20100141 Ver 3_401 Application_20130613

June 12, 2013
Mr. Danny Smith
NC DENR
Division of Water Quality
3800 Barrett Drive
Suite 101
Raleigh, North Carolina 27609
DM2 Engineering, PLLC
William W. Dreitzler, P.E. Nicholas S. Rightmyer, P.E.
1416 Pendergrass Road
P.O. Box 1448
Sanford, NC 27330
Roanoke Rapids, NC 27870
Phone- (919) 818 -2235
Phone: [phone]
bill.dreitder @yahoo.com
nsnghtm @yahoo corn
10-olk�k V3
Reference: Nationwide 29 Pre- Construction Notification — MODIFICATION
DWQ Project # 10 -0141, Ver e 3 t
Collymore Lane Residential Subdivision
Warren County, North Carolina
Dear Mr. Smith: ;.rx
The proposed Collymore Lane Residential Subdivision located on Macon Embro Road near Macon, North
Carolina will require modification to the existing 401 Water Quality Certification. As discussed, construction
for the project was performed without a proper erosion control plan and without installing adequate erosion
control measures. DM2 Engineering, PLLC has prepared an erosion control plan for the development, which
will require additional impacts to the two stream crossings. The impacts are due to the requirement for energy
dissipation downstream of the outlets of the two culverts. Riprap Energy Dissipators are proposed for this
purpose. In addition, the developer wishes to replace the installed corrugated metal pipe with reinforced
concrete pipe. The pipe replacement will not result in any additional impacts. The enclosed erosion control
plan shows the location of the proposed pipe replacement and dissipator pads. The following items are
enclosed for review:
• Five (5) Pre - Construction Notification Form
• Five (5) Original Permit Application
• Five (5) Approval Letter
• Two (2) Construction Drawings (Full Size)
• Three (3) Construction Drawings (Half Size)
• One (1) $240 application fee
Please feel free to contact me at your earliest convenience if you have questions or need additional
information.
Sincerely
DMZ Engineering, PLLC
NichFas . Righ er, E.
Project Engineer
Cc: Collymore Bey
J
`Rf
JUN 1 7 2013
D�

0*- WATl-R4 G
O
o <
M -01'A-k v3
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps?
Q Yes ❑ No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
Q 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express Q Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑x No
For the record only for Corps Permit:
❑ Yes ❑X No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes Q No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes Q No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes Q No
2. Project Information
2a. Name of project:
Collymore -Bey Property
2b. County:
Warren
2c. Nearest municipality / town:
Vaughn / Macon
2d. Subdivision name:
Collymore Lane
2e. NCDOT only, T.I.P. or state project no:
n/a #9
3. Owner Information
3a. Name(s) on Recorded Deed:
Mr. Clement Collymore -Bey ,JV
3b. Deed Book and Page No.
DB 873 PG 48
3c. Responsible Party (for LLC if
applicable):
Mr. Clement Collymore -Bey - �q
11Y
1151 Macon Embro Road
3d. Street address:
3e. City, state, zip:
Macon, North Carolina 27551
3f. Telephone no.:
(919) 724 -3194
3g. Fax no.:
3h. Email address:
beyman97531 @centurylink.net
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
Same as Owner
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
S. Agent/Consultant Information (if applicable)
5a. Name:
Nicholas S. Rightmyer, PE
5b. Business name
(if applicable):
DM2 Engineering, PLLC
5c. Street address:
P.O. Box 1448
5d. City, state, zip:
Roanoke Rapids, NC 27870
5e. Telephone no.:
(252) 532 -2364
5f. Fax no.:
5g. Email address:
nsdghtm @yahoo.com
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
H6 33 & H6 33A
1 b. Site coordinates (in decimal degrees):
Latitude: 36.39161 Longitude: - 78.06503
1c. Property size:
26.74 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Intermittent tributary to Little Fishing Creek
2b. Water Quality Classification of nearest receiving water:
C,NSW
2c. River basin:
Tar - Pamlico
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is forested, except for the existing clearing and roadway construction, and consists of gently rolling topography. Land use within the general
vicinity consists of mostly rural agricultural land with scattered residential dwellings
3b. List the total estimated acreage of all existing wetlands on the property: 0.25
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 1,893
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to replace existing metal pipes with reinforced concrete pipe, and to add required energy dissipators.
3e. Describe the overall project in detail, including the type of equipment to be used:
The existing pipe will be removed and replaced with RCP, and the Energy dissipators will be installed.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑X Yes ❑ No ❑ Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known):
Agency /Consultant Company: Dramby Environmental Consuftin
I 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
this project (including all prior phases) in the past?
❑X Yes ❑ No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
A 401 permit has been Issued for this project. This application is for replacement of the installed pipe and installation of dissipator pads.
S. Future Project Plans
6a. Is this a phased project?
❑ Yes © No
6b. If yes, explain.
Page 3of10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands Q Streams — tributaries Q 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.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 -
Choose one
Choose one
Yes /No
-
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes /No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes /No
-
2g. Total Wetland Impacts:
2h. Comments:
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert & Dissipator
unnamed
INT
DWQ
92
S2 P
Culvert & Dissipator
unnamed
INT
DWQ
48
S3 T
Future Utility Installation
unnamed
INT
DWQ
10
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts
150
3i. Comments:
All existing pipe that was included in the original application to be removed. Length shown above include new pipe length to be installed plus length of
dissipator pads. The temporary impacts included above are from the original application.
Page 4 of 10
PCN Form — Version 1.4 January 2009

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.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
O2 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
S. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWO)
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. Project is in which protected basin?
❑ Neuse 0 Tar - Pamlico ❑ Catawba ❑ Randleman []Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet )
6g.
Zone 2
impact
(square
feet
B1 -
Yes/No
B2 -
Yes /No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
66 -
Yes/No
6h. Total Buffer Impacts:
10,168
7,022
6i. Comments: See original application for details on buffer impacts.
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
See original application. The proposed design is similar to the original design, except for the addition of dissipator pads.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
A sediment and erosion control plan has been prepared and will be implemented during construction.
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:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
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:
Choose one
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.
Page 6 of 10
PCN Form — Version 1.4 January 2009

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 Q No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

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
❑X Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
See original application
❑ Yes ❑X No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
10%
2b. Does this project require a Stormwater Management Plan?
❑ Yes © No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
See original permit application.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e. Who will be responsible for the review of the Stormwater Management Plan?
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Warren County
❑ Phase II
❑ NSW
3b. Which of the following locally- implemented stormwater management programs
❑ 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
❑ Yes ❑ No
attached?
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 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
la. Does the project involve an expenditure of public (federal /state/local) funds or the
❑ Yes Q No
use of public (federal /state) land?
1b. 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)?
1c. 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
❑ Yes ❑ No
letter.)
Comments:
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,
❑X Yes ❑ No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after- the -fact permit application?
❑Yes Q No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
Adequate erosion control measures were not implemented during the initial construction, which has resulted in sediment deposits within the
downstream stream beds. The proposed erosion control plan includes instructions to remove the sediment with shovels and buckets and restore the
stream bed to native soils / grades.
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
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.
Page 9 of 10
PCN Form — Version 1.4 January 2009

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?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Previously determined from original submittal
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?
Previously determined from original submittal
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 Q 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?
Previously determined from original submittal
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes Q No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Previously determined from original Submittal
,/) /IFM0Nl 4 11Y�� -�
�� t3
Applicant/Agent's Printed Name
Applicant( Ws Signature
Date
(Agent's signature is vaWd only if an authorization
letter from the applicant is provided.)
Page 10 of 10

Dramby Environmental Consulting, Inc. 1 fl - 1►+ 1 U 2�
September 20, 2010
S E&LD.
Mr. James Lastinger G
Raleigh Regulatory Field Office
U. S. Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105 ,J(jN
Wake Forest, NC 27587 1 7 2013
NR • q►
Re: Nationwide 29 Pre - Construction Notification �h
Collymore -Bey Property, Warren County, North Carolina
Latitude: 3639151N Longitude: 78.06670W
Applicant: Mr. Clement Collymore -Bey
1151 Macon Embro Road SEP 2 1 2010
Macon, North Carolina 27551
OEM- WATRouMn
TWOS ACIDSMW AMBWM
Dear Mr. Lastinger:
Dramby Environmental Consulting, Inc. (DEC) was retained by Mr. Clement Collymore-
Bey (Applicant) to conduct a detailed wetland investigation on the above - referenced
property and assist with a Pre- Construction Notification (PCN) for approval of a
Nationwide 29 Permit and NC Division of Water Quality General Certification #3705.
The 26.74 -acre site is located within the Tar - Pamlico River Basin in Warren County,
North Carolina (Figure 1). The site can be accessed by an existing dirt drive at 1151
Macon Embro Road in Macon, North Carolina (Figure 2).
As previously discussed, the applicant requires access to his property, the majority of
which is isolated by two intermittent stream channels that bisect the property. Access is
required for a subdivision that will be constructed in uplands on the southern half of the
property. Additionally, access is required to the northern portion of the property for
agricultural activities. In order to provide access while avoiding and minimizing impacts
to waters of the U.S., including wetlands, to the maximum extent practicable, the
applicant proposes to install a gravel road along the eastern property boundary. As
shown on the attached plan view and cross - sectional figures (Figures 5 -9), two culvert
crossings are proposed to be installed for property access. The proposed culverts will be
installed to maintain hydrology and allow passage of aquatic organisms. As a result,
permanent impacts to 115 linear feet of intermittent stream channel and 16,132 square
feet of Tar - Pamlico Riparian Buffer are proposed.
Additionally, a utility easement is proposed along the road to provide utilities to the
subdivision. One utility crossing is required as shown on Figures 5 through 7. This
utility crossing is proposed to be installed by open cut methods resulting in temporary
impacts to 10 linear feet of intermittent stream channel and 1,058 square feet of Tar-
6508 Woodshire Place - Raleigh, N.C., 27612 - (757) 894 -1676

Mr. James Lastinger
September 20, 2010
Page 2
Pamlico Riparian Buffer. Temporary impacts will be restored to pre - existing contours
and seeded with appropriate mix upon completion.
Based on the amount of proposed stream and riparian buffer impacts and guidance from
the USACE, this activity should qualify for a USACE Nationwide 29 permit. Therefore,
on behalf of our client, attached is a completed PCN along with wetland and stream
delineation information for your review and approval. DEC respectfully requests that the
USACE issue a NWP -29 and that DWQ issues a General Water Certification #3705 for
this project. Please do not hesitate to contact me should you have any questions or
require additional information regarding this project.
Thank you for your time.
Sincerely,
Dramby Environmental Consulting, Inc.
YJSheearin Dramby
Senior Regulatory Specialist
Enclosures
cc: Mr. Ian McMillan, DWQ (5 copies w/ permit fee)
Mr. Clement Collymore-Bey
file
CADoamtents and SettingsrK&\Des"\DEC1DEC Project FileslColleymore -Bey Proj=62nd agency
submitta1\Co11emoreBey_PCN_NW29 cover letter[i].doc

� �oF W ATFgO�
-i
O T
to - O I4l 0 O
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre - Construction Notification P Form
A. Applicant Information
IN a it Bb
1. Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit ❑Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number. 29 or General Permit (GP) number
1 c. Has the NWP or GP number been verified by the Corps? JS
Yes
❑ No
1d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
le. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes
® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Collymore -Bey Property
2b. County:
Warren
2c. Nearest municipality / town:
Vaughn/Macon
RL=NVL5
U V L5
2d. Subdivision name:
Collymore -Bey SER
2 1. 2010
2e. NCDOT only, T.I.P. or state
project no:
N/A
DENR- NU11:ROJAM
3. Owner Information
3a. Name(s) on Recorded Deed:
Mr. Clement Collymore -Bey
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
Mr. Clement Coll ore-Be
�" y
3d. Street address:
1151 Macon Embro Road
3e. City, state, zip:
Macon, North Carolina 27551
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
WA
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:
Same as Owner
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:
J. Shearin Dramby
5b. Business name
(if applicable):
Dramby Environmental Consulting, Inc.
5c. Street address:
6508 Woodshire Place
5d. City, state, zip:
Raleigh, NC 27612
5e. Telephone no.:
757 - 894 -1673
5f. Fax no.:
N/A
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form —Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
H6 33 & HIS 33A
1b. Site coordinates (in decimal degrees):
Latitude: 36.39161 Longitude: - 78.06503
(DD.DDDDDD) (- DD.DDDDDD)
1c. Property size:
26.74 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
proposed project:
intermittent tributary to Little Fishing Creek
2b. Water Quality Classification of nearest receiving water.
QNSW
2c. River basin:
Tar - Pamlico
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is forested and consists of generally flat to gently rolling topography. Land use within the general vicinity
consists of mostly rural agriculture land with scattered residential dwellings.
3b. List the total estimated acreage of all existing wetlands on the property:
Approximately 0.25 acre of wetlands are located on the property.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 1,893 linear feet of intermittent stream channel are located on the property.
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access to a subdivision on the southern portion of the property and to
provide access to the northern portion of the property for agricultural activities. The proposed subdivision lots are located
on uplands and no impacts to waters of the U.S., including wetlands, are required for constriction of the lots. Each lot will
be sold individually in the future and each individual landowner will be responsible for development.
3e. Describe the overall project in detail, including the type of equipment to be used:
An 18 -foot wide gravel road and parallel 10 -foot utility easement is proposed to be constructed along the eastern portion
of the property. Two intermittent streams are required to be impacted by road construction resulting in 115 linear feet of
permanent intermittent stream impacts. A single culvert will be placed at each proposed stream crossing and
countersunk to maintain hydrology. Utilities will be installed in the future by open cut methods within a 10 -foot utility
easement requiring temporary impacts to 10 linear feet of intermittent stream channel for one crossing. Temporary
impacts will be restored to pre - construction contours upon completion.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
Comments: The USACE confirmed WOUS, including
® Yes ❑ No ❑ Unknown
wetlands, during an onsite confirmation visit. Jurisidictional
dataforms for wetlands and streams are attached along with
a map featuring delineated areas.
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c. If yes, who delineated the jurisdictional areas?
Agency /Consultant Company: Dramby Environmental
Name (if known): Mstoffer J. G. Dramby, PWS, CE, CWB
Consulting
Other.
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Jurisdictional report and mapping attached for written approval.
Page 3 of 11
PCN Form —Version 1.3 December 10, 2008 Version

5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ 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
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ® Buffers
❑ Open Waters ❑ Pond Constriction
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
(d known)
DWQ — non -404, other)
(acres)
Temporary
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P [IT
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments: The site plan was designed to avoid impacting wetlands.
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
P
() or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ❑ T
Fill, culvert
unnamed
PER
®INT
® Corps
®DWQ
T5
S2 ® P ❑ T
Fill, culvert
unnamed
❑ PER
® INT
® Corps
® DWQ
40
S3 []POT
Temporary
Disturbance
unnamed
❑ PER
® INT
® Corps
® DWO
10
S4 ❑ P [IT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ p ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and
tributary impacts
125
3i. Comments: Permanent impacts to 115 linear feet of intermittent stream channel and temporary impacts to 10 linear feet of
intermittent stream channel are required for the project. Temporary impacts will be restored to preconstruction contours upon
completion.
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
01 ❑P ❑T
02 ❑P [IT
03 ❑P ❑T
04 ❑P ❑T
4E Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then com late the chart below.
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or purpose
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
number
of pond
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
SL Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
S. 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
impact
required?
B1 ®P ❑ T
Road
unnamed
® No
2,577
1,658
B2 ® P ❑ T
Road
unnamed
® Yes
2,661
83 ❑ P ® T
Utility
unnamed
® No
377
73
6h. Total buffer impacts
10,168
7,022
6i. Comments: This table does not have enough spaces to include all proposed buffer impacts. The total buffer impacts listed
Page 6 of 11
PCN Form — Version 1.3 December 10, 2008 Version

in item 6h are accurate. However, for a complete breakdown of individual impacts, please see the Buffer Impact Table on
Figure 5. Based on the Table of Uses, proposed buffer impacts for road construction and utility line installation are exempt.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
As shown on Figure 5, this project was designed to avoid and minimize impacts to WOOS, including wetlands, to the
maximum extent practicable while still maintaining the purpose and need of the project. The applicant originally proposed to
construct a pond on the southern portion of the property. However, after WOUS, were delineated on the property, the pond
proposed extensive impacts to wetlands and streams. Therefore, the applicant eliminated the pond from the project to
minimize impacts to those resources. Additionally, the applicant designed the project to avoid impacting wetlands all together.
Since access is required and two streams bisect the width of the property, impacts to streams were unavoidable.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Appropriate erosion and sediment controls such as silt fences will be in place during construction to prevent impacts to
adjacent streams and wetlands.
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:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete If Making a Payment to In4leu 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:
6. Complete If Using a Permittee Responsible Mitigation Plan
5a. if using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form —Version 1.3 December 10, 2008 Version

S. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
Comments: A stormwater engineer from InFocus Engineering reviewed the project
to determine if a diffuse flow plan would be required. Based upon the engineer's
❑ Yes ® No
review and discussions with DWQ staff, due to the topography of the area, piping
and ditching of stormwater is not proposed. Stormwater will be directed by sheet
flow across lawns and buffers.Please see Item 2c for more information on
stormwater management.
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
< 24 % (lots are 0.75 acres or
greater in size) /o
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Single family lots are greater than 0.75
acres and impervious area is less than 24% for the site. The subject stream crossings will be constructed to minimize
erosion and maintain stream flow. The crossings are designed to lessen the impact on both zones of the riparian buffer
and overall stream impacts. Design practices have been used to reduce pollutants at the source using non - structural
BMP's. The roadways within the development are designed with roadside grass lined swales and grass shoulders in lieu
of impervious materials. The overall design should lessen the potential impact on the receiving tributaries. The type of
traffic and volumes of traffic on the proposed road should be very minimal. The proposed residential use will result in light
traffic vehicles with a small average daily traffic flow. The impervious area of the entire development will be kept at a
minimum to reduce contributing factors to the total watershed of the receiving tributary. A large percentage of the
development will remain undisturbed and will remain pervious, greatly offsetting the impervious area proposed. With the
following information provided, no special control measures should be needed for these stream crossings.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stonnwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Warren 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
4a. Which of the following state - implemented stormwater management programs apply
❑ Coastal counties
❑ HQW
(check all that apply):
❑ ORW
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version
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
F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/statellocal) funds or the
❑ Yes ® No
use of public (federal/state) land?
1b. 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)?
1c. 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:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after- the -fact permit application?
❑ Yes ® No
2c. If you answered yes' to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered 'yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered 'no,' provide a short narrative description.
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.
WA
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

- '--------'----- --'---' — —1
� Endangered Species and Deognoted Critical Habitat (Corps Requirement) '
— - '— --'------- -----------' ---
»m}a�i"*.c '-,or rr�' �n���x*U����nUyprotec\ed y�a
rub.��'/ --
`- -' '— --' ---- '------'-- --------- ------
inJoogaredSou�L-^/'^' ye�
~~
- '-- ' ----'----- ' -
F^ �.,,o»nmu�o . \
-` ------ - ---------- --'--
vourmk:no�.d L I'd yrg�,/*j o'Dk�m�/`ui�1Cr�,o'
h. Esso,oal Fish Habitat (Corps Requirement) i
-' --- ------'' ' ---' -' '
n-- ossanual hun
--- - '' '--'— ---
SOL.rzu:Je,)-j jFt, your site vvuuU*vmnEx-,n�o| ohMcb'ar�
7. Misloricn,P'ohixxoric Cultural Resources (Corps Requirement) !
7, o:�nmc, near ao area t)o�lhuotak.federal ortribal
o,e / ouue/4:`|''.-Ar0h/s|*'*nr cultural preservation
bvu o Na|,)/m'Hig.ncr�j!;, doym7noxoro'pnopenos:gnifionn ir,
y^./x`:''''�~^o':n�°k-�eryou,o:�wox�onpn��x�x:o/a��mn��uo//�,o'xzx� .
,/qk,7`rrhn/indy^anw ^', 'n~'r8`or`o�'��4
*"
-_____ ------- '
V F|vmjIo/=/D�xignnhon<CcnpsReqv"omevt)
Y. '7
-- --'- . --------- '' � ' —. -- — '-- !
it) ,nx.'. 'hi- dc'ernma000'FEMA C'mcnvnoy Pam` p25��'(u '
~- ApPoomo
Pa�e}|^/�^

Dramby Environmental Consulting, Inc.
February 3, 2010
Mr. James Lastinger
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Re: Jurisdictional Determination of Wetland Boundaries
Mr. Collymore -Bey Property, Warren County, North Carolina
Latitude: 3639151 Longitude: 78.06670
Applicant: Mr. Clement Collymore-Bey
1151 Macon Embro Road
Macon, N.C. 27551
Dear Mr. Lastinger.
Dramby Environmental Consulting, Inc. (DEC) has been retained by Mr. Clement Collymore-
Bey to conduct a detailed wetland investigation on the above - referenced property. The 26.74 -
acre site is located within the Little Fishing Creek drainage basin in Warren County, North
Carolina (Figure 1). The site is located south of SR 1504 (Carroll Town Road), west of SR 1507
( Embro Vaughn Road), north of SR 1500 (Macon Embro Road), and can be accessed off SR 1500
onto the sites access road (Figure 2).
Prior to conducting fieldwork, DEC consulted the United States Geological Survey (USGS) 7.5-
minute Topographical Quadrangle Map for Macon, N.C. (Figures 1 dt 2), the Online Wetlands
Mapper (NW1 Mapping), administered by the U. S. Fish and Wildlife Service (USFWS), and the
Online Web Soil Survey, administered by the Natural Resources Conservation Service (MRCS)
(Figure 4). The USGS quad map shows the site is comprised of gently rolling topography and
forested land. Two drainages are located in the south central and north central portions of the
property. The southern most drainage is depicted as an intermittent channel on the quad map. A
pond is located upstream of the drainage but is located outside the study limits to the west. The
northern most drainage feature has no stream designation on the quad. The NWI map does not
identify any wetland resources onsite. However, the pond located to the west of the property was
identified as a palustrine, unconsolidated bottom, permanently flooded, diked/impounded feature
(PuBHh). The soil survey indicates the site is underlain primarily by Appling, Cecil, Poeolet, and
Wedowee series, of which, none are listed as hydric.
Fieldwork was conducted in September 2009 using the Routine Determination Method as
outlined in the 1987 Corps of Engineers Wetland Delineation Manual and the Interim Regional
Supplement to the Corps of Engineers Wetland Delineation Manual: Atlantic and Gulf Coast
Plain Region (Coastal Plain Supplement). Wetland flags were placed in the field by DEC and
sequentially numbered to provide an onsite record of the location of wetlands and other water
features. The data sheets used in this investigation are attached; along with the Wetland and
6508 Woodshire Place • Raleigh, N.C., 27612 • (75 7) 894 -1676

Mr. Lastinger
Raleigh Field Office
Febmary 3, 2010
Page 2
Stream Delineation Map showing the approximate limits of wetlands and data point locations
(Figure s)•
Wetland and stream resources were found to be present on the Collymore-Bey property. All
wetlands identified by DEC within the project limits may be classified and appear to be
functioning as forested seeps or headwater forests. Wetland vegetation is typified by red maple
(Acer rubrwn), sweetgum (Liquidambar styraciva), green ash (Fraxinus pennsylvanica),
cinnamon fern (Osmunda cinnamomea), soft rush (Amcus a fusus), Virginia chain fern
(Woodwardia virginica), and roundleaf greenbrier (Smilax rotundifolia). The transition from
wetland to upland was generally identified by a break in hydric to non -hydric soils and a shift in
vegetation community types.
The remainder of the site is comprised of uplands with a diversity of species and age classes
represented. The northern portion of the property, land north of stream "SC", is comprised of
uplands and is positioned atop a ridge. The vegetation community consists of an uneven age
forest comprised of a mixture of evergreen and hardwood species including loblolly pine (Pines
tneda), water oak (Quercus nfgra), white oak (Quercus alba), northern red oak (Quercus rubra),
and American holly (Ilex opaca). South of Stream "SC ", bottomlands is dominated with a
mixture of hardwoods and the high ground being dominated by loblolly pine.
On behalf of our client, DEC respectfully requests that the Corps confirm our wetland
delineation. We would appreciate the opportunity to meet with you onsite to present our
fieldwork. Please call to set up a meeting date or to discuss any questions regarding our
investigation.
Thank you for your cooperation in this matter.
Sincerely,
Dramby EnvironmentaLrgnsutting, Inc.
CWB, CE
Senior Ecologist
Enclosures

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProiectlSite Ll';N ee JKL — s �, � ,�/tL LZ ' ` ' _
�� % City/County- �'� p Sampling Date `
Applicant/Owner � Iq 10 1 1 44,'1K4 - L5� - � i�
� State � Sampling Pant �-
Investigator(s) Section, Township, hange • ✓ %
Landfonn (hillslope, terrace, etc.): Lib Local relief (concave, convex, none) = w Slope ( %)
Subregion (LRR or MLRA) �� f Lot :��, 3�=, i -
= Long %8 . O (o(r 7 P Datum
Soil Map Unit Name- iV\4—' - t : i P • J it O f d c-Nj ^ ` / r, ?A" 0 : 0,c, ' - 11 < NWI classification
Are climatic / hydrologic conditions on the site typical for this time of year? Yes '/' No (If no, explain in Remarks.)
Are Vegetation . Soil _ . or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes �No
Are Vegetation Soil or Hydrology naturally problematic (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No the Sampled A /
Hydnc Soil Present? Yes No Area
Wetland Hydrology Present? Yes No within a Welland? Yes No
Remarks•
LA?L,` gib
HYDROLOGY
Primary Indicators (minimum of one is required
Surface Water 'Al)
check all that aoolvt
Water- Stained Leaves (Bg)
-- Surface Soil Cracks'(BO) m arced
High Water Tabe (A2)
Aquatic Fauna (813)
Sparsely Vegetated Concave Surface (B9)
Saturation (A3)
Marl Deposits (815 ) ( LRR U )
Dressage mattes(
Moss Trim Lines (8116) 6)
Water Marks B1
( )
Sediment Deposits (62)
Hydrogen Sulfide Odor (Cl)
Dry- Season Water Table (C2)
Drill Deposits (B3)
Oxidow Rh¢ospheres on Living Roots (C3)
Crayfish Burrows C8
( )
Algal Mat or Crust (84)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Saturation Visible on Aerial Imagery (Cg)
Thin Muck Surface (C7)
Geomorphic Position (02)
Shallow Aquftard (D3)
Inundation Visible an Aerial Imagery (B7) Other (Explain in Remarks)
FAC- Neutral Test D5
( )
Field Observations:
Surface Water Present? Yes
No X, Depth (inches).
Water Table Present? Yes
No-7- Depth (inches)
Saturation Present? Ybs
includes capillary fine
No 17 Depth (inches). Wetland Hydrology
Present? Yes No
Describe Recorded Data (strum gauge, monitoring well, aenai photos• previous inspections), If evadable:
NA
No f Fvb� o ,f c r�� � j.K L mac, MaAo k::112 i s KL07-
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION - Use scientific names of plants.
Tree Stratum (Plot sae .30 )
rusowie ommant Indicator
over u Species? _Status
i
3 L QA E;11 14 <, il— U —AiLA
_
�
tom±
4. I
1.
L
5.
2.
6.
,Indicators of hydric sob and wetland hydrology must
7.
5.
7 b
Saolina Stratum (Plot sae 3 )
1 &L-K- ► ,4,- rjVwl
be present unless disturbed or problematic.
Total Cover
Definitions of vegetation Strata:
3.
4. D ul vtS nLBq
5. _G�KF,—>`LNS 12.Ntq
o
%�� —
%
'
C% gyp{ to
p PAC 1A
6.
1 • l �l Cent �-i�/e UI tM GLj 1r -j
/lU U lAA 75 A�
7.
2. MI 11W A4 )111vV1VjFU M Sb �s� �� +
Sapling — Woody plants, excluding woody vines,
Sampling Point
Number of Dominant Species ` 1 0
That Are OBL, FACW, or FAC (q)
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC: --f4- (q/g)
Total % Cover of:
OBL species x 1 =
FACW species x
FAC species x 3
FACU species x4=
UPL species x5-
Column Is-
(A) (B)
Prevalence Index = B/A =
3V=
Total Cover
�Ph�c Vegetation Indicators:
Shrub Stratum (Plot size: )
�r c'� �nz,�
_ Dominance Test is >5010
1.
30 r- -
��..
= Prevalence Index Is s3.o '
_ Problematic Hydrophytic Vegetation' (Explain)
2.
3.
,Indicators of hydric sob and wetland hydrology must
4
5.
be present unless disturbed or problematic.
6
Definitions of vegetation Strata:
7.
Tree — Woody plants, excluding woody vines,
approximately 20 It (6 m) or more in height and 3 in.
—Herb Stratum (Plot size- O ) —'M 0 = Total Cover
1 • l �l Cent �-i�/e UI tM GLj 1r -j
/lU U lAA 75 A�
(7'6 cm) or larger in diameter at breast height (DBH).
2. MI 11W A4 )111vV1VjFU M Sb �s� �� +
Sapling — Woody plants, excluding woody vines,
3. N rT ?i4o..Ut
_ C 'a
approximately 20 It (6 m) or more In height and less
than 3 in. (7.6 cm) DBH.
4.
Shrub — Woody plants. excluding woody vines,
approximately 3 to 2011(1 to 6 m) in height.
Herb — All herbaceous (non-woody) plants Induct
5.
6.
7
8.
9
10.
t1
12.
p = Total Cover
Woody Vine Stratum (Plot size:
2 _5'wt► LAY - FA-
r-3
4
5.
= Total Cover
herbaceous vines,
regardless of size Includes woody
Plants, except woody vines, less than approximately
3 it (1 m) In height.
Woody vine — All woody vines, regardless of height
Hydrophylic
Vegetation
Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

O
O
SOIL
�-
Sampling Point
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence or indicators.)
Depth Matrix Redox Features
(inches) Colorfmorst) " —r
�_ Color (moist) �_ T Loc Texture Remarks
'Type: C=Concentratton, D=DeDletion, RM= Reduced Matrix, CS= Covered or Coated Sand Grams location- PL =Pore Urdn , M= Matrix.
HydHi Soil Indicators:
Histosol
Indicators for Problematic Hydric Sons':
Polyvalue Below Surface (S8) (LRR S. T, U) ! 1 cm Muck (A9) (LRR O)
Histic aped
Black Ep tic (A3 (A2)
Black
_ Thin Dark Surface (S9) (LRR S, T. U) _ 2 cm Muck (A10) (LRR S)
en Sulfide
, Loamy Mucky Mineral (F1) (LRR 0) _ Reduced Ver is (F18) (outside MLRA 150AB)
Loamy Gleyed Matrix (F2)
� Layers ( 5)
Layers (A5)
_ Piedmont Floodplain Sods (F19) (LRR P. S, T)
Depleted Matrix (F3)
Organic Bodies (A8) (LRR P, T, U)
T Anomalous Bright Loamy Soils (F20)
Redox Dark Surface (FB) (MLRA 1538)
5 ca► Mucky Mineral (A7) (LRR P, T, U)
Muds Presence (A8) (LRR U)
y Depleted Dark Surface (F7) + Red Parent Material (TF2)
Redox Depressions (F8)
1 cm Muck (A9) (LRR P. T)
V Shallow Dark Surface
Mart (F10) (LRR U) rt" e (TF12) (LRR 7, U)
Other (Explain Remarks)
Depleted Below Dark Surface (A11)
m
Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (Al2)
Coast Prairie Redox (A18) (MI-RA 150A)
Iron- Manganese Masses (F12) (LRR O. P, T) 'Indicators of hydrophytic vegetation and
—f Umbric Surface (F13) (LRR P, T. U)
Sandy Mucky Mineral (S1) (LRR O, S)
wadand h a present,
I Dena Ochric (F17) (MLRA 151) hydrology
-
Sandy Gieyed Matrix (S4)
unless disturbed or pmblemaUc.
problematic.
,1 Reduced Vertic (F18) (MLRA 150A 1508)
Sandy Redox (SS)
Piedmont Floodplain Solis (F19) (MLRA 149A)
Stripped Matrix (Se)
Anomalous Bright Loamy Soils (F20) (MLRA 149A 153C,153D)
L Dark Surface (S7) (LRR P. S, T, U)
Restrictive La r (if okb/is d):
Type: ---�Y f!%r V
Depth (Inches)
/
Hydric Soil Present? Yes No
Remarks,
r
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region – Interim Version

// WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Prolect/Sile• C0U Vi e"p ' - � `. '�/Lci , — / -
''. ) �-
�i City /County Sampling pate
Applicant/Owner
State
Investigators) Sampling Point Z
"� Section, Township, Mange: I) -•'._a
Landfonn (hillslope, terrace, etc.) �� Vy Local relief
Lat _ (concave, convex, none) Slope
Subregion (LRR or MLRA) � 1 Long 7 v(.7
Datum —
Soil Map Unit Name- 'PJ4:�� !r I =A-r'_ j �v�V� C�` T I °•r r 10 - NWI classification —
Are climatic / hydrologic conditions on the site typical for this time of year? Yes '� No (it no, explain in Remarks.)
Are Vegetation Sal . Or Hydrology significantly disturbed? Are 'Normal Cucumstances' present? Yes ---"No
Are Vegetation Sal , or Hydrology naturally problematic? (If needed, explain any answers In Remarks)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the sampled Area
Hydne Soil Present? Yes No
Wetland Hydrology Present? Yes No within a Wetland?
Remarks:
rOpe_q� wc::I�b SOW Fb4z, pt-"
HYDROLOGY
apvAndicators tminknum of one Is required, check an that a
= Surface Water (Al)
✓ Water - Stained Leaves (Bg)
High Water Table (A2)
Aquatic Fauna (B13)
_ Saturation (A3)
Marl Deposits (B15) (LRR U)
= Water Marks (B1)
Hydrogen Sulfide Odor (C1)
Sediment Deposes (B2)
Oxidized Rh¢ospheres on Living Roots (C3)
= Drift Deposits (83)
Presence of Reduced Iron (C4)
= Algal Mat or Crust (84)
Recent Iron Reduction In Tilled Soils (C8)
= Iron Deposits (85)
Thin Muck Surface (C7)
Inundation Visible on Aerial Imagery (B7)
_ Other (Explain in Remarks)
Yes / No
Surface Soil Cracks (136)
Sparsely Vegetated Concave Surface (B8)
Drainage Patterns (B1o)
Moss Trim Lines (B16)
Dry- Season Water Table (C2)
Crayfish Burrows (C8)
urabon Visible on Aerial Imagery (Cg)
Geomorphic Position (D2)
Shallow AquitaW (D3)
_ FAC- Neutral Test (D5)
Surface Water Present? Yes No Depth (fthes) —'
Water Table Present? Yes No Depth (inches).
Saturation Presents Yes No Depth (inches). QJ Weiland Hydrology Present? Yes ✓
(includes capillary finge) No
gauge, monitoring well, aerial Prestos, Prewous
40AC1_ Is
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants.
Tree Stratum (Plot size 0 )
A9'E = t-uBeum
�+omute Dominant Indicator
eaes') Status
2 _DQ1J1Lb#1A,tBRi�.
3.
4.
6.
7.
S
A
2.
td
Stratum (Plot size- � )
&uBV -uKA
_� A =Total Cover
4 -1
3
4
5.
6
7.
�p=
Shrub Stratum (Plot size, )
2
Total Cover
3.
4.
5
7.
Herb Stratum (Plot size D _ )
1. JlA l [.ice l.,l 94`14 V/ #d //y j,(
2. W ovDv�/�tP -ly �t t- �t.�ty74
4.
= Total Cover
o y
5.
6
7.
8.
9.
10.
11
12
3&2e
1 lC7�CIG0
2
Stra um (Plot size _
R�LA�LS
= Total Cover
�� M
3
4
Sampling Point
Number of Dominant Species
That Are OBL, FACW, or FAC (A)
Total Number of Dominant
Species Across All Strata. _ (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC. 0� (A/B)
Prevalence Index worksheet:
Total % Cover of Multiply by
OBL species x 1=
FACW species
FAC species x 3 =
FACU species
x4=
UPL sped x 5 =
Colu otals• (A) (B)
Prevalence Index - B/A =
Dominance Test is >5o%
Prevalence Index is 53.0'
- Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic
Tree - Woody plants, excluding woody vines,
approximately 20 it (6 m) or more in height and 3 in
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 it (6 m) or more in height and less
than 3 in. (7.6 cm).DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 it (1 to 6 m) in height
Herb - All herbaceous (non - woody) plants. Including
herbaceous vines, regardless of sae. Includes woody
Plants. except woody vines, less than approximately
3 it (1 m) in height
Woody vine - All woody vines, regardless of height
5• Hydrophyttc
Vegetation
Z� = Total Cover Present?
w rte- tS ►vier.
Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

SOIL
Sampling Point
Profile Description: (Describe to the depth needed to document the indicator or contirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color a �_ C for moss L,�— Texture Remarks
Type: C--Concerdrabon, D--Depletion, RM= Reduced Matrix, CS= Covered or Coated sand Grains. location. PL =pore Li M= Matrix
Hydric Soil Indicators:
Histosol
Histic
Indicators for Problematic Hydric Soils':
Polyvalue Below Surface (Se) (LRR S. T, U) 1 cm Muck (Ag) (LRR 0)
Epaped pedon (A2)
Blade Hsfic (A3)
= Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
(A4)
= Loamy Mucky Mineral (Ft) (LRR O) Reduced Verbs (F18) (outside MLRA 150A,8)
my Gleyed Matrix (F2) Piedmont Floodplam Soils
Stratified ��
Layers (A5)
(Fig) (IRR P, S, T)
_ Depleted Matrix (F3)
Organic Boxes (A8) (LRR P, T. U)
Anomalous Bright Loamy Soils (F20)
Redox Dark Surface (F8) (MLRA 1538)
5 cm Mucky Mineral 07) (LRR P, T. U)
Muck Presence (A8) (LRR U)
Depleted Dark Surface (F7) Red Parent Material
Redox Depressions (F8) (�)
1 cm Muds (A9) (LRR P, T)
Very Shallow Dark Surface (TF12) (LRR T. U)
Marl (F10) (LRR U)
Depleted Below Dark Surface (A11)
Other (Explain to Remarks)
Depleted Ochnc (F11) (MLRA 151)
Thick Dark Surface (Al2)
Coast Prairie Redox (A18) (MLRA 150A)
lmn-Manganese Masses (F12) (LRR O, P, T) 3Indicahn3 of hydrophybc vegetation and
Umbric Surface (F13) (LRR P, T. U)
Sandy Mucky tAneral (S1) (LRR O, S)
Vend h
Delta Ochric F17 MLRA 151 Y logy must be present,
( ) ( )
Sandy Gleyed Matrix S4
( )
Reduced Verbs (F78) (MLRA 150A, 150B) unless disturbed or problematic
Sandy Redox (SS)
Piedmont Floodplam Soils (Fig) (MLRA 149A)
Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S. T. U)
Anomalous Bright Loamy Soils (F20) (MLRA 149A,153C,153D)
Restrlctive Layer —(If observed):
Type.
Depth (rnches): _
Remarks-
Hyddc Soil Present? Yes No
JO*Af- reL is r
-
US Army Carps of Engineers
Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Prolect/Site
City /County �� ��Jf°) =� ' Sampling Dat e 2le^=
Applicant/Owner c�u /V, I - / ✓ -'t�v - �'� ' _
"% •
State � �, C-
Investigatorys)- rte'-- % �" {r%` Sampling Point- 3
�1 * Section, township, hange ✓ f
Landfonn (hiilstope, terrace, etc.)- Local relief (concave, convex, none) i�pl�l E
Subregion (LRR or MLRA)• _ n C 5! r I Slope (/o)
Lat o Long 7 r✓` , D ioC- 7 C
Soil Map Umt Name i� jt-QL `,r ),- " ;,a-r , r ;,t �/',,,� r`y -r -, ; - o,C Datum —
�• NWI dassifiption
Are climatic / hydrologic conditions on the site typical for this time of year? Yes 'L No (If no, explain in Remarks.)
Are Vegetation , SOiI .Or Hydrology significantly disturbed? Are 'Normal Circumstances`
present. Yes ,--,,-No
Are Vegetation _ . Sod or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophybc Vegetation Present? Yes No —•�-
Hydnc Sod Present) Yes No / Is the Sampled Area /
Wetland Hydrology Present? Yes within a Wetland? Yes No _ No
Remarks
D pPI EVE S 4 -ZD
HYDROLOGY
Primary Indicators lmmimum of one is reauired•
Surface Water (Al)
check ail that a�wt
_
--m-you, ors imtni nw of two mquirec
Surface Soil Cracks (B6)
High Water Table (A2)
Water- Stained Leaves (Bg)
Aquatic Fauna (813)
Sparsely Vegetated Concave Surface (B8)
Saturation (A3)
Water Marks (Bt)
Marl Deposits (81 5) (LRR U)
Drainage Patterns (610)
Moss Trim Lines (B18)
Sediment Deposits (B2)
Hydrogen Sulfide Odor (C1)
Oxidized Rh¢ospheres on Living Roots (C3)
Dry-Season Water Table (C2)
Crayfish
Drift oelbl rust
Algal Mat or Crust (84)
Presence of Reduced Iron (C4)
Burrows (C8)
Saturation Visible on Aerial imagery (C9)
Iron Deposits (B5)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Geom tic Position (D2)
<i Inundation Visible on Aerial Imagery
fiery (67)
Other (Explain in Remarks)
hallow Aqudard (D3)
Field Obser tions:
va
FAC- Neutral Test (DS)
Surface Water Present? Yes 14D I Depth (Inches)
Water Table Present? Yes No Depth (inches)
Saturation Present? Yes No
Depth (niches) L
inGudes Ca Ila fin
Descxibe Recorded Data (stream gauge, monitonng well, aerial photos, previous rnsper
Remarks.
t WW-n Ol`.1 > %-I— ��,
US Army Corps of Engineers
Wetland Hydrology present? Yes No /
NAT-
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants
Absolute
Tree ratum (Plot size ��D ) % Cover
1
2
3 �-%i�i —so —
4
ul
OBLspeaes
x
FACW species
x2=
6
x 3 =
FACU species
7
UPL spe
x 5 =
Sapling
Z.
3 /U-'
Stratum (Plot sore:
-Y
TWO =Total Cover
)
LN
D
4
5
6.
7.
Shrub Stratum (Plot size:fl )
1
2
V = Total Cover
3.
4
5
6
7.
Herb Stratum (Plot size c`)
1 Alwt V/I
- -2L =Total Cover
t-L#q 40 t
2.
tiA hF&
Zo -
3
4
5
6
7
8
9.
10.
11.
12
W od
,. 177X
2
ire St um (Plot size
LDAPJVDKV��y�
%S = Total Cover
3
4
5
(If observed, list
Tk4mo is Lf°,
Sampling Pont y?_
Number of Dominant Species
That Are OBL, FACW, or FAC• (A)
Total Number of Dominant
Species Across All Strata
Percent of Dominant Species 1�1 /7
That Are OBL, FACW, or FAC y (AFB)
Total % Cover of
ul
OBLspeaes
x
FACW species
x2=
FAC species
x 3 =
FACU species
x4=
UPL spe
x 5 =
Colu otals:
(A) (B)
Prevalence Index =
B!A =
Dominance Test is >50% —
Prevalence Index rs 53.0'
Problematic Hydrophyhc Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH)
Sapling — Woody plants, excluding woody vines,
appraodmately 20 ft (6 m) or more in height and less
than 3 In. (7.6 cm) DBH
Shrub — Woody plants. excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All herbaceous (non - woody) plants, including
herbaceous vines, regardless of sore. Includes woody
plants, except woody vines, less than approximately
3 It (1 m) in height.
Woody vine — All woody vines, regardless of height
Hydrophytic
Vegetation
=Total Cover Present? Yes Z No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

SOIL
Sampling Point•_
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of indicator;,)
Depth Matrix
Redox Features
inches Color % Color (moist) ' Tpy��'�Loo� Texture Remarks
'Type: C=Concentrabon, D=De lebon, RM= Reduced Matrix, CS= Covered or Coated Sand Grains 'Location: PL =Pore Urun M =Matrix
Hydric Soil Indicators:
,
Indicators for Problematic Hydric Soils':
Histxuol (A1)
Histic Epipedon (A2)
Po>lyvaiue Below Surface (SB) (LRR S, T, U) 1 cm Muck (A9) (LRR 0)
Thin Dark Surface (S9) (LRR S, T, U) 2
Black Hislic (A3)
cm Muck (A10) (LRR S)
Loamy Mucky Mineral (F1) (LRR 0) Reduced Verbc (FIB) (outside MLRA 150A,8)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Loamy Gleyed Matrix (F2) Piedmont Floodplain Soils (F19) (LRR P, S, T)
Depleted Matrix (F3)
Organic Bodies (AB) (LRR P, T. U)
Anomalous Bright Loamy Soils (F20)
Redox Dark Surface (FB) (MLRA 1538)
5 cm Mucky Mineral (A7) (LRR P. T, Ur
Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (AB) (LRR U)
1 cm Muck (A9) (LRR P, T)
Redox Depressions (FB) Very Shallow Dark Surface (1F12) (LRR T, U)
Marl (F10) (LRR U)
Depleted Below Dark Surface (A11)
Other (Explain in Remarks)
Depleted Ochnc (F11) (MLRA 151)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Iron - Manganese Masses (F12) (LRR 0, P. T) 3Indicators of hydrophytic vegetation and
Umbric Surface (F13) (I RR P, T, U)
Sandy Murky Mineral (S I) (LRR O, S)
wetland hydrology must be present,
Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matrix (S4)
Reduced Vertie (FIB) (MLRA 150A, 150B)
Sandy Redox (S5)
Piedmont Floodplaln Soils (F19) (MLRA 149A)
Stripped Matrix (SO)
t Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P. S, T, U)
Restrictive LaY�Ar (
/If iobserrvvedrl
Type- _ / V�INf/
Depth (Inches): /j1
Remarks:
Hydric Soil Present? Yes No/
-PA?A MEN. is
Nom"
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Pro1
ect/Sde 6ay lm")° nty � Sampling Date 2"(
Applicant/Owner. ��
N;-), State /1r G
_ Sampling Point
Investigator(s): lip - �% , U�fi�; Section, Township. r �:
�p�Range V �, a,',��
Landform (hillslope, terrace, etc.) _ Local relief ( concave, convex, none) Z -'0 : 4AVE, Slope ( %). _
Subregion (LRR or MLRA)• _ 1_ Lat = i-t, - �c ! C-Z� I Long 75, bW.7 C:1 Datum —
SoilMapUnitName• ir•)1�fr.i 1 r'%:IM '' ?-r- rte_ % �`r, _
Irv-%M. NWI dassifiption
Are climatic / hydrologic conditions on the site typical for this time of year? Yes 'z No (if no, explain in Remarks.)
Are Vegetation , Soil . or Hydrology significantly disturbed? Are 'Normal Circumstances" present? Yes No
Are Vegetation ,_, Soil . or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydnc Soil Presents Yes No Is the Sampled Area
Wetland Hydrology Present? Yes No within a Wetland? Yes No
WVRA�-[b tit' ;100fr --3 7,
HYDROLOGY
Primary I inimum of one i
is S
Surface Soil Cracks (Be)
= Surface Water (A1) _
igh Water Table (A2) A
_ Water- Stained Leaves (Bg) =
= Sparsely Vegetated Concave Surface (68)
Saturation (
_ Drainage Patterns (B10)
(A3) =
= Marl Deposits (B15) (LRR U) _
_ Moss Trim Lines (B16)
= Sediment Deposits (B2) _
_ Dry- Season Water Table (C2)
Drift Deposits (B3) —
—Presence of Reduced Iron (C4) !
! saturation Visible on Aerial Imagery (Cg)
= Iron Deposits (B5) _
= Recent Iron Reduction In Tilled Soils (C6) _
_ ✓Geomorphic Positron (D2)
Inundation Visible on Aerial Imagery (B7) _ Other (Explain in Remarks) _
_ Shallow Aquitard (D3)
Field Observatlons:
Surface Water Present? Yes N
No / Depth (inches)- r
Water Table Present? Yes N
No Depth (inches): I
Saturation Present? Yes N
No Depth (inches). W
Wetland H
includes capillary fringe) �
Hydrology Present? Yes
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), I
If available-
ks: �
US Army Corps of Engineers Atlantic and Guff Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants.
12"104
0 i
um (Plot size )
Absolute Dominant Indicator
o v •es) Sta us
Z6
x 1=
FACW spaces
CA-
D
4
x3=
FACU spades
5.
UPL species
x 5 =
6.
(A) (B)
Prevalence Index
7
1, i Stratum
7
0
(Plot size; )
N^
= Total Cover
_ _
3.
4.
5
6.
7.
h
2
u (Plot size- )
Total Cover
1,✓ \/� Ago
3.
4.
5.
8
7.
Herb Stratum (Plot size: O ) -L=- =Total Cover
2.
3. -�
7A.1 Nl� fl
4.
5.
6.
7.
8.
9.
10.
11
12.
Woody Mine
1 C
2
Stratum (Plot size.
e. )
GD /w
�= Cover
�Y�
3.
4
5
US Army Corps of Engineers
Sampling Point Of
Number of Dominant Species
That Are OBL, FACW, or FAC (A)
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species h
That Are OBL, FACW, or FAC. (/ (,y8)
Total % Cover of:
Mul I
OBL speces
x 1=
FACW spaces
FAC species
x3=
FACU spades
x4=
UPL species
x 5 =
Cofum otals
(A) (B)
Prevalence Index
= B/A =
_ Dominance Test is >50%
Prevalence Index is 53.0'
Problematic Hydrophyhc Vegetation' (Explain)
'Indicators of hydnc soil and wetland hydrology must
be Present unless disturbed or problematic
Tree - Woody plants, excluding woody vines.
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 It (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 It (1 to 6 m) in height
Herb - All herbaceous (non - woody) plants. Including
herbaceous vines, regardless of sae. Includes woody
plants, except woody vines, less than approwrrrately
3 It (1 m) in height
Woody vine - All woody vines, regardless of height
Hydrophytic
Vegetation
_ = Total Cover Present? Yes No
Atlantic and Gulf Coastal Plain Region — Intenm 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
finches) o r moist % rs % Tyoe Loc Texture Remarks
'Type. C= Concentration,ll =De etlon, RM= Reduced Matrix CS= Covered or Coated Sand Grains 'Locafwn: pL =pore Linen , M =Matmk.
Hydric Soil Indicators:
Indicators for Problematic Hydric Solis':
Histosd (A1)
Polyvalue Below Surface (S8) 1LRR S, T, U) -1 1 cm Muck (A9) (LRR O)
Histtc Epipedon (A2)
Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (AIO) (LRR S)
Blade Histic (A3)
Hydrogen Sulfide 04)
Loamy Mucky Mineral (Ft) (LRR O) Reduced Verbc (FIB) (outside MLRA 150A,B)
Stratified Layers (A5)
my Gleyed Matrix (F2) Piedmont Floodplain Soils (F 19) (LRR P, S, T)
51:1 leted Matrix (F3)
Organic Bodies (AB) (LRR P, T, U)
Anomalous Bright Loamy Soils (F20)
Redox Dark Surface (FB) (MLRA 1536)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (AB) (LRR U)
1 cm Muck (A9) (LRR P, T)
Redox Depressions (FB) Very Shallow Dark Surface (TF12) (LRR T, U)
Marl (FI0) (LRR U)
Depleted Below Dark Surface (All 1)
Other (Explain in Remarks)
Depleted Ochric (F11) (MLRA 151)
Thick Dark Surface (Al2)
Coast Prairie Redox (AIS) (MI.RA 150A)
Iron - Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
Umbnc Surface (F13) (LRR P, T, U)
Sandy Mucky Mineral (S1) (LRR O, S)
wetland hydrology must be present,
Delta Ochric (1777) (MLRA 151) unless disturbed or problematic.
Sandy Gleyed Matra (S4)
Reduced Verlic (FIB) (MLRA ISoA,150B)
i Sandy Redox (SS)
Piedmont Floodplam Soils (F19) (MLRA 149A)
Stripped Matrix (SIB)
_ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P. S. T, U)
Restrictive Layer (H obs d):
Type _li-
Depth (kftes)
Hydric Sal Present? Yes / No
Remarks:
US Army Corps of Engineers
Atlantic and Guff Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM —Atlantic and Gulf Coastal Plain Region
ProlectlSde �(J; ��l L %'�� l - f , /U i 7,� — City /County t -- Sampling
/ M �?' ' (( /✓1, ir(� vL f Date
Applicant/Owner
V , State . ^; G Sampling Point-
Investigator(s) �- %.f' ��i�' ,'
Section, Township, i3ange i.1': �.J /a, -�• •�
Landfonn (hillslope, terrace, etc.). W LoW, Local relief (concave, convex, none) c � Slope ( °A) _
Subregion (LRR or MLRA) Lat �� �,`�• ; Long 75 . b 4o4, 7 G Datum.
Soil Map Unit Name- Y�{ 1%IP )(--I- } i.t'F ;4� 1 _ °, c �L�% <_ NWl classification-
Are climatic/ hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil . or Hydrology significantly disturbed-) Are 'Normal Circumstances' present? Yes ,---'No
Are Vegetation Sal , or Hydrology naturally problematic? (if needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ,# No Is Hydnc Sod Present? the Sampled Area
Yes No
Wetland Hydrology Present? Yes No within a Wetland? Yes No
Remarks
HYDROLOGY
Primary Indicators imum of one
!Surface Water (A1)
I t
! Surface Soil Cracks (B6)
OW gh Water Table (A2)
— Water - Stained Leaves (89)
= Aquatic Fauna (B13)
` Sparsely Vegetated Concave Surface (B6)
—,/ Saturation ()
M
— Marl Deposits (B15) (LRR U)
�••. Drainage patterns (BIB)
Water Marks (81)
Sediment De
Hydrogen Suede Odor (CI)
= Moss Trim Lines (816)
+
—Dry - Season Water Table (C2)
Posits (B2)
!� Oxidaed Rhaospheres on Living Roots (C3)
+r Crayfish Burrows (CB)
Drift Deposits (B3)
Algal Mat
±" Presence of Reduced Iron (C4)
Saturation Visible on Aerial Imagery (C9)
or Crust (B4)
! Recent Iron Reduction in Tilled Soils (C6)
YGeo morphrc Position (D2)
-n Iron Deposits (85)
` Thin Muck Surface (C7)
+ Shallow Aquitard (D3)
7 Inundation Visible on Aerial Imagery (B7)
= Other (Explain in Remarks)
r FAC- Neutral Test (D5)
Field Observations:
Surface Water Present'? Yes No •r Depth (inches)
Water Table Present? Yes No 10 Depth (inches),
Saturation Presents Yes No
(includes capillary fringe)
Depth (inches) �_ Weiland Hydrology Present? Yes / No
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous insoectionsl if availahlo-
2 .r ' ..+�r91 � -
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Interim Vernon

VEGETATION — Use scientific names of plants.
Sampling Point: 5
Absolute Donnnant Indicator Dominance Test worksheet
Tree Stratum (plot size p �_ ) Cover S Status
Number of Dominant Species
�{►
2 That Are OBL, FACW, or FAC- (A)
3 Total Number of Dominant
4 Species Across All Strata :/ (D)
6
7
= Total Cover
Saplipa Stratum (Plot size•_ )
7
3.
4.
5
6.
7
D =
Shrub Stratum Total Cover (Plot size: )
2. W N wt n
3.
4.
5
6.
7
Herb Shalom (Plot size' ,�, 0 _ )
�y = Total Cover
2.
3. G1�.� iieitA A4140"
4 UNIX �4�"'^iDti�t�l�i4 11�
5.
6
7
8
9
10
11
12.
Vey Vine Stratum (Plot size. Total Cover
Y
2
3
4
5
= Total Cover
Percent of Dominant Species
That Are OBL, FACW, or FAC V (AID)
_Total % Cover of. Milihni. h.-
OBL species x 1=
FACW species -
FAC species x3=
FACU species x4=
UPL species x5=
Column s. (A) (B)
Prevalence Index = B/A =
IF Dominance Test is >500%
-'Prevalence Index is s3.0'
NOW
— Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, excluding woody vines,
aPPMimately 20 It (6 m) or more in height and 3 in
(7.6 cm) or larger In diameter at breast height (1381-1).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 In. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height
Herb - All herbaceous (non - woody) plants, including
herbaceous vines. regardless of sae. Includes woody
Plants, except woody vines, less than approximately
3 ft (1 m) in height
Woody vine - All woody vines, regardless of height.
H Vegetation
✓
Present? yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

SOIL Sampling Point
Profile Description: (Describe to the depth needed to document the indiptor or confirm the absence of indicators,)
Depth Matrix Redox Features
inches Color % Color moss % Tvoe Low Te ure _
�o 70 0 _ w � Remarks
'T • C= Concentration, D=De bon, RM= Reduced Matrix, CS= Covered or Coated Sand Grains. 'Location PL =Pore 1-10 , M =Matrix
Hydric Soil Indicators; Indicators for problematic Hydric Solls3:
Histosol (Al) Polyvalue Below Surface (S8) (LRR S, T, U) 1 cm Muds (Ag) (LRR O)
Hisbc Epipedon (A2) Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
Black Hisbc (A3) Loamy Mucky Mineral (Fi) (LRR O) Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4) Depleted Gleyed Matrix (F2)
Piedmont Floodplam Soils (171 9) (LRR P, S, T)
Stratified Layers (A5) _ Depleted Matrix (F3) Anomalous Bright Loamy Soils (1720)
Organic Bodies (A6) (LRR P, T. U) Redox Dark Surface (F6) (MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P, T. U) Depleted Dark Surface (F7) Red Parent Material (TF2)
Muck Presence (A8) (LRR U) Redox Depressions (F8) Very Shallow Dark Surface (TF12) (LRR T, U)
1 cm Muck (A9) (LRR P, T) Marl (F10) (LRR U) _Other (Explain in Remarks)
Depleted Below Dark Surface (A11) Depleted Odaic (1711) (MLRA 151)
Thick Dark Surface (Al2) Iron- Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A) Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be presets,
Sandy Mucky Mineral (St) (LRR 0, S) Delta Ochric (F17) (MLRA 151) unless disturbed or pmWematic.
Sandy Gleyed Matrix (S4) Reduced Vertic (F18) (MLRA 150A,150B)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) _ Anomalous Bright Loamy Solis (F20) (MLRA 149A, 153C, 153D)
_ Dark Surface (S7) (LRR P, S, T, U)
Restrictive La r H observed):
Type- IVAV Vi
Depth (Indies)- /yQ
HydHc Soil Present? Yes No
Remarks:
Af-A"k-Nit- is hala-0
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site CCU ViV l/ y ; - y! �/L % J t _ -
„ City/County _! _ .:. /itJ L
ApplicantlOwner � M )-1' '-e-' ' ' ' �✓' )✓� - f�± Sampling Date
State 5ampbng Point
Investigators)
Section, Township, Range ✓
Landform (hilislope, terrace, etc.)._ Local relief (concave, convex, none) /V �%/V o
1� Slope
Subregion (LRR or MLRA) r Lat _ i t_ Long- _%5 . 6 (o(„ 7 �
Datum-
Soil Map Unit Name- �lt !�%t,IP '.V.n
NWI classification
Are climate / hydrologic conditions on the site typical for this time of year? Yes 'Z No (If no, explain in Remarks.)
Are Vegetation Sal or Hydrology significantly disturbed) Are 'Normal Circumstances' present? Yes ---'No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks )
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydnc Soil Present? Yes No Is the Sampled Area
Wetland Hydrology Present? Yes No within a Wetland? Yes No /
Remarks.
[A f LAN3> 4 ,"TA- PINT' l4 V)ets j - t -ry per,
HYDROLOGY
Primary Primary Indicators (minimum of one is Mired:
check all that apply)
l
mmmw m or bV_ reg=
_• Surface Soil Cracks (86)
Surface Water (A1)
High Water Table (A2)
Water - Stained Leaves (Bg)
Sparsely
Pa Y Concave Surface (Ba)
Saturation (A3)
Aquatic Fauna (Bt3)
Mad Deposits (B15) (LRR U)
Drainage Patterns (610)
Water Marks (81)
Sediment Deposits (62)
Hydrogen Sulfide Odor (Cf )
Moss Trim Lines (B16)
Dry Season Water Table (C2)
Drift Deposits (83)
Oxidaed Rh- ospheres on Living Roots (C3)
Crayfish Burrows (Cli)
Algal Mat or Crust (M
Presence of Reduced Iron (C4)
Recent iron Reduclion in Tilled Soils (C6)
Saturation Visible on Aerial Imagery
Geomo l Y (�)
Iron Deposits (85)
Inundation Visible on Aerial Imagery (B?)
Thin M;c Surface (C7)
Other
rphtc Position (f71)
Shallow Aquitard (D3)
Field Observations-
(Explain in Remarks)
_ FAC- Neutral Test (D5)
Surface Water Present? Yes No Depth (des).
Water Table Present? Yes No Depth (inches) Saturation Present? Yes No Depth (inches)- 1% If
Includes capillary fringe)
Describe Recorded Data (stream gauge, morutonng well, aenal photos, previous inspei
Remarks
��tMVFEA-1 s NcT Mir
US Army Corps of Engineers
Wetland Hydrology Present? Yes No /
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants.
Tree Stratum (Plot size- 30 1
r
Sampling Point w
a Cover S es? Status
s Number of Dominant Species
t That Are OBL, FACW, or FAC. (A)
O Total Number of Dominant
Species Across All Strata- (B)
4
6
7.
PRE = Total Cover
a ti S tum (Plot size:
z Qutb�,�,itQ�rM..
3.
4.
5
6.
7.
= Total Cover
Stratum
(�lt�l�Y =Ui A 1
2.
3
4.
5.
6.
7
er Lim (Plot size: I�C =Total Cover
I. r�� VK
241 ,�UU4-X PIDINAAOD 1PV
3.
4
6.
7.
8
9.
10.
11.
12.
Woody Vine Stratum (Plot size ° Total Cover
1
2
3.
4.
5.
=Total Cover
MET.
Percent of Dominant Species
That Are OBL, FACW, or FAC � (AJB)
__ Total % Cover of M • b
091. species x 1 =
FACW species c 2 =
FAC species x 3 =
FACU species x 4 =
UPL X5=
C Kn TOWN (A) (B)
Prevalence Index = B/A =
Dominance Test is >500/c
Prevalence Index is 53 0'
Problematic Hydrophyhc Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree — Woody plants, excluding woody vines,
approximately 20 It (6 m) or more in height and 3 in.
,(7.6 cm) Or larger in diameter at breast height (DBH)
Sapling — Woody plants, excluding woody vines,
approximately 20 it (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height
Herb —All herbaceous (non - woody) plants. including
herbaceous vines, regardless of size. Includes woody
Plants, except woody vines, less than approximately
3 ft (1 m) in height
Woody vine — All woody vines, regardless of height
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — 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
in CD olor % Color (moist) _
_ Remarks 1p _ p
� �
—gy
•r
Type. C= Concentrabon, D=De ebon, RM= Reduced Matrix. CS--Covered or Coated Sand Grains. 2Location• PL =Pore Lirdn , M= Matra.
Hydric Soil Indicators:
Histosol (Al)
Indicators for Problematic Hydric Soils':
Polyvalue Below Surface (S8) (LRR S, T. U) 1 tail Muck rob emat O)
Histic Epipedon (A2)
Blade Histic (A3)
Thin Dark Surface (S9) (LRR S, T, U) 2 cm Muck (A10) (LRR S)
Hydrogen Sulfide (A4)
Loamy Mucky Mineral (F1) (LRR O) Reduced Vertic (F18) (outside MLRA 15oA,B)
Loamy Gleyed Matrix (F2)
Stratified Layers (A5)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Depleted Matrix (F3)
Organic Bodies (A6) (LRR P, T. U)
Anomalous Bright Loamy Soils (F20)
Redox Dark Surface (F6) (MLRA 153B)
5 em Mucky Mineral (A7) (LRR P, T, U)
Muds Presence (A8) (LRR U)
Depleted Dark Surface (F7) Red Parent Material (fF2)
Redox Depressions (178)
1 cm Muck (A9) (LRR P, T)
Very Shallow Dark Surface
Mad (F10) (LRR U) (TF12) (LRR T, U)
Other (Explain in Remarks)
Depleted Below Dark Surface (A11)
Depleted Ochnc (F11) (MLRA 151)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Iron - Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
Umbnc Surface (F13) (LRR P, T, U)
Sandy Mucky Mineral (S1) (LRR O, S)
welland hydrology must be present.
Delta Ochric (F17) (MLRA 151) unless disturbed or
Sandy Gleyed Matrix (S4)
problematic.
Reduced Verde (F18) (MLRA 150A,1508)
Sandy Redox (S5)
Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrbk (S6)
SZ Dark Surface (S7) (LRR P, S. T, U)
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Restrictive Layer f observed):
Type:
Depth (inches): 6LA
/
Remarks:
Hydric Soil Presents Yes No
RPAF III , S I► Y or mcr.
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site � Vi�!'t%Y % - f A ,`%i,Z l %; — Clty /County �'1� ' :1' %V�/ -
A -L Sampling Date• -
ApplicanUDwner U /Nwl �- 't' % ✓ %!NcJ �' State 1, Sampling `
Investigator(s). - 7r�,1' �L P 9 Point
` - 1 Section, Township, Range- ;/ �,` .',:•,� T--
Landfonn (hilislope, terrace, etc.). Local relief (concave, convex, none) slope
Subregion (LRR or MLRA)• _rL P let _z,c;
r Long 75 • G ,�G 7 C
Datum
Soil Map Unit Name. T
Are climatic / NWI classification-
Are conditions on the site typical for this time of year? Yes ✓ No (if no, explain in Remarks.) /
Are Vegetation _ Sal . or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes " No
Are Vegetaton Soil or Hydrology naturally problematic
(If needed, explain any answer; in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, Important features, etc.
Hydrophybc Vegetation Present? Yes No
Hydnc Sal Present? Yes �� No is the Sampled Area
Wetland Hydrology Present? Yes No within a Wetland? Yes �/ No
HYDROLOGY
Primary Indicators (minimum
of one is reauiraci• rhar4 eu that aoolvl
vownumv moica[ors rmin Nl of fwn inn, re[
r Surface Water (Al) ( )
Water-Stained Leaves (139)
urface Soil Cracks (Be)
,,,High Water Table (A2)
Aquatic Fauna (813)
Sparsely V
e"tated Gonave Surface (BB)
`! Saturation (A3)
Marl Deposits (815) (LRR U)
Drainage Patterns (B10)
Water Marks (81)
Hydrogen Sulfide Oda (C1)
Moss Trim Lines (818)
Sediment Deposits (B2)
Oxidized Rhaospheres on Living Roots (C3)
DrY-Season Water Table (C2)
Crayfish
t Drill Deposits (83)
= Algal Mat or Crust (B4)
Presence of Reduced Iron C4
( )
Burrows (�)
�9Aturation Visible on Aral Imagery (Cg)
= Iron Deposits (85)
Recent Iron Reduction in Tilled Soils (C6)
_ Geomorphic Position (D2)
Thin Muck Surface (C7) Shallow Aquifard (D3)
= Inundation Viside on Aerial Imagery (B7) Other (Explain in Remarks)
Field Observations:
FAGNeutral Test (DS)
Surface Water Present?
Yes No 0epth ( mches)
Water Table Present?
Yes No Depth (inches):
Saturation Present?
(includes r�pillary fringe)
Yes z: No Depth (inches) iB
Wetland Hydrology Present? Yes ZNo_
^-°-- - q- _ - . .
Gauge. monitoring well, aerial photos, previous
US Anny Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION - Use scientific names of plants
Tree Stratum (Plot size sot )
1 �t.�%.. Ia+ti31GU%l/1
2 111.1 5T �lFWA.
3 T ►�►� %flu Lt � rig *9\1 114
Sampling Point
° Cover Speciel §tatus Number of Dominant Species
That Are OBL, FACW, or FAC (A)
Total Number of Dominant
C Species Across All Strata
4 . (g)
6.
7 1'C�
Total Cover
Sapling Stratum (Plot size:
t - A1XlNU S �1N CV , /AIV yA
z. ��V t�Atul��6� �7v�ait'r �ttln�i o
3 &E& PLbJ6 4 p —
4.
5
6.
7. n
Shrub Stratum (Plot size. - 3t? ) _� =Total Cover
1
2.
3.
4.
5.
6
7.
Herb Stratum (Plot size.
I. QS 4kbA ZJ&W
2. S1M 1 LAX R.�n.�tr •� , p L
JOK
5.
6
7
8
9.
10.
11
12.
%=
Woody Vine Stratum (Plot size- '30#4 Total Co )
1.
2
3
4
5
= Total Cover
cemarKS. (n observed, list morphological adaptation
��►w�- ItS Mtn
Percent of Dominant Species / v�
That Are OBL, FACW, or FAC• ` (A/B)
Total % Cover of: Multi
OBL species x 1 =
FACW species x 2 -
FAC species 3
FACU species x4=
UPL species x5=
Column Tot (A) (B)
Index a B/A =
Dominance Test is X50%
Prevalence Index is 53.0'
Problematic Hydrophybc Vegetation' (Explain)
'Indicators of hydric soil and wellard hydrology must
be present, unless disturbed or problematic.
Tree — Woody plants, excluding woody vines,
approximately 20 It (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 It (6 m) or more in height and less
than 3 in. (7.6 cm) DSH.
Shrub — Woody plahts, excluding woody vines,
approximately 3 to 20 it (1 to 6 m) in height
Herb — All herbaceous (non - woody) plants, including
herbaceous vines, regard)= of sae. Includes woody
plants, except woody vines, less than approximately,
3 it (1 m) in height
Woody vine —All woody vines, regardless of height
Hydrophybc
Vegetation
Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —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
(inches) Color mast Col mois LET
0449
Texture Remarks
. rte.
'Type: C--Concentration, D=De lion, RM= Reduced Matrix, CS= Covered or Coated Sand Grains 2 Location: PL =Pore Lim , M= Matrix.
HydHc Soo Indicators:
Histosol (A1)
Polyvalue Below Surface (S8) (LRR S, T, U)
Indicators for Problematic Hydric Soils':
1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
Blade Histic (A3)
Thin Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A10) (LRR S)
Loamy Mucky Mineral (Ft) (LRR O)
Hydrogen Sulfide (A4) �eoamy Gleyed Matrix (F2)
Reduced Vertic (F18) (outside MLRA 15ilA,0)
Stratified Layers (A5)_/
Depleted Matrbr (F3)
Piedmont Floodplain Soils (Fig) (LRR P, S, T)
Organic Bodies (A6) (LRR P, T, U)
Redox Dark Surface (F6)
Anomalous Bright Loamy Soils (F20)
(MLRA 1530)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muds Presence A8 LRR U
Depleted Dark Surface (F7)
Red Parent Material (TF2)
1 cm Muck (AD) (LRR P, T))
Depressions (F8)
Marl (F10 (LRR U)
Very Shallow Dark Surface (1F12) (LRR T, U)
Depleted Below Dark Surface All 1
( )
Depleted Ochrtc (F11) (MLRA 151)
�► (Explain in Remarks)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Iron - Manganese Masses (F12) (LRR 0, P, T)
Umbnc Surface (F13) (LRR P, T, U)
3Indicators of h and
ylogy
Sandy Mucky Mineral (S1) (LRR 0, S)
Delta Ochric F17 MLRA 151rob9y
( ) (MLRA
wetland must be
must ��'
Sandy Gleyed Matrix (S4
Reduced Vertic (F18) (MLRA 150A, 150B)
unless disturbed or problematic.
Sandy Redox (SS)
Piedmont Floodplam Soils (F19) (MLRA 149A)
Stripped Matrix (SB)
Q Dark Surface (S7) (LRR P, S, T, U)
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Restrictive Layer if observed):
Type -
Depth (Inches):
Remarks:
Hydric Soil Present? Yes /No
T
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
ProlectlSite Lam%- VNI( %r•'_i - %i,= Gt ICo ✓ �, ' -, -
n y unty !a& "1J n/jdj�E Sampbng Date
ApplicanUOwner /� )-` " C' %✓ 11"� !�L ,r �G g
State Sampling Point
Investigators) gecbon
. Township, hange: _ LI
Landform (hilislope, terrace, etc)- Did g:+C �-- Local relief (concave, a convex, none) 116 Slope ( °�)
Subregion (LRR or MLRA) r a , ?jC
� � Long- 75, _1'%4.7&::> Datum
Soil Map Unit Name f L7%f�V .I'. C,h �t i "'A ';�,- r , —
NWI Gassificatron:
Are climatic 1 hydrologic conditions on the site typical for this time of year? Yes No (It no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes �No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophybc Vegetation Present? Yes ✓ No L Is the Sa led
Hydric Soil Present? Yes No / mp Area
Wetland Hydrology Present? Yes No within a Wetland?
Remarks:
111:iII111M WP
HYDROLOGY
Primary indicators (minimum of one is required• ctpr
all that aootvl
Surface Water (A1)
Water- Stained Leaves (Bg)
High Water Table (A2)
Aquatic Fauna (B13)
Saturation (A3)
Marl Deposits (12115) (LRR U)
Water Marks (81)
Hydrogen Sulfide Odor (Cl)
Sediment Deposits (B2)
Oxidized Rhizospheres on Living Roots (C3)
Drift Deposits (83)
Presence of Reduced Iron (C4)
Algal Mat or Crust (84)
Recent Iron Reduction in Tilled Soils (C8)
Iron Deposits (B5)
Thin Muck Surface (C7)
Inundation Visible on Aerial Imagery (B7)
Other (Explain in Remarks)
Surface Water Presents Yes No Depth (ides).
Water Table Present? Yes No /Depth (inches)- _
Saturation Present) Yes No T Depth (inches)_
(includes capillary fnnoe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous mspe
Remarks
f >Af-A T e- 6 NVr ME
US Army Corps of Engineers
Yes No
Surface Soil Cracks (BB)
Sparsely Vegetated Concave Surface (8B)
Drainage Patterns (81o)
Moss Trim Lines (B16)
Dry- Season Water Table (C2)
Crayfish Burrows(Ca)
jZAaturabon Visible on Aerial Imagery (Cg)
_ Geomorphic Position (D2)
Shallow Aquitard (D3)
FAC- Neutral Test (D5)
Wetland Hydrology Present? Yes No -00"
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants.
Absolute Dominant Indicator Dominance Test worksh
T e Stra u (Plot size � d ) " Cover es? Statu
Sampling Point
1
kA
--b Number of Dominant Species
2 That Are OBL, FACW, or FAC
3 Total Number of Dominant
4 AP
Species Across All Strata:
S. Percent of Dominant species
6.
That Are OBL, FACW, or FAC
7 0 -1a..b
Sapling Stratum (Plot size: 0O °Total Cover
z .,u,ulbeA.1 acv
3
4
5
6.
7.
Shrub Stratum (Plot size. �Jt� , )= Total Cover
2.
3 T+
4
5
8
7.
tre u (Plot size: �0 / --� = Total Cover
2. 2.0 \/�1•
3. LZ—V��2
�4 1AA M
5.
6
7.
8
9.
10
11.
12. 2
Wo VI u (Plot-size 3 /= Total Cover
1 11��►..�
2
3
4.
5.
= Total Cover
US Army Corps of Engineers
(A)
(B)
/ay
01B)
—Total % Cover of Mul
OBL species
x 1-
FACW species
x 2 =
FAC species
x3=
FACU spa :cles
X4=
UPL spec
x5=
(A) (B)
Prevalence Index = B/A =
�! Dominance Test is >50%
Prevalence Index is 53.0'
Problematic Hydrophybc Vegetation' (Explain)
'Indicators of hydric sal and wetland hydrology must
be present, unless disturbed or problematic
Deflnitlon5 of Vegetation Strntn-
Tree - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more In height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH)
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH
Shrub - Woody plants, excluding woody vines.
approximately 3 to 20 It (1 to 6 m) in height
Herb - All herbaceous (non - woody) plants, including
herbaceous vines, regardless of sae. Includes woody
Plants, except woody vines, less than approximately
3 It (1 m) in height
Woody vine - All woody vines, regardless of height
Hydrophytic
Vegetation
Present? Yes No
Atlantic and Gulf Coastal Plain Region - 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
(inches) r mci % Color(moist) may_ T Loc
Texture Remarks
'Type: C= Concentration, D=R2eletjon, RM= Reduced Matrix, CS= Covered or Coated Sand Grams
Hydric Soil Indicators: =Location. PL =Pore Linin , M= Matrix.
Histosol (Al)
Polyvalue Below Surface (S8) (LRR S. T. U)
Indicators for Problematic Hydric Soils':
1
Hi�c ��on (A2)
Black Histic (A3)
Thin Dark Surface (S9) (LRR S, T, U)
cm Muck (A9) (LRR O)
2 cm Muck (Ag) ((LRR )
Hydrogen Sulfide (A4)
Loamy Mucky Mineral (F1) (LRR O)
Loamy Gleyed Matrix (F2)
Reduced Vertic (F18) (outside MLRA 1500.8)
Stratified Layer (AS)
Depleted Matrix (F3)
Piedmont Flood plain Soils (F19) (LRR P, S, T)
Organic Bodies (A6) (LRR P, T, U)
Redox park Surface (F8)
Anomalous Bright Loamy Soils (F20)
(MLRA 1538)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muds Presence (A8) (LRR U)
Depleted Dark Surface (F7)
Redox Depressions (F8)
R d
Red Parent Material (72)
1 crn Muck (A9) (LRR P, T)
Mart (F10) (LRR U)
Very Shallow Dark Surface (TF12) (LRR T, U)
Depleted Below Dark Surface (A11)
Depleted Ochric (F11) (MLRA 151)
Other (Explain in Remarks)
Thick Dark Surface (At 2)
Coast Frame Redox (MLRA
Iron -Man ansse Masses F12) (LRR O, P,
g (
Umbric Surface (F13) (LRR P, T, U)
Indicators of h ro h
yd P Ybc vegetation and
Sandy Mineral
Minx l (SI) (LRR O, S)
. S)
Delta Ochric (F17) (MLRA 151)
Welland hydrology must be present,
Sandy Gleyed Matrix (S4)
Gleye S4)
Reduced Verbc (F18) (MLRA 150A,1509)
unless disturbed or proteiematic
Sandy Redox (S5)
Piedmont Floodplam Soils (F19) (MLRA 149A)
Stripped Matrix (S8)
Anomalous Bright Loamy Sops (F20) (MLRA 149A, 153C, 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches).
Remarks:
Hydric Soil Present? Yes No
U7--
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM – Atlantic and Gulf Coastal Plain Region
Pmject/Site U % - � �nr, PL-- - Crty /County �'�_ "� ' �N!`i11? L 1 Sampling Date ,'%Lr ==
Applicant/Owner 'v1 / /U, r !L: i r ✓r J/I� -`fit �G —� —
State. Sampling Point
Investigator(s) K - 'rte %[. v I LU` Section, Township,_ Range iL
Landfonn (hilislope, terrace, etc.) Q OI Local relief (concave, convex, none) D Slope
Subregion (LRR or MLRA). � Lat• _' (�• � J`'1 ,` r Long. 76s, o L,4, 7 C,> —
Datum
Soil Map Unit Name. c�%f J!�-'� �� t..` 147-
- °' nNWI Gasification
Are climatic / hydrologic conditions on the site typical for this hme of years Yes /" No (If no, explain in Remarks.) /
Are Vegetation Soil . or Hydrology significantly disturbed? Are 'Normal Circumstances' preserd7 Yes ✓ No
Are Vegetation Sal or Hydrology naturally problematic? (if needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ✓ No [
Hydric Soll Present? Yes No /� Is the Sampled Area /
Wetland Hydrology Present? Yes No �- within a Wetland? Yes No
Remarks
Nub- aF 511 P%A IN mac.,.
HYDROLOGY
Primary Indicator; (minimum of one iS Maui-
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (81)
Sediment Deposits (132)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (85)
Inundation Visible on Aerial Imagery (B7)
deck all that aoolvl
Water - Stained Leaves (89)
Aquatic Fauna (B13)
Marl Deposits (1315) (LRR U)
Hydrogen Sulfide Odor (C1)
Oxifted Rh¢ospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (Ce)
Thin Muck Surface (C7)
S Other (Explain in Remarks)
Surface Water Present? Yes No / th (inches)
Water Table Present? Yes No
Saturation Presents Yes No 00 Depth (inches) l�
inGudes capillary finge)
Describe Recorded Data (stream gauge, monnonng well, aerial photos, previous inspe
Remarks
MM
US Army Corps of Engineers
Surface Sal Cracks (Be)
Sparsely Vegetated Concave Surface (138)
Drainage Patterns (B10)
Moss Trim Lines (B18)
Dry- Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (Cg)
Geomorphic Position (D2)
Shallow Aquftard (D3)
AC- Neutral Test (D5)
Wetland Hydrology Present? Yes No
Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants.
6.
Sapling Stratum (Plot size: -� Total Cover
i
6.
7.
size: Total Cover
6.
7.
Herb Stratum (Plot ■■: ��t1i !mss � . �., _ �
. , i Total Co,;
u ".7 TNCF■ 1
9
10
11
12.
.AgMv Vine Stratum (Plot size:
Total Cover
1 Gcl2 Dtt.a�i t)�4NS 1 fl _-
3
4
5.
Total Cover
Sampling Point 47
Number of Dominant Species
That Are OBL, FACW, or FAC i /// (A)
Total Number of Dominant
Species Across All Strata
Percent of Dominant Species
That Are OBL, FACW, or FAC. _9z-
Total % Cover of Mul ' 1
OBL species x 1=
FACW species _
FAC species x 3=_
FACU species x 4 =
UPL species x 5
Column (A) (g)
Prevalence Index - B/A =
Z Dominance Test is >50%
Prevalence Index is s3.o'
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric sod and wetland hydrology must
be present. unless disturbed or problematic.
Tree - Woody plants. excluding woody vines,
approximately 20 ft (6 m) or more In height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH)
Sapling - Woody plants. excluding woody vines,
approximately 20 it (6 m) or more In height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height
Herb - All herbaceous (non - woody) plants, including
herbaceous vines, regardless of sae Includes woody
Plants, except woody vines, less than appro)mately
3 ft (1 m) in height
Woody vine - All woody vines, regardless of height
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — 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
(inches) Color Impish % _ Color(moist) _ 7�r DoT Texture Remarks
e: j _
if
_ -
Type: C--Concentration, D=De lebon, RM= Reduced Matrix CS= Covered or Coated Sand Grains
Hydric Soil Indicators:
'Location: PL =Pore Lining , M =Matrix
Histosol (Al)
Indicators for Problematic Hydric Soils':
Polyvalue Below Surface (S8) (LRR S, T, U) 1
Histic Epipedon (A2)
Blade Histic (A3)
Thin Dark Surface (S9) (LRR S, T, U)
cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Hydrogen Sulfide (A4)
Loamy Mucky Mineral (F1) (LRR O)
Loamy Gleyed Matrix (F2)
Reduced Vertic ( F18 ) ( outside MLRA 150A,B)
Stratified Le (�')
Y�
Depleted Matra (F3)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Organic Bodies (A8) (P, T, U)
Redox Dark Surface (F8)
Anomalous Bright Loamy Soils (F20)
(MLRA 1538)
5 an Mucky Mineral (A7) 7) (LRR P. T, U)
Muck Presence (A8) (LRR U)
Depleted Dark Surface (F7)
Redox Depressions
Red Parent Material (TF2)
1 Muck (A9)
(F8)
Mart (F10) (LRR U)
Very Shallow Dark Surface (TF12) (LRR T. U)
cal to
Depleted Below Dark Surface (A11)
Dark u fa
Depleted Oc hric (F11) (MLRA 151)
Other (Explain in Remarks)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Iron - Manganese Masses (F12) (LRR O, P, T)
S f
Umbnc Surface (F13) (LRR P, T, U)
'Indicators of h rophythc vegetation and
Sandy Mucky Mineral (S1) (LRR O, S)
Delta r F1( (MLRA 151
( ) )
wetland hydrology roust be present,
Sand G ed Matrix S4
Y �Y ( )
Reduced Verfic (F18) (MLRA 150A, 150B)
unless disturbed or problematic.
Sandy Redox (S5)
Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6)
Anomalous Bright Loamy Soils (F20) (MLRA 149A,153C,153D)
Dark Surface (S7) (LRR P. S. T. U)
Restrictive Layer (if observed):
Type
Depth (inches)- /IAI
Remarks:
Hydric Soil Present? Yes H
p uiea- K.. Nor ^m-.
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Interim Version

/' WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site- 60tty 'w/ - !. �% �/LG1 L ; City /County' /1A - -
Applicant/Owner (�.%�/1Ai ?` `- ,'( %� ",!N 1YL-1 - �Y.t_ � � t � Sampling Date `"' /• �Gi'=;
��// State Sampling Pant
Irnestigator(s)._F-
Section.7ownshipRange
Landforn (hillslope, terrace, etc.) � �� Local relief (concave, convex, none) Slope m
Subregion (LRR or MLRA), F Lat Long-­75. �1e�7
Soil Map Unit Name. �N�i%b!/ 1!_� '''' ; f.� T4 r sic S� NWI classification-
Are Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation . Sal . or Hydrology significantly disturbed? Are 'Normal Circumstances' present? Yes
No
Are Vegetation . Sal _ . or Hydrology naturally problematic? (If needed, explain any answers in Remarks)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transacts, important features, etc.
Hydrophytic Vegetation Present? Yes No
Hydric Soil Present`7 Yes No Is the Sampled Area
Wetland Hydrology Presents Yes No within s Wetland? Yes /
�
No
Remarks•
HYDROLOGY
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (81)
Sediment Deposits (B2)
Drift Deposits (B3)
Algal Mat or Crust (84)
Iron Deposits (B5)
Inundation Visible on Aerial Imagery (B7)
Water - Stained Leaves (Bg)
Aquatic Fauna (B13)
Marl Deposits (B15) (LRR U)
Hydrogen Sulfide Odor (Cl)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
as Other (Explain in Remarks)
Surface Soil Cracks (136)
SParsely Vegetated Concave Surface (88)
Drainage Patterns (810)
Mom Trim Lines (BIG)
Dry- Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (Cg)
Geomorphic Position (D2)
Shallow Aquitard (D3)
FAC- Neutral Test (D5)
Surface Water Present? Yes No Depth (inches).
Water Table Present? Yes No Depth (inches)
Saturation Present? Yes No Depth (inches) f 7 1 Woyand H rol
includes ca ills fi e Yd ogy Present? Yes No
Describe Recorded Data (stream gauge, monrtonng weft, aenal photos, previous insoPChnnei it s..� :���,e
N cs Ncr mom°°
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Intenm Version

VEGETATION — Use scientific names of plants.
<
Sampling Point.
, )/
Absolute
Dominant Indicator
Dominance Test worksheet:
(Plot
tratum Plot size- _)
1
° Cover
S es) Status
Numb of Dominant Species
That Are OBL, FACW, or FAC. (q)
3.�
Total �t
Species AAcs ltaa
5 Percent of Dominant Species
8.
That Are OBL, FACW, or FAC: (AIB)
7
S u (Plot s¢e) =Total Cover
4
5.
6.
7.
Shrub Stratum (Plot size:_ )
� otal Cover
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: �'= Total Cover
2.�..irat
4.
5.
8.
7.
8.
9.
10.
11
12
Prevalence Index worksheet:
Total ° %Cover of Multiply
OBL species x1-
FACW species x 2 =
FAC species x 3 =
FACU species: x4=
UPL spec X5=
Colu Totals (A) (B)
Prevalence Index = B/A =
!V Dominance Test is >50%
` Prevalence Index is 53.0'
= Problematic Hydrophybc Vegetation' (Explain)
'Indicators of hydric soil and Welland hydrology must
be present, unless disturbed or problematic
Tree —Woody plants, excluding woody vines.
approximately 20 ft (6 m) or more m height and 3 in
(7.6 an) or hanger in diameter at breast height (DBH).
Sapling —Woody plants, excluding woody vines,
approximately 20 ft (8 m) or more Nt height and less
Man 3 in. (7.6 cm) DBH.
Shrub —Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 8 m) ut height
Herb —All herbaceous (non - woody) plants, including
herbaceous nines, regardless of size. Includes woody
Plants. except woody canes. less than approoamalely
3 ft (1 m) In height
Woody vine —All woody fines, regardless of height
Woody Vine stratum (Plot size �= Total Cover
1.
2
3
4
5• Hydrophytic
Vegetation
= Total Cover Present?
Remarks. (Ii observed, fist morotxNoaical adamannnc tia��
Yes No /
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version
Colu Totals (A) (B)
Prevalence Index = B/A =
!V Dominance Test is >50%
` Prevalence Index is 53.0'
= Problematic Hydrophybc Vegetation' (Explain)
'Indicators of hydric soil and Welland hydrology must
be present, unless disturbed or problematic
Tree —Woody plants, excluding woody vines.
approximately 20 ft (6 m) or more m height and 3 in
(7.6 an) or hanger in diameter at breast height (DBH).
Sapling —Woody plants, excluding woody vines,
approximately 20 ft (8 m) or more Nt height and less
Man 3 in. (7.6 cm) DBH.
Shrub —Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 8 m) ut height
Herb —All herbaceous (non - woody) plants, including
herbaceous nines, regardless of size. Includes woody
Plants. except woody canes. less than approoamalely
3 ft (1 m) In height
Woody vine —All woody fines, regardless of height
Woody Vine stratum (Plot size �= Total Cover
1.
2
3
4
5• Hydrophytic
Vegetation
= Total Cover Present?
Remarks. (Ii observed, fist morotxNoaical adamannnc tia��
Yes No /
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

SOIL
Sampling Point G
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inch es --Color (moist) % _ Coior (moist) % Tvoe Loci
T u Remarks
"Type: C-- Concentrabon, D=De Iebon, RM= Reduced Matrix, CS= Covered or Coated Sand Grains.
'Location:
Hydrfc Soil Indicators:
PL =Pore Li M =Matrix
Histosol (A1)
Polyvalue Below Surface (S8) (LRR S, T, U)
Indicators for Problematic Hydric Soils':
1 cm Muds (A9) (LRR O)
Hisfic Epipedon (A2)
Black FGsbc (A3)
Thin Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A70) (LRR S)
_ Hydrogen Sulfide (A4)
Loamy Mucky Mineral (F1) (LRR O)
Loamy Gleyed Matrix (F2)
Reduced Vertic (F18) (outside MLRA 15DA,8)
_ Stratified Layers (A5)
Depleted Matrix (F3)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Organic Bodies (A8) (LRR P, T, U)
Redox Dark Surface (F8)
Anomalous Bright Loamy Soils (F20)
(MLRA 153B)
5 cm Mucky Mineral (A7) (LRR P. T, U)
Muds Presence (A8) (LRR U)
Depleted Dark Surface (F7)
Red Parent Material (fF2)
1 cm Muck (A9) (LRR P. T)
Redox Depressions (F8)
Marl (F10) (LRR U)
Vey Shallow Dark Surface (TF12) (LRR T, U)
Depleted Below Dark Surface (All 1)
(F
Depleted Ochric 11 ) (MLRA 151)
� ( � in Remarks)
Thick Dark Surface (Al2)
Coast Prairie Redox (A18) (MLRA 150A)
Iron-Manganese Masses (F12) (LRR O, P. T) 'Indicators of hydrophytic vegetation and
Umbric Surface (F13) (LRR P, T, U)
Sandy Mucky Mineral (S7) (LRR O, S)
Delta Ochn c (F17) (MLRA 151)
wetland hydrology must be present,
unless disturbed or
Sandy Gleyed Matrix (S4)
Reduced Verbc (F18) (MLRA 150A,1500)
problematic
Sandy Redox (S5)
Piedmont Floodplam Soils (F19) (MLRA 149A)
Stripped Matrix (S8)
4 Anomalous Bright Loamy Soils (F20) (MLRA
149A,153C,153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive La (if observer!):
Type: A 115
Depth (fiches):
Remarks:
Hydric Soil Present? Yes No
�s
Nor PAM
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — interim Version

5A
USACE AID# DWQ # Site # / (indicate on attached map)
ED] STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: '� 0� �G = , Evaluator's name: V ' b9,0q �0
3. Date of evaluation: a !/ 0o S 4. Time of evaluation:
5. Name of stream: ! ! X15 'Y'-. CA ,6. River basin: � f' W,
7. Approximate drainage area: 8. Stream order: 2
9. Length of reach evaluated: 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): —7
Latitude (ex 34 872312): J� �O. 3� `� i Longitude (ex. —77 556611): ! S. 04o 4, ? O
Method location determined (circle): GPS iTopo Sheet Oiiho (Aenal) Photo/GIs }Other G�IS Other
13. Location of reach under eval ton (n near roa an 1iZfiarks and - aTM-cK map identifying stream(s) location):
Pr� 19- Y` V 0 ( KM4�C Dn/ r---m:bV-o P- �Z� ; Se� MAPP //v 4
14. Proposed channel work (if any): � �1 E "r" G� C to L- y -L�� FprtZ� C dV& ,y4
15. Recent weather conditions:_ T- tnw
16. Site conditions at time of visit: i �'^"^ 1 D , , ) 0` F
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
,Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed _([-IV)
18. Is there a pond or lake located upstream of the evaluation point? 1 EY S NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: : �% Residential -s/% Commercial =% Industrial % Agricultural
(/'b% Forested % Cleared / Logged _% Other ( ^)
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2 %) ---Gentle (2 to 4 %) _Moderate (4 to 10%) _Steep ( >10%)
25. Channel sinuosity: Straight _�ocasional bends _L-'Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored usipg the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the'worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity; and a separate form used to evaluate each
reach. The total score assigned to a stream reach must-range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
-5 : o
Score Total Sco frm reverse 1't
. , � _ � ) _ Comments:
Evaluator's Signature Date 9 �► i /Zvv
This channel evaluation orm is ante a to a use only as a guide to assist landowners and env nmental professionals in
gathering the data required by the United Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET /
—� ..�. �.•rvv..w •u r/WMY JY 6'OY�J.
t ••ate•• f
�_ , ^ y% } ,'`1� . ; : • ' ••a•• i a
� ' :►`y ■�
t fy�
ry`{ c i&
-
' �''tiiFlll• T _
.,��71a.
i•"
i
4:`•
.et't.
` r
1
Presence of flow/ persistent pools in stream
no flow or saturation = 0• stron_q flow = max ints
0-5
0 - 4
0-5
. ±
2
Evidence of past human alteration
extensive alteration = 0• no alteration = max
0-6
0 — 5
.
0-5
3
3
Riparian zone
no buffo = 0 Conti ous wide buffer = max points)
0-6
0-4
0-5
rl
4
Evidence of nUtrient or chemical discharges
extensive discharges = 0• no discharges = max points)
0-5
0 - 4
o-4
3
i
•5
Groundwater discharge
no dischar e = 0• s rip s wetlands etc. = max points)
0-3
0-4
0 —4
3
6
Presence of adjacent floodplain
no flood lain = 0• extensive i1 lain = max points )
0-4
0 - 4
0-2
7
Entrenchment/ I[ odplsin access
•
'Y
d t entrenched -= 0• frequent floodia = max ints
0-5
0 - 4
0­2
h
8
Presence of adjaeeut wetlands
•
no wetlands = 0-. law adjacent wetlands = max points)
0-6
o-4
0-2
?�
9
Channel sindosity
extensive ehattttelization = 0••40wal ikitandcr = max points)
0-5
0-4
0-3
?�
y'
=:
10
Sediment input
extensive d itioci� 0• little for no sediment = max points)
0 — 5
0-4
0-4
2
1 l
She & diversity of channel bed substrate
0 4
�7
fm homogenous = 0• laP diverse sizes = max points)
.
—
0 — 5
!i
12
Evidence of channel incision or widening
dee l incised = 0• stable bed & banks = max ints
0-5
0 - 4
0-5
2
13
Presence of ma jor bank failures
severe erosion = 0• no erosion, stable banks = max points)
0-5
0 - 5
0-5
?�
14
Root depth and density on banks
no visible Toots = 0• dense roots throu' ut =max points)
0 — 3
0-4
0 — 5
y
15
Impact by agricuitnre, livestock or timber production
substantial !Mg2d =0• no evidence = max ints
0-5
0 - 4
0-5
2
16
Presence of rltlle- pooUripple•pQol Complexes
.+<
no rifnes/ri les or pools = 0. Well-developed = dhax rots
0-3
0 - 5
0 —6
J;
17
Habitat complexity
little or no habitat = 0 uen varied habitats = max points),
0— 6
0— 6
0— 6
3
18
- Canopy coverage o*er streambed
no shading vegetation = 0• continuous Canopy = man points)
0-5
0-5
0 - 5
19
Substrate embeddeduess
d 1 embedded = 0. structure = max
0 -4
0-4
20
Presence of stream invertebrates (see page 4)
no evidence = 0• common numerous *pes = max points)
0-4
0 - 5
0-5
/
21
Presence of amphibians
no evidence = 0 nunon numerous = max points)
0-4
0 — 4
0 — 4
2
'-
-Presence of fish'
`
no evidence = 0 coihmon n4nierqui ' '' = max pqm ts
0-4
0 - 4
6-4
67
23 Evidence of wildlife use _
-• no evidence = 0, abundant evidence = max points) 0-6 0 - 5 0-5
3
''/ je• ' ".r: (`'(},ZtV' �5 Ny n 9� a,+t t ,. J•.:. ° '=` ' "' : ;i' ", .•'_t Y
' 4�' - YN'a ^p.•;�.d -' 1•ti r 1 \i ! pin •.. K+ ` °l � � ha .1�. F:,�' � `�.l�z, tSi.'A C/, y y
'y i' f �, 1y •••�i�a/ � •A( .i`:K � %. J' -y4 ,�, i I �C�% j 1•
• •-
1
`. `••
..
i .Sa. �l, V'��y "S +•' ci. ' +l. •!t I .. _.t i./, A•,,/Y S . M.� rT` � � •�'
n�L ,e.i: ,.
..,x _ i'� '<.. Sf1/ `� ,�!ia�•�� '_n ,.� ,, •taA � ..t
, a,
Y
These rhararteric#ir. oen ..,a
—� ..�. �.•rvv..w •u r/WMY JY 6'OY�J.

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: ] Project eaw t ymxct ,& Latitude:
Evaluator. Site: Longitude:
Total Points: Other _
Stream is at least intermiffent Count:
f a 19 or perennial t a 30 " e.g. Quad Name:
A. Geomorphology Subtotal = =
Absent
Weak
Moderate
Strong
18. Continuous bed and bank
0
1
2
3
2. Sinuosity
0
1
5
3
3. In- channel structure: riffle -pool sequence
0
1
2
3
4. Soil texture or stream substrate sorting
0
1
2
3
5. Activefrelic fkmdplain
0
1
1
3
6. Depositional bars or benches
0
1
1
3
7. Braided channel
1
2
3
8. Recent alluvial deposits
0
1
2
3
98 Natural levees
L01-1
1
2
3
10. Headcuts
0
1
2
3
11. Grade controls
0.5
1
1.5
12. Natural valley or drainageway
0
0.5
1
11.5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No = 0
Yes 3
man -mace mimes are not rates; see oiscussions in manual
R_ Hvdrnlnnv iSuhfnfal = fL 1
14. Groundwater flow /discharge
0
1
2
3
15. Water in channel and > 48 hrs since rain, S
Water in channel - d or rowi season
` 0
1
2
3
16. Leafiiner
1.5
1
5
0
17. Sediment on plants or debris
0
r -05T__
5
1
1.5
1 B. Organic debris lines or piles rack lines) 1
0
1 0.5
1
1 1.5
19. Hydric soils redoximorphic features) present? I
No 10-3
Yes =1.5
C. Bioloav 1911hfnfal = 1
2. Fibrous roots in channe
3
12 k
1
0
21 . Rooted plants in channel
3
LLi
1
0
22. Crayfish
FG7
0.5
1
1.5
23. Bivalves
rUT
1
2
3
24. Fish
1 0
0.5
1
1.5
25. Amphibians
0
0.5
1
1.5
26. Macrobenthos (note diversity aril abundance )
10
0.5
1
1.5
27. Filamentous algae, periphyton
1
2
3
28. Iron oxidi2ing bacteda/fu us.
0
0.5
1
1.5
29 . Wetland plants in streambed
FAC = 0.5; FACW = 0.75; OBL =1.5 SAV = 2.0; Other - 0
-- -•.� ....�.o w, T u - in aaanw uo upw Ki Pianis, item [i+ iowSes on ine presence or aquatic or weusna plants.
Notes: (use back side of this form for additional notes.) Sketch:
otrt fit' is VIS/ Z; >oNa ,-1 �,� sue+ r 1+✓t .
d/V L�/ L�A`S 1` S0-7 Di' >t( _P_ ca i'�t t..-T
PIJ11j 9 11 Y9 /iIUW /A/
�>mUb Sr

USACE AID# DWQ # Site # ' (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: t h/tI+�E ­D f laluator's name: -J LA� ��
3. Date of evaluation: D c7 4. Time of evaluation/:, .2
p��
5. Name of stream: �' ' ``* - % - �-• 6. River basin: �94- P� �% LD
7. Approximate drainage area:` '�� 8. Stream order: a
9. Length of reach evaluated: r �O 10. County: k/A"-eW
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): —
Latitude (ex '34 872312): r �7 % s�
� 76 , 0 & &7 0
Method location determined (circle): GPS I Topo Shee o (Aeri4' Gtes, Other
13. Location of reach under evaluation (note yg
stream(s) location):
14. Proposed channel work (if any): NP (All,✓
15. Recent weather conditions: M fz-,� dot
16. Site conditions at time of visit: #W^1 6, �% 2°
17. Identify any special waterway classifications known: _Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters
18. Is there a pond or lake located upstream of the evaluati
19. Does channel appear on USGS quad map? YES NO
21. Estimated watershed land use: % Residential
�% Forested
_ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
3n point? YES � NO If yes, estimate the water surface area:
20. Does chann6 appear on USDA Soil Survey? YES NO
i % Commercial . _% Industrial D% Agricultural
—
S % Cleared / Logged =% Other ( 1
22. Bankfull width: 2- 3 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0. to 2 %) -:�--&ntle (2 to 4 %) _Moderate (4 to 10 %) _Steep (>100/.)
25. Channetsinuosity: Straight Occasional bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range betweeri 0 and 100, with a score of 100 representing a stream of the
highest quality.
To 1 Score (from reverse): 3 Comments:- S5PA rtt-
M.
Evaluator's Slgnature - r Date �7, qZL a-7-
Thin channel evaluation is inter be onty as a guide to assist landowners and environmental professionals in
gathering the data req red by the United S tes rmy Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the m tion of this form is subject to USACE approval and does not Imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

Z;, /
STREAM QUALITY ASSESSMENT WORKSHEET/
--- —wavu in waauu Suiumub.
LK
It
M ONO
Presence flo* In
I
of persistedt pools; stream
0-51
0-4
0-5
no f1OW ot,%Wraflon = 0•,strong flow - max points)
2
Evidence of past human alteration
extensive alteration = 0• no alteration = max points)
0-6
0-5
0-5
ra
3
Riparian zone
no huller = 0• buffer =
0-6
0-4
0-5
contiguous, wide max points)
Evidence ofuWrlent or chemicil discharges
4
(extensive dischar = 0• no disomo—S max points)
0-5
0-4
0-4
5
Groundvmteirdisebairge '
no disqharjte = O• sprim, seeps, ivetlaifils, etc. = max points)
0-3
0-4
0-4
.6'
Presence of adjacent floodpIqln
( = 0•
0-4
0-2
no- § 22d extensive fl2*hdn = max' points)
_P!!!a
7
Entrenchment / floodplain access
(deeply, entrenched'-0• fr;queat9q2ft =-max points)
0-5
0-4
0-2
fj
9
Presence of sidjacentwedandi
'0-6
9rjteg� wetlands =
(no wetlands = 00 oLt
0-4
0-2
max Mints)
9
Channel ffinuosilry
—
ive 2h�qliz ation natural Meanair max points)
0 -5
0 - 4
0
10
Sediment Input ,
(extensiVe deposition- 0; little or no,sediment max point�)
1
0-5
0-4
0-4
Size & diversity of-chAnnel bed substrate
0-4
(fte, homo ous = 0; laree,-diverse sites = max -points)
0-5
12
f vidence o
E Channel InChign or widening
Weep.ly incised = 0, stable bed & banks = max g2ints)
0-5
O-A
0-5
13
1 Pr6seuce of major bank failures
0 * 5
(severe erosion = 0, • no efosiA stablo'banks = mix Mints)
0-5
0-5
14-
Root depth and density on bainks
(no.visihie roots = 0, • dense roots thiouphout = max POWs)
0-3
0-4
0-5
7,-
Impact by qdcufture, liveS*k, or timber production
15
-(sul�twtw I =0,-nO!qXJda= =max points)
0-5
0-4
0-5
01
•
16
Prosence of "e-pooltrilipi I complexes
e. �o
(no riffles/rippleg or pools,= 0- MTJ I-Xeloped =;m6c points)
0 -3
0-5
0-6
- 17
Habitit complexity
(little or no habitat = 0; fteguont, varied hfttats Max pointk).
0-6
0 --:6
0-6
18
Canopy Overage over streakibed
(no shading vegetation = 0. • dontinuous Canov points
max )
0-5
0-5
0-5
19
-Y
Substrate embeddedgm
01
0-4
0-4
embedded =,O; looe,structure max).
2 20
0
ence'of Stream Invertebrates (see page 4)
fno, evidenco =,O; cp 414MO-A, me—rous, Wpes max Doints),
0-4
0-5
0-5
21
Preonceof amobjbians
-ivi'
(go dence=F 0,2!� nunWrous-WP4 =max points)
0-4
0-4
0-4
22-:
Prodppi, of fisb
no;vidence=Oqonuion,gM "ero types =max points)
-0-4
0-4
0-4
Evidence of wildilic, ust
L
(ho c" Mints)
'dence 4bundant evidence max points)
0-6
0
0-5
0-5
OAKS
--- —wavu in waauu Suiumub.

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
A. Geomorphology ( Subtotal = I 5-=-i
Absent
Weak
Moderate
Strong
18. Continuous bed and bank
0
1
2
-11
2. Sinuosity
0
1
2
3
3. In- channel structure: riffle -pool sequence
0
tT7
2
3
4. Soil texture or stream substrate sorting
0
1
- 2
3
5. Active/relic floodplain
0
1
1
3
6. Depositional bars or benches
0
1
2
3
7. Braided channel
1
2
3
8. Recent alluvial deposits
0
1 1
2
3
9 a Natural levees
+ 0
1
2
3
10. Headouts
0
1
2
3
11. Grade controls
LJLJ
0.5
1
1.5
12. Natural valley or drainageway
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
0 0.5
No
1 !_
Yes = 3
........ ......... ........w wv .n,..a.w. a M WAM- wns m manual
B_ Hvdrnlnnv /SnhMt�l = 1 �
14. Groundwater flow /discharge
0
1
2
3
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or rowi season
0
1
2
3
16. Leaflitter
1.5
1
0.5
0
17. Sediment on plants or debris
1
0.5
1
1.5
18. Organic debris lines or piles (Wrack lines)
0
0.5
1
1.5
19. Hydric soils fredoximorphic features present?
No I 0
Yes =1.5
C. Biology (Subtotal = Z • S
20°. Fibrous roots in channel
2
1
0
21b. Rooted plants In channel
2
1
0
22. Crayfish
0.5
1
1.5
23. Bivalves
1
2
3
24. Fish
0.5
1
1.5
25. Amphibians
0.5
1
1.5
26. Macrobenthos (note diversity and a
0.5
1
1.5
27. Filamentous al ae; periphyton
1
2
3
28. Iron oxidizi bacteriatfungus.
0.5
1
1.5
29 . Wetland plants in streambed
Ifn . In ..A 01 i......- .- .6- --- - --
C = 0.5; FACW = 0.75; OBI. =1.5 SAV = 2.0; Other - 0
- - -- --- --•--- -• - ,,•,..... 1 .o.... ,.Q... - .vwaca vis um Nr-m -m vi aquouc or we➢anl plans.
Notes: (use back side of this form for additional notes.) Sketch:

USACE AID# DWQ # Site #-L- (indicate on attached map) I
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name eQ EV a ' L"19Q Ml'e - �L l 2. Evaluator's name:
3. Date of evaluation: 'y/1/1?�0`7 4. Time of evaluation: '4 ' 00 -PX4
5. Name of stream: l / S'�� 6. River basin: 104
7. Approximate drainage area: 8. Stream order:
9. Length of reach evaluated: �LVO 10. County: GJA �N/
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): —
Latitude (ex. 34 872312): s Longitude (ex —77 556611): 40 /.1 / —7 O
Method location determined (circle): GPS �eniaurby Sheet o(Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (no ro an 1 s an h map identifying stream(s) location):
4.rf-- !-- 1500 C" P�ZV l t44er,o Aty�J 't , , &JtPPjt,14,
14. Proposed channel work (if any): PUN� ;Z'K17- Cr- GuL,� F {�tti- P­ oAcJ eAt�-� A / C_,
15. Recent weather conditions: f'('^ ►"A tb ,
16. Site conditions at time of visit: i4v7-1, «vi 16
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters — Nutrient Sensitive Waters Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES ( NO yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES ` NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: _% Residential _% Commercial % Industrial _% Agricultural
_% Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2 %) _Gentle (2 to 4 %) _Moderate (4 to 10%) _Steep ( >10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecorcgion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to'site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Score (from reverse): �529 Comments:1>�ft.t- //�/ /i;�i/+•t%/j�-��/ r-� �{yj�i,,,vt��_
M.
Evaluator's Signature Date_ 1�/// /Zfl o `%
This channel evaluation form is lntend to be ed only as a guide to assist landowners add environmental professionals In
gathering the data required by the United St Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
;^'
�
;'
,�%� ��.'G`:.�,t•' ` "c Cr / "r �. •• '!- i'r`f }r :iw °T :-'.��-
;:?3;q •.r5s;�ti� ;,., _c'�si:f,17,..
�{�
H �x _FF ,�
ys o o -1
'U
1,4
Presence of flow ! persfstent'pools in stream
: j,
1
0-5
no flaw or saturation = 0••,stroti flow = max points)
0 - 4
0-5
;. +•�r:
2
Evidence of past human alteration
0-6
0 - 5,
0-5
i4
extensive alteration = 0• no alteration = max points)
3
Piparian zone
0-6
0 4
0-5
no buffer = 0• conti o wide buffer = max ints
-
4
Evidence of nutrient or chemical discharges
0-5
0 - 4
0-4
3
extensive disc es = 0 no dischar =max rots
5
�roundtrater discharge
'n
0-3
0-4
0-4
Z
no discharge 0 a s seW, wetlands etc. = max points)
6
Presence of adj4cent floodplain
no flood last = 0, extensive ood lain = max
0- 4
0- 4
0- 2
Intrertchment / floodplain access
d Ln ched = -0• ent floodin = max ints
0-5
0 - 4
.0-2
,
z
c "t .
9
Presence of ad j8cent wetlands'. <
no wetl ds,:�- 0• larke 4dia-ccaiwedons max rots
0-6
0­4
0-2
3
-
9
Channel slnuosity '
0-5
0-4
0 3
extensive channeli�tion :, 0 �iatutiOmeander = maX' ittts
-
10
Sediment inpu t
extensive de sition= 0• little no
0-5
0 - 4 '
0-4
Z.
of sediment =m rots
11
Size & diversity of channel bed substrate
fine homo enous = 0• tar diverse sizes =max rots
`
0-4
0 - 5
2--
12
Evidence of chapdel indslon or widening
(deeply incised = 0• stable bed & banks = max ' ' is
.0-5
0-4
0 - 5
13
Presence of major bank failures
A
0-5
0 5
U•
seven: erosion _ ,no erosio stable banks = max ints
-
0-5
�"
14
-Root depth and density on banks
no visible roots - 0• dense roots throe out = max rots
0-3
0 -�4
0 - 5
Z
Impact•by agriculture; livestock„ or limber
'
15
production
U-5
0 - 4
0-5
�:'
st[bstatitlal impact =0• no evidence = mat infs
2,
16
Presence of riirie•pool%rip�fle -pool complexes
0-3
0 5
no riffles/ri les or Is = t)• we114 loved Max poin ts
-
0-6
17
`Habitat complexity,
little or -no habitat = 0• frequ en varied habitats = max rots
0- 6
0- 6
0- 6
3
18
Canopycoverake over streambed
no shadin ve on = 0 continuous canopy =max rots
0_ 5
0-5
0-5
19
Substrate embegdeduess
(deeply bedded = 0,
, ; `
�� F
0 - 4
0 4
e ow structure � max
/ '
20
Presence of-stream fnve`rtebrutes (see page 4)
W evidence = 0• comma . um us = max points)
0-4
0-5
0 - 5
yv
21
'0-* lsreseni•�e bi amp�fltlans
no ev ence . ctotnlmp' 'numerous max - 'rots
0-4
0- 4
4
0-4,
'
'L
z
22
P.resence of fish '
0-4
0
no eDidenco = 0, eo n: •ri !ii _ ous tYM = max ints
-,4
0-4
r -w
23
Evidence of *Ildlife use
no a 'd ce =- 0- abu>;dattt evidence = ints
0-6
0 - 5
0-5 -
• '•r -�Y .St. iii y�,}, , .. =�.i( e t
4. � ��`, ,
Y'•. ��,J'`_l7'y;.: �• ,{ j�•Tj, •yl �.C.�_.fY,`. y y �Y,�` h� �,. .t :V {S� �f
�jr.�} __ Y'•.P ..x, r' �3•�.l.;s ti<734,. �..
.�tc :6{.yr'`fT," J.r •Y mac, _ <a.` _ i ...��, -a %'r '.it.'. L.• ;yt, f.: ..r.r
4n`1h. "t•:: 't' yity•
IY V' •f
Cy ^�
.. .�+ _
,<,..!`•'r `t ;Y:? f,- .�^ - e.. ily�'
✓V
•ritPCS n�ao nfsi..ti.... _J ! _f
—••— ..vim waww�a ua VVWfW Jul.W110.

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: `2 1! D� Project. Latitude:
Evaluator. Site: Longitude:
Total Points: Other
Stream is at least intermittent i ft 30 ,r 2 O County: �� /DLO f� r--n I e.8. Quad Name:
it 218 or perennial it 2 30 .y,� V � �T�'�- � �i
A. Geomorphology Subtotal = 142&
18. Continuous bed and bank
Absent
0
Weak
1
Moderate
2
Strong
2. Sinuosity
0
1
2
3
3. In- channel structure: riffle -pool sequence
0
1
2
3
4. Soil texture or stream substrate sorting
p
1
2
3
5. Activelrelic floodplain
0
1
2
3
6. Depositional bars or benches
0
27. Filament
2
3
7. Braided channel
0
28. Iron oxidizing bacterialfungus.
2
3
8. Recent alluvial deposits
0
1
FAC = 0.5; FACW = 0.75; OBL =1.5
3
98 Natural levees
0
1
2
3
10. Headc uts
0
1
2
3
11. Grade controls
Rj 1
0.5
0.5
1
1
1.5
1.5
12. Natural valley or drainageway
0
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
Wlnn_insAn Ai4wb-
No = 0
Yes �3
,�_•
R_ Hvdmlmw Meihtnta1-
14. Groundwater flow/dlscharge
0
1
2
3
15. Water in channel and > 48 hrs since rain, or
Water in channel - d or rowi season
p
1
2
3
16. Leaflitter
1.
1
0.5
0
17. Sediment on plants or debris
0
0.5
0.5
1
JL
1 1.5
i"
18. Organic debris lines or piles (Wrack lines)
1 0
19. Hydric soils redoximorphic features present?
I No
1
1
Yes =1.5
C- Rinlnnv (Si ihtnfCal = Z 4:7-5 1
20 . Fibrous roots in channel
3
2
1
0
21 . Rooted plants in channel
22. Crayfish
0
2
0.5
0
1.5
23. Bivalves
W
1
2
3
24. Fish
10U
0.5
1
1.5
25. AmphibiE199
0
0
0.5
0.5
1
1
1.5
1.5
26. Macxobee)
27. Filament
0
1
2
3
28. Iron oxidizing bacterialfungus.
0.5
1
1 5
29 . Wantland plants in streambed
FAC = 0.5; FACW = 0.75; OBL =1.5
SAV = 2.0; Other 0
ItemS 2n and it fMJIQ nn the n.�enww wf ..wlwJ �I__a
- - -- -.-- •- r -.. •.. �...ww.w� w � u na iw aaci x c vi ayIW UG or weuano piams.
Notes: (use back side of this form for additional notes.) Sketch:
�N lam' �M171C�T" G- t%fiti�yt�L ; ��y DIn►2a���L,
AA L46 H4& i T _

USACE AID# DWQ # Site # *' (indicate on attached map)
;,a,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name:GLf-N'ff• Lolly {MC�.1:. -6(,,•/ 2. Evaluator's name: �' b1�`�l►'`'I6,1
3. Date of evaluation:
rrr7111h .,I 4. Time of evaluation:
5. Name of stream: vl� 72 U1 r(SfTT, C — 6. River basin: t►Z-' 1r`'I Ll LD
7. Approximate drainage area: .3 S. Stream order: I o
9. Length of reach evaluated: 7S 10. County: W' 14
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): 5 1�1 • 3-�; 15 1 Longitude (ex -77 556611): % S D � 7 i7
Method location determined (circle): GPS Topo Shee rtho (Aer�PhotaG %they GIS er
13. Location of reach under evaluation (not and lanttach map t e fying strewn(s) location):
14. Proposed chann
15. Recent weather
16. Site conditions at time of visit: jt6!I:, 1A4A,4/
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
I& Is there a pond or lake located upstream of the a uation point? YESaN If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES I O 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: %Residential ° ° tJ o 2
/o Commercial _/° Industrial /° Agricultural
Forested'
% Cleared / Logged % Other (
22. Bankfull width: 23. Bank height (from bed to top of bank): Z!�
24. Channel slope down center of stream - Flat (0 to 2 %) _G (2 to 4 %) _Moderate (4 to 10 %) _Steep ( >10 %)
25. Channel sinuosity: Straight l Occasional bends _/ Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments: /w�yt�l�t!l,,.� k•►? ? "� yr
r✓l .
Evaluator's Signature Date /�?�p
This channel evaluariI n f �thniteg sed only as a gui de to assist landowners an a ronmental professionals in
gathering the data required bs Army Corps o f Engineers to make a preliminary assessment of stream
quality. The total score resulting from tpletion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change -version 06/03. To Comment, please call 919- 876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
- ,. ... .,.. — ...1..,..4.
1
P esenee of flow / pefsist�gt kola in stream
nv flow 0, r ativation = d• n {love = Max rots
01-5 .
0 ='.4
0-5
fj
2
; Evldgnck of past hbmsti alteyation
extensive altcratiott = 0• no alt tion = max ims
0:-6
O T S'
0- 5
3
3
Riparian zone
no bur 0••
r = opnti o wide, t! I= wx rots
0 -6
0 -4
0 =5
3
a
4
l&vidence of nutrient or choinical discharges
extensive dischat' es = Q; no disc ' es = max points)
0-5
0 - 4
O-4
5
Group Wit r•dfaefharge
0-3
0 -.4
- no = 0 see ' w+etlands W. = max points)
0- 4
rt
6
Presence of adjacent floodplain
no flood lain = 0 extensive flood lain = max ints
- 4
0 -4
0 -2
Z
7'
Egtregchmedt• /0ood"l3lafn access
doe enttenehed = 0 eat fl iit =max Dints
0 - S'
0-61
0 -- 4
0
b -2
Presence of adjsc$dt v ttaads
no lands = 0f fare 'scent wetland9 - maJi tS
- 4
0 - 2
f�
9aptie
sinuosity
e *pe izadon T.Q�:nattuttl er =max inks
0-5
Q = 4 • -
0-3
2
i
•'
Sediment lnp0t' •'
extensive d pion= 0• little or no seditrient = max is
0 5
0,- 4
0- 4
Z
>
11
Size & diversity-of channel bed substrate
q11
u :
fin homo ous = 0• lar diversesizey = tna7c rots
••y£ - =`rj
''.'., ,,* � �. , *� ,
0 - 4
0-5
Z
` 12
Evidence of channel.idebion or widening
.doe incised = 0• stable bed &banks = max idts
0 .5
0-4-
0-5
'2
+ 13
' Presence of major bank hailures , ,
severe *t!011 = 0• no erogio le, banks ^ •max points)
0-5
0 - 5
0-5
14 -
Moot depth and - density on banks
no visible mots= 0, mots , u out = maai Intl• . ,
0-3
0 - 4•
0-5
Z
1S
Impact bj ngticulture, livest"k, or timbei prydactlon
u tial ini =0- no evifte a =' max
0 - 5
0 - 4
0 - 5
Z
16
Presence of riffle •po61/t1pp1e- 0jol'co*PIexes'
Y
no tifflOriPPAC3 or DOOIS = d• Well-aW616ped = max points)
0-3
0 -_5
0-6
Z
17
Habitat complexlty
little or no habitat = 0;,freVjnj vat►ed habitats = max rots -
0- 6
0 --6
0-6
Z
1$
Canopy coverage over streambed
no shad' 3T elation = 0• continuous can ax = m ints
0-5
0 - S
0-5
19
Substrate embeddeduess
hy.
d •embedd = 0• loose structure = max )
0-4
0-4
Presence of stream invertebrates (see page 4)
no evidence = 0•• common nwnerous ax tats
0 - 4
0-5
0 - 5
.
;�,�'
: `.' Pr�!S(enC��di�Dlilhltt�iln3
' n ev%denca'� 0*; "tiitiibn fain ' us =max In
0-.4
0-4,
0-4
fibwild = 0.4610010 dutne&us = mag tats
•
0-4
0 - 4
9-4
O
•�•
• - • Evldetice olwifd ' e iisn'
•
o et+id. ce � tip akitllda>rt mcidenee =max iit(a
0- 6.
- • 0 - 5
•0- $
!i*rR .ry'F` '�.tt�'G 7y .. �'i. :.r± � +r
"" }{?i��,��,•'ti�.r
FHC:
�. ;J
These chara&&ictirc swrP nnf oee-A
.k:.:'.c�t.,Z ,+`
- ,. ... .,.. — ...1..,..4.

North Carolina Division of Water Quality - Stream Identification Form; Version 3.1
Date: �f �� �j� Project: Latitude:
Evaluator /�,byvi� Site: Longitude:
Total Points: Other
Stream is at least intermittent l �j , D County: �/\ j 7
if t 19 or perennial if ;t 30 T e.8. Quad Name:
A. Geomorphology (subtotal= f S
18 Continuous bed and bank
Absent
0
Weak
1
Moderate
2
Song
3
2. Sinuosity
0
1
2
0
3. In- channel structure: riffle -pool sequence
0
1
2
3
4. Soil texture or stream substrate sorting
0
1
2
3
5. Activelrelic fioodplain
0
1
1.5
18. Organic debris lines or piles rack lines)
3
6. Depositional bars or benches
0
No 0
2
3
7. Braided channel
0
1
2
3
8. Recent alluvial deposits
0
2
2
3
9 8 Natural levees
0.5
1
2
3
10. Headcuts
0
1
2
3
11. Grade controls
0
0.5
1.5
12. Natural valley or drainageway
0.5
1
1 5
13. Second or greater order channel on existing
USGS or NRCS map or other documented
evidence.
No
0 \
Yes = 3
R_ Hvdrnlnrni I
14. Groundwater flow /discharge
0
1
2
3
15. Water in channel and > 48 hrs since rain, or
-0
2
0
Water in channel - dry or growing season
l%
1
2
3
16. Leditter
1.5
1
2
0.5
0
17. Sediment on plants or debris
0 0.5
1.5
18. Organic debris lines or piles rack lines)
0 0.5
1 1.5
19. Hydric soils (redoximorphic features resent?
No 0
Yes =1.5
C. Biology (Subtotal = )
20". Fibrous roots in channel
3
2
11
0
0. Rooted plants in channel
3
2
0
22. Crayfish
k0i
0.5
1
1.5
23. Bivalves
1
2
3
24. Fish
0.5
1
1.5
25. Amphibians
0
0.5
1
1.5
26. Macrobertthos (note diversity and abundance)
0
0.5
1
1.5
27. Filamentous algae; periphyton
1
2
28. Iron oxid¢ing bacteria/fungus,
0.5
1
3
29'. Wetland plants in streambed
FAC = 0.5; FACW = 0.75; OBL =1.5
SAV = 2.0;
15
Other 0
Items 20 and 21 fnnic M n,e ..� .... s.._,__. _
equouc or wouana plants. 11�
Notes: (use back side of this form for additional notes.) Sketch:
I�Om

N
Legend Figure 1. Project Vicinity Map
Project Study Area Mr. Collymore -Bey Property
1,700
Feet

MVOjL_
i• i •
}
SR - 1500 Macon Embro Road
�•O /ice
Co
:a
Legend Figure 2. Project Study Area - Topo Map
Q Project Study Area Mr. Coilymore -Bey Property
N
A4
eoo
r Feet

AL 41F
I
.. r
a� T
i
-k, t

DIY
d
d
O cr
U)
O_
cp
m
O t
cn
y� cD
t0
A O
O O
W �D
78'4 8"
z
AAn
P
O
V
roa
4
O
7
� m
o 's
§U Nu
N
78'3'39"
N N
W W
b:
N N
W WW
N �^?
78 4'7"
78' 3'37"
_T d.
cd
tD
A
O�
O
o�
m
�z
ah
d
� b
d

Ll

Soil Map - Warren County, North Carolina
Map Unit Legend
Figure 4. Mr. Collyymore -Bey Property
Warren County, North Carolina (NC188)
Map Unit Symbol
Map Unit Name
Acres In AO1
Percent of AO1
ApB
Appling sandy loam, 2 to 8 percent
slopes
14.1
38.6%
CeB
Cecil sandy loam, 2 to 8 percent
slopes
4.0
10.9%
PhC
Pacolet sandy loam, 8 to 15 percent
slopes
0.0
0.0%
WwC
Wedowee sandy loam, 8 to 15
percent slopes
18.5
50.5%
Totals for Area of Interest
36.7
100.056
Natural Resources Web Soil Survey 9 /292009
Conservation service National Cooperative Soil Survey Page 3 of 3

rw YYry
IY `Y"'YVl
1•wrYl Ol v
*Ywvr fO
MM r�r
tlr Y Y.M
�Yv
w� �
lw�i)
p A
ww Ir•
Ywn
Mwp••
l
•p
a 01
Yn . IY•/
yrl
Y+..n.l
r
•p
tl rn
Yn Y
M M/
MwYYI
a
lO
A
N ITl
Ym r•
me••+mnm
al•
MM I7YI
=V
y -
M/ r YrY
TY� Y tiYY/
uw
I i I
yYy
w�.•u r w
�'� ear
4lll
,
0
82 - _
lem d4noa
//
40,
�ROPOE0 LF
5
11.
RCP 1
- l �� j!
•wa ®an wf
C r
• •Iw• n rYr[
• wa ®u wro.
IAp$`'�,
I
IW Iqn•
' 1 1 / �/ -
\i
IYry om � ® •Ylu mil 1
.r.rrl
P h C
+l � nY lur •n
tiw� �
Mq�
ww Ir•
v�iw1
rl�
11 iN
IIMVr v w
LEOE"
yn
yw
N e7
IbY,v r w
r,
"�w'
Axl
pw
u IO
Yry •n.
. o..
an
A
N ITl
Ym r•
me••+mnm
al•
m
pVI
1Iw•rw
-ANO AREAv
uw
I i I
Y M
w�.•u r w
�'� ear
4lll
,
0
82 - _
lem d4noa
//
40,
�ROPOE0 LF
5
11.
rr (sY)
' 1 1 / �/ -
\i
IYry om � ® •Ylu mil 1
.r.rrl
P h C
+l � nY lur •n
w• sn yr Ixe •IU IA anA m• .
, \�
�,:
�
LEOE"
SITE `
/'WS [�� Wxw. pl�l "Yn►F•YtiY'1Y /O(wv Mr i� � r ' I 1
_ `� -_' -'iii'
CeB,' - -WwC= ';�`\ \\ Ap8
i l i I Ir �' 'ter _ -� 17
>
A",
, r I 1 1 ) 1 ' I /oY•Y,a •pq{,ell 1 ,: ,,I \ '4 ', IIIMR Ilya it \, 1\\ \
�f (•, 4 1 I 11 ,ddi i / /ice- 1N�JLANQ hEp. 1 • II, \ 1 ) \I 1 ``
/ 4a.NMas� �T/JK[�A/Ir'OJD
W Wµ
•
rou°a
/ � )``I �
\i
uiiw )s
� Y
+l � nY lur •n
\1
\
�,:
�
LEOE"
, , •,E,
rml•A
- ApB
.. , ,, I I
w� M
-
- - -- —/w•n rA
W Wµ
•
rou°a
/ � )``I �
\i
uiiw )s
� Y
+l � nY lur •n
\1
\
�,:
�
LEOE"
, , •,E,
rml•A
- ApB
.. , ,, I I
w� M
-
- - -- —/w•n rA
"---
wam •A
i -
me••+mnm
\ \ 1
,1 11 /' r ; /
1
-ANO AREAv
awe •I•r IpY
I i I
��
wom pan awl Olo�
�oaal
1 1//
82 - _
lem d4noa
//
40,
�ROPOE0 LF
5
11.
RCP 1
- l �� j!
•wa ®an wf
C r
• •Iw• n rYr[
• wa ®u wro.
`•i 1 \.� =-
swarm le •wra
i I i Lti �.-
a>T••olMllal
1 1
�11101f ®IwIM1 4[
• wa ®ry laml
3ED 70t V.� ` B5 KM B6 '1 'k Z 0\`t \ e , , .6 v / /,- — s/ S2 k
�I I I
1 ' i
r r
( ' t
1 `
Iowonool i t `\ ���".` "ate � -----J �,^ i I \`�`��\ a�ivuK•�Y.aR' ' \1�\ ` \` \` ``\ ' / %! %� ^� \�`�' •- -_-/' j /
ApB I ,
\,�(
1 tl . ,` �� ,, 1 I f (r ,r s � ► Jr� - ---- -' / I , , - ^- 1 � r f t i I `' , � `
' i �,
' � //J I , � /) 1 t � � ice\ i I I 1 14 •1 i�i I .. �r 1 \ `�:` �-----__ i i f ,' ��\ • 1 \ \ \`\ \`` � \�
1� WwC
,
4 S'- - - - - -_" - _J . \� • \�: \IQ \� \ \\ iyry"
\ \,0, / S~ •, / �� F ■�7� ■Mi=
- -- -'�'� � � 1
- - -- = _ ;.� \\ ; �.
��` �' \ 1 �ti_
`\ \ ;
� `\\ 411\, � , y.�� ��(••t�! / r r
:�.1, \; `� -�/ • , -`� , 1 r ; ; ;
r
i , - -, MASTER PLAN
CeB -- V,
�, \; ;.` \`
`;;`�. ___�- _. \;,•liI
\
�,:
, , •,E,
i;-' %- SHEET
2'�
.. , ,, I I
m
WETL( D A EA
t 911FFF�R ZONE 2 r
\ \ 1
-ANO AREAv
_ c =- _/_
t I �/ I
1 17Rj`E1 11 •UT2`r
F Z :NE•1 I i I i
I
I i It I
82 - _
, —�
//
40,
�ROPOE0 LF
5
11.
RCP 1
3ED 70t V.� ` B5 KM B6 '1 'k Z 0\`t \ e , , .6 v / /,- — s/ S2 k
�I I I
1 ' i
r r
( ' t
1 `
Iowonool i t `\ ���".` "ate � -----J �,^ i I \`�`��\ a�ivuK•�Y.aR' ' \1�\ ` \` \` ``\ ' / %! %� ^� \�`�' •- -_-/' j /
ApB I ,
\,�(
1 tl . ,` �� ,, 1 I f (r ,r s � ► Jr� - ---- -' / I , , - ^- 1 � r f t i I `' , � `
' i �,
' � //J I , � /) 1 t � � ice\ i I I 1 14 •1 i�i I .. �r 1 \ `�:` �-----__ i i f ,' ��\ • 1 \ \ \`\ \`` � \�
1� WwC
,
4 S'- - - - - -_" - _J . \� • \�: \IQ \� \ \\ iyry"
\ \,0, / S~ •, / �� F ■�7� ■Mi=
- -- -'�'� � � 1
- - -- = _ ;.� \\ ; �.
��` �' \ 1 �ti_
`\ \ ;
� `\\ 411\, � , y.�� ��(••t�! / r r
:�.1, \; `� -�/ • , -`� , 1 r ; ; ;
r
i , - -, MASTER PLAN
CeB -- V,
�, \; ;.` \`
`;;`�. ___�- _. \;,•liI
\
�,:
W
� b
a
✓ alaw.1
CLEMENT
COLLYMORE•BEY
PROPERTY
MACON EMBRO ROAD
JUDKINS TOWNSHIP
WARREN COUNTY, NC
OWNER/DEVELOPER
CLEMENT
COLLYMORE -BEY
1151 MACON EMBRO ROAD
MACON NC 27551
REVNIONS
MAMIR
PLAN
FIGURE 5

t r
/
/
- - r
/ r
/ 1
/
t
, t
,
' `80
I r -N,- _ `\
� 7
t
ea. bw,
b.Owwe tpw
IY� Irr
t16 r bwwl
w�irwY
te�pwrf
mi tr,wl
r A
it M
Oww�
blrlr,l
rml
b
a Oy
q 6 1„r
yri
br,rtil
brwb,lra
Mbtb
r
Nr
,W OL,
I,rrlrl
q
Ob
a
nto
wb o,r
,a
sa
t r
/
/
- - r
/ r
/ 1
/
t
, t
,
' `80
I r -N,- _ `\
� 7
t
ea. bw,
y'+'b
r.wwr or�w
rrwn
4n r wa
Ar w r.bl
bmr wb
�
e� r
tew�wA
mi tr,wl
r
r/Yl
it M
r>ieNr
I+.e
01w)
rti
(ww
IM1
rml
•...rra
r
W
I
eon
brwb,lra
Mbtb
r
Nr
/
wy er
r
m
a
nto
wb o,r
]r
m
1
I
0
1
t r
/
/
- - r
/ r
/ 1
/
t
, t
,
' `80
I r -N,- _ `\
� 7
t
ea. bw,
1
bbbn
O�wI 1D
r
r/Yl
it M
r>ieNr
I+.e
01w)
rti
(ww
IM1
rml
•...rra
r
W
I
eon
brwb,lra
Mbtb
r
Nr
/
wy er
r
m
a
nto
wb o,r
]r
m
1
I
0
1
I.eu
,w
tw
t r
/
/
- - r
/ r
/ 1
/
t
, t
,
' `80
I r -N,- _ `\
� 7
t
ea. bw,
\°bzy
bbbn
O�wI 1D
r
r/Yl
it M
r>ieNr
I+.e
01w)
rti
(ww
IM1
rml
•...rra
1
W
p
eon
brwb,lra
Mbtb
NV
Nr
o to
wy er
Ir.e n..
m
a
nto
wb o,r
]r
m
I.eu
,w
tw
er. wwYe
law
son
ART C
)lt
ZON ,
t
BUFFER BONE 2,-
, I \
` I 1
7—c+ ' ' CVB
i;l ST T E14,
N! A -80
ND AREA
©� BUFFER ZONE 2 r natY \
1 UOER ZONE 1 /, _ 1 _
t AND1IAREA '1 1
- 'TOP OF @ANKk N- - -� -- - -_ -_- --- --'
t f _
3,14,\\ \ , 0 -L.� -- .77 - - -=
1 TOP OF BANK , ( _ 3 P
�,
I i i BUFFER ZONE, l ,� ,y ` EEA
R POS`EO D �70t LF
lz
�- - OF 36�
4FFER kONE 2 ; S3 F` \`ice -.ar• ` _ - -- - L D
PROPOSED '8' ROAD/ 1', 1 B3 `� 1 - `94 B2
1 St ROAD PROPOSED 18' i6 -4 _
I t ! ,
= -1 �` - 1 I 1 \`
uw�w. a a,iu ``_ _ \ ♦ `.eruct iwu 16 ones j ; \ \ � `� I
a »a - ro eee `
.e *u,,ro,o,°gm °-- ` �1ClI�Ittt����yy�yy.— Slti�' % ; ' 81 `END
,�� �„ � �►� 1\ ; BUFFER ZONE 2
Ap B
O e is t wwck
y,
SITE30OW"
/ /
7 A
/ A j
en1 I
I 1+ ,an .c
I � gun ♦c ; j
J� 9 � !
---- --- -a "n ¢ /
_I 'N
PROPOSED 18' ROAD'` `�_ - �o'�i
START --'- m
ae sn -K]a
TLAND�AREA,
�UFFER ONE \�----- - - - - --
t�` BUFFED ZONE 1
®Keolef WA, M. .
°tls"""�
1 111
W
PROJECT'
CLEMENT
COLLYMORE -BEY
PROPERTY
MACON EMBRO ROAD
.,UOKINS TOWNSHIP
WARREN COUNTY, NC
OWNER /DEVEI DpER
CLEMENT
COLLYMORE -BEY
1151 MACON EMBRO ROAD
MACON NC 27551
IMPACT PLAN
OLRAAN INO
'� FIGURE 6
O,w 4w bOn trrq 1 0
hY O� tiv OYbr bw] w '
r
/
e0,le 101e l
.
1
1
I
1
1
w,11wr w
1
I
,
1 r
` I 1
7—c+ ' ' CVB
i;l ST T E14,
N! A -80
ND AREA
©� BUFFER ZONE 2 r natY \
1 UOER ZONE 1 /, _ 1 _
t AND1IAREA '1 1
- 'TOP OF @ANKk N- - -� -- - -_ -_- --- --'
t f _
3,14,\\ \ , 0 -L.� -- .77 - - -=
1 TOP OF BANK , ( _ 3 P
�,
I i i BUFFER ZONE, l ,� ,y ` EEA
R POS`EO D �70t LF
lz
�- - OF 36�
4FFER kONE 2 ; S3 F` \`ice -.ar• ` _ - -- - L D
PROPOSED '8' ROAD/ 1', 1 B3 `� 1 - `94 B2
1 St ROAD PROPOSED 18' i6 -4 _
I t ! ,
= -1 �` - 1 I 1 \`
uw�w. a a,iu ``_ _ \ ♦ `.eruct iwu 16 ones j ; \ \ � `� I
a »a - ro eee `
.e *u,,ro,o,°gm °-- ` �1ClI�Ittt����yy�yy.— Slti�' % ; ' 81 `END
,�� �„ � �►� 1\ ; BUFFER ZONE 2
Ap B
O e is t wwck
y,
SITE30OW"
/ /
7 A
/ A j
en1 I
I 1+ ,an .c
I � gun ♦c ; j
J� 9 � !
---- --- -a "n ¢ /
_I 'N
PROPOSED 18' ROAD'` `�_ - �o'�i
START --'- m
ae sn -K]a
TLAND�AREA,
�UFFER ONE \�----- - - - - --
t�` BUFFED ZONE 1
®Keolef WA, M. .
°tls"""�
1 111
W
PROJECT'
CLEMENT
COLLYMORE -BEY
PROPERTY
MACON EMBRO ROAD
.,UOKINS TOWNSHIP
WARREN COUNTY, NC
OWNER /DEVEI DpER
CLEMENT
COLLYMORE -BEY
1151 MACON EMBRO ROAD
MACON NC 27551
IMPACT PLAN
OLRAAN INO
'� FIGURE 6

ti, rra
T.ywr (7
wi.r� wr
iM r ti.Y
pr'„rn
M .Y)
r
f�'0
n m
rr Yw.
r..w
rarrr
n
sa
kpT
IYa
n M
ro� r ro
ya
rm
`
wa as
rarYU.,I
I'�'Yi w
.,,
n
rm
U"—
ar
po
f
I `71
\I
2' -3
1
� I
i I
II ,
' I
>�3'— 4
D-
a.w.I.M
Y �riN.l
ti„p,,,, m �
Twwr Rl
rr. r arw
Tw r Oars
Yr11a .Ya
Mb
4: y
far �Y)
r
f�'0
w�wna'
rr Yw.
tom.
r.0
w
rl
VI
roar r ro
kpT
IYa
n M
ro� r ro
ya
irr
arl
u m
wnn r
I'�'Yi w
m
n
rm
U"—
ar
po
Tw rrr
r.w fw.Y
0
f
I `71
\I
2' -3
1
� I
i I
II ,
' I
>�3'— 4
D-
a.w.I.M
aYn
tr \
ar
w,...r,rl-
4+n Rl
w�wna'
rr Yw.
tom.
r.0
w
rl
VI
roar r ro
kpT
IYa
n M
ro� r ro
ya
irr
arl
u m
wnn r
I'�'Yi w
m
n
rm
U"—
ar
po
a11/
arp arr
lair
ama
`` 11 wC `
Irw
�`� m1x -oo n• „ 1
1 `\
ApB
SITE3000#"
D-
WeTLAND AR�A
I�FF96 JO' NE NE
`, 86 \ PROPOSED 18' RI '
\ \
Sp \ PUFFgR �ONE.2 0
\
N� 5`7 1 \ \ \ ♦
BUFkR ZONE 1
wwC ;,� ` \ P
'fat 06A
� 1
1 \ \ 1
1
1
� i I
K T .:ams Yaia
aIr -ro.1.
1
I
i \
T
RVna T . .01 a& WM
m -.aTa
TV YV w a `
\
\1
®T 6Ef0AE rlTW r0.
1aN aalr naaCytl 6�sr, ra
olo o ae me— [w Eftl
FOIaOfJIr
IMPACT PLAN
e To
aot. •_ w
r
W
PROJECT
CLEMENT
COLLYMORE•BEY
PROPERTY
MACON EMBRO ROAD
JUDKINS TOWNSHIP
WARREN COUNTY, NC
OWNER /OFVELOPER
CLEMENT
COLLYMORE•BEY
1151 MACON EMBRO ROAD
MACON NC 27551
R RVTRlnm.q
I
p
% P VINO
FIGURE 7

UTILITY TRENCH
TEMPORARY IMPACT
EXISTING
GROUND
SURFACE
RESTORE GRADE TO
EXISTING CONDITIONS
LMLFrY
LIMITS OF EXISTING
WETLAND/STREAM
Fl"W a-, TYPICAL TEMPORARY UTILITY CROSSING SECTION
NTS

FILL z— PROPOSED ROAD
STORM DRAIN, '
, ,.•.; , •.a;
t;_;; '''''�:..� tip• ..:' .PIPE
EXISTING
GROUND
SURFACE
LIMITS OF EXISTING
STREAM CHANNEL
1r1&3 1 IM'Y---TYPICAL ROAD CROSSING SECTION AT STREAM
NTS

I
A=Lv-,v-wAA TA EWR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Clement Collymore -Bey
1151 Macon Embro Road
Macon, NC 27551
Division of Water Quality
Coleen H. Sullins
Director
November 3, 2010
Subject Property: Collymore -Bey Property
Ut to Little Fishing Creek [030304,29-79-25, C, NSW]
Dee Freeman
Secretary
DWQ Project # 10-0 141, Ver. 2
Warren County
Approval of 401 Water Quality Certification and Authorization Certificate per the Tar - Pamlico River
Buffer Protection Rules (15A NCAC 2B.0259) with Additional Conditions
Dear Mr. Collymore -Bey:
You have our approval, in accordance with the attached conditions and those listed below, to place fill within or
otherwise impact 125 linear feet of intermittent stream (115 linear feet permanent impact and 10 linear feet
temporary impact), and 10,168 square feet of Zone 1 Tar - Pamlico River basin protected riparian buffers and
7,022 square feet of Zone 2 Tar - Pamlico River basin protected riparian buffers, as described in your application
dated August 30, 2010, and received by the Division of Water Quality (DWQ) on September 21, 2010, with
additional information received on October 12, 2010, and October 25, 2010, to construct the proposed
residential subdivision at the site.
After reviewing your application, we have decided that the impacts are covered by General Water Quality
Certification Number(s) 3821(GC3821). The Certification(s) allows you to use Nationwide Pernnit(s) NW29
when issued by the US Army Corps of Engineers (USACE). This letter shall also act as your approved
Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B .0259. In addition,
you should obtain or otherwise comply with any other required federal, state or local permits before you go
ahead with your project including (but not limited to) Erosion and Sediment Control, and Non - discharge
regulations. Also, this approval to proceed with your proposed impacts or to conduct impacts to waters as
depicted in your application shall expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your project,
you must notify us and you may be required to send us a new application. If the property is sold, the new owner
must be given a copy of this Certification and approval letter and is thereby responsible for complying with all
conditions. If total fills for this project (now or in the future) exceed one acre of wetland or 150 linear feet of
stream, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h). This approval
requires you to follow the conditions listed in the attached certification and any additional conditions
listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
401 oversighl(Emess Review Permdm Unit
1650 Mail Service Center, Raleigh, North Carolina 276931650
Location: 2321 Crabtree Blvd., Suite 250, Raleigh. North Carolina 27604
Phone* 919 - 733.17861 FAX [phone]
Internet: httpJ /portal ncdenco%hveW wg/ws
An Equal Opportunity 1 Affirmative Action Employer

Mr. Clement Collymore -Bey
Page 2 of 5
November 3, 2010
The following impacts are hereby approved as long as all of the other specific and general conditions of
this Certification (or Isolated Wetland Permit) are met. No other impacts are approved including
incidental impacts:
Type of Impact
Amount Approved nits
Plan Location or Reference
Stream - intermittent
125 [(linear feet) 115 linear
feet permanent impact and 10
linear feet temporary impact]
PCN Application page 5 of 11
Buffers Zone 1
10,168 s uare ft
PCN Application page 6 of 11
Buffers Zone 2
7,022 (square ft.
PCN Application pa&e 6 of 11
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre- Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water quality standards, statutes,
or rules occur.
3. Sediment and Erosion Control Measures
Sediment and erosion control measures shall not be placed in wetlands or waters without prior approval
from the Division. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, design and placement of temporary erosion control measures shall not be conducted in a
manner that may result in dis- equilibrium of wetlands or stream beds or banks, adjacent to or upstream
and down stream of the above structures. All sediment and erosion control devices shall be removed and
the natural grade restored within two (2) months of the date that the Division of Land Resources or locally
delegated program has released the project.
Erosion and sediment control practices must be in full compliance with all specifications governing the
proper design, installation and operation and maintenance of such Best Management Practices in order
to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Sediment and
Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow sites, and waste pile (spoil) projects, including contractor -owned or
leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
storinwater routing and treatment shall be on site at all times.
4. Protective Fencing
The outside buffer, wetland or water boundary and along the construction corridor within these
boundaries approved under this authorization shall be clearly marked with orange warning fencing (or
similar high visibility material) for the areas that have been approved to infringe within the buffer,
wetland or water prior to any land disturbing activities;

Mr. Clement Collymore -Bey
Page 3 of 5
November 3, 2010
S. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands, waters
and protective buffers in order to assure compliance for future wetland, water and buffer impact. These
mechanisms shall be put in place at the time lots or properties are recorded. A sample deed notification
can be downloaded from the 401/Wetlands Unit web site at:
http :/ /portal.ncdenr.or¢/c/document library /get file ?uuid= ef84d0el -5fc9 -4183 87b5
2P9d7ebl52e0&g oW1d= 38364. The text of the sample deed notification maybe modified as
appropriate to suit to this project.
6. Culvert Installation
All work in or adjacent to stream waters shall be conducted in a dry work area. Approved BMP measures
from the most current version of NCDOT Construction and Maintenance Activities manual
(bttp://www.ncdot.orgLdoh/operations/BMP manual/downloadBMP Manual .pd
such as sandbags, rock berms, cofferdams and other diversion structures shall be used to prevent excavation
in flowing water.
Culverts required for this project shall be installed in such a manner that the original stream profiles are
not altered. Existing stream dimensions (including the cross section dimensions, pattern, and longitudinal
profile) must be maintained above and below locations of each culvert. Culverts shall be designed and
installed to allow for aquatic life movement as well as to prevent head cutting of the streams. If any of
the existing pipes are or become perched, the appropriate stream grade shall be re- established or, if the
pipes installed in a perched manner, the pipes shall be removed and re- installed correctly.
Culvert(s) shall not be installed in such a manner that will cause aggradation or erosion of the stream up
or down stream of the culvert(s). Existing stream dimensions (including the cross section dimensions,
pattern and longitudinal profile) shall be maintained above and below locations of each culvert.
Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed by one foot for all culverts with a diameter greater than 48 inches, and 20
percent of the culvert diameter for culverts having a diameter less than 48 inches, to allow low flow
passage of water and aquatic life. Design and placement of culverts and other structures including
temporary erosion control measures shall not be conducted in a manner that may result in dis- equilibrium
of wetlands or streambeds or banks, adjacent to or upstream and down stream of the above structures. The
applicant is required to provide evidence that the equilibrium shall be maintained if requested in writing
by DWQ.
The establishment of native, woody vegetation and other soft stream bank stabilization techniques must
be used where practicable instead of rip rap or other bank hardening methods. If rip -rap is necessary, it
shall not be placed in the stream bed, unless specifically approved by the Division of Water Quality.
Installation of culverts in wetlands must ensure continuity of water movement and be designed to
adequately accommodate high water or flood conditions.
7. Diffuse Flow
Per the requirements of the Tar - Pamlico Riparian Buffer Rule, all new stormwater conveyances (such
as the road ditches) must meet diffuse flow requirements through the use of a level spreader or another
appropriate BMP. Level spreader design requirements are set forth in Chapter 8 of the North Carolina
Stormwater BAD Manual, available at: hgg: / /vortal.ncdenr.or web /wq/ws/su/bmMmanual. Please

I
A=Lv-,v-wAA TA EWR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Clement Collymore -Bey
1151 Macon Embro Road
Macon, NC 27551
Division of Water Quality
Coleen H. Sullins
Director
November 3, 2010
Subject Property: Collymore -Bey Property
Ut to Little Fishing Creek [030304,29-79-25, C, NSW]
Dee Freeman
Secretary
DWQ Project # 10-0 141, Ver. 2
Warren County
Approval of 401 Water Quality Certification and Authorization Certificate per the Tar - Pamlico River
Buffer Protection Rules (15A NCAC 2B.0259) with Additional Conditions
Dear Mr. Collymore -Bey:
You have our approval, in accordance with the attached conditions and those listed below, to place fill within or
otherwise impact 125 linear feet of intermittent stream (115 linear feet permanent impact and 10 linear feet
temporary impact), and 10,168 square feet of Zone 1 Tar - Pamlico River basin protected riparian buffers and
7,022 square feet of Zone 2 Tar - Pamlico River basin protected riparian buffers, as described in your application
dated August 30, 2010, and received by the Division of Water Quality (DWQ) on September 21, 2010, with
additional information received on October 12, 2010, and October 25, 2010, to construct the proposed
residential subdivision at the site.
After reviewing your application, we have decided that the impacts are covered by General Water Quality
Certification Number(s) 3821(GC3821). The Certification(s) allows you to use Nationwide Pernnit(s) NW29
when issued by the US Army Corps of Engineers (USACE). This letter shall also act as your approved
Authorization Certificate for impacts to the protected riparian buffers per 15A NCAC 2B .0259. In addition,
you should obtain or otherwise comply with any other required federal, state or local permits before you go
ahead with your project including (but not limited to) Erosion and Sediment Control, and Non - discharge
regulations. Also, this approval to proceed with your proposed impacts or to conduct impacts to waters as
depicted in your application shall expire upon expiration of the 404 or CAMA Permit.
This approval is for the purpose and design that you described in your application. If you change your project,
you must notify us and you may be required to send us a new application. If the property is sold, the new owner
must be given a copy of this Certification and approval letter and is thereby responsible for complying with all
conditions. If total fills for this project (now or in the future) exceed one acre of wetland or 150 linear feet of
stream, compensatory mitigation may be required as described in 15A NCAC 2H.0506 (h). This approval
requires you to follow the conditions listed in the attached certification and any additional conditions
listed below.
The Additional Conditions of the Certification are:
1. Impacts Approved
401 oversighl(Emess Review Permdm Unit
1650 Mail Service Center, Raleigh, North Carolina 276931650
Location: 2321 Crabtree Blvd., Suite 250, Raleigh. North Carolina 27604
Phone* 919 - 733.17861 FAX [phone]
Internet: httpJ /portal ncdenco%hveW wg/ws
An Equal Opportunity 1 Affirmative Action Employer

Mr. Clement Collymore -Bey
Page 2 of 5
November 3, 2010
The following impacts are hereby approved as long as all of the other specific and general conditions of
this Certification (or Isolated Wetland Permit) are met. No other impacts are approved including
incidental impacts:
Type of Impact
Amount Approved nits
Plan Location or Reference
Stream - intermittent
125 [(linear feet) 115 linear
feet permanent impact and 10
linear feet temporary impact]
PCN Application page 5 of 11
Buffers Zone 1
10,168 s uare ft
PCN Application page 6 of 11
Buffers Zone 2
7,022 (square ft.
PCN Application pa&e 6 of 11
2. No Waste, Spoil, Solids, or Fill of Any Kind
No waste, spoil, solids, or fill of any kind shall occur in wetlands, waters, or riparian areas beyond the
footprint of the impacts depicted in the Pre- Construction Notification. All construction activities,
including the design, installation, operation, and maintenance of sediment and erosion control Best
Management Practices, shall be performed so that no violations of state water quality standards, statutes,
or rules occur.
3. Sediment and Erosion Control Measures
Sediment and erosion control measures shall not be placed in wetlands or waters without prior approval
from the Division. If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, design and placement of temporary erosion control measures shall not be conducted in a
manner that may result in dis- equilibrium of wetlands or stream beds or banks, adjacent to or upstream
and down stream of the above structures. All sediment and erosion control devices shall be removed and
the natural grade restored within two (2) months of the date that the Division of Land Resources or locally
delegated program has released the project.
Erosion and sediment control practices must be in full compliance with all specifications governing the
proper design, installation and operation and maintenance of such Best Management Practices in order
to protect surface waters standards:
a. The erosion and sediment control measures for the project must be designed, installed, operated,
and maintained in accordance with the most recent version of the North Carolina Sediment and
Erosion Control Planning and Design Manual.
b. The design, installation, operation, and maintenance of the sediment and erosion control measures
must be such that they equal, or exceed, the requirements specified in the most recent version of
the North Carolina Sediment and Erosion Control Manual. The devices shall be maintained on all
construction sites, borrow sites, and waste pile (spoil) projects, including contractor -owned or
leased borrow pits associated with the project.
c. Sufficient materials required for stabilization and/or repair of erosion control measures and
storinwater routing and treatment shall be on site at all times.
4. Protective Fencing
The outside buffer, wetland or water boundary and along the construction corridor within these
boundaries approved under this authorization shall be clearly marked with orange warning fencing (or
similar high visibility material) for the areas that have been approved to infringe within the buffer,
wetland or water prior to any land disturbing activities;

Mr. Clement Collymore -Bey
Page 3 of 5
November 3, 2010
S. Deed Notifications
Deed notifications or similar mechanisms shall be placed on all retained jurisdictional wetlands, waters
and protective buffers in order to assure compliance for future wetland, water and buffer impact. These
mechanisms shall be put in place at the time lots or properties are recorded. A sample deed notification
can be downloaded from the 401/Wetlands Unit web site at:
http :/ /portal.ncdenr.or¢/c/document library /get file ?uuid= ef84d0el -5fc9 -4183 87b5
2P9d7ebl52e0&g oW1d= 38364. The text of the sample deed notification maybe modified as
appropriate to suit to this project.
6. Culvert Installation
All work in or adjacent to stream waters shall be conducted in a dry work area. Approved BMP measures
from the most current version of NCDOT Construction and Maintenance Activities manual
(bttp://www.ncdot.orgLdoh/operations/BMP manual/downloadBMP Manual .pd
such as sandbags, rock berms, cofferdams and other diversion structures shall be used to prevent excavation
in flowing water.
Culverts required for this project shall be installed in such a manner that the original stream profiles are
not altered. Existing stream dimensions (including the cross section dimensions, pattern, and longitudinal
profile) must be maintained above and below locations of each culvert. Culverts shall be designed and
installed to allow for aquatic life movement as well as to prevent head cutting of the streams. If any of
the existing pipes are or become perched, the appropriate stream grade shall be re- established or, if the
pipes installed in a perched manner, the pipes shall be removed and re- installed correctly.
Culvert(s) shall not be installed in such a manner that will cause aggradation or erosion of the stream up
or down stream of the culvert(s). Existing stream dimensions (including the cross section dimensions,
pattern and longitudinal profile) shall be maintained above and below locations of each culvert.
Placement of culverts and other structures in waters, streams, and wetlands must be placed below the
elevation of the streambed by one foot for all culverts with a diameter greater than 48 inches, and 20
percent of the culvert diameter for culverts having a diameter less than 48 inches, to allow low flow
passage of water and aquatic life. Design and placement of culverts and other structures including
temporary erosion control measures shall not be conducted in a manner that may result in dis- equilibrium
of wetlands or streambeds or banks, adjacent to or upstream and down stream of the above structures. The
applicant is required to provide evidence that the equilibrium shall be maintained if requested in writing
by DWQ.
The establishment of native, woody vegetation and other soft stream bank stabilization techniques must
be used where practicable instead of rip rap or other bank hardening methods. If rip -rap is necessary, it
shall not be placed in the stream bed, unless specifically approved by the Division of Water Quality.
Installation of culverts in wetlands must ensure continuity of water movement and be designed to
adequately accommodate high water or flood conditions.
7. Diffuse Flow
Per the requirements of the Tar - Pamlico Riparian Buffer Rule, all new stormwater conveyances (such
as the road ditches) must meet diffuse flow requirements through the use of a level spreader or another
appropriate BMP. Level spreader design requirements are set forth in Chapter 8 of the North Carolina
Stormwater BAD Manual, available at: hgg: / /vortal.ncdenr.or web /wq/ws/su/bmMmanual. Please

P
Mr. Clement Collymore-Bey
Page 4 of 5
November 3, 2010
provide one Level Spreader Supplement Form for each proposed level spreader, also available at the
above web site.
8. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return the attached certificate of
completion to the 401 Oversight/Express Review Permitting Unit, North Carolina Division of Water
Quality, 1650 Mail Service Center, Raleigh, NC, 27699 -1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct impacts
to waters as depicted in your application and as authorized by this Certification, shall expire upon expiration of
the 404 or CAMA Permit.
If you wish to contest any statement in the attached Certification you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the
petition with the Office of Administrative Hearings within sixty (60) days of receipt of this notice. A petition is
considered filed when it is received in the Office of Administrative Hearings during normal office hours. The
Office of Administrative Hearings accepts filings Monday through Friday between the hours of 8:00am and
5:00pm, except for official state holidays. The original and one (1) copy of the petition must be filed with the
Office of Administrative Hearings.
The petition may be faxed - provided the original and one copy of the document is received by the Office of
Administrative Hearings within five (5) business days following the faxed transmission.
The mailing address for the Office of Administrative Hearings is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699 -6714
Telephone: [phone], Facsimile: (919)-431 -3100
A copy of the petition must also be served on DENR as follows:
Ms. Mary Penny Thompson, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699 -1601
Unless such a petition is filed, this Certification shall be final and binding.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act and
the Tar - Pamlico River basin riparian buffer protection rule as described within 15A NCAC 2B .0259. If you
have any questions, please telephone Ian McMillan or Amy Chapman at 919 - 733 -1786.
Sincerely,
Coleen H. Sullins
CHS /ijm

P
Mr. Clement Collymore-Bey
Page 4 of 5
November 3, 2010
provide one Level Spreader Supplement Form for each proposed level spreader, also available at the
above web site.
8. Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer
Rules, and any subsequent modifications, the applicant is required to return the attached certificate of
completion to the 401 Oversight/Express Review Permitting Unit, North Carolina Division of Water
Quality, 1650 Mail Service Center, Raleigh, NC, 27699 -1650.
Violations of any condition herein set forth may result in revocation of this Certification and may result in
criminal and/or civil penalties. The authorization to proceed with your proposed impacts or to conduct impacts
to waters as depicted in your application and as authorized by this Certification, shall expire upon expiration of
the 404 or CAMA Permit.
If you wish to contest any statement in the attached Certification you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the
petition with the Office of Administrative Hearings within sixty (60) days of receipt of this notice. A petition is
considered filed when it is received in the Office of Administrative Hearings during normal office hours. The
Office of Administrative Hearings accepts filings Monday through Friday between the hours of 8:00am and
5:00pm, except for official state holidays. The original and one (1) copy of the petition must be filed with the
Office of Administrative Hearings.
The petition may be faxed - provided the original and one copy of the document is received by the Office of
Administrative Hearings within five (5) business days following the faxed transmission.
The mailing address for the Office of Administrative Hearings is:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699 -6714
Telephone: [phone], Facsimile: (919)-431 -3100
A copy of the petition must also be served on DENR as follows:
Ms. Mary Penny Thompson, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699 -1601
Unless such a petition is filed, this Certification shall be final and binding.
This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act and
the Tar - Pamlico River basin riparian buffer protection rule as described within 15A NCAC 2B .0259. If you
have any questions, please telephone Ian McMillan or Amy Chapman at 919 - 733 -1786.
Sincerely,
Coleen H. Sullins
CHS /ijm

Mr. Clement Collymore -Bey
Page 5 of 5
November 3, 2010
Enclosures: GC 3821
Certificate of Completion
cc: Lauren Witherspoon, DWQ Raleigh Regional Office
DLR Raleigh Regional Office
USACE Raleigh Regulatory Field Office
File Copy
J. Shearin Dramby, Dramby Environmental Consulting, Inc., 6508 Woodshire Place, Raleigh, NC 27612
Filename: 10U141Ver2Collymore- BeyProperty(Werren)401 TPBR