20201052 Ver 1_401 Application_20200814

Staff Review
Does this application have all the attachments needed to accept it into the review process?*
r Yes r No
ID#*
20201052
Version* 1
Is this project a public transportation project?* r Yes
r No
Reviewer List:* Sue Homewood:eads\slhomewood
Select Reviewing Office:* Winston-Salem Regional Office - [phone]
Submittal Type:* 401 Application
Does this project require a request for payment to be sent?*
r
Yes
r
No
How much is r $240.00
owed?* r $570.00

Project Submittal Form
Please note: fields marked with a red asterisk below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: * 6- New Project r New Project w Existing ID
r Pre -Application Submittal r More Information Response
r Other Agency Comments r Stream or Buffer Appeal
r For the Record Only (Courtesy
Copy)
New Project - Please check the new project type if you are trying to submit a new project that needs an official approval
decision.
Pre -Application Submittal - Please check the pre -application submittal if you just want feedback on your submittal and
do not have the expectation that your submittal will be considered a complete application requiring a formal decision.
More Information Response - Please check this type if you are responding to a request for information from staff and
you have and ID# and version for this response.
Other Agency Comments - Please check this if you are submitting comments on an existing project.
Project Contact Information
Name: Bradley Luckey
Who is subrritting the information?
Email Address: [e-mail]
Project Information
Project Name: Aspen Pointe
Is this a public transportation project?
r Yes
r No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r Yes r No r Unknown
County (ies)
Forsyth
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
5080.3_Aspen Pointe_PCN 8.14.20.pdf 5.26MB
Only pdf or Ivre files are accepted.
Describe the attachments
or comments:
PCN for 401 WQC
Sign and Submit
P By checking the box and signing box below, I certifythat:
o I have given true, accurate, and complete information on this form;

• I agree that submission of this form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the
"Uniform Electronic Transactions Act")
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
• I intend to electronically sign and submit the online form."
Signature:
Submittal Date: Is filled in autorratically.

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Aspen Pointe Apartment Complex
2. Work Type: ❑Private ❑Institutional ❑Government 17 Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
See attached PCN.
4. Property Owner / Applicant [PCN Form A3 or A41: Attached
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Pilot Environmental, Inc.
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location — Coordinates, Street Address, and/or Location Description [PCN Form B lb]:
36.02877,-80.26685
8. Project Location —Tax Parcel ID [PCN Form Bla]: See attached
9. Project Location — County [PCN Form A2b]: Forsyth
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Winston Salem
11. Project Information — Nearest Waterbody [PCN Form 132a]: Sides Branch
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03030001
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
✓❑ Nationwide Permit #
❑ Regional General Permit #
❑ Jurisdictional Determination Request
Section 10 and 404 ❑
❑Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: NWP 29 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
® Yes
❑ No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Aspen Pointe Apartments
2b.
County:
Forsyth
2c.
Nearest municipality / town:
Winson Salem
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Multiple --see attached table
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
3e.
City, state, zip:
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ® Other, specify: Developer
4b.
Name:
Mr. Matt Raab
4c.
Business name
(if applicable):
Aspen Pointe, LLC
4d.
Street address:
PO Box 395
4e.
City, state, zip:
Jamestown, NC 27282
4f.
Telephone no.:
336.454.6134
4g.
Fax no.:
4h.
Email address:
[e-mail]
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bradley S. Luckey
5b.
Business name
(if applicable):
Pilot Environmental Inc.
5c.
Street address:
PO Box 128
5d.
City, state, zip:
Kernersville, NC 27285
5e.
Telephone no.:
336.708.4997
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
la. Property identification no. (tax PIN or parcel ID):
6823-42-1009, 6223-51-5704, 6823-51-5917 & 6823-51-
3070
1 b. Site coordinates (in decimal degrees):
Latitude: 3602877 Longitude: --80.26685
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size:
—14 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Sides Branch
proposed project:
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Yadkin
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site contains undeveloped wooded land and fields. Structures are not located on the site. The site is located in a
mixed use area of Winston Salem, North Carolina.
3b. List the total estimated acreage of all existing wetlands on the property:
0.25 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
2,847 linear feet
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access to the Aspen Pointe apartment complex.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of development of the site with 3 apartment buildings that will comprise 72 units, associated
amenities including community center and playground, and parking areas. To provide access the eastern portion of the
site, a stream crossing is necessary. To facilitate development of the site, clearing and grading the site is necessary.
Graders, haulers, excavators and other heavy equipment will be used during site construction.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
❑Yes ❑ No ®Unknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
El Preliminary ❑Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Michael & David Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ❑ No ® Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number—
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non-404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments: Wetland impacts are not proposed.
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non-404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Culvert/Rip-
Rap/Pump Around
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
8
141/32/10
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
141/32/10
3i. Comments: The proposed stream crossing will permanently impact 141 linear feet of perennial stream channel associated
with road crossing fill, permanently impact 32 linear feet of perennial steam channel associated with keyed in rip -rap energy
dissipaters and temporarily impact 10 linear feet of perennial stream channel with the associated pump around. Areas of rip -
rap will be keyed into existing grades of beds and banks. Areas of temporary impact will be restored to similar pre -construction
conditions. The Applicant does not propose mitigation for unavoidable stream impacts.
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number -
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number-
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
re uired?
B1 ❑P❑T
❑Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑P❑T
❑Yes
❑ No
6h. Total buffer impacts
6i. Comments: Buffer impacts are not proposed.
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The applicant has designed the apartment complex, community center, playground and parking areas to avoid impacts to
streams or wetlands. The applicant has designed the stream crossing in an area that avoids impacts to wetlands.
Additionally, the applicant is avoiding impact to wetland from mechanized land clearing/easement maintenance with proposed
sewer line extension.
The applicant has further demonstrated avoidance and minimization of stream impacts by proposing to construct
approximately 15 feet tall culvert head/end walls. Furthermore, the Applicant has designed rip -rap stabilization measure to be
keyed into existing grades of beds and banks to 32 linear feet of stream channel, thus resulting in not net loss.
The remaining approximate 2,664 linear feet of stream and 0.25 acres of wetlands are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence/other BMPs will be used. A temporary coffer dam will be installed up -gradient
of the proposed culvert. During construction, water will be pumped around the construction footprint. Appropriate stream bank
protection will be provided in the channel during construction and all excess excavated material will be immediately removed
from the stream bank crossing area. Upon completion of the culvert installation, the temporary sand bag coffer dam will be
removed and flow will be diverted through the culvert. Following construction, disturbed banks will be restored to similar pre -
construction conditions, matted and seeded/live staked.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
El Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
21.8 %
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: Low
density development.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
® Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Winston Salem
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ® No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
® No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes
® No
Comments: We are not aware of a NEPA or SEPA being required as part of this
project.
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
We are not aware of additional development that will impact nearby downstream water quality.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
The proposed project will connect to an existing municipal sanitary sewer line and will not require impacts to jurisdictional
features associated with wastewater generation.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Pilot consulted the USFWS list of federally protected species known to occur in Forsyth County. The USFWS list of
protected species includes the bald eagle (BGPA), Northern Long Eared Bat (NLEB) (T) & Small-Anthered Bittercress
(E). Based on our observations, we have made the determination the proposed project will not disturb the bald eagle and
will have no adverse affect to NLEB or Small-Anthered Bittercress.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the use of temporary sediment and erosion control devices will prevent sediment from entering
down -gradient waterbodies which may contain fish.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
According to the NC SHPO Historic Properties website (attached), eligible or listed resources are not located within or
proximate to the proposed project area.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA NFHL (Drawing's 4, attached)
Digitally signed by Bradley S. Luckey
/ DN: cn=Bradley S. Luckey, o=Pilot
a
Bradley S. Luckey
! r, Enviromental, Inc., ou,
/ email=[e-mail],c=US
08.14.20
Date: 2020.08.14 17:45:23-04'00'
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

Proposal for Wetland Permitting Services
Pilot Proposal5080.3
June 23, 2020
AGENT AUTHORIZATION
This form authorizes Pilot to act as our agent in stream/wetland matters including U.S. Army
Corps of Engineers and North Carolina Division of Water Resources field verification and
permitting.
Property Address: 920 Stafford Village Blvd.
Winston-Salem,
Applicant Information:
Name:
Address:
Telephone Number:
Fax Number:
E-mail Address:
Aspen Pointe, LLC
PO Box 395 Jamestown. NC 27282
336-454-6134
matt.raab(@wynnefieldproperties.com
Signature: Date: l/ l3 Zt7
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Name(s) on Recorded Deed
PIN Number
Deed book
& Page No.
Responsible Party for
LLC if Applicable
Street Address
City, State, Zip
Aspen pointe, LLC
6823-42-9075
3505/2436
Matt Raab
6749 Lake Dale Way
Clemmons, NC 27012
Aspen pointe, LLC
6823-51-7722
3505/2436
Matt Raab
6749 Lake Dale Way
Clemmons, NC 27012
James and Kerry Howard
6823-51-3070
1710/2667
1
12450 Jay Avenue
Winston-Salem, NC 27127

Tax Parcel Viewer
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8/11/2020, 10:10:31 AM 1:2,257
0 0.0175 0.035 0.07 mi
• Address Points Tax Municipal Polygon
0 0.03 0.06 0.12 km
Forsyth County Boundary Winston-Salem
Streets — Red: Band-1
Parcels Green: Band-2 MapForsyth, Forsyth CountyTaxAdministration
Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO, USGS,
Blue: Band 3 FAO, NPS, NRCAN, GeoBase, IGN, KadasterNL,OrdnanceSurvey,Esri
Parcels - Mailing Labels — Japan, METI, Esri China (Hong Kong), (c) OpenStreetMap contributors, and
the GIS User Community
----- Easement
Forsyth County, NC
dERE, Garmin, INCREMENT P, USGS, EPA, USDA I MapForsyth, Forsyth County Tax Administration I Created and Maintained bythe Planning & Development Serviced Department, Winston-Salem'Forsyth County, NC.

8/11/2020 Print Property Info
Property Summary
Tax Year: 2021 -Value subject to change, property assessment under review
REID 6823429075000 PIN 6823-42-9075 Property Owner
Location Address 0 Town Square DR Property Description LO012 BL3864 Owner's Mailing Address
Administrative Data
Plat Book & Page
Old Map #
624830
Market Area
51
Township
WINSTON-SALEM
Planning Jurisdiction
COUNTY WIDE
City
WINSTON-SALEM
Fire District
Spec District
Land Class
93.00-Vacant Corn
History REID 1
History REID 2
Acreage
2.68
Permit Date
Permit #
Building Summary
Misc Improvements Summary
Transfer Information
Deed Date
Deed Book
Deed Page
Revenue Stamps
Package Sale Date
Package Sale Price
Land Sale Date
Land Sale Price
Improvement Summary
Total Buildings
Total Units
Total Living Area
Total Gross Leasable Area
Photograph
1 /30/2020
003505
02436
$1,500
1 /30/2020
$750,000
0
0
0
0
No Photo Found
ASPEN POINTE LLC
6749 LAKE DALE WAY
CLEMMONS NC 27012
Property Value
Total Appraised Land Value
Total Appraised Building Value
Total Appraised Misc Improvements
Value
Total Appraised Value
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
Total Deferred Value
Total Taxable Value
Card Unit Base Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (%
# Quantity Measure Type Price Year Bad) Bad) Bad) Good) Value
No Data
Total Misc Improvements Value Assessed:
Land Summary
tell us.co.forsyth. nc. us/Ircpwa/PrintPRC.aspx?PARCELPK=177274
1/2

8/11/2020 Print Property Info
Land Class: 93.00-Vacant Com Deeded Acres: 2.68 Calculated Acres: 2.69
Zoning Soil Class Description Size Rate Land Adjustment Land Value
MU-S COMM/INDUS-SQFT08 116741.00 SQUARE FOOT PRICED $0 UTILITY-60.00
LOCATION-85.00
TOPOGRAPHY-80.00
-90.00
Total Land Value Assessed:
Ownership History
Owner Name Deed Type % Ownership Stamps Sale Price Book Page Deed Date
Current ASPEN POINTE LLC WARRANTY -DEED 100 1500 $750,000 003505 02436 1/30/2020
1 Back DOMINION BUILDING LLC, . DEED 100 0 3505 2436 1/30/2020
Notes Summary
Building Card
No Data
Date
Line
Notes
tellus.co.forsyth.nc.us/Ircpwa/PrintPRC.aspx?PARCELPK=177274 2/2

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O Address Points Tax Municipal Polygon
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Streets Red: Band-1
Parcels Green: Band-2
1:4, 514
0 0.0375 0.075 0.15 mi
0 0.05 0.1 0.2 km
Sources: Esri, HERE, Gannin, Intermap, increment P Corp., GEBCO, USGS,
FAO, NPS, NRCAN, GeoBase, IGN, KadasterNL,OrdnanceSur%WEsri
Japan, METI, Esri China (Hong Kong] (c) OpenStreetMapcontributors, and

8/11/2020
Property Summary
Tax Year: 2020
REID 6823513070000 PIN
Location 0 Jay AVE Property
Address Description
Print Property Info
6823-51-3070 Property Owner
LO005B Owner's Mailing
BL3864 Address
Administrative Data
Transfer Information
Plat Book & Page
Deed Date
Old Map #
624830
Deed Book
Market Area
120006
Deed Page
Township
WINSTON-SALEM
Revenue Stamps
Planning
COUNTY WIDE
Package Sale Date
Jurisdiction
Package Sale Price
City
WINSTON-SALEM
Land Sale Date
Fire District
Land Sale Price
Spec District
Land Class
91.00-Vacant SF
Improvement Summary
Res
Total Buildings
History REID 1
Total Units
History REID 2
Total Living Area
Acreage
9.71
Total Gross Leasable Area
Permit Date
Permit #
Photograph
Building Summary
Misc Improvements Summary
Card Unit Measure Type Base
# Quantity Price
No Data
Total Misc Improvements Value Assessed:
3/6/1991
001710
02667
0
0
0
0
No Photo Found
Howard, James N;Howard, Kerry
E
2450 Jay Ave
Winston Salem NC 27127
Property Value
Total Appraised Land Value
$88,400
Total Appraised Building Value
Total Appraised Misc
Improvements Value
Total Cost Value
$88,400
Total Appraised Value -valued By
$88,400
Cost
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
Total Deferred Value
Total Taxable Value
$88,400
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
tellus.co.forsyth.nc.us/Ircpwa/PrintPRC.aspx?PARCELPK=63015 1 /2

8/11 /2020
Land Summary
Land Class: 91.00-Vacant SF Res
Zoning Soil Class Description
RS9 RES-ACREAGE
Total Land Value Assessed: $88,400
Print Property Info
Deeded Acres: 9.71
Size
9.71 BY THE ACRE PRICE
Calculated Acres: 9.77
Rate Land Adjustment
$14,000 TOPOGRAPHY-80.00
ACCESS-70.00
Land Value
$88,400
Ownership History
Owner Name Deed Type % Ownership Stamps Sale Price Book Page Deed Date
Current Howard, James N/ Howard, Kerry E DEED 100 0 001710 02667 3/6/1991
Notes Summary
Building Card
No Data
Date
Line
Notes
tellus.co.forsyth.nc.us/Ircpwa/PrintPRC.aspx?PARCELPK=63015 2/2

Tax Parcel Viewer
l�
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I
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1+:
8/11/2020, 10:13:32 AM
O Address Points
Forsyth County Boundary
Streets
Parcels
Tax Municipal Polygon
Winston-Salem
Red: Band 1
Green: Band 2
..
Ir
1
r
f
+
1:2, 257
0 0.0175 0.035 0.07 mi
0 0.03 0.06 0.12 km
WpForsyth, Forsyth CountyTaxAdn inistarUon
Sources: Esri, HERE, Gannin, Intermap, increment P Corp., GEBCO, USGS,
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Sur%W Esri

8/11/2020 Print Property Info
Property Summary
Tax Year: 2021 -Value subject to change, property assessment under review
REID 6823517722000 PIN 6823-51-7722 Property Owner ASPEN POINTE LLC
Location Address 920 Stafford Village BLVD Property Description L0110 BL3864 Owner's Mailing Address 6749 LAKE DALE WAY
CLEMMONS NC 27012
Administrative Data
Plat Book & Page
Old Map #
624830
Market Area
51
Township
WINSTON-SALEM
Planning Jurisdiction
COUNTY WIDE
City
WINSTON-SALEM
Fire District
Spec District
Land Class
93.00-Vacant Corn
History REID 1
History REID 2
Acreage
11.1
Permit Date
Permit #
Building Summary
Misc Improvements Summary
Transfer Information
Deed Date
Deed Book
Deed Page
Revenue Stamps
Package Sale Date
Package Sale Price
Land Sale Date
Land Sale Price
Improvement Summary
Total Buildings
Total Units
Total Living Area
Total Gross Leasable Area
Photograph
1 /30/2020
003505
02436
$1,500
1 /30/2020
$750,000
0
0
0
0
No Photo Found
Property Value
Total Appraised Land Value
Total Appraised Building Value
Total Appraised Misc Improvements
Value
Total Appraised Value
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
Total Deferred Value
Total Taxable Value
Card Unit Base Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (%
# Quantity Measure Type Price Year Bad) Bad) Bad) Good) Value
No Data
Total Misc Improvements Value Assessed:
Land Summary
tell us.co.forsyth. nc. us/Ircpwa/PrintPRC.aspx?PARCELPK=177273
1/2

8/11/2020 Print Property Info
Land Class: 93.00-Vacant Com Deeded Acres: 11.1 Calculated Acres: 11.1
Zoning Soil Class Description Size Rate Land Adjustment Land Value
MU-S COMM/INDUS-SQFT10 483516.00 SQUARE FOOT PRICED $0 UTILITY-85.00
TOPOGRAPHY-80.00
SHAPE-98.00
-65.00
Total Land Value Assessed:
Ownership History
Owner Name Deed Type % Ownership Stamps Sale Price Book Page Deed Date
Current ASPEN POINTE LLC WARRANTY -DEED 100 1500 $750,000 003505 02436 1/30/2020
1 Back DOMINION BUILDING LLC, . DEED 100 0 3505 2436 1/30/2020
Notes Summary
Building Card
No Data
Date
Line
Notes
tellus.co.forsyth.nc.us/Ircpwa/PrintPRC.aspx?PARCELPK=177273 2/2

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P I 11WLJ
P I L O T E N V I R 0 N M E N T A L. I N C
November 14, 2019
Mr. Matt Raab
Wynnefield Properties
PO Box 395
Jamestown, North Carolina 27282
Reference: Wetland Delineation
Approximate 13.78-Acre Tract
Stafford Village Boulevard
Winston-Salem, Forsyth County, North Carolina
Pilot Project 5080.2
Dear Mr. Raab:
Pilot Environmental, Inc. (Pilot) is pleased to submit this report of the wetland delineation for the
approximate 13.78-acre tract located south of Stafford Village Boulevard in Winston-Salem,
Forsyth County, North Carolina.
Background
Wetlands are defined by the United States Army Corps of Engineers (USACE) and the United
States Environmental Protection Agency (EPA) as "those areas that are inundated or saturated
by surface or groundwater at a frequency and duration sufficient to support, and under normal
circumstances, do support a prevalence of vegetation typically adapted for life in saturated soil
conditions." In order for an area to be classified as a wetland, hydrophytic vegetation, hydric
soils, and wetland hydrology indicators must be present.
Section 404 of the Clean Water Act (CWA) regulates the discharge of dredge and fill materials
into waters of the United States (lakes, rivers, ponds, streams, etc.), including wetlands. Waters
of the United States include the territorial seas, navigable coastal and inland lakes, rivers and
streams, intermittent streams, and wetlands. The EPA and the USACE jointly administer the
Section 404 program. Section 401 of the Clean Water Act grants each state the authority to
approve, condition, or deny any Federal permits that could result in a discharge to State waters.
Jurisdictional features include wetlands, open waters, ponds, lakes and perennial/intermittent
streams. Jurisdictional features are regulated by the USACE and North Carolina Department of
Environmental Quality -Division of Water Resources (NCDEQ-DWR). Permits are required priorto
impacting any jurisdictional feature. Stormwater management plans and/or mitigation for
proposed impacts could be a requirement of the permit approval process.
PO Box 128, Kernersville, NC 27285
www.pilotenviro.com

Wetland Delineation
Pilot Project 5080.2
November 14, 2019
The findings and conclusions in this report are our opinions based on field conditions
encountered at the time of the site visit. Changes including, but not limited to, regulations,
weather, timber/vegetation removal and usage/development of the site or nearby properties
can alter the findings and opinions presented in this report. We recommend that this report only
be used for preliminary planning purposes. Agency verifications, followed by a survey of
jurisdictional features, are required to determine the exact extent and locations of jurisdictional
features and are valid for a period of up to five years following issuance of a USACE Jurisdictional
Determination (JD) and/or NCDEQ-DWR Site Determination Letter.
Scope of Services
Pilot was contracted to perform a wetland delineation for the approximate 13.78-acre tract
located south of Stafford Village Boulevard in Winston-Salem, Forsyth County, North Carolina.
The site is identified on the Forsyth County Geographic Information System (GIS) as Parcel
Identification Numbers (PINS) 6823-42-9009, 6823-51-5704, and 6823-51-5917. The scope of
services included a delineation of jurisdictional features (streams, wetlands and other surface
waters) on the site. The site boundary was not marked at the time of our field delineation.
Pilot was contracted to perform a Phase I Environmental Site Assessment (ESA) in conjunction with
the wetland delineation. Details of the Phase I ESA are included in separate reports.
Literature Review
We reviewed the U.S. Geological Survey (USGS) Topographic Map, the U.S. Department of
Agriculture (USDA) Soil Survey of Forsyth County, the U.S. Fish and Wildlife Service (USFWS)
National Wetland Inventory (NWI) Map and the Federal Emergency Management Agency (FEMA)
Flood Insurance Rate Map (FIRM).
• The USGS Topographic Map (Drawing 1) depicts Sides Branch and an unnamed tributary to Sides
Branch crossing the central and eastern portions of the site. Other surface waters or wetlands
are not depicted on the site. Drainage swales that could contain additional surface waters or
wetlands are located on the site.
• The USDA Web Soil Survey of Forsyth County (Drawing 2) identifies the following mapping units
on the site: Casville sandy loam (CaQ Codorus loam (CoA), Fairview fine sandy loam (FaB),
Fairview clay loam (FeE3), Gullied land (Gu), Siloam sandy loam (SmF), and Toast -Devotion
complex (TdC and TdD). The Casville series consists of well drained, moderately slowly
permeable soils that occur on ridges. The Codorus series consists of moderately well to
somewhat poorly drained, moderately permeable soils that occur on nearly level floodplains.
The Fairview series consists of well drained, moderately permeable soils that occur on hills,
ridges and interfluves. Gullied land occurs in areas where the soils are eroded and the topsoil
and other soil properties are absent or altered. The Siloam series consists of well drained,
moderately slowly permeable soils that occur on hills, interfluves and ridges. The Toast series
iA

Wetland Delineation
Pilot Project 5080.2
November 14, 2019
consists of well drained, moderately permeable soils that occur on hills, ridges and interfluves.
The Devotion series consists of well drained, moderately rapidly permeable soils that occur on
hills and ridges. The Codorus (CoA) soil mapping unit is identified on the Forsyth County Hydric
Soils List. The other soil mapping units are not identified on the Forsyth County Hydric Soils List.
Pilot also reviewed the last published USDA Soil Survey of Forsyth County (Drawing 2A). The
published soil map depicts a tributary to Sides Branch on the central portion of the site and
depicts Sides Branch crossing the eastern portion of the site, generally consistent with the USGS
Topographic Map. Other surface waters or wetlands are not shown on the site.
• The USFWS NWI Map (Drawing 3) depicts riverine features crossing the central and eastern
portions of the site, generally consistent with the USGS Topographic Map. Other surface waters
or wetlands are not depicted on the site.
• The FEMA FIRM (Drawing 4) identifies the site as Zone X, areas outside of the 100-year and 500-
year floodplains.
Field Delineation
Pilot conducted the field delineation on November 6, 2019. The site contains undeveloped
wooded land and fields. Two ponds are located on the central portion of the site. Structures are
not located on the site.
Streams are located on the central and eastern portions of the site. The streams contain defined
beds and banks, meanders, strong substrate sorting, and indicators of an ordinary high-water
mark. The streams contained flowing water at the time of our site visit. Based on our
observations, the streams are perennial. The stream origins, confluence points and approximate
points where the streams cross site boundaries were marked in the field with blue and white
striped surveyor tape. The stream limits are well defined and should be located by a NC licensed
surveyor to determine their exact extents and locations.
Wetlands are located adjacent to the several of the streams on the site. The wetlands are
separated from surrounding uplands by topographic, vegetation and/or soil breaks. The wetland
boundaries were marked in the field with red and white striped surveyor tape and geo-located
with a handheld Trimble GPS unit. USACE Wetland Determination Data Forms, supporting our
opinions, are included as attachments.
Drawing 5 shows the locations of the streams, wetlands and data points on the site. The locations
and designations of features shown on Drawing 5 are subject to change during the verification(s)
by the regulatory agencies.
3

Wetland Delineation
Pilot Project 5080.2
November 14, 2019
Watershed Classification
According to the NCDEQ-DWR, the site is located in the Yadkin River Basin. An unnamed tributary
to Sides Branch and Sides Branch cross the site. The NCDEQ-DWR has classified Sides Branch as
Class C waters. We recommend consultation with the local zoning authority to determine if the
proposed development on the site requires development buffers/setbacks from surface waters for
compliance with local requirements.
Agency Verification
The delineation has not been verified by the USACE or the NCDEQ-DWR. We understand that
our flags will be surveyed to determine the exact extent and location of jurisdictional features
and applicable surface water buffers. The delineation, including locations and designations of
features shown on Drawing 5, are subject to change during agency verifications.
Closing
We appreciate the opportunity to provide our services to you. Please contact us at (336) 310-
4527 if you have questions or require additional information.
Sincerely,
C/
Spencer C. Burnett
Project Manager
114,Wl 7 A�
Michael T. Brame, PWS
Principal
Attachments: Drawing 1— USGS Topographic Map
Drawing 2 — Web Soil Map
Drawing 2A— Published Soil Map
Drawing 3 — NWI Map
Drawing 4 — FEMA FIRM
Drawing 5 — Wetland Map
Wetland Determination Data Forms
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LEGEND
Site Boundary
Drawing 2A
USDA Soil Survey
Of Forsyth County, NC
Published 1976, Sheet 45
Not To Scale
f Published Soil Map
�+ Aspen Pointe
Approximate 13.78-Acre Tract
Winston-Salem, Forsyth County, NC
PILOT Pilot Project 5080.2
Y I L 0 i E k v k 0 9 M 9 H T A l. A C

Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 250'
cw 4
fPILOT
li,LOI Lkv karPair+rxi. hC
FJ
LEGEND �'
Site Boundary
Freshwater Emergent
Freshwater Forested/Shrub
Estuarine and Marine Dee pwater
Estuarine and Marine
Freshwater Pond
Lake
RivPrine
other
NWI Map
Aspen Pointe
Approximate 13.78-Acre Tract
Winston-Salem, Forsyth County, NC
Pilot Project 5080.2

LEGEND
Site Boundary
196.Annual Chance Flood Hazard
ORegulatory Floodvay
Sped al Floodvay
` Area of Undetermined Flood Hazard
0.29(.Annual Chance Flood Hazard
Future Conditions 1'/¢Annual Chance Flood Hazard
Area with Reduced Risk Due to Levee
Drawing 4 f FEMA FIRM
Aspen Pointe
National Flood Hazard Layer fli,LOT
_�_Approximate 13.78-Acre Tract
From FEMA Web Map Service Winston-Salem'Forsyth County, NC
Scale: 1" = 250'+� P��,,,r n Pilot Project 5080.2
E k v k Q 9 M L H T A l. NC

J
FLAG NUMBERS/INFO �-
Stormwater Device
WETLAND FLAGS = was-s Fla Number
STREAM FLAGS = 0 g
Stream Flags = Limits Culvert
Wetland Flags = 38
Total Flags = 38 DP_1 Data Point
HE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE PRELIMINARY. THEY HAVE NOT BEEN VERIFIED BY THE USACE AND/OR THE NCDEQ-
DWR. THIS EXHIBIT INCLUDES GPS LOCATIONS OF JURISIDICTIONAL FEATURES. DELINEATION CONDUCTED BY PILOT PERSONNEL ON 11.6.2019.
Drawing 5 Wetland Map
Satellite Imagery from ESRI r ` ~; Aspen Pointe
and Pilot GPS Data 5 "� Approximate 13.78-Acre Tract
Scale: 1" = 200' - r Winston-Salem, Forsyth County, NC
Date: 11.8.19 Pun Pilot Project 5080.2
PIL01 Lkv k0gP49 TAL. hC

U.S. Army Corps of Engineers Requirement Con&W Symbol
WETLAND DETERMINATION DATA SHEET - Eastern Mountains and Piedmont Region EXEMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority AR 335- f5,paragraph 5-2a)
Project/Site: Aspen Pointe City/County: Winston-Salem / Forsyth Sampling Date: 11.6.2019
Applicant/Owner: Wynnefield Properties State: NC Sampling Point: DP-1
Investigator(s): Pilot Environmental; MTB and SCB Section, Township, Range: N/A
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Concave Slope (%): 2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.028722' Long:-80.266374' Datum: WGS 84
Soil Map Unit Name: Codorus loam (CoA) NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Data collected on the eastern portion of the site, outside of Stream SC
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (136)
_ Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
_ Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
—Algal Mat or Crust (134) _
Other (Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland
Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116A-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1
Tree Stratum (Plot size: 30 )
1. P/afanus occidenfa/is
2. Magnolia fiipefala
3. Comas §orida
4. Liriodendron f ilipifera
5.
6.
7.
50% of total cover: 38
Sapling/Shrub Stratum (Plot size: 30 )
1. ASimina biloba
2. Magnolia fiipefala
3. Fraxinus americana
4. Acernegundo
5.
6.
7.
8.
9.
Absolute
Uominant
% Cover
Species?
40
Yes
10
No
10
No
15
Yes
idicator
Status
Dominance Test worksheet:
FACW
Number of Dominant Species
FACU
That Are OBL, FACW, or FAC:
3 (A)
FACU
Total Number of Dominant
FACU
Species Across All Strata:
7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC:
42.9% (A/B)
Prevalence Index worksheet:
75 =Total Cover
20% of total cover: 15
10 Yes
FAC
10 Yes
FACU
5 No
FACU
5 No
FAC
30 =Total Cover
50% of total cover: 15 20% of total cover: 6
Herb Stratum (Plot size: 30
1. MicrosfegiuM uimineuM
2. Ligusfrum sinense
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover: 25
Woody Vine Stratum (Plot size: 30 )
1. Lonicerajaponica
2.
3.
4.
5.
40 Yes FAC
10 Yes FACU
50 =Total Cover
20% of total cover: 10
10 Yes FACU
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Remarks: (Include photo numbers here or on a separate sheet.)
Total % Cover of:
Multiply by:
OBL species 0
x 1
= 0
FACW species 40
x 2
= 80
FAC species 55
x 3
= 165
FACU species 70
x 4
= 280
UPL species 0
x 5
= 0
Column Totals: 165
(A)
525 (B)
Prevalence Index
= B/A =
3.18
_ 1 - Rapid Test for Hydrophytic Vegetation
-2 - Dominance Test is >50%
_ 3 - Prevalence Index is <_3.01
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine -All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No X
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type LOC2 Texture Remarks
0-18 7.5YR 4/6 100 Loamy/Clayey
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

U.S. Army Corps of Engineers Requirement Con&W Symbol
WETLAND DETERMINATION DATA SHEET - Eastern Mountains and Piedmont Region EXEMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority AR 335- f5,paragraph 5-2a)
Project/Site: Aspen Pointe City/County: Winston-Salem / Forsyth Sampling Date: 11.6.2019
Applicant/Owner: Wynnefield Properties State: NC Sampling Point: DP-2
Investigator(s): Pilot Environmental; MTB and SCB Section, Township, Range: N/A
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Concave Slope (%): 2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.028722' Long:-80.266374' Datum: WGS 84
Soil Map Unit Name: Codorus loam (CoA) NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Data collected on the central portion of the site, in wetland WA 15-24
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (136)
_ Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
X Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
—Algal Mat or Crust (134) _
Other (Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
X Water -Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes X No
Depth (inches): 2
Wetland
Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116A-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
Absolute
Uominant
Tree Stratum (Plot size: 30 )
% Cover
Species?
1. P/afanus occidenfa/is
40
Yes
2. Liriodendron fuiipifera
20
Yes
3. Befu/a nigra
30
Yes
4.
5.
6.
7.
90
=Total Cover
50% of total cover:
45 20% of total cover:
Sapling/Shrub Stratum (Plot size: 30
)
1. ASimina biioba
10
Yes
2. Acersaccharinum
10
Yes
3. Ligusfrum sinense
10
Yes
4.
5.
6.
7.
8.
9.
30
=Total Cover
50% of total cover:
15 20% of total cover:
Herb Stratum (Plot size: 30
1. Microsfegium uimineum
2. Rubus aiiegheniensis
3. Lonicerajaponica
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover: 20
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
idicator
Status
Dominance Test worksheet:
FACW
Number of Dominant Species
FACU
That Are OBL, FACW, or FAC:
5 (A)
FACW
Total Number of Dominant
Species Across All Strata:
7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC:
71.4% (A/B)
Prevalence Index worksheet:
18
FAC
FACW
FACU
0
30 Yes FAC
5 No FACU
5 No FACU
40 =Total Cover
20% of total cover: 8
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
Total % Cover of:
Multiply by:
OBL species 0
x 1
= 0
FACW species 80
x 2
= 160
FAC species 40
x 3
= 120
FACU species 40
x 4
= 160
UPL species 0
x 5
= 0
Column Totals: 160
(A)
440 (B)
Prevalence Index
= B/A =
2.75
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
X 3 - Prevalence Index is <_3.01
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine -All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type LOC2 Texture Remarks
0-18 10YR 4/2 80 7.5YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

U.S. Army Corps of Engineers Requirement Con&W Symbol
WETLAND DETERMINATION DATA SHEET - Eastern Mountains and Piedmont Region EXEMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority AR 335- f5,paragraph 5-2a)
Project/Site: Aspen Pointe City/County: Winston-Salem / Forsyth Sampling Date: 11.6.2019
Applicant/Owner: Wynnefield Properties State: NC Sampling Point: DP-3
Investigator(s): Pilot Environmental; MTB and SCB Section, Township, Range: N/A
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Concave Slope (%): 2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.028722' Long:-80.266374' Datum: WGS 84
Soil Map Unit Name: Codorus loam (CoA) NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Data collected on the centrak portion of the site, outside of wetland WA 15-24
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (136)
_ Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
_ Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
—Algal Mat or Crust (134) _
Other (Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland
Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116A-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-3
Absolute
Uominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
P/afanus occidenfa/is
10
No
FAC
Number of Dominant Species
2.
Quercus aiba
30
Yes
FACU
That Are OBL, FACW, or FAC: 2 (A)
3.
Fraxinus ameficana
20
Yes
FACU
Total Number of Dominant
4.
Lifiodendron fuiipifera
20
Yes
FACU
Species Across All Strata: 8 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 25.0% (A/B)
7.
Prevalence Index worksheet:
80
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
40 20% of total cover:
16
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 30
)
FACW species 0 x 2 = 0
1.
ASimina biioba
20
Yes
FAC
FAC species 40 x 3 = 120
2.
✓umpefus wlginiana
10
Yes
FACU
FACU species 100 x 4 = 400
3.
Faqusgrandifo/ia
5
No
FACU
UPL species 0 x 5 = 0
4.
Acerfubfum
10
Yes
FAC
Column Totals: 140 (A) 520 (B)
5.
Prevalence Index = B/A = 3.71
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
_
3 - Prevalence Index is <_3.01
45
=Total Cover
_
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
23 20% of total cover:
9
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30 )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Rubus aiieghemensis
10
Yes
FACU
Indicators of hydric soil and wetland hydrology must
2.
Lonicerajaponica
5
Yes
FACU
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb -All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
15
=Total Cover
Woody Vine -All woody vines greater than 3.28 ft in
50% of total cover:
8 20% of total cover:
3
height.
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-3
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type LOC2 Texture Remarks
0-18 7.5YR 4/6 100 Loamy/Clayey
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0