20100570 Ver 1_401 Application_20100710

2'C10nw570
W A r&_
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre-Construction Notification PC Form
A. Applicant Information
1. Processing COURTESY
1a. Type(s) of approval sought from the
Corps:

® Section 404 Permit ? Section 10 Permit p

C 1?
1b. Specify Nationwide Permit (NWP) number: NWP 12 or General Permit (GP) number:
1 c. 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
If. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in-lieu
fee program. ? Yes ® No
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a. Name of project: Davidson Water, Inc. water System Improvements
2b. County: Davidson
2c. Nearest municipality / town: Lexington
2d. Subdivision name: na
2e. NCDOT only, T.I.P. or state
project no:
JULY
3. Owner Information DENR. W1TE
3a. Name(s) on Recorded Deed: ?fr4'ERE
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable): Davidson Water, Inc.
3d. Street address: PO Box 969
3e. City, state, zip: Welcome, NC 37374
3f. Telephone no.: 336-731-5525
3g. Fax no.:
F 336-731-3195
3h.
. Email address: [e-mail]
Page I of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Applicant Information (if different from owner)
4a. Applicant is: ? Agent ? Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name: Adam Carter
5b. Business name
(if applicable): Wetland Solutions, LLC
5c. Street address: PO Box 244
5d. City, state, zip: Bunnlevel, NC 28323
5e. Telephone no.: 910-890-2779
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): na
1b. Site coordinates (in decimal degrees): Latitude: Longitude: -
(DD.DDDDDD) (-DD.DDDDDD)
1c. Property size: The water line traverses ca.24 miles with a disturbance
'
width of 15
acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to Multiple tributaries of the Yadkin River throughout the
proposed project: project area.
2b. Water Quality Classification of nearest receiving water:
2c. River basin: Yadkin; HUC 03040101
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 project will be located either entirely within the NC DOT right-of-way or immediately adjacent to it. Conditions are
predominantly disturbed/maintained roadsides or roadside ditches. Land use in the area is predominantly residential and
agricultural.
3b. List the total estimated acreage of all existing wetlands on the property:
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
90'
3d. Explain the purpose of the proposed project:
The purpose of the project is to install potable water lines adjacent to Happy Hill, Holy Grove, Noah Town, Link and
Briggstown Roads in Davidson county.
3e. Describe the overall project in detail, including the type of equipment to be used:
The project involves excavation to install the water main and back-filling to existing grade. The water lines will be
installed using trac hoes and smaller supporting equipment.
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
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): 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
1 a. 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
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 0
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a. 3b. 3c. 3d. 3e. 3f. 3g.
Stream impact Type of impact Stream name Perennial Type of jurisdiction Average Impact
number - or
(PER)
(Corps - 404, 10
stream
length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)
S1 ? P ®T Water pipe trench Brier Creek ® PER
? INT ® Corps
? DWQ 21 15
S2 ? P ® T Water pipe trench UT to Hamby
Creek ® PER
? INT ® Corps
? DWQ 24 15
S3 ? P ®T Water pipe trench Pounder Fork ® PER
? INT ® Corps
? DWQ 25 15
S4 ? P ®T Water pipe trench Swearing Creek ® PER
? INT ® Corps
? DWQ 11 15
S5 ? P ®T Water pipe trench UT to Swearing ® PER ® Corps 52 15
Creek ? INT ? DWQ
S6 ? P ®T Water pipe trench Reedy Creek ® PER
? INT ® Corps
? DWQ 24 15
3h. Total stream and tributary impacts 90,
3i. Comments:
Page 5 of 11
PCN Form - Version 1.3 December 10, 2008 Version
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a. 4b. 4c. 4d. 4e.
Open water Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
411 Total open water impacts 0
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed,
5a. 5b.
Pond ID
number
then complete the chart below.
5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Proposed use or purpose (acres)
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 an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
Project is in which protected basin?
6b. 6c. 6d.
Buffer impact
number - Reason
Permanent (P) or for
TemDorarv (T) imoact
B1 ?P?T
B2 ?P?T
B3 ?P?T
6i. Comments:
? Neuse ? Tar-Pamlico ? Other:
? Catawba ? Randleman
6e. 6f. 6g.
Buffer Zone 1 impact Zone 2 impact
Stream name mitigation (square feet) (square feet)
required?
? Yes
? No
? Yes
? No
? Yes
? No
6h. Total buffer impacts 0 0
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The water lines will be installed in previously disturbed areas whenever possible. The temporay disturbances of the streams
are unavoidable as directional boring under the streams would make the project economically unfeasible.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The contractor will utilize all appropriate BMPs to include: silt fencing, seeding and mulching, matting, check dams and other
stormwater and sediment control devices as necessary.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State? ? Yes ® No
2b. If yes, mitigation is required by (check all that apply): ? DWQ ? Corps

2c. If yes, which mitigation option will be used for this
project?

pro ? Mitigation bank

? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
4. Complete if Making a Payment to 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
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form - Version 1.3 December 10, 2008 Version
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
1 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
1a. 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? <1 %
2b. Does this project require a Stormwater Management Plan? ? Yes ? No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
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?
? Phase 11
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties

4a. Which of the following state-implemented stormwater management programs apply ? HQW
? 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)
1 a. 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
? Yes
? No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards, ? 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.
Any future development will not be directly related to this project and will be handled in accordance with county, state and
federal regulations.
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.
na
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
habitat? ? Yes ® No
5b. Have you checked with the USFWS concerning Endangered Species Act
impacts? ® El Yes No
5c. If yes, indicate the USFWS Field Office you have contacted. El Raleigh
? Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
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?
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 (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
? Yes ? No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
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?

Applicant/Agent's Printed Name A licant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant
is provided.) Date
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version
July 7, 2010
Owner Information
Name: Davidson Water, Inc
Mailing Address: P.O. Box 969
City, State, Zip: Welcome, NC 37374
Telephone #: [phone]
Prope Description
Project Name: Davidson Water System Improvements
Address: See Attachment
PIN #: See Attachment
County: Davidson County
1, J?r-4d5j ? A Pe k , as owner/agent of the above referenced
property/project au orize Mr. Adam Carter of Wetland Solutions, LLC to access the property
owners land for mapping wetlands and installing monitoring well equipment.
Signature Title Date

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Davidson County, NC April 22, 2010 W E
Wetland Solutions, LLC P.O. Box 244 Bunnlevel, NC 28323

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0 25 50 75 100 Wetland Solutions, LLC P .O. Box 244 Bunnlevel, NC 28322
Feet
Legend
Proposed Utility Line
o Delineation Flags
Stream Polygon
DOT Roads
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont (DRAFTI
Project/Site:
Applicant/Owner:

Investigator(s): A(,& Fc C.E Jr!rL
Landform (hillslope, terrace, etc.):
O 7
Slope (%): Lat -3 r
Soil Map Unit Name:
City/County: d
is GV CoU r\kti Sampling Date:
14 Ld
State: 1/C Sampling Point: A?
Section, Township, Range: L cx- nu 6 \
Local relief (concave, convex, none): Go,%J ru, , P
Long: G C_ _. Datum: N4W X67
WqM
hMA:r.lassification: _NP me0 .Ske%r-
Are climatic / hydrologic conditions on the site typical for this time of year? Yes -1
Are Vegetation Soil or Hydrology significantly disturbed?
Are Vegetation Soil or Hydrology naturally problematic?
No (If no, explain in Remarks.)
Aye "Normal Circumstances" present? Yes ___!c No
(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing samDlina Doint locations. transacts- imnnrtant fanfirraa or,-
Hydrophytic Vegetation Present? Yes No

Hydric Soil Present? Yes No `-? Is the Sampled Area

Wetland Hydrology Present? Yes No within a Wetland? Yes No L/
Remarks:
vtt,t I A I IUN - Use scientific names of plants,
Absolute Dominant Indicator
Tree Stratum (Plot size: 02 Coi % Cover S ties? Status
1. L?tA (o% Y tK 4-
2.?lA?nAmC OC i?PA A4[3 Y AC L'
3. ?C1P r re L' n'm c2 qo Y_ M-
4.
5.
Saolino/Shrub Stratum (Plot size: Total Cover
?/
1. A ! n pt?n A_S u 1r?111S.? _ ! T-A{ W
2. VI bl?rntnM ?u-A (W4-
3.
4.
5.
Herb Stratum (Plot size: Total Cover
„?(J`a-?•rJ )
Y
2. ,'cry -? accr+
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: /. y (A)
Total Number of Dominant hh
1 t/
Species Across All Strata: (B)
Percent of Dominant Species
Th ' oOp/a
at Are OBL, FACW, or FAC: (A/B)
Prevalence Index worksheet
Total % Cover of Multiply by:
OBL species x 1 =
FACW species x2=
FAC species x3=
FACU species x4=
UPL species x5=
Column Totals: (A) (B)
Prevalence Index = B/A =
4. Rapid Test for Hydroph
tic Ve
etation
5. _
y
g
Dominance Test is >50%
6. _
Prevalence Index is 53
0'
7. _
.
_ Morphological Adaptations' (Provide supporting
8. data in Remarks or on a separate sheet)
9. _ Problematic Hydrophytic Vegetation' (Explain)
10.
=
Woody Vine Stratum (Plot size: _-I-e) X „2-t) ° / Total Cover
1. V 1" of = Total Cover
photo numbers here or on a separate
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
SOIL
a
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
Cinches) Color (moist) % Color (moist) % Tvae' Loc Texture Remarks
D-/ loyo " ? - - - - s?'L
'Type: C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 21-ocation: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ HistosDI (Al) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Piedmont Floodplain Soils (F19)
_ Black Histic (A3) - Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 136, 147)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) - Red Parent Material (TF2)
_ Stratified Layers (A5) _ Depleted Matrix (F3) _ Very Shallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (Al 1) _ Depleted Dark Surface (F7)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147,148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
ic Soil Present? Yes No
d
H
Depth (inches): y
r
Remarks: HYDROLOGY

Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is re quired: check all that aooly) - Surface Soil Cracks (66)
_ Surface Water (Al) _ True Aquatic Plants (614) _ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (Cl) _ Drainage Patterns (1310)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
_ Water Marks (B1) _ 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 (63) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (131)
_ Iron Deposits (135) _ Geomorphic Position (132)
_ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (133)
_ Water-Stained Leaves (B9) _ Microtopographic Relief (134)
- Aquatic Fauna (B13) P*0FAC-Neutral Test (D5)
Field Observations:
N
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches): IJ 11
Saturation Present? Yes No Depth (inches):_ Wetland Hydrology Present? Yes - No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
WEATrLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont (DRAFT)
Project/Site: / V O A 1%10IN r1 1 nc,4 City/County:
Sampling Date:
4-
Applicant/Owner: h) State: A C-, Sampling Point:
Investigator(s): v 1 Section, Township, Range:
L t? Ili n5 t.?„
Landfonn (hillslope, terrace, etc.): .s 4h? Local relief (concave, convex, none): C_Wti/Csi V 6
Slope (%): - Lat: 3 3 { „r Tf C( '/Long: 'f / r Datum: XA6 q-4,
Soil Map Unit Name: 44M
classification: /vaMG .SA-e.4.,..
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing samolina point locations- transPrtc imnne+=nt f-f-ff .ems
Hydrophytic Vegetation Present? Yes No

Hydric Soil Present? Yes No
Is the Sampled Area

Wetland Hydrology Present? Yes No within a Wetland? Yes No
Remarks:
. ?..7v- r m r rum - use scienurlc names of plants.

Tree Stratum (Plot size: aJ Zg ?1) Absolute Dominant Indicator
% Cover Species? Status

2.
3.
4.
5.

Sao[ rub Stratum (Plot size: -!= L,) =
Total Cover
1. i M b{ r ?i _ y I-AC +
2
. r S v ?QA,- -?- p
J6
3. /MA '
4.
5.
Herb Stratum (Plot size, Total Cover
1. Lc n i c e r/} T/?o un; 30% y LA
-
2.Lonlcer SIR ?4 _ -
/??a ?
?
3. .
_
4.
5.
6.
7.
8.
9.
10.
Dominance Test worksheet
Number of Dominant Species
That Are OBL, FACW, or FAG: (A)
Total Number of Dominant
Species Across Ail Strata: (B)
Percent of Dominant Species / VD
D
d
That Are OBL, FACW, or FAC: !
(A/B)
worksheet
Total % Cover of: Multiply bv:
OBL species x 1 =
FACW species x2=
FAC species x3=
FACU species x4=
UPL species X5_
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ Rapid Test for Hydrophylic Vegetation
Dominance Test is >5o%
_ Prevalence Index is 53.0'
_ Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydre soil and wetland hydrology must
q0010 =Total Cover be present, unless disturbed or
Woody Vine Stratum (Plot size:,Y Z'1 ) problematic.
2 -?? Hydrophytic
Vegetation
-5?% = Total Cover Present?
(Include photo numbers here or on a separate
Yes V No
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
SOIL
Sampling Point: AfJ CA
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) % Tvoe' Loc' Texture Remarks

'Type: C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (Al) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Piedmont Floodplain Soils (F19)
_ Black Histic (A3) - Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 136, 147)
_ Hydrogen Sulfide (A4) - Loamy Gleyed Matrix (F2) _ Red Parent Material (72)
_ Stratified Layers (A5) _ Depleted Matra (F3) _ Very Stiallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (A11) _ Depleted Dark Surface (F7)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N, - iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two reouired)
Primary Indicators (minimum of one is r equired: check all that aooly) - Surface Soil Cracks (B6)
_ Surface Water (Al) _ True Aquatic Plants (614) _ Sparsely Vegetated Concave Surface (68)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Patterns (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (1316)
_ Water Marks (B1) _ 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 (B3) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (131)
_ Iron Deposits (135) _ Geomorphic Position (132)
_ Inundation Visible on Aerial Imagery (B7) - Shallow Aquitard (D3)
_ Water-Stained Leaves (139) Microtopographic Relief (D4)
j,"*FAC-Neutral Test (D5)
Aquatic Fauna (B13)
Field Observations: /
Surface Water Present? Yes No ? Aepth (inches): NA
Water Table Present? Yes No Depth (inches): (Ull /
Saturation Present? Yes No _? Depth (inches): N(t Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont DRAFT
Project/Site: r eJ/. ?/'-)w City/County: yj? (/i ?! S(f t** t Sampling Date:
Applicant/Owner. ski L State: _1 /r Sampling Point: F' a
Investigator(s): ? Section, Township, Range: Ir4K1 AC4T0
Landforrn (hillslope, terrace, etc.): a Local relief (concave, conve)c, none):
Slope
r? Lat 4 a Long; Datum: 4;
w Soil
Map Unit Name: dilliclassification: S . r?A M
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes /"/ No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showinq samplina Doint locations. transects. imnnrtant teatim-c Atr
Hydrophytic Vegetation Present? Yes
U--*" No

Hydric Soil Present? /- _
Yes No ? Is the Sampled Area

Wetland Hydrology Present? -
Yes No _f within a Wetland? Yes No
Remarks:
YCGC 1 A 1 IUN - Use scientific names of plants.
Tree Stratum Plot size: 3 L' Y 3 0 r.L Absolute Dominant Indicator
) %
des? Status
Coverr Sp Dominance Test worksheet:

1.
L ' c Sf r e(J1 U c, e
?
V t o I FA-C_ Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
2. ?CPf ft(?rt,M ??
A-C
,

3.
A v
D /o A/ 1=A{= Total Number of Dominant
Species Across All Strata: (B)

5 Percent of Dominant Species ?J 0/
Th
t A
OBL
FACW
5
o
l a
re
,
, or FAC: /
/O (A/B)
.
3o = Total Cover
4
X 30
Sapling/Shrub Stratum (Plot size: Prevalence Index worksheet
1. /% GU34re rt S FA e A I e 3 t"OrC Total % Cover of: Multiply by:
2. ?M ?CfC fi?fFfi4 -5-a/, Y _
T
TTT- OBL species x 1 =
3. I1Lpr r C brurh ?
} RC
15 FACW species x2=
4. C.a rQ
r +>fw A/ r- Ar C FAG species x3=
5. FACU species x4=
3U
Herb Stratum (Plot size:
X 3 ?? ) 1 % =
Total Cover
UPL species x 5 =
-?--
n? 1/ 01,;L Column Totals: (A) (B)
2. Txrc nr/.n ran rrad.'Cc,. S ?y/m
r-A-C.
Prevalence Index = B/A =
n
C Q
`
`
3. a
rc
r
I a o i\? Cr,_ 7 •/d NA{ Hydrophytic Vegetation Indicators:
4. i''Q MPS%S rad Gp AS a °/n__ Rapid Test for Hydrophytic Vegetation
5. Dominance Test is >50%
6. Prevalence Index is s3
0'
7. _
.
_ Morphological Adaptations' (Provide supporting
8. data in Remarks or on a separate sheet)
9. _ Problematic Hydrophytic Vegetation' (Explain)
10.

_ 30 X 304
Wood Vine - Stratum (Plot size: ) o
Io = Total Cover 'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
H

2. ydrophytic
Vegetation
-2 0/o = Total Cover Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
SOIL
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc Texture Remarks
GL
'Type: C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (Al) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Fpipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147,148) _ Piedmont Floodplain Soils (F19)
_ Black Histic (A3) - Thin Dark Surface (S9) (MLRA '147,148) (MLRA 136, 147)
_ Hydrogen Sulfide (A4) - Loamy Gleyed Matrix (F2) - Red Parent Material (TF2)
_ Stratified Layers (A5) , Depleted Matra (F3) _ Very Shallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (All) _ Depleted Dark Surface (F7)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matra (S4) _ Umbric Surface (F13) (MLRA 136,122) 3Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):

Type. /

Depth (inches):
Hydric Soil Present? Yes No
V
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 (66)
_ Surface Water (Al) _ True Aquatic Plants (814) _ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) - Hydrogen Sulfide Odor (Cl) _ Drainage Patterns (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
_ 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 (63) _ 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 (85) _ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137) - Shallow Aquitard (D3)
Water-Stained Leaves (69) Microtopographic Relief (D4)
-
B13 / FAC-Neutral Test (135)
- Aquatic Fauna (
)
Field Observations:
Surface Water Present? Yes No Depth (inches):
Water Table Present? Yes No Depth (inches): /
Saturation Present? Yes No Depth (inches): Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont (DRAFT)
Project/Site: YrMAPti tt / rd, City/County: DAV,,A-6,4 Cd Sampling Date: Z ?o
Applicant/owner: ? - vA (on (,fit it e ? -
n ? State: t?.( Sampling Point:
Investigator(s): _ ICJ -4M CA, 4 - Section, Township, Range:
I}?2
Landform (hillslop/e, terrace, etc.): J IJ ?? 0 U Local relief (concave convex, none): Co n CA,"
P
Sloe %
P ( ). ' Late s 1 , in Long: Datum: /v T
w /
Soil Map Unit Name: rIV Afclassification: 6n?I I oM 1 A,\J PrA.-IJ c ?s
Are climatic / hydrologic conditions on the site typical for this time of year? Yes --LZNo (If no, explain in Remarks.)
Are Vegetation . Soil vl? or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes t/No
Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showina samplina Doint locations- transPr_ts_ innnnrtant font,wgi- et,.
Hydrophytic Vegetation Present? Yes No

Hydric Soil Present? Yes No
4 Is the Sampled Area
within a Wetland? Yes
Z N

Wetland Hydrology Present? Yes No - o
_j
Remarks:
Yt:Vr I A I IUN - use scientific names of plants.
Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum (Plot size: ) % Cover Species? Status Number of Dominant Species
1' That Are OBL, FACW, or FAC: (A)
2.
3.
4.
5.
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
Total Number of Dominant
Species Across All Strata: 1 (B)
Percent of Dominant Species p
That Are-OBL, FACW, or FAC: Y0 (A/B)
= Total Cover
Prevalence Index worksheet:
Herb Stratum (Plot size:3 aY = Total Cover
)
1. KS /UA% y_
Llel-
2.
3.
4.
5.
6.
7.
8.
9.
10.
=
Woody Vine Stratum (Plot size: Total Cover
)
1.
2. -
= Total Cover
photo numbers here or on a separate
P64-tArc- ??S 2 Arerzvm
Total % Cover of: Multiply bw
OBL species x 1 =
FACW species x2=
FAC species X3=
FACU species x4=
UPL species x5=
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ Rapid Test for Hydrophytic Vegetation
_ Dominance Test is >50%
- Prevalence Index is 53.0'
_ 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.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
SOIL
Sampling Point: N 6L W P4
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) % Tvae Loc Texture Remarks
0-/" 10 y2 3/a A PL s; c L_

l(F „ /oYkR rly lDY2 (08a 05 .0 _ M S, CL
'Type: C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils
_ Histosol (Al) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) -ZPiedmont Floodplain Soils (F19)
_ Black Histic (A3) - Thin Dark Surface (S9) (MLRA 147,148) (MLRA 136,147)
- Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2)
_ - Red Parent Material (TF2)
_ Stratified Layers (A5) Depleted Matrix (F3) _ Very Shallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) 2edox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (A11) _ Depleted Dark Surface (F7)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matrix (S4) _ Umbric Surface (F13) (MLRA 136,122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (1719) (MLRA 148) wetland hydrology must he present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No
Remarks: h P (S C z, (VI e AJ u vJ ,
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is req uired: 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 (B10)
Saturation (A3) idized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
?ater Marks (61) Presence of Reduced Iron (C4) - Dry-Season Water Table (C2)
_,-Qiment Deposits (132) jl'Recent Iron Reduction in Tilled Soils (C6) - Crayfish Burrows (C8)
y6rifi Deposits (133) - Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (84) _ Other (Explain in Remarks) - Stunted or Stressed Plants (D1)
?_ Iron Deposits (135) ^ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (D3)
_ Water-Stained Leaves (139) - Microtopographic Relief (D4)
_ Aquatic Fauna (B13) - FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No Depth (inches): NA,
Water Table Present? Yes No _jZ Depth (inches): PA-
2
Saturation Present? Yes ? No . Depth (inches): No
Wetland Hydrology Present? Yes
(includes capillary fringe) ? 1 4
Describe Recorded Data (stream gunge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
J ?Pr?
r ?l c
J ?,'
V
T6 r &,e o- d
Co iS G/lo fei) b AcaPN ?Iooj vtn
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont DRAFT
I_
Project/Site: f Pop A L" -6 1 i 0A City/County: DQuidf" (., Sampling Date: 20 / !J
Applicant/Owner. 6 P r I rN G State: h
ator s : m C ( ? Sampling Point:
Investi
g () Section, Township, Range: L OU ?l U { ?n
Landform (hillslope, terrace, etc.)): V ?? ((P Local relief conca) ?e, convex, none): (L A CA 1)-C
Slope (%): 02°?o Lat Long: r r r ci
Datum: PJ A n
w A M
Soil Map Unit Name: classification: _ 1U4i-1Pd _& /PF?f-'N
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (if no, explain in Remarks.) /
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes V No
Are Vegetation . Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing samDlina Doint locations- transpr_tc irnnetrtnnt fa7ife- o a+,.
Hydrophytic Vegetation Present? Yes ? No

Hydric Soil Present?
Yes No Is the Sampled Area

Wetland Hydrology Present?
Yes No V___ within a Wetland? Yes No
Remarks:

vr=uc r m I tiny - use sclentitic names of plants.

Tree Stratum (Plot size: 3 U d
) Absolute Dominant Indicator

% Cover S tree? Status
1. Bt+ N 1C, 0
2. ACPr rP 6r wM lJ?/v
, A (
3. ?r/4j 'rnu( P'fA11SUtVa4r c -
4 EA((„J
4.5Gfr.(! Il)/ grA-
5.
Saolina/Shrub Stratum (Plot size:
30A 3044)
=Total Cover
1. i'nds 0PAnsuI?jAAc
v
2. A-CY-
.1
r e 4
?/-
3. %
(
n
S c t!M S / n{A
?? -?- / }cp r
L?t/r
4.
f.
? c
n;. Vr(• j, TRL?
5.

Herb Stratum ,?,y
(Plot size: 02 Sow =
Total Cover
1. ?Ok C Q10"/l
2._Lon,C 1_C, jCA 21) CZ--
P:
4. YY I lay i _\P t^'`^?
I J -T
5.UP
t M Sri rti C4 ?1
tJ F
6. _
7.
8.
9.
10.

Woody Vine Stratum (
Plot size: 3OX 304-) 0 = Total Cover
1. 13 vIu
r-A Ca
2. _
Lo = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL
FACW
FA '
,
, or
C: _ (A)
Total Number of Dominant c/
Species Across All Strata: ?7 (g)
Percent of Dominant Species
Th
t A
d
a
re OBL, FACW, or FAC: (AG)
Prevalence Index worksheet
Total % Cover of: Multiply bw
OBL species x 1 =
FACW species x 2 =
FAC species x3=
FACU species x4=
UPL species x5-
Column Totals: (A) (B)
Prevalence Index = B/A =
Rapid Test for Hydrophytic Vegetation
Dominance Test is >5o%
Prevalence index is 53.0'
_ 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.
Hydrophytic
Vegetation
Present? Yes No _-Z US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009

SOIL
Sampling Point: M C?
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 -' 'I we 3/3 - - - - - S C L
ZC' loya cL
'T e: C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2 Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (Al) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Piedmont Floodplain Soils (F19)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147,148) (MLRA 136,147)
_ Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) - Red Parent Material (72)
_ Stratified Layers (A5) _ Depleted Matrix (F3) _ Very Shallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) - Redox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (A11) - Depleted Dark Surface (F7)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, - iron-Manganese Masses (1712) (LRR N,
li 147,148) MLRA 136)
Sandy Gleyed Matrix (S4) __._ Umbric Surface (F13) (MLRA 136,122) ' Indicators of hydrophytic vegetation and
Sandy Redox (S5) - Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is required: check all that apoN) - Surface Soil Cracks (136)
_ Surface Water (Al) _ True Aquatic Plants (614) - Sparsely Vegetated Concave Surface (138)
- High Water Table (A2) _ Hydrogen Sulfide Odor (C1) - Drainage Pattems (610)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) - Moss Trim Lines (616)
_ Water Marks (81) _ Presence of Reduced Iron (C4) - Dry-Season Water Table (C2)
_ Sediment Deposits (62) _ 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 (132)
_ Inundation Visible on Aerial Imagery (67) _ Shallow Aquitard (133)
_ Water-Stained Leaves (139) _ Microtopographic Relief (D4)
- Aquatic Fauna (B13) -%ZFAC-Neutral Test (135)
Field Observations:
I/
NA
h
i
h
Surface Water Present? Yes No es):
(
nc
Dept
Water Table Present? Yes No -,Depth (inches): NA-
A
/
Saturation Present? Yes No Depth (inches): /V
-- Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont (DRAFT)
Project/Site: L' ( Ci /Count : AV I
?. I` { ty y c5- N ;.. c 2 z ??
Sampling Date:
Applicant/Owner. b A y; S O IN ! S A S ?r
State: A) . L Sampling Point: V c?
Investigator(s):
Section, Township, Range:
Landform (hillslope, terrace, etc.): V A ?. (e,? Local relief (concave, convex, noney.
W
Slope 30w L ,? ' ;a7
( ) at: a Long Datum: N A !l "?
Soil Map Unit Name: IYI assification: .?' / ??°`
Are climatic / hydrologic conditions on the site typical for this time of year? Yes -"f No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are 'Normal Circumstances" present? Yes ? No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site mar) showina samnlina noint Inr-atinnc tranca"c imm-f-f fe,4... -
'
Hydrophyfic Vegetation Present? Yes ? No

Hydric Soil Present? Yes No Is the Sampled Area /

Wetland Hydrology Present? Yes No ? within a Wetland? Yes No
Remarks:
r r=vr- i h i run - use scientitic names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: Zbth -r-?) % Cover S es? Status
1. ACer rehruM/ i4L
2.
3. PIA?GA t CC?dPn?a?,J N°l? N ?(?
4. -rt-A-YI AC. C A S w lVriaf G? 3V?
Aj r-
5.. U h-n P,.(, f AJ_ C

SA lin /Shrub Stratum (Plot size: -30, ??) = Total Cover
1. - 144Au t 0 CC l , ,1A4a(r _1
2. IL I y u -e!N -?tt1 Af-A LO_ ?o
3. I?C>°r r 2,a.
pi 3%
° y?C
4. v
r c virG?nt G 2
(v A/ FA
5. V _

Herb Stratum (Plot size: 30 X3 O f-
) 9 J =
Total Cover
FIC
2. ECh in OC k 104 Crus
3. ?- ? ? i G ?t• o ? CL` cap ?C
4. 1! C C?SD G ?%t ??? -rte/
Al
5.
6.
7.
8.
9.
10.
Woody Vine Stratum (Plot size: 301,1064
)
1. V e
Remarks: (Include photo numbers here or on a separate
US Army Corps of Engineers
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species /
That Are OBL, FACW, or FAC: (?q
W I /0 (A/B)
Prevalence Index worksheet
Total % Cover of: Multiply bw
OBL species x 1 =
FACW species x2=
FAC species X3=
FACU species x 4 =
UPL species x5=
Column Totals: (A) (B)
Prevalence Index = B/A =
_ Rapid Test for Hydrophyfic Vegetation
Dominance Test is >50%
_ Prevalence Index is 53.0'
_ Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophyfic Vegetation' (Explain)
o 'Indicators of hydric soil and wetland hydrology must
r S /v =Total Cover be present, unless disturbed or problematic.
>c
[Hydrophytic
egetation
0 lu = Total Cover resent? Yes No
Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
SOIL
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Tvae Loc Texture Remarks
d - 21' to Y2 11y - - - - - S
-1(( /O YQ /i:- - $GL
'T : C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Piedmont Floodplain Soils (F19)
_ Black Histic (A3) - Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 136,147)
- Hydrogen Sulfide (A4) _ Loamy Gleyed Matrix (F2) - Red Parent Material (TF2)
_ Stratified Layers (A5) _ Depleted Matra (F3) _ Very Shallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (At 1) _ Depleted Dark Surface (FT)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matra (S4) _ Umbric Surface (F13) (MLRA 136,122) 'Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):

Type: /

Depth (inches): V
Hydric Soil Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two reouired)
Primary Indicators (minimum of one is reouired: check all that apply) _ Surface Soil Cracks (B6)
_ Surface Water (Al) _ True Aquatic Plants (B14) - Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) - Drainage Pattems (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
_ Water Marks (B1) _ 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 (B3) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (84) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (131)
_ Iron Deposits (B5) _ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137) - Shallow Aquitard (133)
Water-Stained Leaves (B9) MMicrotopographic Relief (134)
7 FAC-Neutral Test (D5)
_ Aquatic Fauna (B13)
Field Observations:
Surface Water Present? Yes No V/ Depth (inches): OA
Water Table Present? Yes No --?epth (inches): IV A
/
Saturation Present? Yes No / Depth (inches): NA Wetland H ydrology Present? Yes No y
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont (DRAFTI
Project/Site: jy?n .?, 0 City/County: (1Vic/ f* Jsf` `:; Sampling Date: ya o
Applicant/Owner. DAW--i.Sdr" 10 0er i (',C State: _Af, C . _ Sampling Point: _
Investigator(s): MA,--l Section, Township, Range: Lf X nhJL->/)
Landform (hillslope, terrace, etc.): U A- ((-e ti Local relief-(concave, convex, none): Coll ( k u e
Slope f co Lat: `?
46-
Long: Datum: Ai
E
ARM.
Soil Map Unit Name: KIWI classification: N/}MPO J{r ry
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ___ZNo (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes _?Z No
Are Vegetation , Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks)
SUMMARY OF FINDINGS - Attach site map showing samnlina point locations- trancpctc imnnrtnnf few+...e? a+,.
Hydrophytic Vegetation Present? Yes No

Hydric Soil Present? Yes No Is the Sampled Area

Wetland Hydrology Present? Yes No _(G within a Wetland? Yes No ?
Remarks:
vr-uc I A I tuts - use scientitic names of plants.
Tree Stratum ? JX 3'5 Absolute Dominant Indicator
(Plot size: ) % Cover Species? Status
1. Lcle oai, A', AQ} nQrc, a(j?o _Y _Ln-C
2. rl 4? N1Irr- S r4Ci FI?.? /L', , C_
3. A, n 1 r oSci"? _ 141 C
4. __ ?t PK In Q+ 16 Cw ?_ r? U?
5. ?CtwS / t ArICt ?_ ? LA
0
Sapling/Shrub Stratum (Plot size: 30)(3Q ?{ )
= Total Cover
1. c e v ` `1?
Y 06t,
2. Itil

_ c
?
p/.
Fk£
3. n OCc 1 den4ah L/% _ (J
4. UIMPrUs TA
tj
5. _

Herb Stratum (Plot size: yao = Total Cover

2. L-o 4 I cerq Sq( gnl cc-
FAC

4 _jL1j !'r a
Ph
I a
o '1
. %A OAQ
lirlc /v
o? TA G
5.
6.
7.
8.
9.
10.
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: - (B)
Percent of Dominant Species
/
That Are OBL, FACW, or FAC: v (A/B)
Prevalence Index worksheet
Total % Cover of: MOM* bw
OBL species x 1 =
FACW species x2=
FAC species x3=
FACU species x4=
UPL species X5=
Column Totals: (A) (B)
Prevalence Index = B/A =
_ Rapid Test for Hydrophytic Vegetation
_ Dominance Test is >50%
Prevalence index is <3.0'
- Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
?o J 'Indicators of hydric soil and wetland hydrology must
Woody Vine Stratum (Plot size: 3 UX 70P- - ) = Total Cover be present, unless disturbed or problematic.
1. V r 4 -L-
2 Hydrophytic
Vegetation
Total Cover Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
SOIL
Sampling Point: 7-0-
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
Conches) Color (moist) % Color (moist) % TvDe' Loc Texture Remarks
/o Y2 3101 C L
S-x y??? - - - - S; t_
L 7•S'Yk ??g - - - - S • CL
'Type: C=Concentration, D=De letion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (Al) _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Piedmont Floodplain Soils (F19)
_ Black Histic (A3) - Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 136,147)
_ Hydrogen Sulfide (A4) - Loamy Gleyed Matdx (F2) - Red Parent Material (TF2)
_ Stratified Layers (A5) _ Depleted Matra (F3) _ Very Shallow Dark Surface (TF12)
_ 2 cm Muck (A10) (LRR N) _ Redox Dark Surface (F6) _ Other (Explain in Remarks)
_ Depleted Below Dark Surface (At 1) _ Depleted Dark Surface (F7)
_ Thick Dark Surface (A12) _ Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
_ Sandy Gleyed Matra (S4) _, Umbric Surface (F13) (MLRA 136,122) 3Indicators of hydrophytic vegetation and
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is n eQuired: check all that apply) - Surface Soil Cracks (66)
Surface Water (Al) - True Aquatic Plants (B14) - Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C7) _ Drainage Patterns (B10)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
_ Water Marks (81) _ 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 (131)
_ Iron Deposits (135) _ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137) _ Shallow Aquitard (D3)
Water-Stained Leaves (139) Microtopographic Relief (D4)
_ ' ?
: r rAC-Neutral Test (135)
- Aquatic Fauna (B13)
Field Observations: /
Surface Water Present? Yes No ? Depth (inches): N/4
Water Table Present? Yes No pth (inches): MA
Saturation Present? Yes No V Depth (inches): NA Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Peer-Review Draft 6-25-2009
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