20201301 Ver 1_401 Application_20201029

DWR
mrlslon of Water Resources
Pre -Construction Notification (PCN) Form
October 26, 2020 Ver 3.3
Initial Review
Has this project met the requirements for acceptance in to the review process?*
r Yes
r No
Is this project a public transportation project?*
G Yes r No
Change only if needed.
BIMS # Assigned * Version#*
20201301 1
Is a payment required for this project?*
r No payment required
What amout is owed?*
r Fee received
IT $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office *
Winston-Salem Regional Office - (336) 776-
Select Project Reviewer*
9800
Sue Homevmod:eads\slhomewood
Information for Initial Review
1a. Name of project
The Wilcox
1a. Who is the Primary Contact?*
Chuck Truby
1b. Primary Contact Email:*
[e-mail]
Date Submitted
10/29/2020
Nearest Body of Water
Jordan Branch
Basin
Cape Fear
Water Classification
WS-V, NSW
Site Coordinates
Latitude:
36.128229
Pre -Filing Meeting Information
ID#
20201301
Pre -fling Meeting or Request Date*
10/14/2020
Longitude:
-79.750478
Attach documentation of Pre -Filing Meeting Request here:*
DWR Pre -Filing Meeting Request Form.pdf
A. Processing Information
1c. Primary Contact Phone:*
[phone]
Version
1
52.09KB
v
County (or Counties) where the project is located:

Guilford
Is this a NCDMS Project
r Yes r No
Is this project a public transportation project?"
r Yes r No
1a. Type(s) of approval sought from the Corps:
W Section 404 Permit (wetlands, streams and waters, Clean Water Act)
r Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
1b. What types) of permits) do you wish to seek authorization?
W Nationwide Permit (NWP)
r Regional General Permit (RGP)
r Standard (IP)
1c. Has the NWP or GP number been verified by the Corps?
r Yes r No
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
W 401 Water Quality Certification - Regular
r Non-404 Jurisdictional General Permit
r Individual Permit
le. Is this notification solelyfor the record because written approval is not required?
For the record onlyfor DWR401 Certification:
For the record onlyfor Corps Permit:
r 401 Water Quality Certification - Express
I7 Riparian Buffer Authorization
1f. Is this an after -the -fact permit application?*
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r Yes r No
Acceptance Letter Attachment
1 h. Is the project located in any of NC's twenty coastal counties?
r Yes r No
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
IF Owner W Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
r Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
Ed & Rubys Legacy, LLC
2b. Deed book and page no.:
DB 7733 PG 1234
2c. Responsible party:
Trudy Murphy
2d.Address
r Yes r No
r Yes r No

Street Address
7506 Oak Valley Ln
Address tine 2
City
Browns Summit
Postal / Zip Code
27407
2e. Telephone Number:
[phone]
2g. Email Address:*
[e-mail]
3. Applicant Information (if different from owner)
3a. Name:
Scott Wallace
3b. Business Name:
Keystone Group, Inc.
3c.Address
Street Address
3708 Alliance Drive
Address Line 2
city
Greensboro
Postal / Zip Code
27407
3d. Telephone Number:
[phone]
3f. Email Address:*
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Scott Wallace
4b. Business Name:
Keystone Group, Inc.
4c.Address
Street Address
3708 Alliance Drive
Address Line 2
City
Greensboro
Postal / Zip Code
27407
4d. Telephone Number:
[phone]
4f. Email Address:*
[e-mail]
Agent Authorization Letter*
Agent Authorization.pdf
C. Project Information and Prior Project History
Project Information
1b. Subdivision name:
(i apprcpnate)
The Wilcox
1c. Nearest municipality/ town:
Greensboro
F-
2. Project Identification
State / Rwince / Ifgion
NC
Country
USA
2f. Fax Number:
Slate / province / Region
NC
Country
USA
3e. Fax Number:
[phone]
State / Rwince / Pegion
NC
Country
USA
4e. Fax Number:
41.06KB

2a. Property Identification Number:
7876864228
2c. Project Address
Street Address
2222 Wilcox Dr
Address tine 2
CKY
Greensboro
Postal / Zip Code
27405
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Jorden Branch
3b. Water Resources Classification of nearest receiving water:*
WS-V, NSW
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300020105
4. Project Description and History
2b. Property size:
12.65
State / Province / I?gion
NC
(buntry
USA
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
Wooded Land surrounded by industrial park to the east, apartments to the south, and a single family subdivision to the west.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes r No r Unknown
4d. Attach an 8 1/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
4f. List the total estimated acreage of all existing wetlands on the property:
0.074
4g. List the total estimated linear feet of all existing streams on the property:
745
4h. Explain the purpose of the proposed project:*
Residential Subdivision
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The development of a 48 lot subdivision with streets, utilities, storm sewer and wet detention ponds. Equipment used: Track Hoes, Bull Dozers, Pans.
4j. Please upload project drawings for the proposed project.
PCN EXHIBIT C3.pdf 1.89MB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No
Comments:
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown r N/A
Corps AID Number:
SAW-2020-01358
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): Michael Brame
Agency/Consultant Company: Pilot Environmental, Inc
Other:
C Unknown
5d. List the dates of the Corp jurisdiction determination or State determination if a determination was made bythe Corps or DWR

10-14-2020
SM. Jurisdictional determination upload
2020-01358 NWP 29 Tearsheet.pdf 1.93MB
6. Future Project Plans
6a. Is this a phased project?*
r Yes r No
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed projector related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
[ Wetlands W Streams -tributaries PO Buffers
r- Open Waters r Pond Construction
3. Stream Impacts
❑ 3e. Stream Type* Type of 3h. Impact
3a. Reason for impact (?) 3b.lmpact type * 3c. Type of impact* 3d. S. name * 33g. S. width *
(?) Jurisdiction* length*
S7
Road crossing
9
Permanent
Culvert
S1
Perennial
Corps
P
2
Average (feet)
139
(lir�rfeet)
82
Road crossing
Temporary
Fill JS2
Perennial
Corps
2
Average (feet)
5
(lir�rfeet)
3i. Total jurisdictional ditch impact in square feet:
0
31. Total permanent stream impacts:
3i. Total temporary stream impacts:
139
5
31. Total stream and ditch impacts:
144
3j. Comments:
6. Buffer Impacts (for DWR)
6a. Project is in which protect basin(s)?
Check all that apply.
r Neuse
F Tar -Pamlico
r Catawba
r- Randleman
r- Goose Creek
P7 Jordan Lake
r- Other
6b. Impact Type
6c. Per or Temp
6d. Stream name
6e. Buffer mitigation required?
6f. Zone 1 impact
6g. Zone 2 impact
Allowable
P
tJT of Jordan Branch
No
8,874
5,971
6h. Total buffer impacts:
Zone 1
Total Temporary impacts: 0.00
Zone 2
0.00
Zone 1 Zone 2
Total Permanent impacts: 8,874.00 5,971.00
Total combined buffer impacts:
6i. Comments:
Zone 1
8,874.00
Zone 2
5,971.00
Supporting Documentation

PCN EXHIBIT MAPS 10-7-20.pdf
NPA IMPACT MAP.pdf
2.3MB
189.47KB
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
The slopes are proposed to be 2:1 which is the steepest allowed. The pipe length is as short as possible to keep stream impacts to the minimum
amount possible. Extended pipe to align with existing stream. City of Greensboro requiring pipe to be connected to existing downstream pipe.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
The culvert will be constructed first and then the fill will be placed. Erosion control devices will remain in place during construction.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2b. If this project DOES NOT require Compensatory Mitigation, explain why:
F. Stormwater Management and Diffuse Flow Plan (required by DWR) V
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
What type of SCM are you providing?
F Level Spreader
F Vegetated Conveyance (lower SHWT)
F Wetland Swale (higher SHWT)
W Other SCM that removes minimum 30 % nitrogen
r Proposed project will not create concentrated stormwater flow through the buffer
Diffuse Flow Documentation
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15ANCAC 02H .1003(2)?
r Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
r WA - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
W Local Government r State
Local Government Stormwater Programs
W Phase II W NSW r USMP W Water Supply
Please identify which local government Stormwater program you are using.
Greensboro
Comments:
G. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?"
r Yes r No
2. Violations (DWR Requirement)

2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 21-1.1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)? *
r- Yes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
r- Yes r• No
3b. If you answered "no," provide a short narrative description.
This is an infill project that is surrounded by developed properties.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r- Yes r- Nor N/A
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another Federal agency involved?*
r- Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r- Yes r No
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
r Yes r- No
5g. Does this project involve bridge maintenance or removal?
r- Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?`°
r- Yes r No
51. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r- Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
http://www.fvus.gov/raleigh/species/cntylist/county.html with verification by USACE. Site is not near salt marsh, oyster reef, or sea grass beds.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r' Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
http://www.fws.gov/raleigh/species/cntylist/county.html with verification by USACE. Site is not near salt marsh, oyster reef, or sea grass beds.
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 status?*
r- Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
State Historic Preservation Office
http://ww,v,hpo.der.state.ne.us/ with verification from the USACE
7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
r- Yes r No

8c. What source(s) did you use to make the floodplain determination?*
Flood Insurance Map Panel 7876, City of Greensboro 3710787600J, Dated June 18, 2007
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
5797_Wilcox Dr Stream Determination Letter_08.24.20.pdf 1.93MB
Wilcox Drive_USACE Verified Wetland Delineation Map_8.18.20.pdf 234.74KB
5797_Wilcox Drive Wet Report _05.15.20.pdf 2.29MB
Signature u
® By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Scott Wallace
Signature
Date
10/29/2020

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:
fJL ;'-"7 405
Owner Information: f5'(5 Le6AL:-K t.L e
Address: yXLLG ' t_�lE
C3zoLot3s summlT,Nc 27214
Telephone Number:
Fax Number:
E-mail Address:
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 - -73017,0
�--oqP Ui �e--T' C, 6, iM'
Signature

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U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW-2020-01358 County: Guilford U.S.G.S. Quad: NC -Lake Brandt
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: Keystone Group, Inc.
Attn: Scott Wallace
Address: 3708 Alliance Drive
Greensboro, NC 27407
Size (acres) —12.65 Nearest Town Greensboro
Nearest Waterway UT to Jorden Branch River Basin Cape Fear
USGS HUC 03030002 Coordinates 36.1282,-79.7506
Location description: The project area is located on the south side of Wilcox Drive approximately 0.15 mile west of its
intersection with Pinewav Drive, at 2222 Wilcox Drive, Greensboro, Guilford County, North Carolina.
Description of projects area and activity: This verification authorizes the permanent discharge of fill material into 139 linear feet
of stream channel (all considered a loss of waters of the US from culvert fdl) and the temporary discharge of fill material into
5 linear feet of stream channel, necessary for the installation of access and infrastructure for The Wilcox residential
development.
Applicable Law(s): © Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 29. Residential Developments
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated 9/24/2020, and updated information submitted via email on 10/8/2020, and the
enclosed plans "Grading Plan, The Wilcox" Sheet C3, and "Stream Impact Map for The Wilcox" Sheets 1 through 3. Any
violation of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order, a
restoration order, a Class I administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended
or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this
verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified
nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would
no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction)
or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has
been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program,
please contact David E. Bailey at [phone] X 30or David.E.Bailev2(&usace.armv.mil.
Corps Regulatory Official:
Expiration Date of Verification: 03/18/2022
Date: 2020.10.14 07:14:31
-04'00'
Date: 10/14/2020

SPECIAL CONDITIONS
Please note that future impacts and/or phases of The Wilcox residential development and related
activities associated with Corps Action ID: SAW-2020-01358 may be considered part of a single
and complete project; these impacts may be considered cumulative with impacts permitted during
earlier phases with respect to compensatory mitigation and Nationwide Permit thresholds.
Current cumulative impacts to aquatic resources for this single and complete project include
permanent loss of waters to 139 linear feet (0.006 acre) of stream channel.
Date:2020.10.14
Corps Regulatory Official: 07:14:16-04'00' Date: 10/14/2020
Expiration Date of Verification: 03/18/2022
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to do so,
please complete the Customer Satisfaction Survey located at hqp://corpsmUu.usace.aniiy.mil/cm_apex/f?p=136:4:0.
Copy furnished:
Chuck Truby, CPT Engineering and Surveying, Inc., 4400 Tyning Street, High Point, NC 27165
Sue Homewood, NCDEQ-DWR, 450 W. Hanes Mill Rd, Suite 300, Winston-Salem, NC 27105

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Action ID Number: SAW-2020-01358
Permittee: Keystone Group, Inc. (Attn: Scott Wallace)
County: Guilford
Project Name: The Wilcox / 2222 Wilcox Drive / Greensboro / Guilford County / residential
Date Verification Issued: 10/14/2020
Project Manager: David E. Bailey
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: David E. Bailey
Raleigh Regulatory Office
U.S Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
or
[e-mail]
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date

SAW-2020-01358
Determination of Jurisdiction:
A. ® There are waters, including wetlands on the above described project area that may be subject to Section 404 of the
Clean Water Act (CWA) (33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). This
preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
(Reference 33 CFR Part 331). However, you may request an approved JD, which is an appealable action, by contacting
the Corps district for further instruction. Please note, if work is authorized by either a general or nationwide permit, and
you wish to request an appeal of an approved JD, the appeal must be received by the Corps and the appeal process
concluded prior to the commencement of any work in waters of the United States and prior to any work that could alter
the hydrology of waters of the United States.
B. ❑ There are Navigable Waters of the United States within the above described project area subject to the permit requirements of
Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA) (33 USC §
1344). Unless there is a change in the law or our published regulations, this determination may be relied upon for a period not to
exceed five years from the date of this notification.
C. ❑ There are waters, including wetlands within the above described project area that are subject to the permit requirements of
Section 404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations,
this determination may be relied upon for a period not to exceed five years from the date of this notification.
D. ❑ The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued _. Action ID:
Basis For Determination: See the preliminary Jurisdictional Determination form dated 10/14/2020.
Remarks: None.
E. Attention USDA Program Participants
The delineation included herein has been conducted to identify the location and extent of the aquatic resource boundaries and/or the
jurisdictional status of aquatic resources for purposes of the Clean Water Act for the particular site identified in this request. This
delineation and/or jurisdictional determination may not be valid for the Wetland Conservation Provisions of the Food Security Act of
1985, as amended. If you or your tenant are USDA program participants, or anticipate participation in USDA programs, you should
discuss the applicability of a certified wetland determination with the local USDA service center, prior to starting work.
F. Appeals Information (This information applies only to approved jurisdiction determinations as indicated in B and C
above).
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed
you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you request to appeal this
determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Atlas: Mr. Philip A. Shannin
Administrative Appeal Review Officer
60 Forsyth Street SW, Floor M9
Atlanta, Georgia 30303-8803
AND
PHILIP.A. SHANNINgUSACE.ARMY.MIL
In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
i:�"' Date: 2020.10.14 07:14:02
Corps Regulatory Official:-04'00'
David E. Bailey
Date of JD: 10/14/2020 Expiration Date of JD: Not applicable

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Keystone Group Inc. (Attu: Scott Wallace) File Number: SAW-2020-01358
Date: 10/14/2020
Attached is:
See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission)
A
PROFFERED PERMIT (Standard Permit or Letter of permission)
B
PERMIT DENIAL
C
APPROVED JURISDICTIONAL DETERMINATION
D
❑X
PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.army.miUMissions/CivilWorks/RegulatoryProgramandPenuits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may
appeal process you may contact:
also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: David E. Bailey
CESAD-PDO
Raleigh Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 1 OM15
3331 Heritage Trade Drive, Suite 105
Atlanta, Georgia 30303-8801
Wake Forest, North Carolina 27587
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportum to participate in all site investi ations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: David E. Bailey, 69 Darlington Avenue, Wilmington, North Carolina
28403
For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

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ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
5, DANIEL SMITH
Director
Brad Luckey
Pilot Environmental Inc.
PO Box 128
Kernersville NC 27285
NORTH CAROLINA
Environmental Quality
August 24, 2020
Subject: On -Site Determination for Applicability to the Mitigation Buffer Rules (15A NCAC 02B .0506(c))
Subject Property: Wilcox Drive, Greensboro NC, Guilford County
Dear Mr. Luckey:
On August 18, 2020, 1 conducted an on -site determination with Michael and David Brame from Pilot
Environmental Inc., to review features located on the subject project for stream determinations with
regards to the above noted state regulations. David Bailey with the US Army Corps of Engineers (USACE)
was also present during the site visit.
The Division acknowledges all areas and boundaries identified as jurisdictional wetlands by the USACE.
The attached initialed and dated sketch accurately depicts all Division stream determinations conducted
during the site visit.
At the time of this letter, all perennial stream channels and jurisdictional wetlands found on the
property are subject to the mitigation rules cited above. In addition, the Jordan Lake Buffer Rules may
apply to some streams at this location, please be sure to contact the local government for further
information regarding the Jordan Lake Buffer Rules. Please note that these regulations may be subject
to change in the future.
This on -site determination shall expire five (5) years from the date of this letter. The owner (or future
owners) should notify the Division (and other relevant agencies) of this decision in any future
correspondences concerning this property. Landowners or affected parties that dispute this
determination made by the Division may request a determination by the Director of Water Resources.
An appeal request must be made within sixty (60) calendar days of the date of this letter to the Director
in writing.
If sending via U.S. Postal Service: If sending via delivery service (UPS, FedEx, etc.)
Paul Wojoski - DWR 401 & Buffer Paul Wojoski - DWR 401 & Buffer
Permitting Branch Supervisor Permitting Branch Supervisor
1617 Mail Service Center 512 N Salisbury St.
Raleigh, NC 27699-1617 Raleigh, NC 27604
D E Q�� North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road, Suite 300 I Winston-Salem, North Carolina 27105
NORTH CARD IN+
Der nlmenA iouaay /"� 336.776.9800

Page 2 of 2
This determination is final and binding as detailed above, unless an appeal is requested within sixty (60)
calendar days.
This letter only addresses the features on the subject property and/or within the proposed project area
and does not approve any activity within buffers or within waters of the state. If you have any
additional questions or require additional information, please call me at 336-776-9693 or
[e-mail]. This determination is subject to review as provided in Articles 3 & 4 of G.S.
150B.
Sincerely,
DocuSigned by:
456E D631098F411...
Sue Homewood
Winston-Salem Regional Office
Enclosures: USGS Topo Map
Pilot Environmental Wetland Map - initialed and dated
Cc: Ed & Ruby Legacy, LLC, 7506 Oak Valley Lane, Browns Summit, NC 27214
David Bailey, USACE Raleigh Regulatory Field Office (via email)
DWR, Winston-Salem Regional Office

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0.024 Ac WAA 1-6
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M WA 1-7
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{ DP-2 ti4
Aga. 4
117 Lf 590 Lf
� F 9,A
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LEGEND
Oak
.-
�.f h = Site Boundary
.. Intermittent Stream
Perennial Stream
' •
' - Wetland
FLAG NUMBERS/INFO
SA 1-5 Flag Number
WETLAND FLAGS =
STREAM FLAGS = ,- - sA 1-s Verification Change
Stream Flags = 8
DP-1 Q Data Point
Wetland Flags = 21
Total Flags = 28 Culvert
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE WERE VERIFIED BY MR. DAVID BAILEY WITH THE USACE AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON AUGUST 18, 2020. THIS EXHIBIT INCLUDES GPS LOCATIONS OF DELINEATED FEATURES.
_ ��rrsr
Drawing 5 Wetland Map
Satellite Imagery from ESRI 2222 Wilcox Drive
and Pilot GPS Data f Approximate 12.6-Acre Tract
Scale: 1" = 200' fPILGT/AGreensboro, Guilford County, NC
Date:8.18.20 FIL0T ENVIRDNMENTAE.INC Pilot Project5797
15i�
8/24/2020

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0.024 Ac WAA 1-6
(0.036 Ac)
M WA 1-7
(0.020 AC) r O DP-1
{ DP-2 ti4
Aga. 4
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117 Lf 590 Lf
LEGEND
Oak
.-
�-.f h = Site Boundary
.. Intermittent Stream
Perennial Stream
' •
' - Wetland
FLAG NUMBERS/INFO
SA 1-5 Flag Number
WETLAND FLAGS =
STREAM FLAGS = ,- - sA 1-s Verification Change
Stream Flags = 8
DP-1 Q Data Point
Wetland Flags = 21
Total Flags = 28 Culvert
THE LOCATIONS OF FEATURES SHOWN ON THIS MAP ARE WERE VERIFIED BY MR. DAVID BAILEY WITH THE USACE AND MS. SUE
HOMEWOOD WITH THE NCDEQ-DWR ON AUGUST 18, 2020. THIS EXHIBIT INCLUDES GPS LOCATIONS OF DELINEATED FEATURES.
_ ��rrsr
Drawing 5 Wetland Map
Satellite Imagery from ESRI 2222 Wilcox Drive
and Pilot GPS Data 1 . f Approximate 12.6-Acre Tract
Scale: 1" = 200' FI�`�LGT Greensboro, Guilford County, NC
Date:8.18.20 FL0T ENVIRDNMENTAE.INC Pilot Project5797

iiiiiiiii
PIIUWLJ
P I L❑ T E N V I R❑ N M E N T A L, I N C
May 15, 2020
Mr. Scott Wallace
Keystone Homes
3708 Alliance Drive
Greensboro, North Carolina 27407
Reference: Wetland Delineation
Approximate 12.7-Acre Tract
2222 Wilcox Drive
Greensboro, Guilford County, North Carolina
Pilot Project 5797
Dear Mr. Wallace:
Pilot Environmental, Inc. (Pilot) is pleased to submit this report of the wetland delineation for the
approximate 12.7-acre tract located at 2222 Wilcox Drive in Greensboro, Guilford County, North
Carolina.
Background
Wetlands are defined by the United States Army Corps of Engineers (USACE) and the United
States Environmental Protection Agency (EPA) as "those areas that are inundated or saturated
by surface or groundwater at a frequency and duration sufficient to support, and under normal
circumstances, do support a prevalence of vegetation typically adapted for life in saturated soil
conditions." In order for an area to be classified as wetland, hydrophytic vegetation, hydric soils,
and wetland hydrology indicators must be present.
Section 404 of the Clean Water Act (CWA) regulates the discharge of dredge and fill materials
into waters of the United States (lakes, rivers, ponds, streams, etc.), including wetlands. Waters
of the United States include the territorial seas, navigable coastal and inland lakes, rivers and
streams, intermittent streams, and wetlands. The EPA and the USACE jointly administer the
Section 404 program. Section 401 of the Clean Water Act grants each state the authority to
approve, condition, or deny any Federal permits that could result in a discharge to State waters.
Jurisdictional features include wetlands, open waters, ponds, lakes and perennial/intermittent
streams. Jurisdictional features are regulated by the USACE and North Carolina Department of
Environmental Quality -Division of Water Resources (NCDEQ-DWR). Permits are required prior
to impacting any jurisdictional feature. The type of permit required is specific to the type,
location and amount of impacts. Stormwater management plans and/or mitigation for proposed
impacts could be a requirement of the permit approval process.
PO Box 128, Kernersville, NC 27285
www.pilotenviro.com

Wetland Delineation
Pilot Project 5797
May 15, 2020
The findings and conclusions in this report are our opinions based on field conditions
encountered at the time of the site visit. Changes including, but not limited to, regulations,
weather, timber/vegetation removal and usage/development of the site or nearby properties
can alter the findings and opinions presented in this report. We recommend that this report only
be used for preliminary planning purposes. Agency verifications, followed by a survey of
jurisdictional features, are required to determine the exact extent and locations of jurisdictional
features and are valid for a period of up to five years following issuance of a USACE Jurisdictional
Determination (JD) and/or NCDEQ-DWR Site Determination Letter.
Scope of Services
Pilot was contracted to perform a wetland delineation for the approximate 12.7-acre tract
located at 2222 Wilcox Drive in Greensboro, Guilford County, North Carolina. The site is identified
on the Guilford County Geographic Information System (GIS) as Parcel Identification Number (PIN)
7876864228. The scope of services included a delineation of jurisdictional features (streams,
wetlands and other surface waters) on the site. The site boundary was not marked in the field at
the time of our field delineation.
Literature Review
We reviewed the U.S. Geological Survey (USGS) Topographic Map, the U.S. Department of
Agriculture (USDA) Soil Survey of Guilford County, the U.S. Fish and Wildlife Service (USFWS)
National Wetland Inventory (NWI) Map and the Federal Emergency Management Agency (FEMA)
Flood Insurance Rate Map (FIRM).
• The USGS Topographic Map (Drawing 1) does not identify surface waters or wetlands on the
site. A drainage Swale that could contain surface waters or wetlands is shown crossing the
central portion of the site. Jordan Branch is shown approximately 700 feet southwest of the
site.
• The USDA Web Soil Survey of Guilford County (Drawing 2) identifies the following mapping
units on the site: Cecil sandy loam (CcB), Cecil sandy clay loam (CeB2) and Vance sandy loam
(VaB and VaQ. The Cecil series consists of well drained, moderately permeable soils that
occur on ridges and side slopes. The Vance series consists of well drained, slowly permeable
soils that occur on gently sloping, narrow and broad ridges and sloping to moderately steep
side slopes. The soil mapping units are not identified on the Guilford County Hydric Soils List.
Pilot also reviewed the last published USDA Soil Survey of Guilford County (Drawing 2A). The
published soil survey does not depict surface waters or wetlands on the site.
• The USFWS NWI Map (Drawing 3) does not depict surface waters or wetlands on the site.
iA

Wetland Delineation
Pilot Project 5797
May 15, 2020
• The FEMA FIRM (Drawing 4) identifies the majority of the site within Zone X. an area of
minimal flood hazard.
Field Delineation
Pilot conducted the site visit on April 28, 2020. A single-family residence and associated
outbuildings are located on the northern portion of the site. The remainder of the site contains
wooded land. Ponds are not located on the site.
Streams are located on the central portion of the site. The streams have defined beds and banks,
meanders and contained flowing water at the time of our delineation. Based on our
observations, Stream SA is perennial and Stream ISA is intermittent. Pilot marked the stream
origins, confluences, points where they enter/exit culverts and intersections with site boundaries
with blue and white striped surveyor tape and geo-located the stream centerlines with a Trimble
GPS handheld unit.
Wetlands are located adjacent to the streams on the site. The wetlands are separated from
surrounding uplands by topographic, vegetation and/or soil breaks. USACE Wetland
Determination Data Forms, supporting our opinions, are included as attachments. The wetland
boundaries were marked in the field with red and white striped surveyor tape and geo-located
with a Trimble GPS handheld unit.
Drawing 5 shows the approximate locations of the streams on the site (including our
designations), wetlands, data points and flag numbers. The locations and designations of
features shown on Drawing 5 are subject to change during agency verification(s) of the
delineation.
Watershed Classification
The site is located in the Cape Fear River Basin. An unnamed tributary to Jordan Branch crosses
the site. The NCDEQ-DWR has classified Jordan Branch, the receiving waters, as WS-V; nutrient
sensitive waters (NSW). Consultation with the NCDEQ or delegated local authority is
recommended to determine stormwater setbacks or buffers from surface waters located on the
site.
Additionally, the site is located within the Jordan Lake watershed. Surface waters shown on the
most recent USGS Topographic Map (Drawing 1) or the most recently published USDA Soil Survey
(Drawing 2A) are subject to mandatory 50-foot riparian buffers. Based on a review of the
aforementioned maps, the streams located on the site are not subject to Jordan Lake riparian
buffer requirements. Consultation with the local planning authority is recommended to
determine if local riparian buffers could be required adjacent to streams located on the site.
3

Wetland Delineation
Pilot Project 5797
May 15, 2020
Agency Verification
The site has not been verified by the USACE or the NCDEQ-DWR. We understand that our flags
will be surveyed to determine the exact extent and location of jurisdictional features and
applicable surface water buffers as necessary. The delineation, including locations and
designations of features, is subject to change during agency verifications.
Closing
We appreciate the opportunity to provide our services to you. Please contact us at (336) 310-
4527 if you have questions or require additional information.
Sincerely,
Bradley S. Luckey, PWS
Senior Project Manager
/L) 7 44,0..—
Michael T. Brame, PWS
Principal
Attachments: Drawing 1— USGS Topographic Map
Drawing 2 — Web Soil Map
Drawing 2A— Published Soil Map
Drawing 3 — NWI Map
Drawing 4 — FEMA FIRM
Drawing 5 — Wetland Map
Wetland Determination Data Forms
lH

��NOWLE
EGEND
Site Boundary
Drawing
' USGS Topographic Map
USGSTopographic Map
ZZZZWilcox Drive
Browns Summit, K�oLeansvi||e '
' ' �/ ~ Approximate 12.6-AoreTraot
Greensboro and Lake 8randt
' ��NN ��qN� {�reenaboro,{�ui|fordCounty, NC
NC Quadrangles 0 m m����m' ~~�'`~�~ N
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Web Soil Map
Drawing 2
USDA Web Soil Survey 2222 Wilcox Drive
Approximate 12.6-Acre Tract
of Guilford County, NC PIL131■
A% Greensboro, Guilford County, NC
Scale: 1" = 200' P I L OT 9 N V I A 0 N M I N 7 A L. I N IZ Pilot Project 5797

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/e'er Site Boundary
Drawing 2A =;t - Published Soil Map
USDA Soil Survey tR. .�.�` �'F:,.. 2222 Wilcox Drive
of Guilford County, NC - Approximate 12.6-Acre Tract
Published 1977, Sheets 16 & 22 PIL131Greensboro, Guilford County, NC
Not to Scale P I L O T 9 N v I A 0 k M e H 7 A L, I N C Pilot Project 5797

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Freshwater Emergent
�f Freshwater Forested/Shrub
Estuarine and Marine Dee pwater
Estuarine and Marine
! ' Freshwater Pond
Lake
f i>�fsr _ '` , .ti.• 1 i ♦ RivPrine
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NWI Map
Drawing 3
USFWS NWI 2222 Wilcox Drive
- _ Approximate 12.6-Acre Tract
Wetlands Mapper ■ A Greensboro' Guilford County, NC
Scale: 1" = 200' P�L�1
P I LOT ENVIRON Al ! II '+ A L, I IN L Pilot Project 5797

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196.Annual Chance Flood Hazard
ORegulatory Floodvay
Sped al Floodvay
Z E AE Area of Undetermined Flood Hazard
0.29(.Annual Chance Flood Hazard
ILI k' F tture Conditions 1 '/¢ Annual Chance Flood Hazard
Area with R educed Risk Due to Levee
* !
Drawing 4 FEMA FIRM
2222 Wilcox Drive
National Flood Hazard Layer -
Approximate 12.6-Acre Tract
From FEMA Web Map Service PILOT Greensboro Guilford County, NC
Scale: 1"-200' PILOT ENVIIZOtiMEIN AL.IN{ Pilot Project5797
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Intermittent Stream
Perennial Stream
FLAG NUMBERS/INFO
oWetland
L
WETLAND FLAGS
SA 1-5
Flag Number
STREAM FLAGS
Stream Flags = 8 Data Point
Wetland Flags = 13 r.
Total Flags = 21 Aul r- Culvert
X '. I
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 DELINEATED FEATURES.
Drawing 5
Wetland Map
Satellite Imagery from ESRI 2222 Wilcox Drive
and Pilot GPS Data Approximate 12-6-Acre Tract
Scale: 1" = 200' PILOT Greensboro, Guilford County, NC
P I L
Date: 4.30.20 PC T ENV IRO M E H A L I N C Pilot Project 5797

U.S. Army Corps of Engineers OMB Con&oiA-07f0-xxxx,Exp.Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region RequinementCOnbniSymbOiEA'EMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R(AII&OnW..•AR335-15,pe-g-ph5-20)
Project/Site: 2222 Wilcox Drive City/County: Greensboro/Guilford Sampling Date: 4.28.20
Applicant/Owner: State: NC Sampling Point: DP-1
Investigator(s): Pilot Section, Township, Range: NA
Landform (hillside, terrace, etc.): Swale Local relief (concave, convex, none): Slope (%): 3
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.12867 Long:-79.74959 Datum: wgs 84
Soil Map Unit Name: Cecil sandy clay loam (CeB2) 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 (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
X Saturation (A3) X
Oxidized Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) X
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)
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): 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
Uominant
Tree Stratum (Plot size: 30 )
% Cover
Species?
1. Acerrubrum
25
Yes
2. Fraxinus pennsy/uanica
15
Yes
3. Liquidambarsfyraciflua
15
Yes
4.
5.
6.
7.
55
=Total Cover
50% of total cover:
28 20% of total cover:
Sapling/Shrub Stratum (Plot size: 15
)
1. Fagus grandifo/ia
10
Yes
2. Acerrubrum
10
Yes
3.
4.
5.
6.
7.
8.
9.
20
=Total Cover
50% of total cover:
10 20% of total cover:
idicator
Status
Dominance Test worksheet:
FAC
Number of Dominant Species
FACW
That Are OBL, FACW, or FAC:
6 (A)
FAC
Total Number of Dominant
Species Across All Strata:
7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC:
85.7% (A/B)
Prevalence Index worksheet:
01
FACU
FAC
4
Herb Stratum (Plot size: 5 )
1. ASimina bi/oba 10 Yes FAC
2. Smilaxrofundifo/ia 5 Yes FAC
3.
4.
5.
6.
7.
8.
9.
10.
is
50% of total cover: 8
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
15 =Total Cover
20% of total cover: 3
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
Total % Cover of:
Multiply by:
OBL species 0
x 1
= 0
FACW species 15
x 2
= 30
FAC species 65
x 3
= 195
FACU species 10
x 4
= 40
UPL species 0
x 5
= 0
Column Totals: 90
(A)
265 (B)
Prevalence Index
= B/A =
2.94
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
X 3 - Prevalence Index is <_3.01
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine -All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP-1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type LOC2 Texture Remarks
0-18 10YR 4/2 90 10YR 4/4 10 RM M Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

U.S. Army Corps of Engineers OMB Con&oiA-07f0-xxxx,Exp.Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region RequinementCOnbniSymbOiEA'EMPT
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R(AII&OnW..•AR335-15,pe-g-ph5-20)
Project/Site: 2222 Wilcox Drive City/County: Greensboro/Guilford Sampling Date: 4.28.20
Applicant/Owner: State: NC Sampling Point: DP-2
Investigator(s): Pilot Section, Township, Range: NA
Landform (hillside, terrace, etc.): Swale Local relief (concave, convex, none): Slope (%): 3
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.12858 Long:-79.74961 Datum: wgs 84
Soil Map Unit Name: Cecil sandy clay loam (CeB2) NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances' present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
_ Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
_ Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
—Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
_ Drift Deposits (133) —Thin
Muck Surface (C7)
—Saturation Visible on Aerial Imagery (C9)
—Algal Mat or Crust (134) _
Other (Explain in Remarks)
—Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland
Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2
Absolute Uominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover Species?
Status
Dominance Test worksheet:
1.
Liriodendron fu/ipifera
20 Yes
FACU
Number of Dominant Species
2.
Fagusgrandifoiia
20 Yes
FACU
That Are OBL, FACW, or FAC: 1 (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: 16.7% (A/B)
7.
Prevalence Index worksheet:
40 =Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20 20% of total cover:
8
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15
)
FACW species 0 x 2 = 0
1.
Fagusgrandifoiia
10 Yes
FACU
FAC species 10 x 3 = 30
2.
Carpinus caroiiniana
10 Yes
FAC
FACU species 60 x 4 = 240
3.
UPL species 0 x 5 = 0
4.
Column Totals: 70 (A) 270 (B)
5.
Prevalence Index = B/A = 3.86
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
_
3 - Prevalence Index is <_3.01
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.
Poiysfichum acrosfichoides
5 Yes
FACU
Indicators of hydric soil and wetland hydrology must
2.
Lonicerajaponica
5 Yes
FACU
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb -All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
10 =Total Cover
Woody Vine -All woody vines greater than 3.28 ft in
50% of total cover:
5 20% of total cover:
2
height.
Woody Vine Stratum (Plot size: )
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-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
0-8 10YR 4/4 100 Loamy/Clayey
8-18 10YR 4/3 100 Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric 801ls3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
—Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
—Thick Dark Surface (Al 2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
_ Other (Explain in Remarks)
Sandy Gleyed Matrix (S4)
MLRA 136)
_
_ Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_ Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks
ENG FORM 61164-SG, JUL 2018 Eastern Mountains and Piedmont —Version 2.0