whenever
possible to minimize impacts The subsoil will be backfilled and compacted
before the topsoil is replaced and graded to pre - construction contours These
contours will be re- established within the wetland areas by comparing them to
the pre construction contours that have been surveyed The graded contours
will be shaped to match the surrounding natural contours that were not
disturbed during construction
The topsoil will contain a viable seed mixture of wetland vegetation that will re-
establish itself once restoration is complete However, if necessary, a wetland
seed mix will be broadcast in wetland areas that do not re- vegetate naturally
with wetland plants Only native species of woody and herbaceous wetland
plants will be used for restoration Stumps within the disturbed wetland areas
will be grubbed only as necessary for installation of the sewer line while
remaining stumps will be cut off at ground level
Goals
The area outside of the permanent maintenance easement (20' on either side of
the maintenance corridor) will be restored to forested wetlands through the re-
establishment of volunteer woody vegetation and planting of live stakes The
woody vegetation within the wetlands within the maintenance corridor will be

w
hand trimmed as opposed to mowed which will prevent the wetland soils from
becoming compacted and will also prevent herbaceous vegetation from being
impacted by a tractor and mower The maintenance practice should also allow
for the continual existence of a more natural wetland habitat than compacted
soils that tend to create flooded wetlands that potentially lack significant
herbaceous vegetation
The majority of the forested wetland areas will be temporarily impacted and
converted along the fringe of the wetland Only three of these wetlands will be
impacted through the center of the wetland area None of these three wetland
areas have large trees growing in them They all have a shrub layer but no tree
layer These wetlands are 0 03, 0 087, and 0 144 acres in size The conversion
width is the maintenance corridor width of 15' and all of these wetlands will
continue to be shaded by the surrounding much larger trees than what occurs
within the wetlands themselves
Hydrology through the wetland areas will be restored as well as part of this
restoration plan Some of the wetland areas contain drainages within them
which will be restored to pre - construction grade If excess subsoil remains once
restoration is complete it will be disposed of in a high ground area along the
alignment
Town Information
The Town of Mooresville s Water and Sewer Department is responsible for the
maintenance along utility lines which are under the jurisdiction of the Town The
Town typically mows the rights -of -way at least once a year but sometimes twice
a year with a medium sized tractor The Department tries not to mow during the
wet season or after heavy rainfalls The Town will provide the contractors who
bid on the construction of this sewer line with a copy of the permit application as
well as the 404 and 401, if requested

r
LIVESTAKES
pau t tat nat is not represent
the tune of untwhwom

4 -4 MNRCS -- SPECIFICATION GUIDE SHEET Tree /Shrub Establishment (612)
Lave Stacking
Is
Cut and
trimmer
live wtl
branch
112
diametd
10 18
long
Prepare I W
planting hole Shovel Inctaliahon
with rebar Method
Create a small
depression to collect
water
/4
,--il
of 14 length cuttmg
B�
E14
• -r' Soil must be firmed
314length
of stern
around live stake to avoid
air pockets and drying out
Trim tf more than 2 buds
are aboveground
J-
1 3
1 3
1 3
Figure 5 — Live Stake Installation

•
CS UT 231
1
CONSTRUCTION SPECIFICATION
CS-UT-231 LIVE STAKES
SCOPE
This construction specification governs the installation of live stakes for erosion
control and/or bank stabilization Installation shall be at the location and to the
lines and grades of the plan
2 SITE PREPARATION
The treatment areas shall be stable and/or shaped prior to installation of the live
stakes to the lines and grades as shown on the construction drawings
3 MATERIALS
The live stakes shall be from native woody plant materials or woody plant
materials adapted to the site The plant species and dimensions are shown on the
drawings The plant material shall be free from disease and harmful insects The
plant materials shall be installed within 48 hours after initial preparation unless
refrigerated
Remove leaves and side branches from cuttings and do not use the first year
growth The basal ends should be cut at an angle and the top cut square Cuttings
must not be allowed to dry out and must be kept covered and moist during
transport and storage
4 INSTALLATION
Installation of the live stakes shall be made by one of the following methods
a Use a steel bar to make a pilot hole to the specified planting depth
b In soft ground where the live stake will not be inured a dead blow
hammer may be used to drive the live stake to the planting depth
The live stakes shall be trimmed to remove damage sections
At least two lateral buds shall be exposed above the soil surface The soil shall be
tamped and the planting shall be watered within 24 hours after planting
USDA NRCS UT