20110187 Ver 1_Mitigation Plan_20110216

I I
MITIGATION PLAN
SUMMIT SEEP WETLAND MITIGATION SITE
DAVIDSON COUNTY, NORTH CAROLINA
(RFP #16- 002835)
(Contract #003244)
FULL DELIVERY PROJECT
TO PROVIDE WETLAND MITIGATION
IN THE YADKIN RIVER BASIN
CATALOGING UNIT 03040103
Prepared for:
ELCOs stem
ancement
PROGRAM
NC Department of Environment and Natural Reso
Ecosystem Enhancement Program %E%A
1652 Mail Service Center
Raleigh, NC 27699 -1652
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February 2011 aRA

MITIGATION PLAN
SUMMIT SEEP WETLAND MITIGATION SITE
DAVIDSON COUNTY, NORTH CAROLINA
(RFP #16- 002835)
(Contract #003244)
FULL DELIVERY PROJECT
TO PROVIDE WETLAND MITIGATION
IN THE YADKIN RIVER BASIN
CATALOGING UNIT 03040103
Prepared for:
r
o stem
�
E ancemeht
PRU4RAM
NC Department of Environment and Natural Resources
Ecosystem Enhancement Program
1652 Mail Service Center
Raleigh, NC 27699 -1652
Prepared by:
And Axiom Environmental, Inc.
Restoration Systems, LLC
Axiom Environmental, Inc.
1101 Haynes Street, Suite 211
20 Enterprise Street, Suite 7
Raleigh, North Carolina 27604
Raleigh, North Carolina 27607
February 2011

EXECUTIVE SUMMARY
This mitigation plan has been written in conformance with the requirements of the following:
• Federal rule for compensatory mitigation project sites as described in the Federal Register Title
33 Navigation and Navigable Waters Volume 3 Chapter 2 Section § 332.8 paragraphs (c)(2)
through (c)(14).
• NCDENR Ecosystem Enhancement Program In -Lieu Fee Instrument signed and dated July 28,
2010
These documents govern NCEEP operations and procedures for the delivery of compensatory mitigation.
This mitigation report describes the Summit Seep Wetland Mitigation Site (Site) and is designed
specifically to assist in fulfilling North Carolina Ecosystem Enhancement Program wetland restoration
goals. The Site is located within 14 -digit Cataloging Unit 03040103020010 approximately 5 miles
southwest of Lexington, in western Davidson County (Figures 1 and 2). The Site encompasses
approximately 6.9 acres of land used as pasture. Within the Site, 4.1 acres of nonriparian hydric soil have
been cleared and ditched. A total of 4.0 Nonriparian Wetland Mitigation Units (WMUs) are being
offered, as depicted in the following table.
The Site is encompassed within one parcel owned by the Parson family (Hillcrest Farms). The Site is
situated upslope from the western edge of the floodplain of an unnamed tributary to North Potts Creek.
The 6.9 -acre Site has been cleared of native forest vegetation, ditched and drained to remove groundwater
hydrology from a spring and hillside seeps on the western edge of the Site, and is currently utilized as
pasture. Based on preliminary analyses, the Site is best suited for the removal of livestock and restoration
of a natural, nonriparian wetland system, by filling ditches and diverting hydrology from a spring across
the Site.
The Site is located upslope from an unnamed tributary to North Potts Creek, which has been assigned a
Best Usage Classification of C and is Fully Supporting its intended uses. The Site is located within
Targeted Local Watershed 03040103020010.
The primary goals of this nonriparian wetland restoration project focus on improving water quality,
enhancing flood attenuation, and restoring wildlife habitat and will be accomplished by the following.
1. Remove nonpoint sources of pollution associated with vegetation maintenance including a) the
cessation of broadcasting fertilizer, pesticides, and other agricultural chemicals into and adjacent
to Site drainage ditches and b) providing a vegetated wetland to aid in the treatment of runoff.
2. Restore wetland hydroperiods that satisfy wetland jurisdictional requirements and approximate
the Site's natural range of variation.
3. Promote floodwater attenuation by filling ditches and enhancing groundwater storage capacity.
4. Restore and reestablish natural community structure, habitat diversity, and functional continuity.
5. Enhance and protect the Site's full potential of wetland functions and values in perpetuity.
TABLE OF CONTENTS
Summit Seep Wetland Mitigation Site Executive Summary
Mitigation Plan
February 2011
Acres
Percentage of WMUs
Nonri arian WMUs
Nonri arian Wetland Restoration
3.914
98%
3.914
Nonri arian Wetland Enhancement
0.186
2%
0.093
Total
4.1
Total Nonri arian WMUs
4.0
The Site is encompassed within one parcel owned by the Parson family (Hillcrest Farms). The Site is
situated upslope from the western edge of the floodplain of an unnamed tributary to North Potts Creek.
The 6.9 -acre Site has been cleared of native forest vegetation, ditched and drained to remove groundwater
hydrology from a spring and hillside seeps on the western edge of the Site, and is currently utilized as
pasture. Based on preliminary analyses, the Site is best suited for the removal of livestock and restoration
of a natural, nonriparian wetland system, by filling ditches and diverting hydrology from a spring across
the Site.
The Site is located upslope from an unnamed tributary to North Potts Creek, which has been assigned a
Best Usage Classification of C and is Fully Supporting its intended uses. The Site is located within
Targeted Local Watershed 03040103020010.
The primary goals of this nonriparian wetland restoration project focus on improving water quality,
enhancing flood attenuation, and restoring wildlife habitat and will be accomplished by the following.
1. Remove nonpoint sources of pollution associated with vegetation maintenance including a) the
cessation of broadcasting fertilizer, pesticides, and other agricultural chemicals into and adjacent
to Site drainage ditches and b) providing a vegetated wetland to aid in the treatment of runoff.
2. Restore wetland hydroperiods that satisfy wetland jurisdictional requirements and approximate
the Site's natural range of variation.
3. Promote floodwater attenuation by filling ditches and enhancing groundwater storage capacity.
4. Restore and reestablish natural community structure, habitat diversity, and functional continuity.
5. Enhance and protect the Site's full potential of wetland functions and values in perpetuity.
TABLE OF CONTENTS
Summit Seep Wetland Mitigation Site Executive Summary
Mitigation Plan
February 2011

1.
Restoration Project Goals and Objectives --------------------------------------------------------------------------------
1
2.
Site Selection -------------------------------------------------------------------------------------------------------------------------
1
Figure3
2.1 Directions ------------------------------------------------------------------------------------------------------------------
1
Figure 4
2.2 Site Selection -------------------------------------------------------------------------------------------------------------
1
Figure 5
2.3 Physiography and Land Use,--------------------------------------------------------------------------
- - - - -- - - - - - -2
FigureA
2.4 Water Quality______________________ --------------------------------------------------------------------------------------
2
Figure B
2.5 Soil and Land Form
2
Figure C
2.6 Protected Species
2
3.
Site Protection Instrument ------------------------------------------------------------------------------------------------------
9
3.1 Site Protection Instrument(s) Summary Information----------------------- -------------------
-- --- ----- -9
4.
Baseline Information --------------------------------------------------------------------------------------------------------------
10
5.
Determination of Credits --------------------------------------------------------------------------------------------------------
11
6.
Mitigation Work Plan---------------------------------------------------------------------------------------------------------
- - - -12
6.1 Target Stream Type(s), Wetland Type(s), and Plant Communities__ _______________________________
12
6.2 Design Parameters -----------------------------------------------------------------------------------------------
- - - - - - 13
6.3 Data Analysis--------------------------------------------------------------------------------------------------------
- - - -14
7.
Maintenance Plan ------------------------------------------------------------------------------------------------------------------
14
8.
Performance Standards -----------------------------------------------------------------------------------------------------------
15
9.
Monitoring Requirements---------------------------------------------------------------------------------------------------
- - - -16
10.
Long -term Management Plan---------------------------------------------- - - - - -- -----------------------------------------
- - - -17
11.
Adaptive Management Plan------------------------------------------------------------------------------------------------
- - - -17
12.
Financial Assurances --------------------------------------------------------------------------------------------------------------
17
13.
Other Information ------------------------------------------------------------------------------------------------------------------
17
13.1 Definitions ---------------------------------------------------------------------------------------------------------------
17
13.2 References ----------------------------------------------------------------------------------------------------------
- - - - -- 19
APPENDICES
Appendix A. Site Protection Instruments
Appendix B. Baseline Information Data
Appendix C. Mitigation Work Plan Data and Analyses
Appendix D. Project Plan Sheets
Appendix E. Delineation of Existing Wetlands
Appendix F. Performance Bond
LIST OF FIGURES
Figure1
Vicinity Map----------------------------------------------------- - - - - --
-------------------------------------------- - - - - -4
Figure2
Watershed Map ---------------------------------------------------------------------------------------------------
- - - - -- 5
Figure3
Soil Survey---------------------------------------------------- - - - - -- ------------------------------------------------
- - - - -6
Figure 4
Current Condition Plan View- ---------------- ----- --- ----------------
-------------------------------------- - - - - -7
Figure 5
Site Photographs---------------------------------------------------------------------------------------------------
- - - - -8
FigureA
Title Page---------------------------------------------------------------------------------------------
- - - - -- Appendix D
Figure B
Boundary Plan--------------------------------------------------------------------------------------
- - - - -- Appendix D
Figure C
Grading Plan,-----------------------------------------------------------------------------------------
- - - - -- Appendix D
Figure D
Planting Plan-----------------------------=-----------------------------------------------------------
- - - - -- Appendix D
Summit Seep Wetland Mitigation Site Table of Contents page i
Mitigation Plan
February 2011

LIST OF TABLES
Table 1.
NRCS Soils Mapped within the Site ------------ _---------------------------------------------------------------
2
Table 2.
________ _________ ____________
Federally Protected Species for Davidson County--------------------------------------------------------
3
_ _ _ _ ____________ _ _ _ _ _3
Table 3.
Site Parcel Information- ---------------- - - - - -- ------- - - - - -- -- - - - - -- -- - - - - -- -- - - - - --
-- - - - - -- ---------- - - - - -9
Table 4.
Baseline Project Information ------------------------------------------------ _-------------------------------------
10
Table 5.
Site Credit Determination-------------------------------------------------------------------------------------
- - - - -- 11
Table 6.
Reference Vegetation Species----------------------------------------------------------------------
-- --------- - - - -12
Table7.
Planting Plan---------------------------------------------------------------------------------------------------------
- - - -14
Table 8.
Site Maintenance Plan ----------------------------------------------------------------------------------------
- - - -15
Table 9.
Site Monitoring Requirements-------------------------------------------------------------------------------
- --- -16
Summit Seep Wetland Mitigation Site Table of Contents page ii
Mitigation Plan
February 2011

DRAFT Mitigation Plan
Summit Seep Wetland Mitigation Plan
Davidson County, North Carolina
1. RESTORATION PROJECT GOALS AND OBJECTIVES
The 2009 Yadkin Pee -Dee River Basin RBRP identified UUC 03040103020010 as a Targeted Local
Watershed (TLW) (2009 Yadkin Pee -Dee River Basin RBRP, NCEEP 2009). The watershed is
characterized by approximately 21 percent agricultural use with approximately 12 percent of the stream
length located in this watershed identified as impaired for aquatic life according to 2006 DWQ 303(d)
data.
The 2009 Yadkin Pee -Dee River Basin RBRP identified stormwater runoff and other development impacts
as likely contributors to turbidity and chlorophyll violations within this TLW. The Summit Seep Wetland
Mitigation Project was identified as a nonriparian wetland restoration opportunity to improve water
quality, enhance flood attenuation, and to restore wildlife habitat within the TLW.
The project goals address stressors identified in the TLW and include the following:
• Remove nonpoint sources of pollution associated with vegetation maintenance including: -
a. the cessation of broadcasting fertilizer, pesticides, and other agricultural chemicals into and
adjacent to Site drainage ditches; and
b. providing a vegetated wetland to aid in the treatment of runoff.
• Restore wetland hydroperiods that satisfy wetland jurisdictional requirements and approximate the
Site's natural range and variation.
• Promote floodwater attenuation by filling ditches and enhancing groundwater storage capacity.
• Restore and reestablish natural community structure, habitat diversity, and functional continuity.
• Enhance and protect the Site's full potential of wetland functions and values in perpetuity.
The project goals will be addressed through the following project objectives:
• Providing 4.0 Nonriparian Wetland Mitigation Units, as calculated in accordance with the
requirements stipulated in RFP #16- 002835, by restoring 3.914 acres and enhancing 0.186 acres of
nonriparian wetland. This will be accomplished by filling ditches, removing spoil castings,
excluding livestock, redirecting hydrology from a spring across the Site, and planting with native
forest vegetation.
• Protecting the Site in perpetuity with a conservation easement.
2. SITE SELECTION
2.1 Directions to Site
The Site is located within 14 -Digit Cataloging Unit 03040103020010 approximately 5 miles southwest of
Lexington, in western Davidson County. From Raleigh, take I -40 W to 1 -85 S. Continue on 1 -85 S until
exit 88. Turn left onto NC 47 E. Continue on NC 47 E then make a right onto Sam Sharpe Road. The
Site is located approximately 1.4 miles down Sam Sharpe Road on the left.
2.2 Site Selection
The Site is encompassed within one parcel utilized by livestock as pasture. The Site includes 6.9 acres of
land situated upslope from the western edge of an unnamed tributary to North Potts Creek floodplain.
The Site has been cleared of native forest vegetation, ditched and drained to remove groundwater
Summit Seep Wetland Mitigation Site Page 1
Mitigation Plan
February 2011

hydrology from a spring and hillside seeps on the western edge of the Site, and is currently utilized as
pasture (Figure 4).
2.3 Physiography and Land Use
The Site is located in the Southern Outer Piedmont physiographic province of North Carolina. Regional
physiography is characterized by dissected irregular plains, some low rounded hills and ridges, and low to
moderate gradient streams with mostly cobble, gravel, and sandy substrates (Griffith et al. 2002).
Elevations within the Site range from 690 -720 feet National Geodetic Vertical Datum (USGS Lexington
West, NC 7.5- minute topographic quadrangle).
2.4 Water Quality
The Site is located within the Yadkin River Basin in 14 -digit United States Geological Survey (USGS)
Cataloging Unit 03040103020010 of the South Atlantic /Gulf Region (North Carolina Division of Water
Quality [ NCDWQ] subbasin number 03- 07 -04). The Site is located upslope from an unnamed tributary
to North Potts Creek, which has been assigned Stream Index Number 12 -112, a Best Usage Classification
of C, and is Fully Supporting its intended uses ( NCDWQ 2010b). Streams classified as C are suitable for
aquatic life propagation and survival, fishing, wildlife, secondary recreation, and agriculture. Secondary
recreation includes wading, boating, and other uses not involving human body contact with waters on an
organized or frequent basis.
North Potts Creek and its tributaries are not listed on the NCDWQ final 2006 or draft 2008 and 2010
303(d) lists ( NCDWQ 2007, 2008, 2010a). The Site is located within Targeted Local Watershed
03040103020010 (NCEEP 2009).
2.5 Soil and Land Form
Soils that occur within the Site, according to the Soil Survey of Davidson County, North Carolina (USDA
1994) are depicted in Figure 3 and are described in Table 1.
Restorable portions of the Site are predominantly underlain by soils of the Aremenia series. Armenia
soils are "Class A" hydric soils characterized by a dark gray matrix. Soils have been impacted by land
clearing, ditching, and hoof shear from livestock.
Tahle 1 _ NRC'.S Soil% Manned within the Site
Soil Series
Hydric
Status
Family
Description
This series consists of nearly level, poorly drained, slowly
Typic
permeable soils on broad flats or in depressions on uplands, at or
Armenia
Class A
Argioaquolls
near the head of drainage ways, or on floodplains. The seasonal
high water table occurs at a depth of 0.5 -1.5 feet.
Non-
Rhodic
This series consists of well- drained, moderately permeable soils on
Davidson
Hydric
Kandiudults
side slopes in the uplands. The seasonal high water table occurs at
a depth of more than 6 feet.
Detailed soil mapping conducted by licensed soil scientists in February 2010 indicate that 4.1 acres of the
Site is currently underlain by nonriparian hydric soils of the Armenia Series (Figure 4).
2.6 Protected Species
Based on the most recently updated county -by- county database of federally listed species in North
Carolina as posted by the United States Fish and Wildlife Service (USFWS) at http: / /nc-
es.fws.gov /es /countyfr.html, three federally protected species are listed for Davidson County. Table 2
lists the federally protected species and indicates if potential habitat exists within the Site for each
species.
Summit Seep Wetland Mitigation Site Page 2
Mitigation Plan
February 2011

Table 2. Federally Protected Species for Davidson County
Common Name
Scientific Name
Status*
Habitat Present
Within Site
Vertebrates
Bald eagle
Haliaeetus leucocephalus
BGPA
No
Bog turtle
Clemmys muhlenbergh
Threatened (S /A)
Yes
Plants
Schweinitz's sunflower
Helianthus schweinitzii
Endangered
Yes
*Endangered = a taxon "in danger of extinction throughout all or a significant portion of its range "; Threatened = a taxon "likely to become
endangered within the foreseeable future throughout all or a significant portion of its range ", Threatened (S /A) = a species that is threatened due
to similarity of appearance with other rare species and is listed for its protection; these species are not biologically endangered or threatened and
are not subject to Section 7 consultation.
No habitat is present within or adjacent to the Site for bald eagle. Potential habitat occurs within the Site
for bog turtle; however, this species is threatened due to similarity of appearance with another rare species
and is not subject to Section 7 consultation. Habitat for Schweinitz's sunflower is present throughout the
Site in the form of pasture and disturbed forest edges. Surveys for Schweinitz's sunflower were
completed during the optimal survey window between late August and October prior to Site
implementation and no species were found. No Designated Critical Habitat for federally protected
species is documented to occur in Davidson County.
Summit Seep Wetland Mitigation Site Page 3
Mitigation Plan
February 2011

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Figure 5. Site Photographs
Summit Seep Wetland Mitigation Site Page 8
Mitigation Plan
February 2011
Panoramic view of Site looking across the existing pasture to the Northeast.
Panoramic view of Site looking across the existing pasture, along the UT to North Plots Creek.
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Persimmon sapling found in existing pasture.
Among many, a crawfish hole located on Site.
Summit Seep Wetland Mitigation Site Page 8
Mitigation Plan
February 2011

3. SITE PROTECTION INSTRUMENT
3.1 Site Protection Instrument Summary Information
The land required for the construction, management, and stewardship of this mitigation project includes
the following parcel. The Site is currently not protected, but will be done so by the purchase and
subsequent transfer of a conservation easement to the NCEEP during Task 2. Restoration Systems will
await approval of Task 3 before this purchase and transfer is conducted. ,
Table 3. Site Parcel Information
When available, the recorded document will be provided. If the recorded document is not available, the
template document will be provided.
All site protection instruments require 60 -day advance notification to the Corps and the State prior to any
action to void, amend, or modify the document. No such action shall take place unless approved by the
State.
A site protection instrument figure will be completed once a final survey of the Site has been completed,
after the conservation easement is purchased.
Summit Seep Wetland Mitigation Site Page 9
Mitigation Plan
February 2011
Landowner
PIN
County
Site
Deed Book
Acreage
Protection
and Page
protected
Instrument
Number
Parcel A
Hillcrest
6703- 03 -42-
Davidson
Book 1173
6.9
Acres, LLC
2822
Pg. 875
When available, the recorded document will be provided. If the recorded document is not available, the
template document will be provided.
All site protection instruments require 60 -day advance notification to the Corps and the State prior to any
action to void, amend, or modify the document. No such action shall take place unless approved by the
State.
A site protection instrument figure will be completed once a final survey of the Site has been completed,
after the conservation easement is purchased.
Summit Seep Wetland Mitigation Site Page 9
Mitigation Plan
February 2011

4. BASELINE INFORMATION
Table 4. Baseline Proiect Information
Project Information
Project Name
Summit Seep
County _
Davidson
Project Area (acres)
6.9
Project Coordinates (latitude and longitude)
35.76130, 80.33430
Project Watershed Sum mar Information
Physiographic Province
Southern Outer Piedmont
River Basin
Yadkin
USGS Hydrologic Unit 8 -digit
03040103
USGS Hydrologic Unit 14 -digit
03040103020010
DWQ Sub -basin
03 -07 -04
Project Drainage Area, Total Outfall (acres)
51.5
Groundwater Treated by Site (acres)
35.6
Project Drainage Area Percentage of Impervious Area
<3%
CGIA Land Use Classification
Cropland and Pasture
Wetland Summary Information
Parameters
Wetland 1
Size of Wetland (acres)
4.1
Wetland Type (non- riparian, riparian riverine or riparian non
riverine)
Non - riparian
Mapped Soil Series
Armenia silt loam
Drainage class
Class A
Soil Hydric Status
Hydric
Source of Hydrology
Natural Seep
Hydrologic Impairment
Ditches
Native vegetation community
Low Elevation Seep
Percent composition of exotic invasive vegetation
0%
Regulatory Considerations
Regulation
Applicable?
Resolved?
Supporting
Documentation
Waters of the United States — Section 404
No
Waters of the United States — Section 401
No
Endangered Species Act
No
Historic Preservation Act
No
Coastal Zone Management Act [CZMA/Coastal Area Management Act
CAMA
NO
FEMA Floodplain Compliance
No
Essential Fisheries Habitat
No
Summit Seep Wetland Mitigation Site Page 10
Mitigation Plan
February 2011

5. DETERMINATION OF CREDITS
Mitigation credits presented in these tables are projections based upon site design. Upon completion of
site construction the project components and credits data will be revised to be consistent with the as -built
condition.
Table 5. Site Credit Determination
Summit Seep Wetland Mitigation Site Davidson County, Contract # 003244
Miti
ation Credits
Stream
Riparian
Wetland
Non-
riparian
Wetland
Buffer
Nitrogen
Nutrient Offset
Phosphorous
Nutrient Offset
Type
R
RE
R
RE
" %'' :;
i•
Totals
EEW]
Project
Com onents
Project
Component
-or- Reach
ID
Stationing/Location
Existing
Footage /Acreage
Approach
(PI,PII etc.)
Restoration —
or-
Restoration
Equivalent
Restoration
Footage or
Acreage
Mitigation Ratio
Non - riparian
restoration
NA
3.914
NA
Restoration
3.914
1.0
Non - riparian
enhancement
NA
0.186
NA
Enhancement
0.186
0.5
Comp onent Summation
Restoration
Level
Stream
(linear feet)
Riparian
Wetland (acres)
Non -
riparian
Wetland
acres
Buffer
(square feet)
Upland (acres)
4,
Rrverine
Non-
Riverine
F�. "��•'�i
y�..' �'a 'Qi�3s,;
a�, '�''�;�: --���' �'� ..
Restoration
0
0
0
3.914
0
0
Enhancement
'' "J
0
0
0.186
0
0
Enhancement 1
0
Enhancement II
0
,; ,
. ; .
..a . Al
Creation
0
0
0:'
"k• �;
`" ::Q;; i
Preservation
0
0
0
0
_
0
High Quality
Preservation`
0
0
0
0
'•
0
Summit Seep Wetland Mitigation Site Page 1 l
Mitigation Plan
February 2011

6. MITIGATION WORK PLAN
6.1 Target Wetland Type & Plant Communities
The EPA classification of a wetland is based on soil, hydrology, and vegetation characteristics. The
Summit Seep nonriparian wetland restoration project contains Armenia silt loam hydric soil. This soil is
hydrated by year round flow from upland seeps and springs. Restoration efforts aim to reproduce
characteristic pre - disturbed vegetation.
Soils
Hydric A, Armenia silt loam soils are the primary soil type present within this nonriparian wetland
restoration project. Subsoils extend to roughly 45 inches with upper soil layers consisting of very dark
grayish brown sandy clay loam, transitioning to a mottled olive gray and yellowish brown, black sandy
clay loam. Underlying materials are described as multicolored saprolite with a texture of sandy loam
reaching to a depth of 60 inches (USDA 1994)
Hydrology
Armenia silt loam soils are nearly level, slowly permeating and tend to drain poorly. The current ditching
of the Site has capped surface and sub - surface hydrology. Filling ditches will restore hydrology to
characteristic levels expected with Armenia silt loam, fueled by year round hydrology from the Site seep.
Vegetation
Native, nonriparian forest species will be restored within the entire 6.9 -acre Site. Planting vegetation is
proposed to reestablish vegetation community patterns to provide soil stability, habitat for wildlife, and
filter pollutants prior to entering the groundwater table. Planted species composition will mimic Schafale
and Weakley's Classification of the Natural Communities of North Carolina (1990) of a Low Elevation
Seep, supplemented by reference forest and onsite observations (Table 6).
Table 6. Reference Vegetation Species
Schafale and Weakley's
Character Vegetation
Species
Reference Forest Ecosystem & Onsite observations
Armenia silt loam (ArA) & Davidson Loam 8 -25% slope (DdD, DdE) Soils
Canopy Species
Understory Species
Betula nigra
Acer negundo
Asimina triloba
Carpinus caroliniana
Acer rubrum
Cephalanthus occidentalis
Celtis laevigata
Celtis occidentalis
Cornus amomum
Platanus occidentalis
Diospyros virginiana
Crataegus monogyna
Quercus michauxii
Fraxinus pennsylvanica
Juniperus virginiana
Quercus pagoda
Juglans nigra
Sambucus canadensis
Quercus phellos
Liquidambar styraciva
Symphoricarpos orbiculatus
Ulmus americana
Nyssa sylvatica
Pinus taeda
Quercus alba
Quercus phellos
Salix nigra
Ulmus americana
Summit Seep Wetland Mitigation Site Page 12
Mitigation Plan
February 2011

64 Design Parameters
The presence of conditions or characteristics that have the potential to hinder restoration activities on the
Site was evaluated. The evaluation focused primarily on the presence of hazardous materials, utilities and
restrictive easements, rare /threatened /endangered species or critical habitats, and the potential for
hydrologic trespass. Existing information regarding Site constraints was acquired and reviewed. In
addition, any Site conditions that have the potential to restrict the restoration design and implementation
were documented during the field investigation.
No evidence of natural and /or man -made conditions was identified that has the potential to impede
proposed restoration activities.
The primary goals of this restoration concept include:
(1) Enhancement of water quality functions (reduce non -point source nutrient inputs and
sedimentation);
(2) Establishment of a natural nonriparian wetland community;
(3) Restoration of jurisdictional wetland hydrology by filling ditches draining a spring and
hillside seeps; and
(4) Placement of a conservation easement over the site that will encompass and protect all
restoration activities in perpetuity.
Primary activities, designed to restore 3.914 acres and enhance 0.186 acres of nonriparian wetland,
include filling ditches, redirecting hydrology from springs across the Site, excluding livestock, and
planting native, deep rooted forest species (Appendix D).
The Summit Seep Restoration Site encompasses 6.9 acres that have been cleared of native forest
vegetation, ditched and drained to remove groundwater hydrology from a spring and hillside seep on the
western edge of the Site, and is currently utilized as a pasture. Based on detailed mapping conducted by
licensed soil scientists, approximately 4.1 acres of the Site is underlain by nonriparian hydric soils
proposed for nonriparian wetland restoration.
Wetland restoration is designed to restore a fully functioning nonriparian wetland system that will provide
water storage, nutrient cycling, removal of imported elements and compounds, and will create a variety
and abundance of wildlife habitat.
Portions of the Site underlain by nonriparian hydric soils have been impacted by vegetation clearing, ditch
excavation, and hoof shear from livestock. Wetland restoration options will focus on the restoration of
nonriparian hydric soils, forest communities, elevation of groundwater tables, and the reestablishment of
soil structure and microtopographic variations.
Restoration of wetland hydrology and wetland soil attributes will involve 1) ditch cleaning prior to
backfill, 2) ditch plug installation, 3) diverting water from springs across the Site, 4) ditch backfill, and 5)
scarification of soils prior to planting. These activities will restore 3.914 acres and enhance 0.186 acres of
nonriparian wetland at the Site.
Ditch Cleanins;
Ditches identified for backfilling will be cleaned, as needed, to remove unconsolidated sediments.
Removal of unconsolidated sediments is particularly critical in areas where ditch plugs are proposed.
Accumulated sediment within the ditches provides a relatively high permeability material that may act as
a conduit for drainage after restoration. The unconsolidated sediments will be lifted from the channel to
expose the underlying, relatively undisturbed soil material beneath the ditch invert. The unconsolidated
sediment will be incorporated into top soils and spread evenly throughout the Site.
Summit Seep Wetland Mitigation Site Page 13
Mitigation Plan
February 2011

Ditch Plugs
Impermeable ditch plugs will be installed within ditches at critical locations throughout the Site. The
plugs will consist of low density material or permanent hardened structures. If earthen material is used,
each plug will be backfilled in 2 -foot lifts of vegetation -free material and compacted into the bottom of
the ditch. The earthen material may be obtained from adjacent fields through construction of shallow
wetland pools. The plugs will consist of a core of impervious material and shall be of sufficient width
and depth to form an imbedded overlap in the existing ditch banks and ditch bed.
Ditch Backfillina
Ditches will be backfilled using onsite material excavated from spoil piles adjacent to ditches and borrow
material from upland areas within the easement. Where vegetation has colonized fields or spoil areas,
rooting debris will be removed to the maximum extent feasible before insertion of earthen material into
the ditch. The ditches will be filled, compacted, and graded to the approximate elevation of the adjacent
wetland surface.
. Vegetation Planting
Bare -root seedlings of tree and shrub species will be planted within the Site at a density up to 1000 stems
per acre (6.6 -foot centers). Planting will be performed between December 1S` and March 15`h to allow
plants to stabilize during the dormant period and set root during the spring season. Bare -root seedlings
will be hand planted to minimize Site soil disturbance, thus minimizing potential for sedimentation /
siltation runoff from the Site. A total of 6,900 diagnostic tree and shrub seedlings will be planted in
support of Site wetland restoration (Table 7). The entire 6.9 - acre restoration area will be re- vegetated or
supplementally planted during the implementation of this plan.
Table 7. Planting Plan
Vegetation Association (Planting Area)
Low Elevation Seep
Area (acres)
6.9
SPECIES
Total Number Planted
Percentage of Total
American Elm (Ulmus americana)
900
13.04%
Black Gum (Nyssa sylvatica)
900
13.04%
Hackberry (Celtis occidentalis)
900
13.04%
Willow Oak (Quercus phellos)
800
11.59%
American Persimmon (Diospyros virginiana)
800
11.59%
River Birch (Betula nigra)
900
13.04%
Silky Dogwood (Corpus amomum)
900
13.04%
Common Pawpaw (Asimina triloba)
800
11.59%
totals:
6900
100.00%
Summit Seep Wetland Mitigation Site Page 14
Mitigation Plan
February 2011

6.3 Data Analysis
No data has been analyzed, nor has it been necessary to this point. The spring and uphill seepage are the
Sites main groundwater source. Currently these sources of groundwater are collected by the existing
ditches and carried to an unnamed tributary and subsequently off -site to nearby North Potts Creek.
Therefore, groundwater modeling is impractical at this time. Also, a jurisdictional determination was
done and it was determined that hydric soils proposed for restoration are currently drained and those
proposed for enhancement are jurisdictional. Drained soils result from existing ditches. Rehydration will
occur when the ditches are cleaned, plugged, and backfilled.
7. MAINTENANCE PLAN
RS shall monitor the site on a regular basis and shall conduct a physical inspection of the site a minimum
of once per year throughout the post- construction monitoring period until performance standards are met.
These site inspections may identify site components and features that require routine maintenance.
Routine maintenance should be expected most often in the first two years following site construction and
may include the following:
Table 8. Site Maintenance Plan
Component/Feature
Maintenance through project close -out
Wetland
Routine wetland maintenance and repair activities will occur. Areas where stormwater and
floodplain flows intercept the wetland may require maintenance to prevent scour.
Vegetation
Vegetation shall be maintained to ensure the health and vigor of the targeted plant community.
Routine vegetation maintenance and repair activities may include supplemental planting, pruning,
mulching, and fertilizing. Exotic invasive plant species shall be controlled by mechanical and /or
chemical methods. Any vegetation control requiring herbicide application will be performed in
accordance with NC Department of Agriculture (NCDA) rules and regulations.
Site Boundary
Site boundaries shall be identified in the field to ensure clear distinction between the mitigation
site and adjacent properties. Boundaries may be identified by fence, marker, bollard, post, tree -
blazing, or other means as allowed by site conditions and /or conservation easement. Boundary
markers disturbed, damaged, or destroyed will be repaired and/or replaced on an as needed basis.
Utility Right -of -Way
Utility right -of -way within the site may be maintained only as allowed by Conservation Easement
or existing easement, deed restriction, rights of way, or corridor- agreements.
Summit Seep Wetland Mitigation Site Page 15
Mitigation Plan
February 2011

8. PERFORMANCE STANDARDS
Monitoring of Site restoration efforts will be performed until success criteria are fulfilled. Monitoring for
wetland components include hydrology and vegetation.
Hydrology Monitoring
A total of four (4) groundwater monitoring gauges will be installed to take measurements after
hydrological modifications are performed at the Site. Hydrological sampling will continue throughout the
growing season at intervals necessary to satisfy jurisdictional hydrology success criteria (EPA 1990).
Hydrology Success Criteria
Target hydrological characteristics include saturation or inundation for 7.5 percent of the growing season,
during average climatic conditions. During growing seasons with atypical climatic conditions,
groundwater gauges in reference wetlands may dictate threshold hydrology success criteria. These areas
are expected to support hydrophytic vegetation. If wetland parameters are marginal as indicated by
vegetation and /or hydrology monitoring, a jurisdictional determination will be performed.
Vegetation Monitoring
After planting has been completed in winter or early spring, an initial evaluation will be performed to
verify planting methods and to determine initial species composition and density. Supplemental planting
and additional Site modifications will be implemented, if necessary.
During quantitative vegetation sampling, six (6) sample plots (10 -meter by 10- meter) will be installed
within the Site as per guidelines established in CVS -EEP Protocol for Recording Vegetation, Version 4.0
(Lee et al. 2006). In each sample plot, vegetation parameters to be monitored include species
composition and density. Visual observations of the percent cover of shrub and herbaceous species will
be documented by photograph.
Vegetation Success Criteria
An average density of 320 stems per acre of Characteristic Tree Species must be surviving in the first
three monitoring years. Subsequently, 290 Characteristic Tree Species per acre must be surviving in year
4 and 260 Characteristic Tree Species per acre in year 5.
Hydrologic Contingency
Hydrologic contingency may include soil surface modifications such as construction of ephemeral pools
and deep ripping of the soil profile. Recommendations for contingency to establish wetland hydrology
may be implemented and monitored until Hydrology Success Criteria is achieved.
Vegetation Contingency
If vegetation success criteria are not achieved based on average density calculations from combined plots
over the entire restoration area, supplemental planting may be performed with tree species approved by
regulatory agencies. Supplemental planting may be performed as needed until achievement of vegetation
success criteria.
Summit Seep Wetland Mitigation Site Page 16
Mitigation Plan
February 2011

9. MONITORING REQUIREMENTS
Annual monitoring data will be reported using the EEP monitoring template. The monitoring report shall
provide a project data chronology that will facilitate an understanding of project status and trends,
population of EEP databases for analysis, research purposes, and assist in decision making regarding
project close -out.
Table 9. Site Monitoring Reauirements
Required
Parameter
Quanti1y
Frequency
Notes
As per April 2003 USACE
No
Pattern
Wilmington District Stream
annual
Mitigation Guidelines
As per April 2003 USACE
No
Dimension
Wilmington District Stream
annual
Mitigation Guidelines
As per April 2003 USACE
No
Profile
Wilmington District Stream
annual
Mitigation Guidelines
As per April 2003 USACE
No
Substrate
Wilmington District Stream
annual
Mitigation Guidelines
No
Surface Water
As per April 2003 USACE
Hydrology
Wilmington District Stream
annual
Mitigation Guidelines
As per April 2003 USACE
Groundwater monitoring gauges with data
Yes
Groundwater
Wilmington District Stream
annual
recording devices will be installed on site;
Hydrology
Mitigation Guidelines
the data will be downloaded at least every
30 days during the growing season
As per April 2003 USACE
Vegetation will be monitored using the
Yes
Vegetation
Wilmington District Stream
annual
Carolina Vegetation Survey (CVS)
Mitigation Guidelines
protocols
Yes
Exotic and nuisance
te: " ` ArL °; ,> r ` ;. ; " b; ; „;,.;
Location of exotic and nuisance vegetation
vegetation
;.
,a ; ; .
annual
will be mapped
Yes
Project boundary
' .. =`'ti. = =
Semi-
Locations of fence damage, vegetation
f 4
annual
damage, boundary encroachments, etc. will
be mapped
Summit Seep Wetland Mitigation Site Page 17
Mitigation Plan
February 2011

10. LONG -TERM MANAGEMENT PLAN
Upon approval for close -out by the Interagency Review Team (IRT) the site will be transferred to the
EEP. This party shall be responsible for periodic inspection of the site to ensure that restrictions required
in the conservation easement or the deed restriction document(s) are upheld.
11. ADAPTIVE MANAGEMENT PLAN
Upon completion of site construction RS will implement the post - construction monitoring protocols
previously defined in this document. Project maintenance will be performed as described previously in
this document. If, during the course of annual monitoring it is determined the site's ability to achieve site
performance standards are jeopardized, RS will notify the EEP of the need to develop a Plan of Corrective
Action. The Plan of Corrective Action may be prepared using in -house technical staff or may require
engineering and consulting services. Once the Corrective Action Plan is prepared and finalized RS will:
1. Notify the EEP as required by the Nationwide 27 permit general conditions.
2. Revise performance standards, maintenance requirements, and monitoring requirements as
necessary and /or required by the USACE / EEP.
3. Obtain other permits as necessary.
4. Implement the Corrective Action Plan.
5. Provide the EEP a Record Drawing of Corrective Actions. This document shall depict the extent
and nature of the work performed.
12. FINANCIAL ASSURANCES
As required by RFP # 16- 002835 RS will provide a performance bond for 55% of the total value of the
contract to be submitted with this document. This bond will remain in effect until the successful
completion of Task 6. See Appendix E.
13. Other Information
13.1 Definitions
Cataloging Unit ( "CU ") — A geographic area representing part or all of a River Basin and identified by
an 8 -digit number as depicted on the "Hydrologic Unit Map — 1974, State of North Carolina, published by
the U.S. Department of Interior, Geological Survey ".
Categorical Exclusion — Categories of actions that do not individually or cumulatively have a significant
effect on the human or natural environment and for which, therefore, neither an Environmental
Assessment nor an Environmental Impact Statement is required.
Categorical Exclusion Action Form and Document — An abbreviated environmental document,
prefaced by an Action Form, that briefly describes the mitigation site, the plan for its implementation, and
documents that it will have minimal or no impact on the environment.
Conservation Easement — A restriction landowners voluntarily place on specified uses of their property
to protect its natural, productive, or cultural features. It is recorded as a written legal agreement between
the landowner and the "holder" of the easement The State of North Carolina must receive directly from
Summit Seep Wetland Mitigation Site Page 18
Mitigation Plan
February 2011

the landowner a conservation easement as prepared and facilitated by the full delivery provider for all
Ecosystem Enhancement Program full delivery projects.
EEP — The North Carolina Ecosystem Enhancement Program.
Hydrologic Unit ( "HU ") — A geographic area representing a portion of a Cataloging Unit as depicted on
the "Hydrologic Unit Map — 1974, State of North Carolina, published by the U.S. Department of Interior,
Geological Survey," and identified by a 14 -digit number.
Jurisdictional Wetland - A wetland as defined in the 1987 Corps of Engineers Wetlands Delineation
Manual.
Mitigation — The term mitigation, when used throughout this RFP and any subsequent contracts that
may be executed is Compensatory Mitigation. Compensatory Mitigation is defined as those mitigation
activities implemented after all practicable measures to Avoid and Minimize adverse impacts to waters of
the United States have been carried out.
Mitigation Plan — A written document, supplemented with graphics, which describes: the existing site
conditions, the goals and objectives of the project and other pertinent information. The Mitigation Plan is
developed and submitted prior to the implementation of the project.
Morphological description — The stream type; stream type is determined by quantifying channel
entrenchment, dimension, pattern, profile, and boundary materials; as described in Rosgen, D. (1996),
Applied River Morphology, 2nd edition.
Native Vegetation Community — A distinct and reoccurring assemblage a populations of plants, animals,
bacteria and fungi naturally associated with each other and their population; as described in Schafale,
M.P. and Weakley, A.S. (1990), Classification of the Natural Communities of North Carolina, Third
Approximation.
Non - Riparian Wetland — an area underlain with hydric soils that has developed and is located in
interstream divide physiographic areas. The hydrology of non - riverine wetlands is driven by precipitation
and is characterized by groundwater being at or near the surface for much of the year. Must meet US
Army Corps of Engineers wetlands definition (33 CFR 328.3(b)).
Project Area — Includes all protected lands associated with the mitigation project.
REP — Request For Proposals; the document issued by the Department to solicit Proposals from
interested Offerors.
River Basin — The largest category of surface water drainage; there are seventeen (17) river basins in
North Carolina.
Site — Property or properties identified by an Offeror in a Proposal as having potential to provide either
wetland, stream, or buffer mitigation.
USACE — United States Army Corps of Engineers, Regulatory Branch, Wilmington District
USGS — United States Geological Survey.
Summit Seep Wetland Mitigation Site Page 19
Mitigation Plan
February 2011

Wetland Mitigation Unit ( "WMU ") — The unit of measurement of the extent of wetland mitigation
being offered in a Proposal. The WMU value for a Site is the sum of the Restoration acres, one -third of
the Creation acres, one -half of the Enhancement acres, and one -fifth of the Preservation acres.
13.2 References
Environmental Laboratory. 1987. Corps of Engineers Wetlands Delineation Manual. Technical Report
Y -87 -1. United States Army Engineer Waterways Experiment Station, Vicksburg, Mississippi.
Environmental Protection Agency (EPA). 1990. Mitigation Site Type Classification (MIST). EPA
Workshop, August 13 -15, 1989. EPA Region IV and Hardwood Research Cooperative, NCSU,
Raleigh, North Carolina.
Faber - Langendoen, D., Rocchio, J., Schafale, M., Nordman, C., Pyne, M., Teague, J., Foti, T., Comer, P.
(2006), Ecological Integrity Assessment and Performance Measures for Wetland Mitigation.
Griffith, G.E., J.M. Omernik, J.A. Comstock, M.P. Schafale, W.H. McNab, D.R. Lenat, T.F. MacPherson,
J.B. Glover, and V.B. Shelbourne. 2002. Ecoregions of North Carolina and South Carolina.
U.S. Geological Survey, Reston, Virginia.
Lee, M.T., R.K. Peet, S.D. Roberts, and T.R. Wentworth. 2006. CVS -EEP Protocol for Recording
Vegetation. Version 4.0. North Carolina Department of Environment and Natural Resources,
Ecosystem Enhancement Program. Raleigh, North Carolina.
Lindenmayer, D.B., and J.F. Franklin. (2002), Conserving forest biodiversity: A comprehensive
multiscaled approach. Island Press, Washington, DC.
NatureServe, Arlington, Virginia.
North Carolina Division of Water Quality (NCDWQ). 2007. Final North Carolina Water Quality
Assessment and Impaired Waters List (2006 Integrated 305(b) and 303(d) Report) (online).
Available: http://h2o.enr.state.nc.us/tmdl/documents/303d—Report.pdf [February 19, 20101. North Carolina
Department of Environment and Natural Resources, Raleigh, North Carolina.
North Carolina Division of Water Quality (NCDWQ). 2008. Draft North Carolina Water Quality
Assessment and Impaired Waters List (2008 Integrated 305(b) and 303(d) Report) (online).
Available: http: //h2o.enr. state. nc. us /tmdl/ documents /2008Cat4and520100215.pdf [February 19, 2010]. North
Carolina Department of Environment and Natural Resources, Raleigh, North Carolina.
North Carolina Division of Water Quality (NCDWQ). 2010 a. Draft North Carolina Water Quality
Assessment and Impaired Waters List (2010 Integrated 305(b) and 303(d) Report) (online).
Available: http: //h2o.enr.state.nc.us /tmdl /documents /draft 2010_Cat 5.pdf [February 19, 2010]. North
Carolina Department of Environment and Natural Resources, Raleigh, North Carolina.
Summit Seep Wetland Mitigation Site Page 20
Mitigation Plan
February 2011

North Carolina Division of Water Quality (NCDWQ). 2010 b. North Carolina Water Bodies Report
(online). Available: http: //h2o.enr.state.nc.us/bims/ reports / basinsandwaterbodies /03- 07- 04.pdf [February 19,
2010]. North Carolina Department of Environment and Natural Resources, Raleigh.
North Carolina Ecosystem Enhancement Program (NCEEP). 2009. Yadkin -Pee Dee River Basin
Restoration Priorities (online). Available:
http: / /www.nceep .net/services /restplans[Yadkin Pee — Dee _RBRP_2009_Final.pdf [February 19, 2010]. North
Carolina Department of Environment and Natural Resources, Raleigh, North Carolina.
Peet, R.K., Wentworth, T. S., and White, P. S. (1998), A flexible, multipurpose method for recording
vegetation composition and structure. Castanea 63:262 -274.
Rosgen, D. (1996), Applied River Morphology, 2nd edition, Wildland Hydrology, Pagosa Springs, CO.
Schafale, M.P. and A.S. Weakley. 1990. Classification of the Natural Communities of North Carolina:
Third Approximation. North Carolina Natural Heritage Program, Division of Parks and
Recreation, N.C. Department of Environment, Health, and Natural Resources. Raleigh, North
Carolina.
Science Advisory Board. Washington, DC.
Stream Mitigation Guidelines, April 2003, US Army Corps of Engineers Wilmington District.
United States Department of Agriculture (USDA). 1994. Soil Survey of Davidson County, North
Carolina. United States Department of Agriculture, Natural Resource Conservation Service. Fort
Worth, Texas.
Young, T.F. and Sanzone, S. (editors). (2002), A framework for assessing and reporting on ecological
condition. Ecological Reporting Panel, Ecological Processes and Effects Committee. EPA.
Summit Seep Wetland Mitigation Site Page 21
Mitigation Plan
February 2011

APPENDIX A
SITE PROTECTION INSTRUMENT(S)
When available, the recorded document will be provided. If the recorded document is not available, the
template document will be provided. All site protection instruments require 60 -day advance notification
to the Corps and the State prior to any action to void, amend, or modify the document. No such action
shall take place unless approved by the State. A site protection instrument figure will be completed once
a final survey of the Site has been completed, after the conservation easement is purchased.
Summit Seep Wetland Mitigation Site Appendix A
Mitigation Plan
January 2011

APPENDIX B
BASELINE INFORMATION DATA
FHWA Categorical Exclusion Form
FEMA Compliance -EEP Floodplain Requirements Checklist NCEEP Mitigation Plan
Summit Seep Wetland Mitigation Site Appendix B
Mitigation Plan
January 2011

October 13, 2009
Mr. Worth Creech —Project Manager
Restoration Systems, LLC
1101 Haynes Street, Suite 211
Raleigh, North Carolina 27604
Subject: Categorical Exclusion Form for the
Summit Seep Wetland Mitigation Site — Full Delivery Project
Yadkin River Basin — CU# 03040103 — Davidson County
Contract No. 003244
Dear Mr. Creech:
Attached please find the approved Categorical Exclusion Form for the subject full delivery
project. I have approved your invoice, in the amount of $12,812.50 (5% of contract) for
completion of the Task 1. deliverable. Please include a copy of the form in your Restoration Plan.
If you have any questions, or wish to discuss this matter further, please contact me at any time. I
can be reached at (919) 715 -1656, or email me at guypearce @ncdenr.gov
Sincerely,
Guy C. Pearce
EEP Full Delivery Program Supervisor
cc: file
X"t-0 I ... Ekka"... Prote our -ante, AMA
North Carolina Ecosystem Enhancement Program, 1652 Mail Service Center, Raleigh, MC 27699 -1652 / 919 -715 -0476 / wwwnceep.net

Appendix A
Categorical Exclusion Form for Ecosystem Enhancement
Program Projects
Version 1.4
Note: Only Appendix A should to be submitted (along with any supporting documentation) as the
environmental document.
6 Version 1.4, 8/18/05
1: General Proj 6t I
e nformation
Troject Nam
-Summit Seep Wetland Mitigation Site
County Name:
Davidson
EEP Number:
Contract # 003244
Project Sponsor:
Restoration Systems, LLC
Project Contact Name: 'Worth
Creech
Project Contact Address:
1101 Haynes Street, Suite 211, Raleigh, NC 27604
Project Contact E-mail:
[e-mail]
EEP Project Man qer: Jeff Jurek
13�
roject D-
e, Se"e-, , ,r
bi '
unmlt 91 is �A&d-, �I ".644- -06 h 6461103 r X
iMS Pt V 6M,
"WhWescof yp,� ul- WeSMMD Q 'it ately,
P !�§Tjtp i , q
'n ",
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A,
di "" ``Y ""
O-Piatls. elit Y "d on of wetlanct-41y, iiia-I wz vie
i at "A
2
. . . ..... ... .
For Official Use Only
,,R6viewed By:
Date EE"rqJedt Manager
,-Ponditional Approved By:
, Date For Division Administrator'
F,HWA
,,-E] Check this box if there are 'outstanding issues
-:;;Final Approval By:
,Mate -For Division Administrator
FHWA'
6 Version 1.4, 8/18/05

EEP Floodplain Requirements Checklist
This form was developed by the National Flood Insurance program, NC Floodplain
Mapping program and Ecosystem Enhancement Program to be filled for all EEP projects.
The form is intended to summarize the floodplain requirements during the design phase
of the projects. The form should be submitted to the Local Floodplain Administrator
with three copies submitted to NFIP (attn. Edward Curtis), NC Floodplain Mapping Unit
(attn. John Gerber) and NC Ecosystem Enhancement Program.
Project Location
Name of project:
Summit Seep Wetland Mitigation Site
Name of stream or feature:
Unnamed Tributary to North Potts Creek
County:
Davidson
Name of river basin:
Yadkin
Is project urban or rural?
Rural
Name of Jurisdictional
municipality /county:
Davidson County
DFIRM panel number for
entire site:
6703
Consultant naive:
Worth Creech
Phone number:
919- 334 -0114
Address:
1101 Haynes Sheet, Suite 211
Raleigh, NC 27604
FEMA_Floodplain_checklist.doc Pagel of 4

Design Information
Restoration Systems, L.L.C. has contracted with EEP through the full Delivery Process
(RFP #16- 002835) to provide 4.1 Nonriparian Wetland Mitigation Units through the
completion of the Summit Seep Wetland Mitigation Site (Site) located approximately 5
miles southwest of Lexington in western Davidson County. The Site encompasses
approximately 6.9 -acres of land (hereafter referred to as the "Site "), which has been
cleared and ditched, and used as pasture. The Site is situated along an unnamed tributary
to North Potts Creek, a major tributary to the Yadkin River. The Site is located within
DWQ sub -basin 03 -07 -04 of the Yadkin River Basin and is encompassed within USGS
14 -digit Hydrologic Unit and Targeted Local Watershed 03040103020010. The primary
goals of this wetland restoration project focus on improving water quality, enhancing
flood attenuation, and restoring wildlife habitat. Restoration activities include recording
of a permanent conservation easement, plugging and filling of ditches, and replanting of
Site.
Wetland
Area (acres)
Priority
Wetland Area 1
3.914
Non-riparian Restoration
Wetland Area 2
0.186
Non- riparian Enhancement
Floodplain Information
Is project located in a Special Flood Hazard Area (SFHA)?
(- Yes r-'No
If project is located in a SFHA, check how it was detennined:
F Redelineation
F etailed Study
F' Limited Detail Study
• Approximate Study
• Don't know
List flood zone designation:
Check if applies:
Fv AE Zone
Floodway
' Non- Encroachment
r: None
F Zone
FEMA_Floodplain_Checklist.doc Page 2 of

Local Setbacks Required
No Local Setbacks Required
If local setbacks are required, list how many feet:
Does proposed channel boundary encroach outside floodway /non-
encroachment/setbacks?
C' Yes No
Land Acquisition (Check)
f State owned (fee simple)
* Conservation easment (Design Bid Build)
r Conservation Easement (Full Delivery Project)
Note: if the project property is state - owned, then all requirements should be addressed to
the Department of Administration, State Construction Office (attn: Herbert Neily,
(919) 807 -4101)
Is community /county participating in the NF1P program?
Yes C No _
Note: if community is not participating, then all requirements should be addressed to
NFIP (attn: Edward Curtis, (919) 715 -8000 x369)
Name of Local Floodplain Administrator: Ron Triplette
Phone Number: 336- 242 -2231
Floodplain Requirements
This section to be filled by designer /applicant following verification with the LFPA
Iv No Action
F No Rise
i Letter of Map Revision
r Conditional Letter of Map Revision
F Other Requirements
List other requirements:
Comments:
FEi\9A_Floodplain_Checklist.doc Page 3 of 4

CIL
Name:
Signature: Z-".,
Title: 7 > C' Date:
FEiNiIA—Flootiplaiii_Cliecklist.doc Pagc 4 of 4

APPENDIX C
MITIGATION WORK PLAN DATA and ANALYSES
Groundwater Modeling/Hydrologic Budget
No data has been analyzed, nor has it been necessary to this point. The spring and uphill seepage are
the Sites main groundwater source. Currently these sources of groundwater are collected by the
existing ditches and carried to an un -named tributary and subsequently off -site to nearby North Potts
Creek. Therefore, groundwater modeling is impractical at this time. Also, jurisdictional
determination was done and stated that the area is currently dry. This is caused by the existing
ditches. Lateral flow will occur when the ditches are cleaned, plugged, and backfilled. There will be
a slight final grade to the Site causing lateral flow. Groundwater modeling will occur once this lateral
flow is established.
CVS Vegetation Assessment
Vegetation surveys will begin after construction, and be monitored just before, during and just after
the growing season. Based on the Microsoft Access CVS template the Site will hold six (6)
vegetation plots. Four (4) groundwater modeling wells will also be installed during construction.
These wells and plots will be marked and referenced in the Sites as built documents. Planned
vegetation distribution is detailed in Figure D, Appendix D.
Summit Seep Wetland Mitigation Site Appendix C
Mitigation Plan
January 2011

APPENDIX D
PROJECT PLAN SHEETS (11 "x 17 ")
Figure A.
Title Page
Figure B.
Boundary Plan
Figure C.
Grading Plan
Figure D.
Planting Plan
Summit Seep Wetland Mitigation Site Appendix D
Mitigation Plan
January 2011

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APPENDIX E
Notification of Jurisdictional Determination
Summit Seep Wetland Mitigation Site Appendix E
Mitigation Plan
January 2011

Axiom Environmental, Inc.
20 Enterprise .St, Suite 7 Raleigh, Not-th Carolina 27607 919 - 270 -9306, 696 -3015
!Axiom Environmental, Inc.
December 29, 2010
Mr. John Thomas
United States Army Corps of Engineers
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
RE: Section 404 Jurisdictional Area Delineation 10 -017
Summit Seep (Parson Property)
Davidson County, NC
Mr. Thomas:
Axiom Environmental Inc. (Axiom) was contracted by Restoration Systems, LLC to conduct an
assessment of a proposed 6.8 -acre environmental easement (hereafter, the Easement Area) within a
parcel of land, the Parson Property, located 6 miles southwest of Lexington, North Carolina. Axiom
conducted jurisdictional area delineations within Easement Area of the Parson property in October
2010. All jurisdictional areas were delineated in accordance with the methodology established by
the United States Army Corps of Engineers ( USACE) Wetland Delineation Manual (Technical
Report Y -87 -1) and Interim Regional Supplement to the Corps of Engineers Wetland Delineation
Manual: Eastern Mountains and Piedmont Region (ERDC /EL TR- 08 -30), and USACE
Jurisdictional Determination Form Instructional Guidebook.
Axiom identified one (1) perennial stream within the Easement Area, an unnamed tributary (UT) to
North Potts Creek [Second Potts Creek (Figures 1 and 2)]. The perennial stream located within the
proposed conservation easement is a UT to North Potts Creek [North Carolina Division of Water
Quality (NCDWQ) Stream Index Number 12 -112]. All water resources located on the proposed
Easement Area are part of the Yadkin -Pee Dee River Basin USGS Hydrologic Unit (HU)
03040103020010 (Figure 2). A USACE Stream Quality Assessment Worksheet has been completed
for UT to North Potts Creek. The perennial stream corresponds to a 50 -foot reach adjacent to flag
PC15 (as noted on the form). Total length of UT to North Potts Creek within the preliminary
conservation easement is 543 linear feet of perennial stream.
In addition, UT to North Potts Creek Easement Area encompasses approximately 0.3 acre of
wetlands. The approximate location of jurisdictional wetland areas within the Easement Area are
depicted on Figure 4. Wetland Determination Data Forms, NC Wetland Assessment Method
( NCWAM) Field Assessment Form, NCWAM Wetland Rating Sheet (Results), and Approved
Jurisdictional Determination Form have been completed for the wetland area. Wetlands occurring
within UT to North Potts Creek may generally be classified as a palustrine, emergent, persistent
(PEM I).

Axiom Environmental, Inc.
Mr. John Thomas
December 29, 2010
Page 2
Axiom is interested in obtaining USACE verification of all jurisdictional features delineated within
the preliminary conservation easement.
Attached to this letter are the following items:
• Figure 1. Vicinity Map
• Figure 2. Watershed Map
• Figure 3. Soils Map
• Figure 4. Jurisdictional Areas Map
• Figure 5. LiDAR Map
• Figure 6. Contour Map
• Completed USACE Stream Quality Assessment Worksheet
• Completed pair of USACE Wetland Determination Data Forms
• Completed NC Wetland Assessment Method (NCWAM) Rating Sheets (Results)
• Approved Jurisdictional Determination Form
Again, we are interested in obtaining USACE verification of all jurisdictional features that occur
within the proposed conservation easement. Please let me know if you need additional information
or have any questions about the information provided to you in this package. Axiom is happy to
meet you in the field to look at the project if you are interested, and will work with you to schedule a
site visit. Thank you for your assistance with this project.
Sincerely,
AXIOM ENVIRONMENTAL, INC.
Matthew D. Thomas
Senior Scientist
CC: John Preyer, Restoration Systems, LLC

Ir 4
4
S
- - -- _-
Sitp Location
36.76140, - 80.33439 .
(NAD83/WVGS84) J
2
N
a
1 R L't �y
Op Z3
w�f
',.
t r,
Legend f�
Q Easement Area =4= W.
—Road
Background imagery source: r 0 250 500 1,000 1,500 2,000
Lexington West, NC 7.5- minute,
NConeMap.com. '�y� Feet
Prepared for: Project: Title: Drawn by: MDT
Date: DEC 2010 FIGURE
SUMMIT SEEP VICINITY MAP
Scale: 1:6000
A.v,Fmum�k!rL +, I,— I Davidson County, NC I I Project No.: 10 -017

03040101160010
0304010 180020 !
DAVIE
M K ILLE
64 ~� \�
t
C061, MEE
1
03040102030020 0 010202 0
03 102030040__ t
30401020400
1 f 11--,,-- 0304010
01 rr
040102050030 `
601
§PENAR`
02050020
tl040 52
040101170060 WINS ON LEMj - - — N
FORSYTH -
0304 1011 070 WAL RG
t
IDWAY
030401
04VILL`RI
DEN
29 WAN 03 0103010020 ��'�, 0304010304005
GRANIT ARRY
GRANITE QUARRY Legend
CHINA GR FAITH =Easement Area
I_ . Municipality
CHINA 52 L -- i County
C NAG
— Roads
NDIS 15 ELL Targeted Local Watershed
NDIS Summit Seep Targeted Watershed
.0�611 502004A
Background imagery source: 0106020050 0 12,000 24,000 48,000 72,000 96,000
Lexington West. NC 7.5- minute,
NConeMap.com. -- ---- - - - - - -- Feet —
CABARRUS RICHFIELD '
Prepared for: Project: Title: Drawn by: MDT
Date: DEC 2010 FIGURE
SUMMIT SEEP WATERSHED MAP
Scale: 1:250000
A.— H—,:-- .,, —. Project No.: 10 -017
Davidson County. NC

d l r
j'
br 4,
�.
{ . Roca r
4.1 y 4
DdS DdD
2
. -� Legend
Road
„s Easement Area
Soil Series
vas ArA - Altavista fine sandy loam - 5% hydric
DdB - Davidson loam
- DdD - Davidson loam
Background imagery source:
2009 Davidson Co Aerials from - DdE - Davidson loam
NConeMap.com, soil data from
NRCS Soil Data Mart. - MeB - Mecklenburg loam
0 60 120 240 360 480 - MeD - Mecklenburg loam
Feet
Prepared for: Project: Title: Drawn by: MDT
A Date: DEC 2010 FIGURE
SUMMIT SEEP SOILS MAP Scale: 12000 3
—Fv*.w .Yr Davidson County, NC Project No.: 10 -017

c— °y FIGURE
Morn Environmental Summit Seep PhiP
Enterprise Street
SL D e
�1e7 Jusrisdictional Areas ocemberzolo
Raleigh NC, 27607 Davidson County, North Carolina
Ro;sct 4
A. En„,a, tal.Inc. 10-017

USACLAIDU DWQ
Site y
N Pt, - 1 15'
(indioatie m. attached map)
STREAM QUALITY ASM-SMENT WORKSHEET
Pirovkht the *6MITimift, rvabh under rigiessm,
I. Applicant's name: )Lf'4dr44(0Wo' Olionr's
3. Dgte df evaluation: ILl-
4. Tiniie n
...orovaiufitjui;
5. Name of stream: S k w" I' PC- 15, 6. Ritter•basin:
7. Approximate drainage area: Oct, C'e" S 8,. Streoill
or4r..
9. Length of reach evaluated:
I I-Sile coortrtoarcs.(if
known), Praller in decimal degrevx 96bdivist.on ix�e
Ludiude (ex. j4:&j:312)' 3 ffany).,
'?P- 33 y77,
Meth dlocaionorAenn lcd(cirele,).
0 01):S Topo Sheet
13, Location of roach• under evaluation (note nearby ro
oil P-lab
mhi
i.map Id. Ati. 1# HMw
14. Proposed charmet work (if aay),__ owo-
I -55,Recew vveatljcr
A 4
16. She conditions attime of visit. 0 Ile- t a
f 7. ldentifi any special Water%vay
Oassificmtians known: swidn 1.0 Tidal Waters Essential Fisheries Habitat
Trow Waters Outstanding Resource Watur.% �ezisitivt —WR0r,%1.pp1y Watershed
IS. Is there a pond or take located upstream of the, eval0ittiou point? . suttace ate",
19. Does channel appear on USGS ciliad map? ot? NO 10 Does chi ffact apWgr oil USE)A S611 Sarve)0 E NO
11. Est4nated wateis-lied land use: . . elitial. C a
j% Poma3ercii % Illowst-dal
6 % Resid %. Agricultural
30 a/. Forested % Cld0red1 Logged
22. Bankfill width:
24. Cllknoet slope dowti center of struajni. Fiat (0 to 9CR16(1746 4%)
_Steep(>10%)
25. Cliahtle-1 sinuosity.: Straight Aoccusional tvi:nds
Freiypok-
M (Ip�r- —VOTY *#Otis —BraidedAi4iinct
Instructions .for completion of-worksheet (located On page 2}: Dogift Uy d0b"ining.-fik Most ripproprinlc ecotegion based oil
IQGaiiU11L. tomi". Vegetation, Fri-enni q1twific 'bn- cie. AV10y -ahargrtoristic i*jus�r b6 itofed- oing- tho ,Wine eceregioll. Assign poinvc
I0 WIWI' Characteristic within the nmip s.hown for ffic ccoreg . ion. N-gk;'3 previdpi . s a brh�r,ddscrjptjojj of how to review the
characteristics identified in the worksheet, Scores should refl-act On Qvqtfl'll Mse-9shlifill, Of thO stream refic . IT under evaluation. If a
characteristic eannot be ewdunted due to site or weather conditions. en*r'O 'hi (he scaring Wt and provide an explanation in the
comment see-tioh. Whom. there are obvious changes in 11(c dhaMet#r of,a,stf6ani. Mi4or revieW It* stream flows -Itorn a pasture
into a rotest), the 5.tremii nifiv he •lVided into sitAller reaches that d4jay M&e C biltin t 11ity, arrd'a sijorate,t6rn used to evaluate eacil
reach. The total score assigned to a streatn reach. Must rangid betkv(l U11 DAnd TOO, with: a score of 100.1 representing a stream of the
highest quality.
Total Scure (from reverse): S Controents:
'EvatuatojOs
o.-otia d used PAR
to ire U40 —ifurtmentAl protessiona - ti-�n
Win h; atende
gathering the data required by the United States Arily Cqr.ps 1 of Ito -pr 11teut: of streaul
giber
quality The total $.tore rejiul ng from tile con Mi IWAAary alsm
a tpitti . of chi's fol-in is subject to USACCh. al)PM/fIl.and does :nut itiiply 11
particular mitigation ratio or requirement. Forth Subject (Cr Change - version N.M. To Conjulcn(. please Call 919-1176-844 1 x 26.

STREAM QUALITY ASSESSMENT WMIKSHE ET
2
�6
$,coRu
-9
CHARACTERISTICS . . . . . . . . . .
li
Presence or JloW-.J eraisteO pooU.,in Stre"I 0-5
0-4
0-5
(110 AIDW or salumuon WOF19
WidtilJOVI'Vastull"faft 001te. 0-6
0-5
0-5
2
(extensiveallierati.on - 0; no afterfltiOn fROX20ifll',i)
"Oar"jail 7.011C 0-6
0-4
015
(no buffer -.0. COPtiguops, wide- NA Fof� wwpOnts)
i 0-5
EV-(dVnc.j'of-n%j1r'eht or
0-4
0-4
4
(extensive -disc . hargas = 9; ilp discharges = MOX �9ufls)
-L 9-
0-3
0-4
0-4
5
(no discharge, = 0,;.s�PrjP,gs, 1 oeflands, �dd. Wilits)
Presence of uldi 0.4
0-4
0-2
6
ints)
FS
Enwtnoljm�cu -1 t�)�dfilkl Admvs 0 - i
0-4
0
0 7
(deply crilrbaclied frNueflt.,floodhl�, � WAY
--Ficiin—ce 4r, adjaOut-1vetlands 0-6
0 2
(no wetlands = 0; larg. -adjacont m4laqds = -max points)
7
EbiltmO ;1"
0-4
0-3
UGS11h' 0-5
(extensive channelizatipil - 0- natural TnuandPr
0-5
0-4
0-4
no ge4i,1407 P
-17 Q
0 -4
0-5
MO, )01. , ke,-;
lug
0-4
0-5
12
(d!jely iiglgo 0;.!q01e;b4,d A MAY, PqjnU)
0-5
0_ 5
13
(severe RIOXT.0ints)
­­­—
-0-3
0-4
0 - i
14
eVots 0 Alemse -rolvt* theottghoul n)q\. pints)
(no vtsiblc ___
95
: -, r% 4
Impact b or nt a r 0-5
0-4
0-5
1-5
ql?stafttjdl impact. �Oi no -cyid1oncu­--Mqx. P010(s)
011iplexes,
pple_�016 �Cdul 0_-3
0_-�
0-6
1-6
(no riMe-drip'lifl6s or pols;
0-6
1-7
it
frq.q uqp yg m
CAPOPIP - 6OV-011901ovol, 9010IM100 0-5
0-5
0­5
41
Is
1P yl-
WA*
0-11
(4-4
19
[A,4d-= 0IomsOtoipult" Max)
—
jese mdf iftAM It 0-4
0­5
0-i
13
20
(110-.cyl4ehco--�i Q; C P
---
•resence-01 ► 0 Zi.
0-41
0-4
3
21
(to evidence's .; . ofi)
P--s
-
0-4
0-4
0-4
0
(111D evidet)dc -_�- Oil' cOM1116ni 00'GrDuls q-1e_s -111" 20'111-9
'Irvidenceolevil fib;nsf - 0-6
0-5
0-5
23
110 c
Total Point Possible
too
100
TOTAL S'CORF! -enter on first page)
56
2
�6

WE-T;LA-UD DETERMINATION .DATA BORM-.,--16ttlto.MiMbuiltAllis:.' cIP16tiffidlit. kP
Subregidii (LAR-i)rMLML.
Sall M00 UNI'M610,
66 the site Cypictil To
AreVeqdtallon.
Are Vaptaffon Boll or f4ydrolPqy.K
$'0.MOR14g, P01026av
•$activn,.'fa+irrtsTtlp, Range: ?~ rstlratt��
Local mne)" C- I-
tow. J0.33-q?l
NWI:blIWP40lfIW,
flift-gMear YdAtI YeA No- (if-no. expjaTn In Rumatkx)
_$Iqnllicantly.41ifurbodl- Are "Normat dircuragl'ances"Pfesevit? Yea_— No_x_
— Aetumlly prablaftk? (it kentaft,) .
SUMMARY OF -FINDINGS — Attach: �S[tP-- rOOP--sfiowirlg--;s-ampiln-g point locations, -trarts*ects, important JqaTurQ% ate.
ptbdent? W4 NO
you. N6
Welland -Hydmld#yPrese6t? YAS NO
Remarft
hi,fh!v;vt "N
Hybkol-00y
W=ONAWRydr4rdg-
§0wAa'udfPd4M(M M.-
S.urfao Wilot (Ail
Manta (844)'
High" Water t b1g (A2-)
> iydregori r;,Ql9d6,bdQr'(CI}
Ejt�fptr}79 P�liekri (t rid)
Offldlzod RtTzob,ph%rrA QA Uving Roofs-(Ca)
Moss Trlrn=Lin0s--PIM
Waller Mark,348i)-
RedUq!W ImW(t;4)
fry T11160 50118 (M)
CraYrM Bur ows
(GA)
Wri M;idk;*uif8C& (91)
j.-A0W
= SglurdUb n MORI q-Qn
A4ualle I=auna (1413)
Pleld Obsamftat-W.
'Borkoexat6r-Ptosativ Yes
--No oiwh,(Indhej�):
WatbrtbblaPrasanP Yes
N6_1—
V7 yes_
Na _4 WstlandHydr*juqy.0ras4nt! Yos_ No
monikoring -welt, aerYai 0hR6;:•pr0fou9- inspeeuons),Jlravi%616�:
Rainaft,
us"w0offiftWON Eaftni +Adualffln's and Piedmont - (11terlmVetslon

VEGETATION '(Foxfr-Stribi) -Use- satenfiffia .names - -of SAWN;
tr
Tre Allig ffti-slize:
A 1. .
*,,jpW -
AW
--0- .. a 466 TRT- wo
Thai -Arab k A
, AtW00*1b: (Al
2.
tif-DomIM41
8pilefdoAmIm All
-
- ------- ---
(AI13)
_Mvllluty 6w
IL spebTes X•1
FAQWwoe��
FAC-
#AbUs-pedps x4,-
UPL spp9lot-
C, luifin-r6tblm
4.
&
Prevalence ln.dax- Olkg-
7-
140roohy.00 V490tafloh Indicators:
1 Riipl[O-Test-156r Hy0rofiy0d Veg-eWloh
CbmInanGe-tost is �150%
.4 Mdi0hdIo& Adopte
Ito-
hyd-'_V�[Ooy mast
107 —= =Total Cover
� --f-
4.-
Woudy:pTipts,enjudag vines,, 31n. (b6••m) or
. 04• piv.
HoHY— All. herbacepus, (non-womly) pfartl�� regardless
of-ifle, and igg it wmt.
-
Wood Vin
ftody, Ving �tralum (Pint Ai m.;
TdiaGCbYar
Hydrop4w
Pre*e`nV? Y-01F No
RetWirks, (Welude pholo --ftmbdrkMr#--or on 9 -"Aftla shoat)
41 , (Al 7- 4 w
US Afftly try" Of C-09111404P bastard Mountains motlPimmiont — Interim Veminn

I
SOIL Sarnp.11M P75fril,
AMP11i
fikh!10 8M (1 %77 Lo-ar.-, __t tort Rpaft
JM_
-1 [Of• 7.1 1-1
44 tole _/J m
:7—
Hydria Soft in "itdrs-,
100101dr5 -for Pebblemallo H9drtc Soils'%
bark Surface 04,
2-cm Muck. (A-10)-10) W)
fifigic C-PIP040" 02)
r Ptjlyvilue-S low-Suititco.lSal(MLi4Al4tl4t)
tmt Prolaq Radm (Al 0)
BikkAslic (A3)
ThTh 0arkSuffhoo (S#)•(MLRA 447j-148)
(MLkA 147,140)
HyVrdqqh Sullkle (A4,):
Lookiiy•rd Yed-Malk (R)
+T � ptffi 84115 (F19)
_WftflTFl0W 0
Straiftid Wyqfs fA51
-1,coplow mallix (r-3)
(MLRA 136, W-)
2 cm Muck (AlOtJLRR.!4)
'ROoX qark Surfow-(FO)
Red Porani Maiefial (t a)
Deptated gwowbarksutfmo tmi)
bepWtCdDHlkSvd"ne(F7)
ThlGk Dark SUKACW(Ati)
prbs�grans -( 8)
w, lUdot be i Wl-
(z-x-p-iFoln 'tri Rel►-5)
Sandy lifivaky,A+Siiaecai °(S t') (Wil 14,
1*-Mwwahite W09s•PVHLFtR-N;
-MLRAA4-rj 10)
Ml RA UQ)-
sandrare"(f,mvwx (q4)
LlnibftSUtf#Cd(FI3 (MLt7Aiz6,i-22)
lindleatom of hy*cWlmveUeftftn an
Sandy Reda (W)
Pledowl- Floodplalb Solis (Fig) -(IWLRA 148)
melland hvilrol6gy must bo- Ta Be ni.
sli1ppod Wlkx ($6).
wilwa iftlarbed sir prdbleftllo,
TYpe.
QWh (Inche-s):
flycirle Sdil pmunt? 'Yes_
US Army Carps 46M qineers Eastem MQuntaft and PladM061 - IMAW VWW-f

WETLAND DETERMINATION DATXPORK=-Etslerh*lou fitallfigandA100"Ont
1 A _P4_ 10
Ap
.plld9nV0VA!*.­ gials, SamOring-TaInt:
Inves4alor(p), --s-ceituni T6wnShjp, Rarige:
Landform (h1lilopei-AeTracei Ata-): *_94--i2xm ?;t --U)W- (dbn4ovi, toh�6* A663;; Slap
_6
I , 06 u M,
SOte&ji (Ml or MR A). P 2 j I
31
(ton,
Are allmallp I by4rologic',condiligns an lha stile typjcaf for l.hls 11fife 6ty0arl Yes Na_L_ (it nq,. explain 16 Remaft-.)
,A!O V-096i0itOn -dlst rbed Arp:'Norma
4pit V __, or liydk)joqy- 1,19004rifly- U 2 rctroumfitanueet plea(mr? Y a ho
Abhlral[y pmblemitic? jif heeded, explAin •y-sniw6ro in MmarM)
SUMMARY OF FINDINGS — Attath -gite;map shOWIfigr6ampliqq poirit, locaftne,umoeem, onportant lbatur• etc.
Kydi6phYk vd',ijdlal(6T Pre4'ent? yos y Na- lik fifeSampled'Aroa
flydric. 9611 PfWnl? Y,06 Na wfthln 0 WO,!falid? yea No
'Mili6d Wr6169YRisent? Yes tqq
R 4 -1c 4 o4� 14 to
iw
HYDROLOGY
m- j_qb%
Aj -tot wl
SiAt. Qi*kti -1013)
SuifaceWator-(All)
T True Aquatic Mints (0-14)
T 6pamety%get8ted itorialava Stfaace
HIgA Wo ter. Toble QA2Y
ftul Iton IA31
JuN RvqLq-,,(q3)
_ Mo TrlmUnwtal8$
0.4
P-01 MVP of Roft ad froiV(P41
— pry-sev'son Water TO% M)
Re4ant I mm RodUcIldh Irf 111,ed 80118 jC, 0)
Gmyllphourroft-P)_
koii Dtipdtft (86)
Pa.s4tlan__(02)
lnw4iloh Wb*,od, Adtlid- Ima9dry, (141)
_$hblN_wAQufi0d 03)
Aquatta - F-Axioa (013)
d FAC,'060,61 TW 00)
l5Urr=.-,WaW Fma_M? Yes lqo._ ---- --
Water Table MUM? Yes No — Ue0(h-(indhp#
Solurillfan PresefrifT ym__4_ No— Qaolh-(fqchesj 4„� WatlandHydrologyPfosent! Yal— NO
ilh jtldilct cAtillfb4frinam - ---
I)s Arili7. -c apt-off Engineers - Etts(em Mountalneand Pjwynont— Inteelm Version

VEGE'fATidN '(,Pour'$tg tW �- Us' cibi tifte names, df2 pi:,stlth.
-
�IA•r �
°Saritplin$ P81nt: +�� "
,41stitill$ Dtioilnant I►Idicdibr
glitlttantestwrTi3lie6i:
-rreg
stramn (Plot size:_ _ ., .2. .} o , , ... SoEfnie's4 LN .
{ 0s.uiorQT.,0 bh �
•ll
fiat Nra or ndu; or RAj: ? (AY,
xdtet .Wmnor_af=poMA it
2.
3.
_......_.._ ...: —T �� - -..
3pbetes Acfns ktl Sttta: (st
4:
Ptt:ir��ipmipIrit;tt!s..
_.�
1Ttat Art3 dHfw; VAC l,,at' AiG, y _�. wk
7.
__._.
Pr. �u�[Qri4a�Citdoira�+artreii -Aet:
_ �tpl °��91LRr�or _ _ -- Mulllalrr•nv� .
�. - - -- - --
-ta Y�_
Bl:s a tee'
2 a
apJing(OIi{tst
l+
SI elum �PtoI. SIZE:
FAr.VV.spieg tar ii — -
RAW spi oiii�
OAcu'spectea x4 -=
Gbittf))tT 1`a1diS: =; (Al
-
2—P11--g-ml-w4 .tt�r� +'pis .a. f. �. � __
3.
4.
HydrbpljyHfE�ag� #�ttdri:lndlaatdl�:
Repo jtlCli�Q�IAl1QIT
-
2-t ocninanc: Test Is--SO 5
tnpex�is s3V
1c.
a - MoTphotc`gie t A aOWari ; tfis J-Ad' =1Mlli g
data in Reriiark� or an x sspatal ;let}
o , = Total C,`l1YEr
ProblemallwHydrophyte V3galion{- (=(AWn)
#+-: y L,
..
'�-' t�rt1T 'rrt• �4i {_� r µ ._.
u!,' o
_..'
f� �_
j
tndioot-ots'ufia}rtirie soitatid wel7attd ttydr€14tpymust
tl� �Fe; �t�i.1 7n1e3� :SitStUtbsrd.+ir•pT�]liBtfl�tiG� '
h•
T7atlttittAtt$of Qdrtit- gMttdn.SiWtd:
---
Tree- tJvaatty_ptanls, ax�tuciiFlg 3-in, (7. -em) or
mot; {rr d t r ei f3r psl i icjfit (t Hj radon test -tT
Sapllbals trub wQddyj)lpn%e tudlrtg Sinesj laAfs
(hall_3 i#t. I7BR ind gr$atdr tttari us IQI;o iell.
11.
Hutb --Jul ttarO(cpaus {n6rti- yy"Oyj��ppintits, r�gafidloas
6falzti, and Yt+ odS punts We.tffbn 11,464tai(;
!_ - ----.. _--- -
= Tdlat7GtfriBi
Waorty Vlae -�1il �vocidy vtnrs:greater ih ±n.3i $ (tin -
Wo�-
_ ____
Virtc: �trnium {l�irt.iaite: ). gg
Fiaipiit.
3, n
T
4
Hy tOphytle
5
l/eoetatt ©n v
pedsont? Yes "'-'� — No
G. T
— � T�tAI flgYer
Rebiu*z, (tndt$3e pitglp nuinhdrs here or on a-sepdrat6's{t00
U3 Array CoFps of Engtngsrtr E-apumi- Mountalwand Piadmont - Interim Version

SOIL
: 4Wffo [hg Quint
peow -" 1[nahe'a - Gtjforlriidist) � �rilorlmbtst) " _ �yg�� -- Texlirra• - Re rtes - --
It
Marmot (Ai)
_ obtleEplpedan(A2}
,F, 1-tyrlre�en SuKde �F4#)
;,iit`atitiarl,.Layisra (A3)
�. $6n- mbex(A1(1)_(LRit 4)
_ Oupteted 43elaw Daik- Surface (A11)
li hlCL a8rk SuirACe (Atti)
garidy.141u &y A+I hardt,(83) (LRR N;
MIRA 147,148)
UMVIOtayeu Mgtrtx 0111
Sandy Redox (63 )
_ Skipped Matdx (60)
Dark-Surlaee (Sh-
_ f7otyvalue 89tow SurIke (66) (#411 AA 144, 148)
7 in nio lk Sdrt'8M (541) (MLRA 141,148)
,y,,, L4amyt3ikye!p- Mdkitt(Fk)
Doleted Meldx (F3)
Red0k mark $urfeCa (p6)
Qepteted-ftrk Surl$ci (P)
_ Redoz De-Vitissions (FO)
trop- PAin�artdsr) Nl'asses :((•'12)
MLRA 136)
_ unt r)c urr c.: (F13)- (MLRA 136,1 -22)
Madmont Flaodplain Wlk (F10) (MLRA 148)
Type: x
M01h.(haft4);
lndlci tiim for#rohloruatl4 Hydria-SQ
2 cm-Muck (MG) -(MLRA Ali)
�Coasr Prai'r#a Rddox 0101
IML-0 147,1481
�„ Fieifmoriifl�3odQlalri�t +lts- fFit1)
((OL#A 1- 38,147)
_ yeti Parent Wterlat
_ Very 3hallowDark Suirke-- (TF12
Ober (f�kolbin In Ron7aiiss)
'Indicators nt r ydruphytiu sgetaWn and
wetland hygrologyhtast•he•piesent,
-miage 4suirbed or prdbleinat#e.
i-
13ydrli: still f'Paaorit7 Yoe 1No
US A vzorps ofEngir ews Eastern. Moufllains aitd pledmon - Interim Version

APPROVEi) JURV4UFCT[QNAT, DtfiRMINA."CION 170101
UN. At--Oly, e.' Vpk O(ED'Onetirs-
-phis rorin-silduld bteduillIft-d by -rollowing-.6; MofliiclD Ponn Instructional Guldebu&
SK-MIOM 1; ;BBC KGROX {,i`iTt 1 - M R-11ANOT QIX
NX, lvl� Q - - - - - I
A. REPORI"COMPLIM ONDitT.F.VORAPPIIOVED.,T.URISI)ICI'tONAL VWITITWIM C ON(Jft
RO
C. P.RO49,'t'..r.LO.CATtON AND 0A.AOXG __ OND I1V16hMA I
Mortli lljotts Creek
Nifftie offtare4A 1fadftjiqnW'NavlgOOltAV#tl9T ('I'KW) if 'kto whivil- Illo n%yr Yadkin Riwr
y0kh) Oyu 3RI011
CNA Ir-offigir sin, -(i g, D174ft w0wilm slim ONOMI Ato.. W­s �4,-Ufo Ms0ct0od-JW*Ith- this lkotixhi zind:t1tv roUi.rded oil it
dirrujimAJO faim,
i), im viEw nutwimm) r aft srr*r!,- EVALUATION,(CROMALL THAT APPLY)i
Qfflq+_` aW
A. ARA-SOMIGN 10 IDE, TErtw1mi, W oi? juRysmeno N..
fh=X_rfko "navigable ivaumwf- Mle U."", I&fifii luviu- and.T106m M(t-LUIA) jurisd(cition (4-s &Rriad- by-1-3 L5FR ImA 329).in -the
v0view arm- [Req6tiredl f
W-11tas-sub"a' atilt and fl
subject to lhe oxv afilic tide,
1. Waters Of VA
a. l6dicule: peueiic:6 Of Wittom -of U-S. in Al Met ftppkv,)!
Ml TNW-6ji MaludIRP, tarlitorful SOR's
Witlands'acjncent, to 114,ws
pd*m.wi-juijit,*6100 (RPWO (Wit 116kv.dfihotly or ifldrmOly ifjtQ'IWMz
No-wRll% that Ilow d1roody or-indimmly into TNWW,.k
lVottoma dfru tly. i-butti.g 01 d irectly, a r fadiferily vit 6 trt4,w-.,
We'lWid-tu4juinivu ba not Weedy ttlaufting-TWWS IRA ilmy-dJOQt[y dr ]ndi*tiy into'IMNN
Wt ilkiids adjueent to now[KM thfit Ilow-dVectly qr h1difectly into 11"s
h, Identify Ces(itflatd.) sixu, Orlylltors of OWU.S. in the-mylowarva;
Non4wetlundl waten-SIS fin= uldth-l(k) -midlor ldron.
wel[muls-.31 upres.
c. Limits (boundailes) of jurisdiction based ow. i
Slavation aP6_.(ablJsJwJ Of M-U(Nkilown):
2. i�tin- re�ut�# ettwttt�rsl a�ettat itla'��hat±[c- N`ApJ+![i�i51ej.3
rJvxcvdiqekwdbctwvsfidlf be supported by vom lelhjg-thc Opp
Forpurposs-k-of this Turin, ittt that Is not*ttTNW und-dw tiffs Continuous flow fit [Nit `bus wjlftlly"
iiidmisl;
in Set: hm 110T.

MC-M)Q ! mu; f'1VA-
A. Tl IAs 8i1lO}+1!. •D, li<U1ACEP-43 10 TMiT -,f,
' I�lt�t: tdaotlesisitt• n94e1!t; 0iAii , ' s11T4 pe-te V Ifit:h r e. t W#
$04110'a t1LA3 ptic18eg1iori IT:>a.•i.:ett1 ;1{ 11i6itgi #At1 P4:souYae isri WO itd ail j e-1 ttt -to t�'tTiW; cnnti setts 5r attans:tt[,�l:d soil Z
�rrti•;Seatiatt�irxU "i.; uthav>,vi�4,�oe���etiort•n1:ti boluw.. -
t. TNW
I'denei#y't`tvW,
5111h Mik r,1Y4Vitfiut #o 10 ku1)g al1) Own 14,14tigti:
2< �r'atlaitd aaj:♦eant to �t'i�}i�
Butittitar�:et'tttibiiiile titi_ppttriiti� tfatiiaJ.tasibti- :tirTtt waTlttt�ii.;t; " &elj�s;Qnt' -:_
'i hksoetion Rttmtns,t'i7.e& iitfgrM tIall re itdj4 tit ect }u tls,ifsi'tiy, aild' }t- ho }iis:
tleterttiine ttth tbci -t)r -nisi 4}ic sfiiiiiiiirile' di jiiri didtiiitt t»Vitiblt lift} itbtta -lt tit rirrsTiQVd:ticet olek
Tha atigollat+es -wilt nssert It risilietitrn over aojt�ng'vk — iributaries- ourN.Ws -where the uibukor - }os arc f &-c9ladvely pert uloattt
t?stilors (tiPl�ts). i:t : lrlbat#tri+a-ttiti! lyi3lly flttti�' yar- iaotid =n`it'irv:cnitit�tiisus�� °=it ter#x�c$s;Gtill�.(d,, lyncrtirr a;
utoiilhs). t�.tt�ctitttitil=thrtE$irile #ly al�ul� ari: R><?'W Es�iitSO jxsl'i�diel {pnsii. lffh� ittjuAtle i�efiultt;'�a IS ittit i1''i'•�?i�V� litltliilss�'ii�lE�ruuttll
(lloronntal }iii)ir -,skip to,,jo uittu irl.t).Z.- 1fthQ'.rquatio t+ssour�a nwcliatt~d tlir etty nUntttitg a.trlis- utttryivilh peranlnirt} flow,
sidit,toS4etton 11:1 M-.
k ►Y4±tlnnd tlttt is gidjitc ti# tti.dtit llr>}t itu¢g nt)t l ire by rstittx ail ltt� V rt�clu4rrr °a:slggfii nnt.itt• us'ev>ilea# ab.;±�gr -1 -diattlets:nnd
R,P k ragos wil ielutre In the, record ally avaftg4io IrArm�to31,110 tounodis1Ira exsintiaa a e of .n sigiiiffcnntiirxus_lrefwi arr -a
relaffiret pCPniflknt trlliatnry tltnt't4.nat it`erer4niiti (mitt t siiijiir nt�c�etle[itl5 if pity) sititl. fl ti tttlititittiil ttstvf alili; Watt ,even
Mali It asig-AI tr:tat Hats- ytnitblg-is not t64111i o af'it in»iter u•f-tawv,
ff -tile watbrbndy't is not nit Ttj? Vi ni- a` a J sr�tll reilit }ra:tttiiitiAri91 iliitir to deYerrittite iP'ilie
tva #tirfiutly.'liiis tt gi�nif ?ctiiit tt�ti5 tvifli�t" T,► � ►it4E,- It':tfit= #rtlt`tt'11it'Y sibs bdj�(�pttv:£ #tugdsr tlib�ttniti4i #tit�ieXfiS �'vsi #ustlie#t�nlrtESt
ea7►s'ider the tribut}it is I~timliiitittintt tVitft -,fit Of lf�= �ttjxtont,WvftAnifs. Tale signiirettabir .its evalttafinri. titaE vwt llbltto% fur
ann>,vtlrttt pvurponn ' #biC'.EriitpfzlrY �tn(t:tttl itf.iL� :CUjA�itnt- 1Vilt }ftOtl9la tl its >wlts�tfide i?re reti<tox� ttrc�ir.ftle"n''ifiiiitt sit tlsi -30 Vnt�ti�.AU
thi Cis }bu iirp, or ltd atijndtittt 1Ytl1a114� � t)i` taatl�:.If`lllu J1).+nycrs ;ti triblifary tvit7i iiiljiiei of to fitifids,e6fililtito- SQail'ois J1LB,1 'for
their -' 1tity,8ectibtitir1'.IL2 Or. n tin9ltttYit }stlttl.#j=podSseiianlil;ti;3 blrrt117vet1stitdsr0. ; oe—o n tlwtltltfriirptnrylb6titortSita
and ofiS }ttr.'�Plte tfCtet'tttirtRtlott wlt9tlt9t'a s} rtlfic nE naltus exists }S- detoOri bed in ectian (L
1. Cltnractt "islic t tit° tlat;- '1 "f1Vs t14at liplY ditrtf ai tllr' y -41110.'r`1W
(i) txencrtrlAraff Cuttdi[i6us:
w.ticGr�rt�a yl.�: j�Ccti',
:l)rti�H�t tttctr: �Pf�i�"13isj,
_Average atutual rnittial }s incites
t1vamp illutialsnaWttxlt: hrlaho,,4
(il) Rli }slrat �hnractt+rtstic -s:
E] 111balbry 116wt ttie iJtly' -hjr6 TNW.
jTributary. lllytjsthtougli� ';1�ftributtiriasbelorernteting
P,rfijtibicts <tt:° , rtvcr tnii',s l*rtiit4 `f_tVW.
t'rt)Jce..t wiitgry air river rstOO &tttrl _lt�?1�N_.
i'rejeetvv�tiCrsam 1 - �- Purlst Ors�jSki4 utittis'i`tdtit
' ig�t} ul�lq # R'1, tIC'utti A- N1.Are acrid) �iu
1'tttjc�t tit±�icrs Qross rar scruc.tts stoic- %attttilar�, }lslilai #t:
ltleniiiy ttowrowd to'COW'
'I'rfib�atPt- y:Sii's`nifi ertl�, it'l}Fi4tvn:
' ,fate 11IRtthe fintraelional i3uidebdcllf -t ttlputs addiiiunnt :inCfltrttsilbtrcd)!flitling:SN ilt st ditches, wwhes, And masioual reatutes generally rind in 1hu.p0d
WpCI.
' !•tow rowecan i>L describull hyicicillil inp,; rk .; trihutttrjt wlttell flows thidugh: thtr tMel v arc 11,1M inlaTNw.

Tributary ig: [I-Nituml
C] Bxjiham:
E1-Marftulaztd (man-altored), UpIpip:
Tributary prnpert$Ls with ioslim to topor-baJiv (cmini-ifte),
Aviidik6.%idflu fCdt
Ywerlige Oepill., feet
Avi6rage side s-lofts: jMaW
PrImay-trib Otaq sulsirntevompuifrfuji _(djmk4l Lthat apply):
0-1gAts E gands CY-
ndtfu
OCOObles D 'Whvel [],Mlfek-
011ed)Vok I
13 . OdIct. HuPI-11W
W
%
_14te UVOIligo litnuber bf 110-SV -OV91119 14; r0ft-*-
DiuMba flow, rerO pig:
Other Wbitin-111on oil (hir1111011 and valtunv.,
-surr,ta, now iik: chimmeterist-mr
S-fibsurfift fldvrt -p"1 w -u"hIllain mugfigx;
C] Oyc (4r oiho) wiit porfdrmods
Utbutury has (Ofeek-iffl-thaZ OTIPJA
0 wed O'd NOIL-4
UOIJVVW',',(Chlrqk•till APliIYY
-[ cledr, natural line.I-m-p-ressed tin tW61k
_E a M%6 Ift thd 101"110 W7
11tr Idil
J t
C] slip'MAI"
v%ctidifixmiatled down, befit or-glimit
ILWIfittr (ljAftrbtd or waxtidd aWay
F-I sectimm Oarfoslifift
0 waterstaitilog
0 atho 011t)-,
El'Nswaffim6us 0 I-AM, INOWn,
ur rammother (limx ttw-omwm%verc usod to de-tarm
Ili h - Me ludIlMod by:
vi I or scufti 116g,ulohg Ovore objuids
u1ber (HAY
Explain:
tl eprewavovr-wradt line
Ej sedinitinf _50'r4iia
H sadw
m(JI11ple-Observed CkrPra-dicted
II abiruptt-hougAvin plant-oommunfly
me 10lqrfd_ ONIVO of CWhJuriAtAlon (elicick all Allat 'Illp)y):
Chentleal
Ch
dmclads!,e Ulbijuuiy (t"-,g, ig cloari dINuOI6rdd.:olIyy Jjlfiij iO(Ne (juWIty,..9ghdW watrirshoxi chAleutiMshok, -etc.).
Identify specific pollulluihs-, if know,11.
'6A mil I ral of J-1i an-mad o -triu-0-11fin U. Ity I v I he 0 1- tWNF &PUS I I M II w S.Mjld IY S-Ow" ju d d I ct i iw_ (q;z, wl mg Abo M ren'(11 tWIP okuill�y flows fill do gmu L111d, tw where
the CHMI&I Dm b"Mmovefl Pniefiecs).
j4fijc(Li,j-, flow over-,mkk outdoo or ffiribugji w1dilmedl, Itic �,qbovt And 11vtow-111c bw&,
'Wd-

(W) 11folo'g1jeld Charsketerittlo. Offan"o-1 sup
pnr,E$'(dieck-'hI11hntnIip, Y).
ChMyft WOO
El
R . Aderally I-W*L-apecid, Explainfindko.
-F Of4pasAf (freffk. MOW" -HVWIKO�
- 133- gpWp1bdingi
(i) Thyskfil - lqv
-G�qietgl W &Imni - is Ineristic-5-:
WWW110,ty-Im. Explain:
prb
.Ject i'ejl
.(6) der(eta FI w Relaffoi i, I.
ikfit
a rfa qgQ 0 DA I
SubsurFace flow:
D - ye (or other) -test pei4brmcth,
[]�lrccfly abuttIfT,
El INJIt difewy amin;
U O I - T - . cob
d(im ExplabT,
'L connection: Ugplttn-
Q
(di -1-N%V
pr6juvi"'Wes Ate aarifitNtAlgh"O M110,00111-TW
i3ithnoto-approx
(10
Charutorize ►vadmid system (p,& r is clear, brown; oil J11m ansurracq-,watenqualif
- I -- ""', — i —4, wala.r-colp- � - y; gencral wntershed
6nracteriatiomk,� etc:). T-1(plain:
j(IOhLffySpt01c,fx4Ii1t4WS, I-r-khoWn.,
(III) i43tbltrRisnl Charactul-stim Nvetland-supparultbuck all that applyyr
v
13 1-I t (o r;,,
Ox i q "s. rNplain findings: S W"gillms;
Gj AquaOWWAL-
Clitivieforinks. of all IS-0flands AdJACOn't to Ilke triftufory (Mllp
All %v6flflnd(&).'bdiijg-eonjtdaO&I in-6600mulathis nfialyslw aN
AppriAimmaly jh•tdWj jilm b0ifigooftl4araidiii Ilur dibuladve hfidlysig.

l7or;eaahwetltind. sges;ilX -the .tialln�vJtid:
C,�tli ilk n►t ? 1INY J u. SI ]: Mtky libuts2 (Yft Maxk9ur."a),
�iun�ni�r #zCUVirr�tl) ttidlbt{ieai, �lmas�ival,uli(�i�vxielil funcliiin��e(n�r��rfanrteit:
C. �lCl�Il1tlCAit'1 °lVFlli,k'.�" t31?Tl<;1t411�tA'1''iOt+t
ct MgNilictint nexiis itniit itt yvitt ti ei t.Hro now chttratetet lsfii i-RttdTuh0*, ;W,9J`tbq tl1batary itself attll the ilin:ttrons plarrorrttetl
h� + -t►nv svptlitttti "s tEdj c4nt ttt tlto b+ ti) uttrry! a_ detertninct `iFttC�s}!si$ii #i��srntty aifcctthi +�hctl�3istF }, 'Vllgsical, ltttiJ•titnlagieni integrity
of ATp}1 . tips 4*ttlt of the f611oivtil cittiittiafts,;n ii 4411tsatR ri�i�itSoififii =it hi ' 01 utory, iit iG- oitttxiit ttatt i�itlt silk
><nttaCntts, hell risoid tltttn:t j #nettltttiv tiff 'lncttb tiiritiif! eiiesl attTtto- Cti`eri�l��itl,.}i[iysia#t't �indlrttrhiel�gical- lair +gliEy+;ta TOAVY,
C tusiiier;tYibft �Vltt +ti itytttgitfing sFg�tiitcJttt { °.kiezusinctgtic, tfut nrti nRT: Iimif tF'ttl"tlie"valrtma; riilratiran,,aud fiequcocy or the flow
-of wntbr itt.tlic- iributnry-and Its prxt01iity to a `k'NA1t;-sitict fFt fifiii tioits petfurnte 'ti the -ti iCi1i%n y #iiii3 all.) tts ji(Ijsictirii"
•wednnds: it is u.at= Rpprtipriate toiiutertit_ine,sigtiiticRiit tiaiiatins�tt xatety nn uray sift itiii fitt'h ©Cd tit'tiisttlite� (e�. ltntyyCtt e
Et'Ibutairyiijt ;I - -j# siclfit e t �yatliintl aX li+ttin±ecit ii tt'f>fijtfiry #rtii the't`N FVj. Sintiltti y, fire fiic3 tin :rtljarettt tv tialtd tiffs jvititin pr
uutsfde of.afibadjAnIn is not soteiy -cittt rntiltstiiYe R>' AgA t a"t nexils.
ltrow'teannes`itaifs b'dwcan time.tent00 ittfetttlrito- Wd-Kusl'Afteeklelfs on the TNW, xs Wentktiett-lit bite �ivapajruv Q914tttace a114
disah.Od in We fnstttfetit unt 6ilideb.obk, learinr-s to eonskdtr- inpluch- for- ejtamplex
• 1j00<Rthe Tributary, in to
'IT_t11lat, or to tedude tlie:niiiontii of psallutiriits r- IYottd wanes rcadllitij a 'l° MY?
• Wes- the- lx[litrt tr i iNeat#biriaiiari with its acijhe4n4weltstid ;{lt ;+n j}jiivxfd ltatilla# ON lif&,yd1 suppcirt ltlitu ;ions f'or #ish arrd
ttt�r spt`i ,such its 1'c clit g, tl sting, spts*atiiag,•or Todn& -yqung for paciRr"ttt t are preficut 11t the S"htt�"
4 Dowhe trillutury. ift eottthination xvilh its o�1, awlit wetlarift (fenny), have •1110 snpacltF to trEmiNr uutriRnts tend- orgadic carbon that
sttppiatt tiptvtrz-trcarnt -Cnadwttti�?
15acstha Itibtrtnty, in-st�1t91iinilttait lvlitt its�ld)ttevttt watlatttl�(ift74ij'), htivc tiiht:e.relii#[ivtsitijlrttt :iii tiiiy�i ;ail; �Iieit7jt:iil; ar-
ific>Ist�ic;al itt[�ds Ity sif Rt% `I'1�' W?
Noiez•theabove'tist ofvonsiderMI011s is notlilakuskve .•ilid -di her.fiunctissoso6erved oritnpwn-Io bce tit sttbulilW- sioe+rfneikWd
bolilw:
St nifictult nexus Aind inps for non.itPW i11at Irat>E no. adjncebtwe'flands and f1divs- dittitiy fir yttoiraetly iitfb Tel w. rsxplain
lwing%ororesuiea fir atisctict: °orsig1x %Iicttltt nexua below,- bned;on4ho tributary itsell. cheii=gs1 to sec tlon llt,i�;
2, Sigoirtcnnt. nexpsil n¢ tnhs-- fornon�RPW and RA-adjacent wet l ands,. non- R0Wnow- Airer-tlyoriit<ttroettyluto
=k`krf► s. k:xpltitn 'Llitdiit siyl'pttisunec ariubsunce orsiQiiilicanE 11-0ol001-ow. ibosbd, wi -tlic, obtititey in onus
WIT019cnt %V,Ztt#littt$. INIH 90 to Atctlo" 111.1):
3, Sigrttfisertt!! ksuxFinit; st�c- rnr�etlnndsntE, jncentiitun _ltt ?�Yhctt:t[riff�dct•_ Huff. �igedYltiY- sthl4t• thc421`'' 41'. i;?:jiltiii'stiitisiltf;;s ;t�f`
pfesakc or- abnuce o f 401iifai`y If1 caiitiiinitiun 4S +itlrail -iii its ttckj#tvutt4 lkolltinc(3. ":4heit go to
�tetipn Il }.<�:
Ci. Ilr,Tr?Rf��iNA1 °rUl'iS pR.JtTItiSU1C `,t IUIVAI, i'13SillINGS:'lTi f SLiB,1 t;7:' !i' 4`i`f.Itljlt�'t *t`lr�ii*lla5'AgE (0,11 It, ALL
THAT APPI X)_:
t. "i iylt+s �iii1= 1t1tjttceat tl�etlttntts. "Cti4k'.atl €hat apl?Ij ntici pro3!islbizc estinti7tcs 3tt revSei� arc�tl;
TNWS; linear No Wfdtit (tl), Or. :1Cres•
�— #i!cfilattclsnd�aeenttv'IT41tfs.
-acres,_
2. RMs thAt HOW tiirietly uY indirtetiy- fift'MW
W- whorl; iributttrt" fvpitxilly -flmvv *e0tand dffi jurisdiet#ttnnl. Providwdatx nnd.rotitinole itidictiting -that
u i6itt41ty 6 Oratinldl: Ottsed Do s,4A tK ttf ACOF site3iii rise- -meat flirin.
Q T ribatiaxie- - -s cif TN W are
jtttisdictiotttil. Dutti supporting thim-conclusibu is provided Provide rationale Indic tiilA [fial trit�tttiu�• flocs
sooso,tal(y: ,

Nrmriilc csiittta#es txsr �i►e #sii #ctlun,it ivibM in Ott that anp-
'I rlbiiCa y- :ttcrs: 579 lhidtir h r 4 lvid -th (1t).
0 01hCr41ov,- woffand- Imtots: Wres.
It1cn(itytypes)o wAtsrs:
�� i�r1tt= tilf�Y�� tlrariflo�v �1tii3e4tj� _�r itrrti'tYptity iiitiu T�I:W�
[( Water #ittily c at-isoot- ft_mik or'an.-OW.- batitgm- dircetty.or inilirs<ctjjr-inta itIN1_ artci it lutsu- siguTticaut nemur; Nvitir -a
l hiV� ls�vrl��ilctlr�nteF ":1 1tu sut7pgrting IItTS COlit iuS1on i5 pr6vicled at Seetiali illIC=
Pi'hy3tte z?tim;Iies f�p3urisciietiofl9l �vslcr;; t�It4in tif�; r�dit:�' tfi�a(ihs'Ck#ill :ltint,itpp�),
Trtl�trtiiry �+ratt rs: linear foot �vizttlt (l1�.
' Qthc nan:�vittieiid wittors: itracs.
Tttt'tltll)`- iyisC($) ft��vttic -rs: -
1Veiingtlstlli'e t #x;sltiitXiin ti :#tt'W,tlitttflt)v�+l #i' f #y�pr,:ItidpMRtliyitt #d'ENNYs,
v etlat>i #$ tlltir4 I -Y #itbCt[:RCaL�4r
arid gpgfI(,wptIf aft,
'Wr<11t Cls tlirci tty cikiu #tiii }, ar. Il *i ? �iAt tri�ii►tarlas Ii�pl ttll'y'ti'a t= yahi- tutus. Pr&idc- data uriti th[iarsnla
iif¢it;fiFirig,:tltiit ii= lfititni'� i>ti purcnnis;l'.itt �eetibti:Ei�P.�i- dttuvc>� I'ciicrlrlir rtiiltiiifl#a,-•intllaliit� tiiitt- v,ttadaiill'Ts
tlirrell� altuttiri}t ?uu IZRW:
lei Ifttiflls..dit i tly,Aitittti tg all O4.lr- wlic-),1,4 tr`1Dit(pi'ioi tyl)1 1,1j 11 P,$04stinilly r; WQO? I3 ifiitn is
sc#i�u'ital fi't :�catlsiti it #. #� rlritl i�tiiidal'ci Iti;�t:�t#it ►� 1Ti,1�:2, �IsavG, l',t4 "vllc NuUonii(ti tt�iinrttitig t#i'At•ti4etla�►3 is- tlii'eetl}
abtll[i►Ig -;iti fCI"1Ya
I'tu►1d►:#ter�ut„a c�.tiiritiles ti�r_jilri'silSCtiliiTtll ivi:ttiuidit itt the rct!io�>r•rtn:;it; ,3:1 itGres.
. tlandaail3 ieent,tQbutilot:tlte -
e fi t#tiattdg;�ritit'�Y #h tTa��i#t tiatEyoritid #r- i�cilj_t{ito= i a�
S�ClITUi 511 Attlp itq .t #irCt tij� ttilEtt �tl �i t 1 t?t tr ItO gti5 .00 tnairintip'nivitli, iktriN11bry- tn-Whidh l4e. , tri<' adjaccm
,mct �vitlrtiin�ilitrl� <-- sihtated adja tfatuls; littvc a si tiificant itv�trs vkitfi a ` N � w jurOdic t.ivriuL 01da• -Suppoaing t {tis
G`tiiielts�taa la- Jstrsvtdird °aE.��;ilati fEi,C;.
PrtZVlitc ai rt rlgt: c Iittiiiies Cc�r jirrixi#rcfioaal tvt {l:utclx •iiL ilie- rttKiety urea- aerati.
fj. �Yetliulds�attjneGttt fn nifn�lii'1'4`s !•liiii E1ti� illrttctly Or• intilirCStlytutct't"i!I�Y,�.
{ ] 'i�ic ilatnls ttiijt►c crnl to sttcti nicts. anti Iiuue �vlieii earislrtorcd in eoriitiiittitinr jilt tit iZ it
�S�tls sitiiilitrly alluatc "s1 itsljacfint Kelfantts, WWi it sigfd tiaittt rickhs with it TNW am- uristtimiciittii, Egan spii#idrihig this
aa' itch. rs% nri: Ys- ttrnvided mt;S�ctioit IiT.f �.
Provide- ealmates fbr jurisciicfitvial 4vt~tiltiils in tlu4-f:a.'Aft Reis.
7. Entpuuutltnt nts of lilt +istlfstittn.�►t
waters",
k1c It geiiorid nrie; lha iiii}aottiitinirart iit`n iur €sdictittnat trllititiir• rciiiriins jitristii��[intiiil.
�3�itf�stcafe Urmt lhj�ui1iiirattl »ris.erepled�iiini " }vit[ei:�rttf'ilie E GS:;' t?r
ucman:trrllr that �vurei attt:efs tila- gelittattiit i'ar etiL oCthe t ar grant s pri ctintatl shout o;-r)), or
PJemvn ttratL timi -w- ter is - isolated With -a noxus to etimofeme �4et-bulowl-
ta)Oi;� T1+j 1 s1c'1' "- ,1I'gAjJ)jN0 t$(ii 'F .ti.09TL NDS, TliE USE,
1)i� #I2itd�f A f 1nPi OR 1'L�fil RTdiuTifJf►F =i31 3VfttG#1= tlUl tl,Ai! i E�: t` ElV'i' :li `T'il'>51 . C:fihlnt> EiG11,
i Ns c .,13DI�PiG AN-v
SUCH WATERS (C:HEM ALL *irt vr-AP-- i.Lv)rt4
` which am or cotiltt 4 and by interstittc or ttirdign Irnrel4rs'!or recrcatlunui or titter purt�ascs
=r from AVIIf& fish Dr sh- eiffrsh-mv ar eauldho Inks h antf.itildin IriiQrait u 3r f6rclgr>_rornis etm
= = ivItii;li `ttrg-fir �drt tzy'indttsh iu inteis 0c; com m ft
tittctsiatcf•Isfitfattcl s4•titers. isxliltiln:
bOw-r factor;. F1011fin-,
Itlenf#fs ittor 40d atCtt sttnihl trim riif.ioitsile uplt rrtiiig t#rtif ntiut�4ionr
3Sec Viiabiotk a 1.
"To ctinrpCctc iha• :mulSsw+t fcetu[tt4hc in Sccfiiuit 11#aii:ol'tha ingnterionnt fiuidetnwk.
1 °'!'rill#- to tt0ert4tg.q ilerlintog -ENVA Jild'si ticifritt Imed $0104 "(0) this category,, Coriis-:iil etefsavilt Minna Cite w1fou to Curp±ritnil EIIA ttQ.1'1)r
reviet,' consictont ivilii fftc piwess drscrIN d lit itie RogirFding CIPA Art,lirrisdirtloi+ �'�/fd>ylugltuNanot

i'nlvit(c cetinittif ttr jitr3stiici[aiYat ��ittt rs in tht miiow tirea'(ehvtk all thin fkppiy):
rribtimcy wows, llttcar feet v4dih{f13.
Other > ormv3tland- watem. acres.
Identtiy fype(;t) or4vti Ot%,,,
Watlalfft. t;ertrs.
F. NL}NY:IUItI tl)]CI`tONAI. WA'Pl g4 TI4C.LVDIN 1 fliTLrANDS (CEIFGIC ALL THAT APPLY):
[j - Irpotential wetlands -were assessed- withinihe- review area, tlieseercus did'noi tmt the critWia in the 1997- Cotps-oi'GJt9'moers
1Vttihtictf )olitt�ation_Ivtumtiitaittl/br nppiro}iriato Itti�iotittl .tiu}ijrj�ittiitits.
Rzv'tel4�erett ►tic:indetl istilttttd iyitfePs �triih; naxuiistutillitl ncxu� to intcrsttitctitr fnieigii) cotttmet�c.
Prityr ttr tPac 1aR2Ci(li trprctne Cgtrttcictisiptrin ' i i?tt�ifNt "C;" the
cixview Area would have bait rogulated based gold on the
t`Migrtifur -} �iFCt ILtile" (M�'lt): .
(
IVaters -db not metiF Elie "Sigiiilii iit r±i � }s" sttutclard, viier u ii- it.iintiitig is r tiirs for ltirisdf inti. i pfiiiir: >
�( t) titer,•{ ccplaina.it'•ncttee�cedalao�� }:
-Pr svideaerenge estitttYites inp wkers in the revi'mobaa; WIW.4;Aa soli 110(eiitiel basis of j�l�'i8d�ClfOn ii die'3111%
factors -ti k., presgflci oftnigrtttor-y birds, pt'esoncc of-endlu)g4rG0 spolm, uge of Water for irrigated agrieulim -0), ustng beat professional
jodgmeat (cheek all tlrttt apply):_
l.hi4,r r —
st l.ake4ontt - ticrim
Othmr nimpwedand wateps: actvs, List typo of at}viaQtt rewurcv:
Veiiands. fLOW,
provide aorestg�:,t stimates ittr nett jttritdit tiotial xvarexsiii.the rt:ioty art s that do nni me ct the "SiI netieflnt Nexus" standt�rd, �sherc sudh
tt-1 indiitit is rcgtured for,judadictlon (chgck all thatai►#)V,):
Nan- tvcjjatid ►vairai t ii.e., rimr4, slt'cailtsj. jukiirfeit, Wiilttt (k):
[� lali�libitd�: tisrC:;.
Other non- tvv(land maims: iU res. List GYpc liruquatic resource;
-_, Watftmds: ativs.
SLCI'IO.tti tV: 1)t1- Ts�:S(Siiltt')1S:
A. SUPPORTIN9 DATA. Malts reviewed for 11 (theckaill tharapply - checkedAmns-00 be included in ease tii'c:tnd, where che+.keti
and raauustett aytprapri etly:rtferoncesources belciv).-
� ikinp4,- pltms, jilttts n� [ }laG stfbtnittLd lijF -or on behatPtifttie atrpiIcmtUhotikttltHitt: ,
® #�ettt shi cl iS #1 cU$uttinitt4iF lsy r 1�n iiciY.i}t'.tif the ttpp'li►t ittonsultl►ttt
❑-Gtlice konrurs wilt data sheets/delineation mport_
[ j't lice does not co* nct witit-40 i Aect§fd llitc4i164 tvf?ori,
p
Dow shcam pr4partd -Itj tpeCorps!
Carps litrvil ble watats' slody.
U;S: Gottlogkal Suety Hydrologic- Ailas:
U U$68111*11) dims.
j� TJSG*S 8 and 1-2 digit TILIC tttttps.
lfA. Waginglaal- Survey map(s),: tJlts<stala & quail name: I mIngton West 7.5 Miouw.
[)Sly', ��turtlllti�tt� Cgn3�rvtliraii ;�wr -v #et+ StilF=aucvty..t*�tiunli: t�ltviiis4tt�tunty_
NaLiutittiwotlnitdfilrtvprttt�t� 'txtnii(�), �ltc-nnmas: ,
�t<�tteil4ot:al s�vthutd inventory ntap(sj: _
NI r r`t ii li l naps,
CI f 00 -year T`looli lain.C:ti<vnliari ys: (MI16661-GeddoctilL Wrtl'Ol Datum of 192W)
Photographs: Aerifll (Nano Dow);
orog iYther (Maine & i)atta }: Sunttnit: deep
s If vtctus cleti riitin4tit�n j. 'Fill~• }its: anti did'L, Off1¢,,%Pdno 141W.,
a1} tpi( t�tblclS [tj�pCi�ing,+ut5ca_laty:
t_ Applicitiblef5�ttp} icrt `Cingctietatii3cliteratttre:
Othei iullhim iiioti (liRA00 sf fLoffjr)c Figure 1,
H. Al INTILON&L fi:tllkTM1;•NTS TO SUPPORT JO.:

NC WAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 4.1
Version 4.1
Wetland Site Name Summit Seep
Date
10/14/10
Wetland Type
Seep
Assessor Name /Organization
M. Thomas /Axiom
Level III Ecoregion
Piedmont
Nearest Named Water Body
North Potts Creek
River Basin
Yadkin- PeeDee
USGS 8 -Dlglt Catalogue Unit
03040103
❑ Yes ® No
Precipitation within 48 hrs?
Latitude/Longitude deci -de rees
35.761549 - 080.334097
Evidence of stressors affecting the assessment area (may not be within the assessment area).
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub - surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby
septic tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear- cutting, exotics, etc.)
Is the assessment area Intensively managed? ® Yes ❑ No
Regulatory Considerations (select all that apply to the assessment area.)
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWQ riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)- listed stream or a tributary to a 303(d }listed stream
What type of natural stream is associated with the wetland, If any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal Island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ® Yes ❑ No
1. Ground Surface Condition/Vegetation Condition -- assessment area condition metric
Check a box In each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in
the assessment area. Compare to reference wetland if applicable (see User Manual). if a reference is not applicable, then rate the
assessment area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing,
less diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box In each column. Consider surface storage capacity and duration (Surf) and sub - surface storage capacity and duration
(Sub). Consider both increase and decrease in hydrology. Refer to the current NRCS lateral effect of ditching guidance for North Carolina
hydric soils (see USACE Wilmington District website) for the zone of influence of ditches In hydric soils. A ditch :5 1 foot deep is considered
to affect surface water only, while a ditch > 1 foot deep is expected to affect both surface and sub - surface water. Consider tidal Flooding
regime, if applicable.
Surf Sub
❑A ❑A Water storage capacity and duration are not altered.
®B ®B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
[]C []C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation
change) (examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage /Surface Relief — assessment area /wetland type condition metric (answer for non -marsh wetlands only)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 Inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture /Structure — assessment area condition metric
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Solis guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ®A Soil ribbon <1 inch
❑B Soil ribbon 2: 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
6. Discharge into Wetland — opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub - surface pollutants or discharges (Sub).
Examples of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
❑A ®A Little or no evidence of pollutants or discharges entering the assessment area
®B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
S. Land Use — opportunity metric
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources
draining to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment
area (5M), and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
❑A ❑A ❑A > 10% impervious surfaces
®B ®B ®B < 10% impervious surfaces
❑C ❑C ❑C Confined animal operations (or other local, concentrated source of pollutants
®D ®D ®D a 20% coverage of pasture
El ❑E ❑E z 20% coverage of agricultural land (regularly plowed land)
El OF El ? 20% coverage of maintained grass/herb
❑G ❑G El ? 20% coverage of clear -cut land
❑H ❑H ❑H Little or no opportunity to improve water quality. Lack of opportunity may result from hydrologic alterations
that prevent drainage or overbank flow from affecting the assessment area.
7. Wetland Acting as Vegetated Buffer— assessment area /wetland complex condition metric
7a. Is assessment area within 50 feet of a tributary or other open water?
®Yes ❑No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is wetland? Descriptor E should be selected if ditches effectively bypass the buffer.
❑A >_ 50 feet
®B From 30 to < 50 feet
❑C From 15 to «30 feet
❑D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channelsibraids for a total width.
®515 -feet wide ❑> 15 -feet wide ❑ Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
®Yes [--]No
7e. Is stream or other open water sheltered or exposed?
®Sheltered — adjacent open water with width < 2500 feet and no regular boat traffic.
[]Exposed — adjacent open water with width a 2500 feet or regular boat traffic.
B. Wetland Width at the Assessment Area — wetland type /wetiand complex condition metric (evaluate for riparian wetlands only)
Check a box In each column for riverine wetlands only. Select the average width for the wetland type at the assessment area (WT)
and the wetland
complex at the assessment area (WC) See User Manual for WT and WC boundaries.
WT
WC
❑A
❑A
z 100 feet
❑B
❑B
From 80 to < 100 feet
❑C
❑C
From 50 to < 80 feet
❑D
❑D
From 40 to < 50 feet
❑E
❑E
From 30 to < 40 feet
OF
OF
From 15 to < 30 feet
❑G
❑G
From 5 to < 15 feet
❑H
❑H
< 5 feet

9.
Inundation Duration — assessment area condition metric
;_� 500 acres
Answer for assessment area dominant landform.
❑B
®A
Evidence of short - duration inundation (< 7 consecutive days)
❑C
❑B
Evidence of saturation, without evidence of inundation
❑D
❑C
Evidence of long- duration inundation or very long - duration inundation (7 to 30 consecutive days or more)
10.
Indicators of Deposition — assessment area condition metric
OF
Consider
recent deposition only (no plant growth since deposition).
®A
Sediment deposition is not excessive, but at approximately natural levels.
❑B
Sediment deposition is excessive, but not overwhelming the wetland.
❑C
Sediment deposition is excessive and is overwhelming the wetland.
11.
Wetland Size — wetland typelwetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas_ If assessment area is clear -cut, select "K" for the FW column.
WT
WC FW (if applicable)
❑A
❑A ❑A z 500 acres
❑ B
❑B ❑B From 100 to < 500 acres
❑C
❑C ❑C From 50 to < 100 acres
❑D
❑D ❑D From 25 to < 50 acres
❑E
❑E ❑E From 10 to < 25 acres
OF
❑F ❑F From 5 to < 10 acres
❑G
❑G ❑G From 1 to < 5 acres
❑H
❑H ❑H From 0.5 to < 1 acre
®I
91 01 From 0.1 to < 0.5 acre
❑J
❑J ❑J From 0.01 to < 0.1 acre
❑K
❑K ®K < 0.01 acre or assessment area is clear -cut
12.
Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
❑A
Pocosin is the full extent (Z 90 %) of its natural landscape size.
❑B
Pocosin type is < 900A of the full extent of its natural landscape size.
13.
Connectivity to Other Natural Areas — landscape condition metric
13a.
Check appropriate box(as) (a box may be checked In each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility line
corridors the width of a four -lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A
❑A
;_� 500 acres
❑B
❑B
From 100 to < 500 acres
❑C
❑C
From 50 to < 100 acres
❑D
❑D
From 10 to < 50 acres,
❑E
❑E
< 10 acres
OF
®F
Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters /stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non - forested areas �! 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear -cuts. Consider
the eight main points of the compass.
❑A No artificial edge within 150 feet in all directions
❑B No artificial edge within 150 feet in four (4) to seven (7) directions
®C An artificial edge occurs within 150 feet in more than four (4) directions of assessment area is clear -cut
16. Vegetative Composition —assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or
clearing. It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
0C.
Vegetation severely altered from reference in composition. Expected species are unnaturally absent (planted stands of non - characteristic
species or at least one stratum inappropriately composed of a single species). Exotic species are dominant in at least one
stratum
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species (< 10 % cover of exotics).
❑B Vegetation diversity is low or has > 10% to 50% cover of exotics-
[IC Vegetation is dominated by exotic species (> 50 % cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box In each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
o❑A ❑A Canopy closed, or nearly closed, with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
v ®C ®C Canopy sparse or absent
S ❑A ❑A Dense mid - storylsapling layer
v❑B ❑B Moderate density mid - story/sapling layer
®C ®C Mid-story/sapling layer sparse or absent
❑A ❑A Dense shrub layer
s ❑B ❑B Moderate density shrub layer
®C ®C Shrub layer sparse or absent
{ ®A ®A Dense herb layer
❑B ❑B Moderate density herb layer
❑C ❑C Herb layer sparse or absent
18. Snags — wetland type condition metric
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B Not
19. Diameter Class Distribution — wetland type condition metric
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
®C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric
Include both natural debris and man - placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability)_
®B Not A
21. Vegetation /Open Water Dispersion — wetland typelopen water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ❑D
� 4
1 .
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands only)
Examples of activities that may severely after hydrologic connectivity include intensive ditching, fill, sedimentation, channelization,
diversion, man -made berms, beaver dams, and stream incision.
®A Overbank nod overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
❑C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 4.1
Rating Calculator Version 4.1
Wetland Site Name Summit Seep Date of Assessment 10114/10
M.
Thomas /Axio
Wetland Type Seep Assessor Name /Organization m
Notes on Field Assessment Form (YIN) NO
Presence of regulatory considerations (Y /N) NO
Wetland is Intensively managed (Y /N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y /N) YES
Assessment area is substantially altered by beaver (Y /N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y /N) YES
Assessment area is on a coastal island (Y /N) NO
Sub - function Ratina Summa
Function
Sub - function
Metrics
Rating
Hydrology
Surface Storage and Retention
Condition
NA
LOW
Sub - surface Storage and Retention
Condition
NA
Water Quality
Pathogen Change
Condition
NA
Condition
LOW
Condition /Opportunity
NA
Opportunity Presence (Y /N)
NA
Particulate Change
Condition
NA
Condition /Opportunity
NA
Opportunity Presence (Y /N)
NA
Soluble Change
Condition
NA
Condition /Opportunity
NA
Opportunity Presence (Y /N)
NA
Physical Change
Condition
NA
Condition /Opportunity
NA
Opportunity Presence (YIN)
NA
Pollution Change
Condition
NA
Condition /Opportunity
NA
Opportunity Presence (YIN)
NA
Habitat
Physical Structure
Condition
MEDIUM
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition _
LOW
Function Ratina Summa
Function
Metrics
Rating
Hydrology
Condition
MEDIUM
Water Quality
Condition
LOW
Condition /Opportunity
NA
Opportunity Presence (Y /N)
NA
Habitat
Condition
LOW
Overall Wetland Rating LOW

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. 201100149 County: Davidson U.S.G.S. Quad: Lexington Rest
NOTIFICATION OF JURISDICTIONAL DETERt11IINATION
Property Owner /Agent: Restoration Systems LLC / North Creech
Address: 1101 Havnes Street, Suite 211
Raleigh, NC 27604
Telephone No.: 919 334 -9114
Property description:
Size (acres) 8 Nearest Town Linwood
Nearest Waterway North Potts Creek River Basin Yadkin River
USGS HUC 03040103 Coordinates N 35.7611706 W - 80.3348213
Location description Site known as Summit Seep located off of Sam Sharpe Road east of intersection with Clvde
Fitzgerald Road, adjacent to tributaries of North Potts Creek, west of Linwood, in Davidson County North Carolina.
Indicate Which of the Following Apply:
A. Preliminary Determination
_ Based on preliminary information, there may be wetlands on the above described property. We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be considered final, a
jurisdictional determination must be verified by the Corps. This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 33 1).
B. Approved Determination
_ There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
X There are waters of the U.S. on the above described project area subject to the permit requirements of Section 404 of the
Clean Water Act (CWA)(33 USC 5 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
_ We strongly suggest you have the wetlands on your property delineated. Due to the size of your property and /or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a more timely
delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by the Corps.
X The waters of the U.S. including wetland on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be
reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years.
_ The wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . Unless there is a change in the law or our published regulations, this
detennination may be relied upon for a period not to exceed five years from the date of this notification.
_ There are no waters of the U.S., to include ,vetlands, present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
_
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Washington, NC, at (252) 946 -6481 to determine
their requirements.
Page 1 of 2

Action ID:
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact John Thomas at 919 554 -4884 ext. 25.
C. Basis For Determination
There are stream channels within your nroiect site which are tributaries of North Potts Creek which flows into the
Yadkin River and the Atlantic Ocean.
D. Remarks
E. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in
B. above)
This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CPR part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
District Engineer, Wilmington Regulatory Division
Attn:Jean Manuele, Project Manager,
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the District Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it nest be received at the above address by March 22, 2011.
* *It is not necessary to submit an RFA
correspondence. **
Corps Regulatory Official:
Date 01/20/2011
District Office if you do not object to the determination in this
Expiration Datr 01/20/2016
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to
do so, please complete the Customer Satisfaction Survey located at our website at http: / /re ug latory.usacesurvey coat/ to
complete the survey online.
Copy furnished:
Joyce Stokes Parsons, 1889 Clyde Fitzgerald Road, Linwood, NC 27299;
Grant Lewis, Axiom Environmental, Inc., 20 Enterprise St. Suite 7, Raleigh, NC 27607
Page 2 of 2

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Applicant: Restoration Systems LLC,
File Number: SAW 2011
Date: January 20, 2011
Summit Seep, Worth Creech
00149
Attached is:
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of
A
ermission)
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL -
C
APPROVED JURISDICTIONAL DETERMINATION
D
PRELIMINARY JURISDICTIONAL DETERMINATION
E
.S'ECTION`'I''Tliesfollowi`ri , iderififes '`your•riglits;and''options re ardin an admiiiistrativea a 1. x`
pp_ a• :of,tle��above:
decision:: Addi- tional'':irifonriationiri%ay,'l a fouii'd' at htfp: % /www.usace:arn V. -'h' ,l7ine�fitncf 'ions %cw /cecwo%re-'� .
Corps,r" qg u lations�at 33,�CFR= P
rt- :3311: .;•s
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. I£ you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
pernut, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the pernut (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
perm-it to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Perniit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined pernut wider the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
Nvithin 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or
provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the district engineer. This form must be received by
the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps
regarding the preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved
JD (which may be appealed), by contacting the Corps district for further instruction. Also you may provide new
information for further consideration by the Corps to reevaluate the JD.
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TF®YAr�, P- EAr OJEIr. F;,i
"SECT N Iri O R N
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your
objections to an initial proffered permit in clear concise statements. You may attach additional information to
this form to clarify where your reasons or objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps
memorandum for the record of the appeal conference or meeting, and any supplemental information that the
review officer has determined is needed to clarify the administrative record. Neither the appellant nor the Corps
may add new information or analyses to the record. However, you may provide additional information to clarify
the location of information that is already in the administrative record.
POINT`OF CONTACT;rFOR', OUESTIONS,''OR'INFORNIATION': a.'• : �. .
If you have questions regarding this decision
If you only have questions regarding the appeal process you
and /or the appeal process you may contact:
may also contact:
John Thomas @ 919 554 -4884 ext. 25
Mr. Mike Bell, Administrative Appeal Review Officer
CESAD-ET-CO-R
U.S. Army Corps of Engineers, South Atlantic Division
60 Forsyth Street, Room 9M15
Atlanta, Georgia 30303 -8801
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any
government consultants, to conduct investigations of the project site during the course of the appeal process. You
will be provided a 15 day notice of any site investigation, and will have the opportunity to participate in all site
investigations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits and approved Jurisdictional Determinations send this
form to:
District Engineer, Wilmington Regulatory Division, Attn:Jean Manuele, Project Manager, Raleigh
Regulatory Field Office, 3331 Heritage Trade Drive, Suite 105, Wake Forest, North Carolina 27587
For Permit denials and Proffered Permits send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Nlike Bell,
Administrative Appeal Officer, CESAD- ET -CO -R, 60 Forsyth Street, Room 9MI5, Atlanta,
Georgia 30303 -8801

APPENDIX F
PERFORMANCE BOND
Summit Seep Wetland Mitigation Site Appendix F
Mitigation Plan
January 2011

NORTH AMERICAN
SPECIALTY INSURANCE COMPANY
Performance Bond
Bond No. 2138925
North American Specialty Insurance Company
1200 Arlington Heights Road, Suite 400, Itasca, IL 60143 -2625
KNOW ALL MEN BY THESE PRESENTS, that we, Restoration Systems, LLC, as Principal, and North American
Specialty Insurance Company, licensed to do business in the State of, NC as Surety, are held and firmly bound unto
North Carolina Department of Environment and Natural Resources (Obligee), in the penal sum of One Hundred
Forty Thousand, Nine Hundred Thirty Seven and 501100 Dollars ($140,937.50), lawful money of the United States of
America, for the payment of which sum, well and truly to be made, the Principal and Surety do bind themselves, their
heirs, executors, administrators, and successors and assigns, jointly and severally, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the above bounden Principal has entered into certain
written Contract with the above named Obligee, effective the 30th day of June, 2010, for Summit Seep Wetland
Mitigation Site Site, Contract #003244 and more fully described in said Contract, a copy of which is attached, which
Agreement is made a part hereof and incorporated herein by reference, except that nothing said therein shall alter,
enlarge, expand or otherwise modify the term of the bond as set out below.
NOW, THEREFORE, if Principal, its executors, administrators, successors and assigns shall promptly and faithfully
perform the Contract, according to the terms, stipulations or conditions thereof, then this obligation shall become null and
void, otherwise to remain in full force and effect subject to the following:
Notwithstanding the provisions of the Contract, this bond will commence on the date of the submittal of Task 3 (submittal
of Restoration Plan) and will terminate the earlier of two years from the submittal of the Restoration Plan or receipt of
written notification from EEP that the requirements of Task 6 (Submittal of Mitigation Plan) have been met.
Sealed with our seals and dated this 8th day of February, 2011.
NEW46- M-1.17
Witness
Agreed and acknowledged this _ day of , 2011
0
S -5025 (08 -99)
Restoration Systems, C
Principal
North Ameriann S ecialt Ins a Com an f
K nneth J. Pee pl , Attorney -in- act
Obligee

NAS SURE "I'Y GROUP
NORTH ANIERICAN SPECIALTY INSURANCE COMPANY
WASHINGTON INTERNATIONAL INSURANCE COMPANY
GENERAL POWER OF ATTORNEY
KNOW AL.I. MEN BY TI II:SE PRESL•NTS, "CHAT North American Specialty Insurance Company. a corporation duly organized and existing under
laws of the State of New Hampshire. and having its principal office in the City of Manchester. New I lampshire, and Washington International
Insurance Company. a corporation organized and existing under the laws of the State of Ne\\ I lantpshire and having its principal office in the City of
Schaumburg. Illinois. each does hereby make, constitute and appoint:
KENNETII J. PEEPLES, SOUTHGATE JONES, Ill, JAMES P. CARTER, 11, BOBBI D. PENDLETON,
P1fOEBE C. HONEYCUTT, KITARA A. SMITH, NEIL B. BILLER and HEATHER KENNEDY
JOINTLY Olt SEVERALLY
Its true and la\\ lid Attorney (s) -in -Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings
obligatory in the nature of a bond on behalf of each of said Companies, as surety. on contracts of suretyship as are or may be required or permitted by
law, regulation. contract or otherwise, provided drat no bond or undertaking or contract or suretyship executed under this authority shall exceed the
amount of: FIFTY MILLION (550,000,000.00) DOLLARS
This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of
Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held
on the 24'h of March, 2000:
- RESOLVED. that any two of the Presidents, any Managing Director, any Senior Vice President. any Vice President- any Assistant Vice President.
the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attomey qualifying the attorney named
in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them
hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is
FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any
certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be
binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached."
CUpuTY��rigrr Ll /1� VJHW01'Y
?yQ • •voii*'G': jpPO�ryS
a r�
By
$ o �:
SEAL 10 = $les en P. Andenoo, President & CLief Eaeculisr Orer of Washington International Insurance Company 22�il' G ltd.•
SEAL
z W Z 1973 & Senior \'Ice President of North American Specialty Insurance Comp.?
NANO?.:' t7: •O
.
By
Das Id NI. Layman, Senior Vice Presided of Washington Inttmational Insurance Company to
& Vice President or North American Specially Insurance Company
IN WITNESS WHEREOF. North American Specialty Insurance Company and Washington International Insurance Company have caused their
official seals to be hereunto affixed. and these presents to be signed by their authorized officers this 12th day of October 20110
North American Specialty Insurance Company
'Washington International Insurance Company
State of Illinois
County of Cook ss:
On this 12th day of October 20 10 , before me, a Notary Public personally appeared Steven P. Anderson , President and CEO of
Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M. Layman ,
Senior Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company.
personally kno%%n to me. \\ho being by fire duly sworn, acknowledged that they signed the above Power of Attorney as officers of and
acknu\vledsed said instrument to be the voluntan' act and deed of their respective companies.
"OFFICIAL SEAL"
NNA D.SKLENS
Notary Public, State of Illinois
My Commission Etpaes I00011
Donna D. Sklens, Notary Public
I, James A. Carpenter , the duly elected Assistant Secretan of North American Specialty Insurance Company and Washington
International Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North
American Specialty Insurance Company and Washington International Insurance Company, which is still in full force :end effect.
IN WITNESS WI IEREOF. l have set my hand and affixed the seals of the Companies this _C day of ��� l t �� r . 20�.
Junes A Carpenter, vice Pratdmi & Assistant Sacreta of Washminotn IntemauonA Insurance Ccnnpany &
North American Specialty Insurance Company