20201052 Ver 1_More Info Received_20200924

Strickland, Bev
From:
Brad Luckey <[e-mail]>
Sent:
Thursday, September 24, 2020 11:11 AM
To:
Roden Reynolds, Bryan K CIV (US)
Cc:
Homewood, Sue
Subject:
[External] RE: SAW-2020-01444_Aspen Pointe Apartments (Notice of Incomplete Pre -
Construction Notification)
Attachments:
5080.3_Aspen Pointe_PCN_9.24.20.pdf; ORM_Upload_Sheet_Consolidated_NWPR_
20200626.xlsm
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
[e-mail]
Good Morning Bryan,
Please find the attached updated PCN/AJD Request and below responses. Please let me know if you require additional
information and let me know what you have available to take a look at the site. Thanks.
USACE Comment A) The PCN was not signed. Therefore, please sign page 11 of the PCN and resubmit.
USACE Comment B) The Construction drawings submitted only include Parcel PIN 6823-51-7722; however, the PCN
listed four parcels (i.e., 6823-42-1009, 6223-51-5704, 6823-51-5917, and 6823-51-3070) along with Drawings 1-5 show
the proposed project boundary including 4 parcel, not 1. Therefore, please provide a complete set of construction
drawings for the entire proposed project area.
USACE Comment C) As previously stated, the PCN listed (in Section B(1)(a)) the 4 parcel PINS as 6823-42-1009, 6223-51-
5704, 6823-51-5917, and 6823-51-3070; however, after reviewing the county tax parcels the actual PINS for the 3
parcels that make up the proposed project area are as follows: 6823-42-9075, 6823-51-3070, and 6823-51-7722.
Therefore, please revise the PCN to include the entire proposed project area with the correct amount of parcels and
accurate PINS.
USACE Comment D) If the proposed project area was reduced from the original project area from the delineation, then
the PCN does not accurately reflect this change. Please clarify the proposed project area.
Applicant Response: Please see attached updated PCN. The stream/wetland delineation and proposed project area are
approximately 14 acres in size and consists of the entirety of PINS 6823-51-7722 and 6823-42-9075 and a portion of PIN
6823-51-3070. Development outside of that shown on the Impact Exhibits is not planned or proposed by the applicant.
USACE Comment E) At this time, the proposed project area does not have a Corps determination for aquatic features
onsite. However, the construction drawings included in the PCN call out "non -jurisdictional stormwater features". Since
there is no PJD or AJD issued by the Corps for this location, these construction drawings do not accurately represent the
area. In order for a potential aquatic feature to be determined non -jurisdictional, then the applicant would need to
apply for an AJD and have the Corps make the determination if those aquatic features onsite are in fact non -
jurisdictional. Therefore, please submit an AJD request for the delineation conducted on this area.
Applicant Response: The attached updated PCN requests an AJD be conducted for the approximate 14 acre site.
USACE Comment F) In Section A(1)(f) you stated "yes" payment to in -lieu fee program would be required as part of the
proposed project. However, in Section C(3)(i) you state "The applicant does not proposed mitigation for unavoidable
stream impacts." In addition, Section D(2)(a) stated "no" to the project requiring compensatory mitigation. Section
A(1)(f) is correct, as compensatory mitigation for permanent stream impacts resulting in the loss of waters (i.e., 141
linear feet) would likely require compensatory mitigation. Please note all permanent stream impacts, both that do and

do not result in a loss of waters, are considered cumulative and if that total is greater than 150 linear feet,
compensatory mitigation may be required. The project proposes to permanently impact 173 linear feet with 141 linear
feet resulting in loss of waters, those 141 linear feet of stream impacts will result in compensatory mitigation.
USACE Comment G) The PCN lacked an Acceptance Letter from NCDMS for the 141 linear feet of stream impacts.
Therefore, please provide a signed Acceptance Letter from NCDMS for the 141 linear feet of stream impacts.
USACE Comment H) The PCN lacked a NCSAM for the impacted stream (i.e., Stream 2). Without this information on the
current quality of the stream, the Corps will assume the feature is high quality and base the compensatory mitigation
ratio on that assumption. Therefore, if you are planning to propose a reduction in the compensatory mitigation ratio,
then the assessment methodology such as NCSAM would be needed provided to support or potentially justify a
reduction in the compensatory mitigation ratio.
Applicant Response: The stream crossing proposes the permanent impact to 141 linear feet of stream channel with
culvert/sideslope fill, the permanent impact to 32 linear feet of stream channel associated with keyed -in rip -rap and the
temporary impact to 10 linear feet of stream channel associated with de -watering. The permanent impact to 32 linear
feet of stream channel as the result of rip -rap dissipater fill, will be "keyed in" to existing pre -construction stream bed
and bank elevations to allow for aquatic passage and habitat to be maintained following installation of the
culvert. Through maintenance of aquatic passage and habitat, the resulting permanent impact to 32 linear feet of
stream does not constitute a loss of stream. Therefore, cumulative loss of stream as a result of the proposed project is
141 linear feet of stream channel. The Applicant does not propose mitigation for the 141 linear feet of unavoidable
stream loss as a result of the proposed project.
USACE Comment H) Complete the Aquatic Resources Upload Spreadsheet (see attached excel spreadsheet) for all
aquatic feature located within the proposed project area.
Applicant Response: Please find attached PCN and Aquatic Resources Upload Spreadsheet.
UASCE Note) The Corps is still reviewing the proposed project's potential for cumulative impacts with the existing multi-
family development abutting the western edge of the project area. I would encourage you to reach out to the City for a
copy of the master plan for this location, as the Corps will likely do the same.
Applicant Response: The applicant purchased PINS 6823-51-7172 and 6823-42-9075 within the previous year and is in
negotiations to purchase the portion of the PIN 6823-51-3070 that contains the proposed sewer line connection to
municipal sewer service. The applicant has not been involved with ownership or responsible for development occurring
on any abutting or adjacent properties to the site. Based on a review of historical aerial photography, it appears that
portions of the site were utilized for sediment and erosion control devices, potentially associated with the construction
of Stafford Place Boulevard and apartment complex on adjacent property west of the site, across Stafford Place
Boulevard sometime between 2012 and 2013.
The proposed project is a single and complete proposal by one developer to cross one single water body. Regardless of
site plans from the City of Winston-Salem, the proposed project meets the definition of independent utility, which is one
criteria utilized to determine single and complete project. The proposed project is connecting to existing water services
on the proposed project site. Additionally, sanitary sewer services will be connected from the south to existing
municipal services. Existing sanitary sewer services, located on the eastern portion of the site, cannot be connected on
the site due to existing topographic conditions. Either of these utility connections are independent of the previous
construction of Stafford Place Boulevard and apartment complex on adjacent property west of the site.
Sincerely,
Bradley S. Luckey, PWS
336.708.4997 (c)
336.310.4527 (o)
PO Box 128

Kernersville, NC 27285
www.pilotenviro.com
[e-mail]
From: Roden Reynolds, Bryan K CIV (US) [maiIto: Bryan. K.Roden [e-mail]1]
Sent: Wednesday, September 9, 2020 7:42 PM
To: Brad Luckey <[e-mail]>
Cc: Sue Homewood <[e-mail]>
Subject: SAW-2020-01444_Aspen Pointe Apartments (Notice of Incomplete Pre -Construction Notification)
Importance: High
Mr. Luckey,
On August 17, 2020, we received the Pre -Construction Notification (PCN) you submitted on behalf of Aspen Pointe, LLC
on a property located in Forsyth County, North Carolina. I have completed my initial review of the report and I have
determined that it is incomplete. The following information is necessary before I will issue a determination:
a. The PCN was not signed. Therefore, please sign page 11 of the PCN and resubmit.
b. The Construction drawings submitted only include Parcel PIN 6823-51-7722; however, the PCN listed four
parcels (i.e., 6823-42-1009, 6223-51-5704, 6823-51-5917, and 6823-51-3070) along with Drawings 1-5 show
the proposed project boundary including 4 parcel, not 1. Therefore, please provide a complete set of
construction drawings for the entire proposed project area.
c. As previously stated, the PCN listed (in Section B(1)(a)) the 4 parcel PINS as 6823-42-1009, 6223-51-5704,
6823-51-5917, and 6823-51-3070; however, after reviewing the county tax parcels the actual PINS for the 3
parcels that make up the proposed project area are as follows: 6823-42-9075, 6823-51-3070, and 6823-51-
7722. Therefore, please revise the PCN to include the entire proposed project area with the correct amount
of parcels and accurate PINS.
d. If the proposed project area was reduced from the original project area from the delineation, then the PCN
does not accurately reflect this change. Please clarify the proposed project area.
e. At this time, the proposed project area does not have a Corps determination for aquatic features onsite.
However, the construction drawings included in the PCN call out "non -jurisdictional stormwater features".
Since there is no PJD or AJD issued by the Corps for this location, these construction drawings do not
accurately represent the area. In order for a potential aquatic feature to be determined non -jurisdictional,
then the applicant would need to apply for an AJD and have the Corps make the determination if those
aquatic features onsite are in fact non -jurisdictional. Therefore, please submit an AJD request for the
delineation conducted on this area.
f. In Section A(1)(f) you stated "yes" payment to in -lieu fee program would be required as part of the proposed
project. However, in Section C(3)(i) you state "The applicant does not proposed mitigation for unavoidable
stream impacts." In addition, Section D(2)(a) stated "no" to the project requiring compensatory mitigation.
Section A(1)(f) is correct, as compensatory mitigation for permanent stream impacts resulting in the loss of
waters (i.e., 141 linear feet) would likely require compensatory mitigation. Please note all permanent stream
impacts, both that do and do not result in a loss of waters, are considered cumulative and if that total is
greater than 150 linear feet, compensatory mitigation may be required. The project proposes to
permanently impact 173 linear feet with 141 linear feet resulting in loss of waters, those 141 linear feet of
stream impacts will result in compensatory mitigation.
g. The PCN lacked an Acceptance Letter from NCDMS for the 141 linear feet of stream impacts. Therefore,
please provide a signed Acceptance Letter from NCDMS for the 141 linear feet of stream impacts.
h. The PCN lacked a NCSAM for the impacted stream (i.e., Stream 2). Without this information on the current
quality of the stream, the Corps will assume the feature is high quality and base the compensatory
mitigation ratio on that assumption. Therefore, if you are planning to propose a reduction in the
compensatory mitigation ratio, then the assessment methodology such as NCSAM would be needed
provided to support or potentially justify a reduction in the compensatory mitigation ratio.

Complete the Aquatic Resources Upload Spreadsheet (see attached excel spreadsheet) for all aquatic
feature located within the proposed project area.
PLEASE NOTE:
- The Corps is still reviewing the proposed project's potential for cumulative impacts with the existing multi-
family development abutting the western edge of the project area. I would encourage you to reach out to
the City for a copy of the master plan for this location, as the Corps will likely do the same.
Please provide the information requested above in ONE consolidated response within 30-days of the date of this
correspondence. If you do not respond within 30-days, the request will be administratively canceled. Please contact me
via telephone or e-mail if you have any questions.
Thanks,
Bryan Roden -Reynolds, PWS
Regulatory Project Manager
U.S. Army Corps of Engineers
Wilmington District
Charlotte Regulatory Field Office
8430 University Executive Park Drive
Charlotte, NC 28262
Office: [phone]

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
1a. Property identification no. (tax PIN or parcel ID):
6823-51-7272, 6823-42-9075 & 6823-51-3070
1 b. Site coordinates (in decimal degrees):
Latitude: 36.02877 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
Enviromental, Inc., ou,
Bradley S. Luckey
email=[e-mail],
c=us
09.24.20
Date: 2020.09.2411:03:11-04'00'
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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54 imm Office 365 Portal

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

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Stafford Place Boulevard
City, State:
Winston-Salem, NC
County: Forsyth
Parcel Index Number(s) (PIN): Multiple, see attached.
B. REQUESTOR INFORMATION
Name: Brad Luckev. Pilot Environmental. Inc.
Mailing Address: Post Office BOX 128
Kernersville, NC 27285
Telephone Number: 336-310-4527
Electronic Mail Address: [e-mail]
Select one:
❑ I am the current property owner.
W] I am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: See attached Landowner Table
Mailing Address:
Telephone Number:
Electronic Mail Address:
i Must provide completed Agent Authorization Form/Letter.
Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

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

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
ZI am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
❑✓ Size of Property or Review Area —14 acres.
F1The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
Longitude:
35.02877
-80.26685
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).'
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/RegulatoLy-Permit-
P ro gram/Juri sdi ction/
Version: May 2017 Page 5

Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'.
Vicinity Map
zAerial Photograph
FA USGS Topographic Map
l rJ Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
❑ NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
7 www.saw.usace.army.mil/Portals/59/does/regulatory/re2does/JD/RGL 08-02 App A Prelim JD Form fillable.pdf
s Please see htip://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federaljurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's web site
and onthe Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

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

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
4

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• Address Points Tax Municipal Polygon
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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

Tax Parcel Viewer
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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

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: 9
dYelele, JA I Vd .
Iv'e4_ t'' r\1 5
Owner Information:
Address: Q q5-0, JA L1 Ve_
W as-_7o/I/- si\G-c= M , AJ(2c 712 1
Telephone Number: t) 1�1e : , .36, - 7 SS c U 0—P 11 . 336,- 7
Fax Number:
E-mail Address: 00)
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting
on -site investigations, if necessary, and issuing a jurisdictional determination pursuant to
Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I,
the undersigned, am either a duly authorized owner of record of the property identified herein,
or acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ✓Owner _ Authorized Agent
Date
re

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: '7/
NO P1 /\l L, 9.2 3 i 3c2 -7%>
Owner Information:
Address: �2 4 5 0 J Ay Ay c
L.J i 1y 5 T 0 /\% - S iA L- M N r_ Q I / 2 `%
Telephone Number: HvmE 336, "13 5-91QQ C`e-(I' 3.31 • '7ir5 , 1;04oI
Fax Number:
E-mail Address: k Y)A -► i', c� and -'c o
JURISDICTIONAL DETERMINATION REQUEST
D. PROPERTY ACCESS CERTIFICATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Print Name
Capacity: ✓Owner —Authorized Agent
Date
Signature

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O Address Points Tax Municipal Polygon
Forsyth County Boundary Winston-Salem
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

L4 AT ER P"'.7
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LEGEND
Site Boundary
Drawing 2 Web Soil Map
USDA Web Soil Survey Aspen Pointe
Approximate 13.78-Acre Tract
of Forsyth County, NC -Salem, Forsyth County, NC
PI Pilot Project 5080.2
Scale: I"= 250' fPil 1. 97 IE 14 1 4 1 N I N T A 4.. N C Winston

Sw aimfown v
pall
WIC
WIC
. -���: � . fir. •� �
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APB s
ApC
[ T{<
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Av H
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100
LEGEND
Site Boundary
Drawing 2A Published Soil Map
r�
USDA Soil Survey ,;a. _ Aspen Pointe
I. .Ar..
Of Forsyth County, NC -� r- Approximate 13.78-Acre Tract
Published 1976, Sheet 45 = � +�' . , Winston-Salem, Forsyth County, NC
Not To Scale P1 Pilot Project 5080.2
F 1 1. 0 T E 14 1 k 0 1 M E M i A E.[ k E

pr* Cr
Drawing 3
USFWS NWI
Wetlands Mapper
Scale: 1" = 250'
.40
fpPIL.
L0TE M 1 814 rim E Mi AL. I NC
LEGEND
r Sitc Boundary
Freshwater Emergent
Freshwater Forested/5hrub
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

. pJ; y i ,
f I f f f# r R R.i.f __
.0
Drawing 4
National Flood Hazard Layer
From FEMA Web Map Service
Scale: 1" = 2S0'
LEGEND
Site Boundary
196.Annual Chance Flood Hazard
ORegulatory Floodway
Sped al Floodw@y
Area of Undetermined Flood Hazard
�. 0.29(.Annual Chance Flood Hazard
'EFtture Conditions 1'/.Annual Chance Flood Hazard
-�Area with Reduced Risk Due to Levee
FEMA FIRM
Aspen Pointe
Approximate 13.78-Acre Tract
Winston-Salem, Forsyth County, NC
P1 Pilot Project 5080.2
F 1 1. 0 T E 14 1 k 0 1 M E M i A E. k E

N. x
�t �ayr
- FWA 1-7
093 acl
O DP-1
LEGEND
Site Boundary
Perennial Stream
FLAG NUMBERS/INFO Wetlands
Stormwater Device
WETLAND FLAGS = wA1-s Fla
STREAM FLAGS = g Number
Stream Flags = Limits Culvert
Wetland Flags = 38
Total Flags = 38 DP-1 p Data Point
THE 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 { ' �- . Aspen Pointe
and Pilot GPS Data "`' Approximate 13.78-Acre Tract
Scale: 1" = 200' 1 A Winston-Salem, Forsyth County, NC
Date: 11.8.19 Pilot Project 5080.2

U.S. Army Corps of Engineers Requi 1n0,7tContin/Symho/
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(AuthonYy.-AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: Aspen Pointe City/County: Winston-Salem / Forsyth Sampling Date: 11.6.201�
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, transacts, 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 (B14)
—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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
P/atanus occidenta/is
40
Yes
FACW
Number of Dominant Species
2.
Magnolia tripetala
10
No
FACU
That Are OBL, FACW, or FAC: 3 (A)
3.
Cornusflorida
10
No
FACU
Total Number of Dominant
4.
Liriodendron tullplfera
15
Yes
FACU
Species Across All Strata: 7 (B)
5
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 42.9% (A/B)
7.
Prevalence Index worksheet:
75
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
38
20% of total cover:
15
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 30
)
FACW species 40 x 2 = 80
1.
ASlmina triloba
10
Yes
FAC
FAC species 55 x 3 = 165
2.
Magnolia Mlpetala
10
Yes
FACU
FACU species 70 x 4 = 280
3.
Fraxinusamericana
5
No
FACU
UPL species 0 x 5 = 0
4.
Acernegundo
5
No
FAC
Column Totals: 165 (A) 525 (B)
5.
Prevalence Index = B/A = 3.18
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
- Dominance Test is >50%
9.
-2
3 - Prevalence Index is :53.0'
30
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
15
20% of total cover:
6
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30 )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Microstegium uimineum
40
Yes
FAC
Indicators of hydric soil and wetland hydrology must
2.
L1gus1rum sinense
10
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.
50
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
25
20% of total cover:
10
height.
Woody Vine Stratum (Plot size: 30 )
1.
Lonicerajaponica
10
Yes
FACU
2.
3.
4.
5.
Hydrophytic
10
=Total Cover
Vegetation
50% of total cover:
5
20% of total cover:
2
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-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 Loc 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 Solls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (Al 0) (MLRA 147)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (Al 6)
_ 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 (Al 0) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (Al 1)
_ 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)
Gleyed Matrix (S4)
MLRA 136)
—Sandy
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
31ndicators 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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers Requi 1n0,7tContin/Symho/
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(AuthonYy.-AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: Aspen Pointe City/County: Winston-Salem / Forsyth Sampling Date: 11.6.201�
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, transacts, 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 (B14)
—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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
Tree Stratum (Plot size: 30 )
1. P/atanus occidenta/is
2. Liriodendron tuiipifera
3. Betu/a nigra
4.
5.
6.
7.
50% of total cover: 45
Sapling/Shrub Stratum (Plot size: 30 )
1. ASimina triioba
2. Acer saccharinum
3. Ligustrum sinense
4.
5.
6.
7.
8.
9.
50% of total cover: 15
Herb Stratum (Plot size: 30 )
1. Microstegium uimineum
2. Rubus a//eghaniensis
3. Loniceraja)oonica
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover: 20
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
Absolute Dominant Indicator
% Cover Species? Status
30 Yes FACW
20% of total cover: 18
10 Yes FACU
30 =Total Cover
20% of total cover: 6
30 Yes FAC
YV - I VLQI I UVCI
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.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
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:
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
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
X 3 - Prevalence Index is <-3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
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 6116-4-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 Loc 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 Solls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (Al 0) (MLRA 147)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (Al 6)
_ 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 (Al 0) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (Al 1)
_ 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)
Gleyed Matrix (S4)
MLRA 136)
—Sandy
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
31ndicators 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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers Requi 1n0,7tContin/Symho/
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(AuthonYy.-AR 335-15,
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: Aspen Pointe City/County: Winston-Salem / Forsyth Sampling Date: 11.6.201�
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, transacts, 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 (B14)
—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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-3
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
P/atanus occidenta/is
10
No
FAC
Number of Dominant Species
2.
Quercus aiba
30
Yes
FACU
That Are OBL, FACW, or FAC: 2 (A)
3.
Fraxinusamericana
20
Yes
FACU
Total Number of Dominant
4.
Liriodendron tui)oifera
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
Saplinq/Shrub Stratum (Plot size: 30
)
FACW species 0 x 2 = 0
1.
ASimina triioba
20
Yes
FAC
FAC species 40 x 3 = 120
2.
Jamperus uirginiana
10
Yes
FACU
FACU species 100 x 4 = 400
3.
Fagusgrandifoiia
5
No
FACU
UPL species 0 x 5 = 0
4.
Acerrabram
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.
- Dominance Test is >50%
9.
-2
3 - Prevalence Index is :53.0'
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 aiiegheniensis
10
Yes
FACU
'Indicators of hydric soil and wetland hydrology must
2.
Loniceraja)oonica
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 Loc 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 Solls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (Al 0) (MLRA 147)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (Al 6)
_ 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 (Al 0) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (Al 1)
_ 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)
Gleyed Matrix (S4)
MLRA 136)
—Sandy
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
31ndicators 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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

C
Lr'
�• •,�' � #y Cam- r4
.f
Drawing 1
USGS Topographic Map
Winston-Salem West, NC Quadrangle
Scale: 1" = 2,000'
i
�I
I
1 J
/
-
or
' -
151E
. N '
k1 t
_ PILOT A
P I L O T E N V 1 R❑ 4 M 5 N 7 A L N[
art
+
I
LEGEND
Site Boundary
ll ice{{
USGS Topographic Map
Aspen Pointe
Sewer Line Extension
Winston-Salem, Forsyth County, NC
Pilot Project 5080.4

I
0
Drawing 2
USDA Web Soil Survey
of Forsyth County, NC
Scale: 1" = 100'
[Hi Ta
,. PIL01' A% -
P I L 9 i 6 H V 1 R 0 N NP { N 7 A L, I N 4
1 F(:FICIn
Site Boundary
Web Soil Map
Aspen Pointe
Sewer Line Extension
Winston-Salem, Forsyth County, NC
Pilot Project 5080.4

�c F 2
Sw aimfown t
cc
fall
"Oe WIC
f r.
r fw I D
A, JW1y r� APC
L � yl w a r j � ` • �
war[;
dP
APB
i1 .4 t
APB'
si } Ap 1
Ap H
' , • f Awec
100.
LEGEND
Site Boundary
l--`';
Drawing 2A Published Soil Map
USDA Soil Survey Aspen Pointe
a'
of Forsyth County, NC Sewer Line Extension
Published 1976, Sheet 45 PIL01� `* Winston-Salem, Forsyth County, NC
Not to Scale P LOT &NV1R0M1MIN7AL,IHC Pilot Project5080.4

Drawing 3.,.
USFWS NWI::..
Wetlands Mapper P'L01.
Scale: 1" = 100' fP I L G i 6 H V I FL 4 AI ! N 7 A L. W C
LEGEND
Site Boundary
Freshwater Emergent
Freshwater Forested/5hrub
= Estuarine and Marine Deepwater
Estuarine and Marine
Freshwater Pond
Lake
RivPrine
Other
NWI Map
Aspen Pointe
Sewer Line Extension
Winston-Salem, Forsyth County, NC
Pilot Project 5080.4

I
--;aJL
M1
TNJJT
F..+�
,971I�w4YiR !
ANN
FA
',r
-X 1i F. j
y LEGEND
Site Boundary
Ell 1J.Annual Chance Flood Hazard
Regulatory Floodvay
.' Sped@I Floodw'ay
k Area of Undetermined Flood Hazard
0.2 /.Annual Chance Flood Hazard
6:.Future Conditions 1°/¢Annual Chance Flood Hazard
} rPF,,Areawith Reduced Risk Due to Levee
1.«
! 00 ,7 i `+
' r
�rtr: 1 J f:
�'r'j.Y -#tea { •* +'�
M;F� A4r rI �.
A W ;1A.016
a.
�►' #''
CM
If
r
4•
Drawing 4
National Flood Hazard Layer' i M.
from FEMA Web Map Service
Scale: 1" = 1,000' F I LDi ENvIRD0.AlENTAL I H[
FEMA FIRM
Aspen Pointe
Sewer Line Extension
Winston-Salem, Forsyth County, NC
Pilot Project 5080.4

{
Proposed Aspen Pointe Develop
F; SA-1
O DP-1 / 220 LF
DP-2 Q
Existing M
N
LEGEND
Site Boundary/Sewer Extension
Perennial Stream
Wetland
SA 1-5 Flag Number
DP-1 Q Data Point
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE
PRELIMINARY. THEY HAVE NOT BEEN VERIFIED BY THE USACE AND/OR
4 THE NCDEQ-DWR.
Drawing 5 Wetland Map
Aerial Imagery from ESRIf , �� Aspen Pointe
and Pilot GPS Data Sewer Line Extension
Scale: 1" = 100' PLOT Winston-Salem, Forsyth County, NC
Date:7.16.20 PILOT ENVIR0NMENTAL,INC Pilot Project5080.4

U.S. Army Corps of Engineers OMB Control A0710"",Exp. Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT.
•
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority:AR335-15, paragraph5-2a)
Project/Site: Aspen Pointe - Sewer Line City/County: Winston-Salem/Forsyth Sampling Date: 7.15.20
Applicant/Owner: Aspen Pointe State: NC Sampling Point: DP-1
Investigator(s): DSB Section, Township, Range: NA
Landform (hillside, terrace, etc.): flood plain Local relief (concave, convex, none): concave Slope (%): 1
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.027874' Long:-80.266447° Datum: wgs 84
Soil Map Unit Name: FeE3 Fairview clay loam 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:
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 (B14)
_ Sparsely Vegetated Concave Surface (138)
X 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)
—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 X No
Depth (inches): 12
Saturation Present? Yes X No
Depth (inches): 0
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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover Species?
Status
Dominance Test worksheet:
1. Acerrubrum
40 Yes
FAC
Number of Dominant Species
2. Platanus occidentalis
30 Yes
FACW
That Are OBL, FACW, or FAC: 6 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 6 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
70 =Total Cover
Total % Cover of: Multiply by:
50% of total cover:
35 20% of total cover:
14
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15
)
FACW species 35 x 2 = 70
1. Liquidambarstyraciflua
10 Yes
FAC
FAC species 75 x 3 = 225
2. Asimina triloba
10 Yes
FAC
FACU species 0 x 4 = 0
3.
UPL species 0 x 5 = 0
4.
Column Totals: 110 (A) 295 (B)
5.
Prevalence Index = B/A = 2.68
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is <-3.0'
20 =Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
10 20% of total cover:
4
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Microstegium vimineum
15 Yes
FAC
Indicators of hydric soil and wetland hydrology must be
2. Carex intumescens
5 Yes
FACW
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.
20 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
10 20% of total cover:
4
height.
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-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' Locz Texture Remarks
0-4 10yr 4/4 100 Loamy/Clayey
4-18 2.5y 4/2 90 7.5yr 4/6 10 Loamy/Clayey
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators.
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
_ 2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
—Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_ Red Parent Material (F21)
(outside MLRA 127, 1479 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
31ndicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 1479 148)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control A0710"",Exp. Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT.
•
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority:AR335-15, paragraph5-2a)
Project/Site: Aspen Pointe - Sewer Line City/County: Winston-Salem, NC Sampling Date: 7.15.20
Applicant/Owner: Aspen Pointe State: NC Sampling Point: DP-2
Investigator(s): DSB Section, Township, Range: NA
Landform (hillside, terrace, etc.): side slope Local relief (concave, convex, none): convex Slope (%): 3
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.027839' Long:-80.266540° Datum: wgs 84
Soil Map Unit Name: FeE3 - Fairview clay loam NWI classification: none
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_ Surface Soil Cracks (136)
—Surface Water (Al) _
True Aquatic Plants (B14)
_ 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 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
Tree Stratum (Plot size: 30 )
1. Liriodendron tulipifera
2.
3.
4.
5.
6.
7.
50% of total cover: 30
Sapling/Shrub Stratum (Plot size: 15 )
1. Liquidambarstyraciflua
2. Acer rubrum
3. Asimina triloba
4. Cercis canadensis
5.
6.
7.
8.
9.
50% of total cover: 10
Herb Stratum (Plot size: 5 )
1. Parthenocissus quinquefolia
2. Toxicodendron radicans
3. Vitis rotundifolia
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover: 8
Woody Vine Stratum (Plot size: 30 )
1. Smilax rotundifolia
2.
3.
4.
5.
Absolute Dominant Indicator
% Cover Species? Status
20% of total cover: 12
5 Yes FACU
20 =Total Cover
20% of total cover: 4
5 Yes FACU
5 Yes FAC
5 Yes FAC
15 =Total Cover
20% of total cover: 3
5 Yes FAC
5 =Total Cover
50% of total cover: 3 20% of total cover: 1
Remarks: (Include photo numbers here or on a separate sheet.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 6 (A)
Total Number of Dominant
Species Across All Strata: 9 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 66.7% (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species 0 x 1 = 0
FACW species 0 x 2 = 0
FAC species 30 x 3 = 90
FACU species 70 x 4 = 280
UPL species 0 x 5 = 0
Column Totals: 100 (A) 370 (B)
Prevalence Index = B/A = 3.70
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
-3 - Prevalence Index is :53.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
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 6116-4-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 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 Soils3:
_ 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, 1479 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)
31ndicators 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, 1479 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil
Present? Yes No X
Remarks
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0