20200941 Ver 2_10_ACC_Additional_PSA_PJD_07162020_REDUCED_20210120

Three Oaks Engineering, Inc.
324 Blackwell Street, Suite 1200
Durham, NC 27701
[phone]
Julyl6, 2020
Charlotte Regulatory Field Office
ATTN: Bryan Roden -Reynolds
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
SUBJECT: Albemarle Corporate Center Additional Study Area Delineation Results and Request
for Preliminary Jurisdictional Determination (PJD), Albemarle, Stanly County, NC.
Mr. Roden -Reynolds:
Three Oaks Engineering, Inc. (Three Oaks) conducted jurisdictional waters delineations on Parcel PIN
654702867363 (280 acres) on February 22 and 23, 2018. This delineation is associated with the proposed
Albemarle Corporate Center, which is a proposed business center being developed by the City of Albemarle,
North Carolina. The potential wetland and non -wetland Waters of the United States (WOUS) delineated
on this parcel were field verified on May 4, 2018 by David Shaeffer during a site visit.
Due to a recent study area expansion, Three Oaks was tasked with conducting additional delineations
associated with the Corporate Center. The first area is associated with the proposed extension of Leonard
Avenue to connect with the Corporate Center on the northern end of the project parcel. This area was
reviewed by Three Oaks on June 12, 2020. One potential wetland was identified within this portion of
study area (Figure 1).
The second area is within a proposed sewer line easement that parallels Poplin Branch. This new study
area includes portions of the following parcels numbers: 654702696763, 654702792163, 654702689524,
654702781094, 654702776623, and 654702867363 (Figure 1). Appropriate right -of -entry paperwork for
these parcels is located in Appendix C. This area was investigated on October 15, 2019. During this
investigation, eleven new potential jurisdictional features (four streams and seven wetlands) were identified
(Figure 2; Tables 1-3). All potential features are located within the Yadkin -Pee Dee River Basin (USGS
Hydrologic Unit Code 03040105).
A North Carolina Division of Water Resources (NCDWR) Stream Identification form is provided for stream
SP (Appendix B). A NCDWR Stream Identification form was not required for Stream SO since it exhibited
geomorphological, hydrological, and biological characteristics indicative of a perennial stream. A North
Carolina Stream Assessment Method (NCSAM) form was not required for either SO or SP since they
possess characteristics conducive to them receiving high functional rating values and mitigation ratios.
Poplin Branch and Stream SA are extensions of features that were already verified in the original PJD;
forms associated with those features can be found in the original submittal package.
United States Army Corps of Engineers (USAGE) Wetland Determination forms (wetland and upland) are
included for potential jurisdictional wetlands WAD, WAI and WAJ (Appendix B). A North Carolina
Three Ois Engineerinq threeubsen1?rrMMgEOM

Wetland Assessment Method (NCWAM) form was completed for a portion of Wetland WAJ, due to
excessive degrading factors. NCWAM forms were not completed for other wetlands due to an absence of
characteristics that would decrease their functional and mitigatory values. Wetland WA is an extension of
a feature that was already verified in the original PJD; forms associated with WA can be found in the
original submittal package.
A USACE ORM Data Entry form, USACE Jurisdictional Determination Request form, USACE PJD Form,
Agent Authorization Form, Right of Entry Forms, and a USACE Waters Upload spreadsheet are also
included with this submittal (Appendix C).
Please see the following PJD Package:
Table 1. Potential streams in the new study area
Stream Name
Map ID
NCDWR Index
Number
Best Usage
Classification
Poplin Branch
Poplin Branch
13-17-31-1-3-1
C
Unnamed Tributary (UT) to Poplin
Branch
SA
13-17-31-1-3-1
C
UT to Poplin Branch
SO
13-17-31-1-3-1
C
UT to Poplin Branch
SP
13-17-31-1-3-1
C
Table 2. Characteristics of potential streams in the new study area
Map ID
Length (ft.)
Classification
NCSAM
Rating'
Appears on
USGS Topo?
Appears on
NRCS Soil
Survey?
Branch
1,622
Perennial
*
Yes
Yes
—Poplin
SA
406
Perennial
*
Yes
Yes
SO
101
Perennial
*
Yes
Yes
SP
145
Intermittent
*
No
No
Total
2,274
' Streams represented by an asterisk (*) possess characteristics conducive to them receiving high functional rating values and
mitigation ratios; therefore, forms were not completed for these features.
Table 3. Potential wetlands in the new study area
Map ID
NCWAM Wetland Type
NCWAM
Rating
Hydrologic
Classification
Area (ac.)
WA
Bottomland Hardwood Forest
*
Riparian
0.01
WAD
Bottomland Hardwood Forest
*
Riparian
0.03
WAE
Bottomland Hardwood Forest
*
Riparian
0.01
WAF
Non -tidal Freshwater Marsh
*
Riparian
0.06
WAG
Non -tidal Freshwater Marsh
*
Riparian
0.13
WAH
Flood lain Pool
*
Riparian
< 0.01
WAI
Bottomland Hardwood Forest
*
Riparian
0.02
WAJ
Headwater Forest
Low
Riparian
0.07
Total
0.33
' Wetlands represented by an asterisk (*) possess characteristics conducive to them receiving high functional rating values and
mitigation ratios; therefore, forms were not completed for these features. The NCWAM rating associated with wetland WAJ
represents only the disturbed portion of the wetland located within the maintained dirt road right-of-way.
Three oaks Engineerinq th►eembseowm ftcam

0
This is a request for concurrence with our assessment. If you have any questions, require additional
information, or would like to schedule a site visit, please contact me at the number above or by cell (910-
876-3016) or by email([e-mail]). I appreciate your assistance on this
project.
Sincerely,
James Digitally signed by James
MasoDaten 16 For
Mason 13:04:2-04'0'0'
13:04:22-04'00'
Nathan Howell, Environmental Scientist
Three Oaks Engineering
324 Blackwell Street, Suite 1200
Durham, NC 27701
Cc: Alan Johnson, NCDWR
Three oaks Engineerinq

Appendix A
Figures
Three oaks frglnevrlaq

Prepared For:
ROL
�ti��1K�fRly��
y L.
AQ
11� ���57'
Preliminary Jurisdictional Determination:
Albemarle Corporate Center
Vicinity Map
Stanly County, North Carolina
Date:
July 2020
Scale: 0
I
400 800 Feet
i I
Job No.:
18-607
Drawn By:
NH
Checked By:
JM
Figure

Prepared For
Albemarle Corporate Center
Sanitary Sewerline Additional Study Area Aw
Jurisdictional Waters Delineation Map
;? Stanly County, North Carolina
HIb33H1`
6: - I
Date'.
July 2020
0 100 200 Feet
I i I
Job No.:
18-607
Drawn By:
Checked By:
NDH
JSM
Figure
2

Prepared For
ip y
143
T
y�
Albemarle Corporate Center
Leonard Ave Additional Study Area
Jurisdictional Waters Delineation Map
Stanly County, North Carolina
D—
July 2020
scare. 0 37.5 75 F-t
I i I
Job No.:
18-607
Drawn By:
Checked By:
NDH
JSM
I
Figure
3

Appendix B
NCDWR Stream Identification Forms
Army Corps of Engineers Wetland Determination Data Forms
North Carolina Wetland Assessment Method Forms
Waters Upload Sheet
Three Oaks Engineering

sF
NC DWQ Stream Identification Form Version 4.11
Date: `� `� ]
Project/Site: Gfi
Latitude: 3 j, s,35Y4
Evaluator: A�
County -Y
Stream Det ircle one)
Ephemer lnierrnl�e Perennial
Lo nude:
ng
,�6,
Other
Q
e.g G1uedName: +',M file
Tota1-p.ornts'
Stream is at least Intermittent
if2..1,lt of eienniaiifZ 30' ��
A. Geomor holo Subtotal =
Abserit,
Weak
Moderate
Strong
1° Continuity of channel bed and bank_ '
0
0
1 __
:1 _.
- -:
3
_
2.-Sinuosity of channel along thalweg.
- 2
_
3
3. In -channel structure: ex riffle=pool, stepdiooi,
ri le- ool sequence .
CJ:'�
�
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict,tioodplain
0
1
r 2
3
6. Depositional bars or benches
" 0
1
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
1 ..-
2
3
9. Grade control
0`
0:5
1
_
1.5
1D. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
Nq.L' 0
Yes = 3
amnciat attcnes are not rated, see disc+ stuns in manual
B. Hvdroloav (Subtotal = t
12. Presence of Baseflow
r
1
2
3
13. Iron oxidizing bacteria
0 f
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.
1
1 5
1S. Organic debris lines.or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
i Ye = 3
v. tstology (subtotal = �J )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
1
0
-20 os (note diversity and abundance)
i 0
2
3
ollusks
r
1
2
3
F
0
0.5
1
1,5
_
-�
0.5 -
0.5
1
1
1.5ns
1.5 _
---- 1.5
- -
-_..._-.�
25. Algae
0 5 -
_--- 1 - --
26 Wetland plants in streambed
FACW = 0.75; OBL - 1 Dther = 0
_
_
_ _
'perennial strea rs may also be iden7t ed using other methods. See, p. 35 of manual
Notes: 1. o . >'' } _�R __2 �� r�. te-Cei veS #?x4 t1 ^4,�/o%.r�ra /am A'!�- - •' � �/r�, --
Sketch: Bank Height (ft):
Bankfull width (ft):2-3
Water depth (in): nrl
Channel substrate' Clay Silt Sand, Gravel; Cobble
Bedrock
Velocity - fast, moderate, slow nr__
Clarity clear slightly turbid, turbid
PE

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Albemarle Corporate Center Sewer line ROW City/County: Stanly Sampling Date: 10/15/2019
Applicant/Owner: City of Albemarle State: NC Sampling Point: WAD-4 Wet
Investigator(s): Nathan Hhowell & Lillian Lovingood Section, Township, Range: Albemarle
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Convex Slope (%): 2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.336367 Long:-80.184717 Datum: NAD 83
Soil Map Unit Name: Oakboro silt loam, 0-2% slopes, frequently flooded 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:
NCWAM: Bottomland Hardwood Forest. Wetlands WAD, WAE, and WAI are all linear, sinuous, floodplain wetlands. They all have similar edaphic,
hydrologic and floristic characteristics. Therefore, wetlands WAE and WAI are also represented by this form.
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 (614)
X Sparsely Vegetated Concave Surface (68)
—High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
X Drainage Patterns (610)
X Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
—Water Marks (B 1) _
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 (63) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (64) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
—Iron Deposits (65)
X Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes No
X Depth (inches): 0
Saturation Present? Yes X No
Depth (inches): 7
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WAD-4 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' x 5' )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 2 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 2 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B1
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 30' x 5'
)
FACW species x 2 =
1. Absent
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
=Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
20% of total cover:
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30' x 5' )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Chelone sp.
Indicators of hydric soil and wetland hydrology must t
2. Pilea pumila
10 Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Boehmeria cylindrica 10 Yes FACW
4. Carex sp.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
20 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
10 20% of total cover:
4
height.
Woody Vine Stratum (Plot size: 30' x 5' )
1. Absent
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
0

SOIL Sampling Point: WAD-4 Wet
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
0-2 2.5Y 4/3 100
2-9 10YR 4/1 70 10YR 4/6 30 C M Loamy/Clayey Prominent redox concentrations
Bedrock below 9"
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
—Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(M LRA 147, 148)
_Piedmont Floodplain Soils (F19)
(M LRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Albemarle Corporate Center Sewer line ROW City/County: Stanly Sampling Date: 10/15/2019
Applicant/Owner: City of Albemarle State: NC Sampling Point: WAG-5 Wet
Investigator(s): Nathan Hhowell & Lillian Lovingood Section, Township, Range: Albemarle
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Convex Slope (%): 2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.332434 Long:-80.180865 Datum: NAD 83
Soil Map Unit Name: Oakboro silt loam, 0-2% slopes, frequently flooded 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:
NCWAM: Nontidal Freshwater Marsh. Wetland WAF is also a marsh located within a former beaver impoundment. It possesses similar edaphic,
hydrologic and floristic characteristics. Therefore, wetland WAF is also represented by this form.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
X Surface Soil Cracks (66)
_Surface Water (Al) _True
Aquatic Plants (614)
_Sparsely Vegetated Concave Surface (68)
X High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
X Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
—Water Marks (B 1) _
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 (63) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (64) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
—Iron Deposits (65)
X Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes X No
Depth (inches): 6
Saturation Present? Yes X No
Depth (inches): 4
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WAG-5 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 4 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 4 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B1
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15' radius
)
FACW species x 2 =
1. Acerrubrum
20 Yes
FAC
FAC species x 3 =
2. Salix nigra
20 Yes
OBL
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
40 =Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
20 20% of total cover:
8
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Persicaria sagittata
50 Yes
OBL
Indicators of hydric soil and wetland hydrology must t
2. Sagittaria latifolia
10 No
OBL
present, unless disturbed or problematic.
3. Boehmeria cylindrica
10 No FACW
Definitions of Four Vegetation Strata:
4. Juncus effusus
10 No FACW
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
80 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
40 20% of total cover: 16
height.
Woody Vine Stratum (Plot size: 30' radius )
1. Mikania scandens 10 Yes FACW
2.
3.
4.
5.
10 =Total Cover
50% of total cover: 5 20% of total cover: 2
Remarks: (Include photo numbers here or on a separate sheet.)
0
Hydrophytic
Vegetation
Present? Yes X No

SOIL Sampling Point: WAG-5 Wet
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
0-2 2.5Y 4/3 100
2-12 10YR 4/1 70 10YR 4/6 30 C M Loamy/Clayey Prominent redox concentrations
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
—Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
_Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (M LRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(M LRA 147, 148)
_Piedmont Floodplain Soils (F19)
(M LRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Albemarle Corporate Center Sewer line ROW City/County: Stanly Sampling Date: 10/15/2019
Applicant/Owner: City of Albemarle State: NC Sampling Point: WAH-1 Wet
Investigator(s): Nathan Hhowell & Lillian Lovingood Section, Township, Range: Albemarle
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Concave Slope (%): 0
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.33141 Long:-80.180286 Datum: NAD 83
Soil Map Unit Name: Oakboro silt loam, 0-2% slopes, frequently flooded 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 X No within a Wetland? Yes No X
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Floodplain Pool. Wetland WAH is a small, concave depression that has formed just upstream of a newly installed beaverdam
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
X Surface Soil Cracks (66)
_Surface Water (Al) _True
Aquatic Plants (614)
X Sparsely Vegetated Concave Surface (68)
X High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
X Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
—Water Marks (B 1) _
Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
X Sediment Deposits (62) _
Recent Iron Reduction in Tilled Soils (C6)
—Crayfish Burrows (C8)
X Drift Deposits (63) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (64) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
—Iron Deposits (65)
X Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes X No
Depth (inches): 5
Saturation Present? Yes X No
Depth (inches): 3
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30' radius ) % Cover Species? Status
1. Absent
2.
3.
4.
5.
6.
7.
50% of total cover:
Sapling/Shrub Stratum (Plot size: 15' radius )
1. Absent
2.
3.
4.
5.
6.
7.
8.
9.
Herb Stratum
1. Absent
50% of total cover:
(Plot size: 5' radius )
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover:
Woody Vine Stratum (Plot size: 30' radius )
1. Absent
2.
3.
4.
5.
_ =Total Cover
20% of total cover:
_ =Total Cover
20% of total cover:
_ =Total Cover
20% of total cover:
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
No vegetation present within wetland at the time of this visit.
Sampling Point: WAH-1 Wet
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: (A/B1
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
-2 - Dominance Test is >50%
_ 3 - Prevalence Index is :53.01
4 - Morphological Adaptations' (Provide supportin
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must t
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
more in diameter at breast height (DBH), regardless o
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No X

SOIL Sampling Point: WAH-1 Wet
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
0-2 2.5Y 4/3 100
2-9 10YR 4/1 70 10YR 4/6 30 C M Loamy/Clayey Prominent redox concentrations
Bedrock below 9"
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
—Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(M LRA 147, 148)
_Piedmont Floodplain Soils (F19)
(M LRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Albemarle Corporate Center Sewer line ROW City/County: Stanly Sampling Date: 10/15/2019
Applicant/Owner: City of Albemarle State: NC Sampling Point: WAE-1 UPL
Investigator(s): Nathan Hhowell & Lillian Lovingood Section, Township, Range: Albemarle
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Convex Slope (%): 20
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.335140 Long:-80.181883 Datum: NAD 83
Soil Map Unit Name: Goldston very channery silt loam, 4-15% slopes 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:
This plot is located on a dry, upland hillside with shallow bedrock. The upland plots for wetlands WAD, WAF, WAG, WAH and WAI are all located on
adjacent hillsides that possess similar edaphic, floristic, and hydrologic properties. Therefore, they are included under this form.
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 (614)
_Sparsely Vegetated Concave Surface (68)
—High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
_Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
—Water Marks (B 1) _
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 (63) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (64) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
—Iron Deposits (65)
_ Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes No
X Depth (inches): 0
Saturation Present? Yes No
X Depth (inches): 0
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WAE-1 UPL
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Quercus albs
30 Yes
FACU
Number of Dominant Species
2. Quercus montana
30 Yes
UPL
That Are OBL, FACW, or FAC: 1 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 5 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 20.0% (A/B1
7.
Prevalence Index worksheet:
60 =Total Cover
Total % Cover of: Multiply by:
50% of total cover:
30 20% of total cover:
12
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15' radius
)
FACW species x 2 =
1. Oxydendrum arboreum
20 Yes
UPL
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
20 =Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
10 20% of total cover:
4
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Polystichum acrostichoides
10 Yes
FACU
Indicators of hydric soil and wetland hydrology must t
2.
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
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: 30' radius )
1. Smilax rotundifolia
10 Yes
FAC
2.
3.
4.
5.
Hydrophytic
10 =Total Cover
Vegetation
50% of total cover:
5 20% of total cover:
2
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
No vegetation present within wetland at the time of this visit.

SOIL Sampling Point: WAE-1 UPL
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
0-3 2.5Y 5/6 100 Loamy/Clayey Silty
3-8 2.5Y 7/6 100 Loamy/Clayey Silty
Bedrock below 8"
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
—Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(M LRA 147, 148)
_Piedmont Floodplain Soils (F19)
(M LRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Albemarle Corporate Center (Leonard Avenue Ext.) City/County: Albemarle/Stanly Sampling Date: 06/12/2020
Applicant/Owner: City of Albemarle State: NC Sampling Point: WAJ-1 Wet
Investigator(s): Nathan Howell & Lizzy Stokes -Cawley Section, Township, Range: Albemarle
Landform (hillside, terrace, etc.): Headwater Drainage Local relief (concave, convex, none): Concave Slope (%): 0
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.337802 Long:-80.176526 Datum: NAD 83
Soil Map Unit Name: Misenheimer channery silt loam, 0-4% slopes 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 No X
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:
NCWAM: Headwater Forest. This wetland occurs between a dirt road and the tail end of an ephemeral drainageway. The dirt road and an associated
small berm act as s miniature dam and cause the incoming hydrology to increase, resulting in the formation of a small wetland.
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)
X Surface Water (Al) —True
Aquatic Plants (614)
—Sparsely Vegetated Concave Surface (68)
X High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
X Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
—Water Marks (B 1) _
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 (63) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (64) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
—Iron Deposits (65)
X Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 1
Water Table Present? Yes X No
Depth (inches): 0
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:

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WAJ-1 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 2 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 3 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 66.7% (A/B1
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15' radius
)
FACW species x 2 =
1. Salix nigra
5 Yes
OBL
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
5 =Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
3 20% of total cover:
1
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Juncus effusus
20 Yes
FACW
Indicators of hydric soil and wetland hydrology must t
2. Ludwigia sp.
5 No
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Scirpus sp. 5 No
4. Carex spp.
10 Yes
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
40 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
20 20% of total cover:
8
height.
Woody Vine Stratum (Plot size: 30' radius )
1. Absent
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL Sampling Point: WAJ-1 Wet
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
0-12 2.5Y 6/2 85 10YR 5/6 15 C M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
—Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(M LRA 147, 148)
_Piedmont Floodplain Soils (F19)
(M LRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT:
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: Albemarle Corporate Center (Leonard Avenue Ext.) City/County: Albemarle/Stanly Sampling Date: 06/12/2020
Applicant/Owner: City of Albemarle State: NC Sampling Point: WAJ-1 Upl
Investigator(s): Nathan Howell & Lizzy Stokes -Cawley Section, Township, Range: Albemarle
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Concvex Slope (%): 5
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.337825 Long:-80.176289 Datum: NAD 83
Soil Map Unit Name: Misenheimer channery silt loam, 04% slopes 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 No X
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:
This upland plot is located on a maintained/disturbed dirt road
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 (614)
_Sparsely Vegetated Concave Surface (68)
—High Water Table (A2) _
Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (B10)
_Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
—Water Marks (B 1) _
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 (63) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (64) —Other
(Explain in Remarks)
—Stunted or Stressed Plants (D1)
—Iron Deposits (65)
_ Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes No
X Depth (inches): 0
Saturation Present? Yes No
X Depth (inches): 0
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WAJ-1 UpI
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 2 (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: 33.3% (A/B1
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15' radius
)
FACW species x 2 =
1. Liquidambarstyraciflua
10 Yes
FAC
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
10 =Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
5 20% of total cover:
2
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Andropogon virginicus
20 Yes
FACU
Indicators of hydric soil and wetland hydrology must t
2. Rubus pensilvanicus
10 Yes
FAC
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Leucanthemum vulgare 10 Yes UPL
4.
10 Yes
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
50 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
25 20% of total cover:
10
height.
Woody Vine Stratum (Plot size: 30' radius )
1. Parthenocissus quinquefolia
10 Yes
FACU
2.
3.
4.
5.
Hydrophytic
10 =Total Cover
Vegetation
50% of total cover:
5 20% of total cover:
2
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL Sampling Point: WAJ-1 Upl
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
0-12 2.5Y 5/4 100
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al 2)
—Sandy Mucky Mineral (S1)
_ Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(M LRA 147, 148)
_Piedmont Floodplain Soils (F19)
(M LRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

NC WAM FIELD ASSESSMENT FORM
Accompanies user manual version b.0
USACE AID # NCDWR#
Project Name Albemarle Corporate Center Date of Evaluation 06/12/2020
(Leonard Ave. Ext.)
Applicant/Owner Name City of Albemarle Wetland Site Name WAJ
e Headwater Forest Assessor Name/Or anization Nathan Howell -- Three Oaks
Wetland Type 9 G,,,,
Level III Ecoregion
River Basin
County
® Yes ❑ No
Piedmont
Yadkin-PeeDee
within 48 hrs?
Nearest Named Water Body
USGS 8-Digit Catalogue Unit
NCDWR Region
ide/Longitude (deci-deqrees)
Poplin Branch
03040105
Mooresville
35.337805,-80.176523
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations - Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? ❑ Yes ® No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ®A Water storage capacity and duration are not altered.
®B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
❑C Evidence that maximum depth of inundation is less than 1 foot

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

9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short -duration inundation (< 7 consecutive days)
❑B Evidence of saturation, without evidence of inundation
❑C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
®A Sediment deposition is not excessive, but at approximately natural levels.
❑B Sediment deposition is excessive, but not overwhelming the wetland.
❑C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT WC FW (if applicable)
❑A ❑A ❑A >_ 500 acres
❑B ❑B ❑B From 100 to < 500 acres
❑C ❑C ❑C From 50 to < 100 acres
❑D ❑D ❑D From 25 to < 50 acres
❑E ❑E ❑E From 10 to < 25 acres
❑F ❑F ❑F From 5 to < 10 acres
❑G ❑G ❑G From 1 to < 5 acres
❑H ❑H ❑H From 0.5 to < 1 acre
❑I ❑I ❑I From 0.1 to < 0.5 acre
®J ®J ®J From 0.01 to < 0.1 acre
❑K ❑K ❑K < 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
❑A Pocosin is the full extent (>_ 90%) of its natural landscape size.
❑B Pocosin type is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility line
corridors the width of a four -lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A
❑A
>_ 500 acres
❑B
❑B
From 100 to < 500 acres
❑C
❑C
From 50 to < 100 acres
®D
❑D
From 10 to < 50 acres
❑E
❑E
< 10 acres
❑F
❑F
Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
❑ B 1 to 4
®C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
❑B Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑C Vegetation is dominated by exotic species (> 50 % cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
TAA WT
o ❑A ❑A Canopy closed, or nearly closed, with natural gaps associated with natural processes
m ❑B ❑B Canopy present, but opened more than natural gaps
U ®C ®C Canopy sparse or absent
T
o ❑A
❑A
Dense mid-story/sapling layer
❑B
❑B
Moderate density mid-story/sapling layer
®C
®C
Mid-story/sapling layer sparse or absent
❑A
❑A
Dense shrub layer
Moderate density layer
❑B
❑B
shrub
U) ®C
®C
Shrub layer sparse or absent
.0 ❑A
❑A
Dense herb layer
_ ®B
®B
Moderate density herb layer
❑C
❑C
Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B Not
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
®C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
®B Not
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ❑D
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
❑A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
®C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
Surface water is conveyed from existing Leonard Avenue/Wal Mart into the wetland via an ephemeral channel. The hydrology is backed up by
the dirt road and a small berm on the uplsope side of the road. This results in a prolonged hydroperiod withint the area maintained in and around
the dirt road.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name WAJ
Wetland Type Headwater Forest
Date of Assessment 06/12/2020
Nathan Howell -- Three
Assessor Name/Organization Oaks Eng.
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) NO
Wetland is intensively managed (Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) NO
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) NO
Assessment area is on a coastal island (Y/N) NO
Sub -function Ratina Summa
Function Sub -function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub -surface Storage and
Retention Condition HIGH
Water Quality Pathogen Change
Condition
MEDIUM
Condition/Opportunity
MEDIUM
Opportunity Presence (Y/N)
NO
Particulate Change
Condition
LOW
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Soluble Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Physical Change
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Habitat Physical Structure
Condition
LOW
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition
MEDIUM
Function Ratina Summa
Function
Metrics
Rating
Hydrology
Condition
MEDIUM
Water Quality
Condition
LOW
Condition/Opportunity
LOW
Opportunity Presence (Y/N)
NO
Habitat
Condition
LOW
Overall Wetland Rating LOW

Appendix C
Preliminary ORM Sheet
JD Request Form
PJD Form
Waters Upload Spreadsheet
Agent Authorization Form
Right -of -Entry Forms
Three oaks Engineerinq

Preliminary ORM Data Entry Fields for New Actions
SAW — 20 -
BEGIN DATE [Received Date]:
Prepare file folder
1. Project Name [PCN Form A2a]: Albemarle Corporate Center
2. Work Type: Private ❑ Institutional ❑ Government Fol Commercial ❑
3. Project Description / Purpose [PCN Form 133d and 133e]:
A jurisdictional waters assessment was requested for a sewer line easement crossing 6 parcels and an area associated with the proposed extension of Leonard Avenue.
Both areas are associated with the proposed Albemarle Corporate Center project, the main area of which has already been field -verified by USACE.
4. Property Owner / Applicant [PCN Form A3 or A4]: City of Albemarle
5. Agent / Consultant [PCN Form A5 —or ORM Consultant ID Number]: Nathan Howell, Three Oaks Engineering, Inc.
6. Related Action ID Number(s) [PCN Form 135b]: SAW-2018-00566
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form B1b]:
24524 South Business 52 Albemarle, NC 28001
35.331691,-80.173793
8. Project Location - Tax Parcel ID [PCN Form B1a]: 654702867363
9. Project Location — County [PCN Form A2b]: Stanly
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Albemarle
11. Project Information — Nearest Waterbody [PCN Form 132a]: Poplin Branch
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03040105
Authorization: Section 10 ❑ Section 404 FEW Section 10 & 404 ❑
Regulatory Action Type:
RXXStandard Permit
Nationwide Permit # 27, 39
❑ Regional General Permit #
F71 Jurisdictional Determination Request
R
Pre-Application Request
Unauthorized Activity
0 Compliance
❑ No Permit Required
Revised 20150602

urisdictional Determination Reauest
U.S Army Corps
of Engineers.,
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.army.mil/Missions/Regulatof3 PermitPro2ram/Contact/Cogi!2 Locator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

IN
B.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: Multiple Parcels
City, State:
Albemarle, NC
County: Stanly County
Parcel Index Number(s) (PIN): Multiple
REQUESTOR INFORMATION
Name: Nathan Howell
Mailing Address: 324 Blackwell Street, Suite 1200
Durham, NC 27701
Telephone Number: 919-732-1300
Electronic Mail Address: [e-mail]
Select one:
✓❑
I am the current property owner.
I am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION'
Name: City of Albemarle
Mailing Address: 144 N .2nd Street
Albemarle, NC 28001
Telephone Number: 704-984-9435
Electronic Mail Address: [e-mail]
1 Must provide completed Agent Authorization Form/Letter.
z Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Nathan Howell
Print Name
Capacity: ❑ Owner ✓❑ Authorized Agents
07/09/2020
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑✓ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
a If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
parry" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
❑✓ Size of Property or Review Area 12 acres. (new areas only)
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
FVI
Project Coordinates (Decimal Degrees): Latitude:
35.334159
Longitude:-80.182240
17 A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form
A Vicinity Map
zAerial Photograph
a USGS Topographic Map
El Soil Survey Map
F] Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
7 www.saw.usace.aimy.mil/Portals/59/docs/regulatory/regdocs/JD/RGL 08-02_App A Prelim JD Form fillable.pdf
s Please see htM://www.saw.usace.army.mil/Missions/Re ug latory-Permit-Pro2ram/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission ofrequested information is voluntary; however, ifinformation is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 07/09/2020
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Nathan Howell, 324 Blackwell St, Suite 1200, Durham, NC 27701
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Stanly City: Albemarle
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.33159 Long.:-80.182240
Universal Transverse Mercator: 17
Name of nearest waterbody: Poplin Branch
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
See
Attached
List

Waters —Name
Poplin Branch NORTH CAROLINA
SA NORTH CAROLINA
iwardin_Code HGM_Code Meas_Type Amou
R5 RIVERINE Linear 1622
R4SB RIVERINE Linear 406
Waters Type Latitude Lon du Local_Watervvay
FOOT DELINEATE 35.333334-80.181329 Poplin Branch
FOOT DELINEATE 35.332868-80.180527 Poplin Branch
SO NORTH CAROLINA
R4SB
RIVERINE
Linear
101
FOOT DELINEATE 35.337636
-80.185744 Poplin Branch
SP NORTH CAROLINA
R4SB
RIVERINE
Linear
145
FOOT DELINEATE 35.335365
-80.182520 Poplin Branch
WA NORTH CAROLINA
PFO
RIVERINE
Area
0.007
ACRE DELINEATE 35.332810
-80.179891 Poplin Branch
WAD NORTH CAROLINA
PFO
RIVERINE
Area
0.031
ACRE DELINEATE 35.336367
-80.184717 Poplin Branch
WAE NORTH CAROLINA
PFO
RIVERINE
Area
0.014
ACRE DELINEATE 35.335148
-80.182240 Poplin Branch
WAF NORTH CAROLINA
PEM
RIVERINE
Area
0.054
ACRE DELINEATE 35.333165
-80.181333 Poplin Branch
WAG NORTH CAROLINA
PEM
RIVERINE
Area
0.136
ACRE DELINEATE 35.332434
-80.180865 Poplin Branch
WAH NORTH CAROLINA
PFO
RIVERINE
Area
0.004
ACRE DELINEATE 35.331410
-80.180286 Poplin Branch
WAI NORTH CAROLINA
PFO
RIVERINE
Area
0.02
ACRE DELINEATE 35.330612
-80.180186 Poplin Branch
WAJ NORTH CAROLINA
I PFO
IRIVERINE
Area
I 0.07
ACRE DELINEATE 35.337802
-80.176526 Poplin Branch

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in
the review area, and the requestor of this PJD is hereby advised of his or her option
to request and obtain an approved JD (AJD) for that review area based on an
informed decision after having discussed the various types of JDs and their
characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a
Nationwide General Permit (NWP) or other general permit verification requiring "pre -
construction notification" (PCN), or requests verification for a non -reporting NWP or
other general permit, and the permit applicant has not requested an AJD for the
activity, the permit applicant is hereby made aware that: (1) the permit applicant has
elected to seek a permit authorization based on a PJD, which does not make an
official determination of jurisdictional aquatic resources; (2) the applicant has the
option to request an AJD before accepting the terms and conditions of the permit
authorization, and that basing a permit authorization on an AJD could possibly result
in less compensatory mitigation being required or different special conditions; (3) the
applicant has the right to request an individual permit rather than accepting the terms
and conditions of the NWP or other general permit authorization; (4) the applicant can
accept a permit authorization and thereby agree to comply with all the terms and
conditions of that permit, including whatever mitigation requirements the Corps has
determined to be necessary; (5) undertaking any activity in reliance upon the subject
permit authorization without requesting an AJD constitutes the applicant's acceptance
of the use of the PJD; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps permit
authorization based on a PJD constitutes agreement that all aquatic resources in the
review area affected in any way by that activity will be treated as jurisdictional, and
waives any challenge to such jurisdiction in any administrative or judicial compliance
or enforcement action, or in any administrative appeal or in any Federal court; and (7)
whether the applicant elects to use either an AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively
appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic
jurisdiction exists over aquatic resources in the review area, or to provide an official
delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds
that there "may be"waters of the U.S. and/or that there "may be" navigable waters of
the U.S. on the subject review area, and identifies all aquatic features in the review
area that could be affected by the proposed activity, based on the following
information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
■❑ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:Vicinity map & jurisdictional features map with contours
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
■❑ U.S. Geological Survey map(s). Cite scale & quad name:
1:24,000 Albemarle, NC
0 Natural Resources Conservation Service Soil Survey. Citation: 1989 Soil Survey of stanly County, Nc
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
r July 9, 2020
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
1 Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO, PARCEL ID: 654702867363
STREET ADDRESS: 24524 South Business 52 S., Albemarle, NC 28001
Please print:
Property Owner: City of Albemarle
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Nathan Howell of Three Oaks Engineering
(Contractor/Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
l4q , ) Secured- ��e�t 1b�n-,ar , &C 2000 I
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
ti
r
Authorize Signature Authorized Signature
Date: U�� C Date: 02/05/2020
l

DEPARTMENT OF THE ARMY
RIGHT -OF -ENTRY FOR SURVEY AND EXPLORATION
For use of this form, see ER 405-1-12; the proponent agency is CERE-A.
Proposed Albemarle Corporate Center
(Project, Installation or Activity)
PIN:654702867363
(Tract Number or Other Property Identification)
The undersigned, hereinafter called the "Owner," hereby grants to the UNITED STATES OF AMERICA, hereinafter called the "Government,"
a permit or right -of -entry upon the following terms and conditions:
1. The Owner hereby grants to the Government an irrevocable right to enter upon the lands hereinafter described at any time within a period
of 12 f Twelve ) months from the date of this instrument, in order to survey, make test borings, and carry out such other
lexploratory work as may be necessary to complete the investigation being made of said lands by the Government.
2. This permit includes the right of ingress and egress on other lands of the Owner not described below, provided such ingress and egress is
necessary and not otherwise conveniently available to the Government.
3. All tools, equipment, and other property taken upon or placed upon the land by the Government shall remain the property of the
Government and may be removed by the Government at any time within a reasonable period after the expiration of this permit or right -of -entry.
4. If any action of the Government's employees or agents in the exercise of this right -of -entry results in damage to the real property, the
Government will, at its option, either repair such damage or make an appropriate settlement with the owner. In no event shall such repair or settlement
exceed the fair market value of the fee interest of the real property at the time immediately preceding such damage. The Government's liability under
this clause may not exceed appropriations available for such payment and nothing contained in this agreement may be considered as implying that
Congress will at a later date appropriate funds sufficient to meet deficiencies. The provisions of this clause are without prejudice to any rights the Owner
may have to make a claim under applicable laws for any other damages than provided herein.
5. The land affected by this permit or right-of-ontry is located in the State of North Carolina
ICounty of Stanly
, and is described as follows:
Physical Address: 24524 South Business 52 Albemarle, NC 28001
Mailing Address l: 144 North 2nd Street Albemarle, NC 28001
Mailing Address 2. PO Box 190 Albemarle, NC 28001
PIN: 654702867363
Acres: 282.54
Owner: City of Albemarle
WITNESS MY HAND AND SEAL this day of 20
>E �3 � A t
f�
1-T-
(SEAL)
,y
_.
$••N��••••
4
•
•
2�
f
9
:
(SEAL)
%
if
UNITED STATES OFAMERICA
.,�
By Ct4
2"-
(Title)
ENG FORM 1258, MAY 1998 PREVIOUS EDITIONS ARE OBSOLETE.. VERSION 1 1

R o n
ALBEMARLE
NORTH CAROLINA
January 7, 2020 IV2,,-, Orr Lw d
**0MCIAL NOTICE OF SURVEYS, BORINGS, AND EXAMINATIONS FOR THE US ARMY
CORP OF ENGINEERS TO REVIEW WETLAND AND STREAM PERNIN TING FOR THE
SERVER OUTFALL LINE OF THE ALBEMARLE BUSINESS CENTER"
Dear Ms. Sylvia Faulkner,
Previously your husband signed an agreement to allow a land surveyor to survey your property
for the City of Albemarle Business Center - Gravity Sewer Outfall on Hwy 52 Business. That
agreement has expired requiring a new agreement.
Attached please find a Right -of -Entry for Survey and Exploration form (hereinafter referred to as
"Right -of -Entry") for your consideration. Should you agree to grant permission for the entering,
surveying, and testing of your property, please sign the form and return it to me as soon as
possible in the enclosed envelope. A signed Riglit-of-Entry allows us to begin the survey work
immediately.
Should you decide not to grant permission, North Carolina law gives cities the power to enter
private property for the purpose of making "surveying, borings, examinations and appraisals" on
condition that property owner(s) and tenant(s) (if any) are first given notice. This letter shall
serve as OFFICIAL NOTICE under section 40A-1 l of the North Carolina General Statutes that
The City of Albemarle or its agent intends to enter your property identified as Parcel
#654702696763 in order to conduct surveys, borings, examinations, and appraisals in no less
than thirty (30) days from the date of this letter. You are entitled to compensation for any
damages that may be caused during the survey or inspection.
If you have any questions, please feel free to call our office at 704-984-9419 Thank you for your
support of this project.
Sincerely,
9
Mark F. Donham, Director of Economic Development
Enclosures
Albemarle Department of Economic Development
www.al_hemarlene,gov PI 704.984,9419
144 North Second Street
Albemarle, NC 29002

DEPARTMENT OF THE ARMY
RIGHT -OF -ENTRY FOR SURVEY AND EXPLORATION
For use of this form, see ER 405-1-12: the proponent agency is CERE-A.
Proposed Albemarle Corporate Center Sewer Extension
(Project, Installation or Activity)
PIN:$54702696763
{Tract Number or Other Property Identificafionj
The undersigned, hereinafter called the "Owner," hereby grants to the UNITED STATES OF AM ERICA, hereinafter called the "Government;'
permit or right -of -entry upon the following terms and conditions:
1, The Owner hereby grants to the Government an irrevocable right to enter upon the lands hereinafter described at any time within a period
12 Twelve } months from the date of this instrument, in order to survey, make test borings, and carry out such other
loratory work as may be necessary to complete the investigation being made of said lands by the Government.
2. This permit includes the right of ingress and egress on other lands of the Owner not described below, provided such ingress and egress is
ary and not otherwise conveniently available to the Government.
3. All tools, equipment, and other property taken upon or placed upon the land by the Government shall remain the property of the
Government and may be removed by the Government at any time within a reasonable period after the expiration of this permit or right-❑f-entry.
4. If any action of the Government's employees or agents in the exercise of this right -of --entry results in damage to the real property, the
Govemment will, at its option, either repair such damage or make an approprlate settlement with the owner. In no event shall such repair or settlement
exceed the fair market value of the fee Interest of the real property at the time immediately preceding such damage. The Government's liability under
This clause may not exceed appropriations available for such payment and nothing contained in this agreement may be considered as implying that
Congress will at a later date appropriate funds sufficient to meet deficiencies. The provisions of this clause are without prejudice to any rights the Owner
may have to make a claim under applicable laws for any other damages than provided herein.
5. The land affected by this permit or right -of -entry is located in the State of North Carolina
of Sta n ly
and is described as follows:
Physical Address: Hastings Drive Albemarle, NC 28001
Mailing Address: 389I2 Hastings Drive Albemarle. NC 28001
P1N:654702696763
Acres: 9.57
Owner: Sylvia Mauldin Faulkner
WITNESS MY HAND AND SEAL this day of 20 a C]
l�
(SEAL)
(SEAL)
UNITED STATES OFAMERICA
Bytl tJ
(Title)
ENG FORM 1268, MAY 1998 PREVIOUS EDITIONS ARE OBSOLETE. VERSION 1.1

m a n
ALBEMARLE
NORTH CAROL-INA
Januaiy 7, 2020 W � err Lad .
"OFFICIAL NOTICE OF SURVEYS, BORINGS, AND EXAMINATIONS FOR THE US ARMY
CORP OF ENGINEERS TO REVIEW WETLAND AND STREAM PERNIITTIlNG FOR THE
SEWER HUTFALL LINE OF THE ALBEMARLE BUSINESS CENTER.**
Dear Mr. Mark Hall and Ms. Antonia Hall,
You had previously signed a Right of Entry form but it has expired.
Attached please find a Right -of -Entry for Survey and Exploration form (hereinafter referred to as
"Right -of -Entry") for your consideration. Should you agree to grant permission for the entering,
surveying, and testing of your property, please sign the form and return it to me as soon as
possible in the enclosed envelope. A signed Right -of -Entry allows us to begin the survey work
immediately.
Should you decide not to grant pennission, North Carolina law gives cities the power to enter
private property for the purpose of making "surveying, borings, examinations and appraisals" on
condition that property owner(s) and tenant(s) (if any) are first given notice. This letter shall
serve as OFFICIAL NOTICE under section 40A-11 of the North Carolina General Statutes that
The City of Albemarle or its agent intends to enter your property identified as Parcel
#654702792163 in order to conduct surveys, borings, examinations, and appraisals in no less
than thirty (30) days from the date of this letter. You are entitled to compensation for any
damages that may be caused during the survey or inspection.
If you have any questions, please feel free to call our office at 704-984-9419. Thank you for your
support of this project.
Sincerely,
r
Mark F. Donham, Director of Economic Development
Enclosures
Albemarle Department of Economic Development
www.albemarlenc.gov PI 704,984.9419
144 North Second Street
Albemarle, NC 28002

DEPARTMENT OF TIDE ARMY
RIGHT -OF -ENTRY FOR SURVEY AND EXPLORATION
For use of this form, see ER 405-1-12; the proponent agency is CERE-A.
Proposed Albemarle Corporate Center Sewer Extension
(Project, Installation orActivity)
PIN:654702792163
(Tract Number or Other Property Identification)
The undersign ad, hereinafter called the "Owner," hereby grants to the UNITED STATES OF AMERICA, hereinafter called the "Government;'
a permit or right -of --entry upon the following terms and conditions:
1, The Owner hereby grants to the Government an irrevocable right to enter upon the lands hereinafter described at any time within a period
of 12 Twelve ] months from the date of this instrument, in order to survey, make test borings, and carry out such other
exploratory work as may be necessary to complete the investigation being made of said lands by the Government.
2. This permit includes the right of ingress and egress on other lands of the Owner not described below, provided such ingress and egress is
necessary and not otherwise conveniently avaitabla to the Government.
3. All tools, equipment, and other property taken upon or placed upon the land by the Govemmen t shall remain the property of the
Government and may be removed by the Government at any time within a reasonable period after the expiration of this permit or right -of -entry
4. If any action of the Government's employees or agents in the exercise of this right -of -entry results in damage to the real property, the
(Government will, at its option, either repair such damage or make an appropriate settlement with the owner. In no event shall such repair or settlement
exceed the fair market value of the fee interest of the real property at the time immediately preceding such damage. The Government's liability under
this clause may not exceed appropriations available for such payment and nothing contained in this agreement may be considered as implying that
Congress will at a later date appropriate funds sufficient to meet deficiencies. The provisions of this clause are without prejudice to any rights the Owner
may have to make a claim under applicable laws for any other damages than provided herein.
5. Tha land affected by this permit or right -of -entry is located in the State of North Carolina
Icounty of Stanly
, and is described as follows:
Physical Address: Hastings Drive Albemarle, NC 28001
Mailing Address: 16602 Creeksouth Road Houston, Texas 77069
PIN:654702792163
Acres: 12.07
Owners: Mark and Antonia Hall
WITNESS MY HAND AND SEAL this 1Gt1% day of V �1Z� 20 20
//r, (SEAL)
� f-1 i G 1� ` ` {SEAL}
' A711Y9r&yrrYZY@]y1tyj[� �[+L•I
By C7WNa—�
(Title)
ENG FORM 1258, MAY 1998 PREVIOUS EDITIONS ARE OBSOLETE. VERSION 1.1

own
ALBEMARLE
NORTH CAROLINA
January 7, 2020 wke Af Cad, QPpro-r-rry.
"OFFICIAL NOTICE OF SURVEYS, BORINGS, AND EXAMINATIONS FOR THE US ARMY
CORP OF ENGINEERS TO REVIEW WETLAND AND STREAM PERMITTING FOR THE
SEWER OUTF'ALL LINE OF THE ALBEMARLE BUSINESS CENTER**
Dear Mr. Gus Schad,
You had previously signed a Right of Entry forth but it has expired.
Attached please find a new Right -of -Entry for Survey and Exploration form (hereinafter referred
to as "Right -of -Entry") for your consideration. Should you agree to grant permission for the
entering, surveying, and testing of your property, please sign the form and return it to me as soon
as possible in the enclosed envelope. A signed Right -of -Entry allows us to begin the survey work
immediately,
Should you decide not to grant permission, North Carolina law gives cities the power to enter
private property for the purpose of making "surveying, borings, examinations and appraisals" on
condition that property owner(s) and tenant(s) (if any) are first given notice. This letter shall
serve as OFFICIAL NOTICE under section 40A-1 l of the North Carolina General Statutes that
The City of Albemarle or its agent intends to enter your property identified. as Parcel
#654702689524 in order to conduct surveys, borings, examinations, and appraisals in no less
than thirty (30) days from the date of this letter. You are entitled to compensation for any
damages that may be caused during the survey or inspection.
If you have any questions, please feel free to call our office at 704-984-9419. Thank you for your
support of this project.
Sincerely,
f
Mark F. Donham, Director of Economic Development
Enclosures
Albemarle Department of Economic Development
www.albemarlenc.gov PI 704.984.9419
144 North Second Street
Albemarle, NC 28002

411
DEPARTMENT OF THE ARMY
RIGHT -OF -ENTRY FOR SURVEY AND EXPLORATION
For use of this form, see ER 405-1-12: the proponent agency is CERE-A.
Proposed Albemarle Corporate Center Sewer Extension PIN: 654702689524
(Protect, Installation or Activity) [Tract Number or Other Property Identification]
The undersigned, hereinafter called the "Owner," hereby grants to the UNITED STATES OF AMERICA, hereinafter called the "Government,"
permit or right -of -entry upon the following terms and conditions:
1. The Owner hereby grants to the Government an irrevocable right to enter upon the lands hereinafter described at any time within a period
12 { Twelve j months from the date of lhis instrument, in order to survey, make test borings, and cant' out such other
work as may be necessary to complete the investigation being made of said lands by the Government.
3. All tools, equipmen(, and other property taken upon or placed upon the land by the Govemmen t shall remain the property of the
Government and may he removed by the Govemment at any time within a reasonable period after The expiration of this permit or right -of -entry.
4. If any action of the Government's employees or agents in the exercise of this right -of -entry results in damage to the real property, the
Government will, at its option, either repair such damage or make an appropriate settlement with the owner. In no event shall such repair or settlement
exceed the fair market value of the fee interest of the real property al the time immediately preceding such damage. The Government's liability under
Ihis clause may not exceed appropriations available for such payment and nothing contained in this agreement may be considered as implying that
Congress will at a later date appropriate funds sufficient to meet deficiencies. The provisions of this clause are without prejudice to any rights the Owner
may have to make a claim under applicable taws for any other damages than provided herein.
5. The land affected by this permit or right -of -entry is located in the State of North Carolina
County of Stanly
and Is described as follows:
Physical Address: South Business 52 Albemarle, NC 29001
Mailing Address: 304 South 2nd Street Albemarle, NC 28001
P1N:654702689524
Acres: 16.33
Owner: Gus Schad
WITNESS MY HAND AND SEAL this
ENG FORM 1258, MAY 1998
JAN 3�} day of r
,20aE)
�z LL230 !SEAL]
UIVfTED STATES OF AMERICA
By La
(Title)
PREVIOUS EDITIONS ARE OBSOLETE.
[SEAL]
VERSION 1 1

20 0
ALBEMARLE
NORTH CAROLINA
January 7, 2020 later. 40 za,( dpW&wey
**OFFICIAL NOTICE OF SURVEYS, BORINGS, AND EXANUNATIONS FOR THE US ARMY
CORP OF ENGINEERS TO REVIEW WETLAND AND STREAM PERNUTTING FOR THE
SEWER OUTFALL LINE OF THE ALBENIARLE BUSINESS CENTER**
Dear Lutheran Home Albemarle Prop.,
You had previously signed a Right of Entry folin but it has expired.
Attached please find a (tight -of -Entry for Survey and Exploration form (hereinafter referred to as
"Right -of -Entry") for your consideration. Should you agree to grant permission for the entering,
surveying, and testing of your property, please sign the form and return it to me as soon as
possible in the enclosed envelope. A signed Right -of -Entry allows us to begin the survey work
immediately.
Should you decide not to grant permission, North Carolina law gives cities the power to enter
private property for the purpose of making "surveying, borings, examinations and appraisals" on
condition that property owner(s) and tenant(s) (if any) are first given notice. This letter shall
serve as OFFICIAL NOTICE under section 40A-1 l of the North Carolina General Statutes that
The City of Albemarle or its agent intends to enter your property identified as Parcel
#654702781094 in order to conduct surveys, borings, examinations, and appraisals in no less
than thirty (30) days Fiom the date of this letter. You are entitled to compensation for any
damages that may be caused during the survey or inspection.
1f you have any questions, please feel free to call our office at 704-984-9419. Thank you for your
support of this project.
Sincerely,
Mark F, Donham, Director of Economic Development
Enclosures
Albemarle Department of Economic Development
www.albeniariciic..gov Pl 7K984.9419
144 North Second Street
Albemarle, NC 28002

DEPARTMENT OF THE ARMY
RIGHT -OF -ENTRY FOR SURVEY AND EXPLORATION
For use of this form, see ER 405-1-1Z the proponent agency is CERE-A.
Proposed Albemarle Corporate Center Sewer Extension
(Project, Installation orActivityj
PIN:654702781094
(Tract Number or Other Property Identification)
The undersigned, hereinafter called the "Owner," hereby grants to the UNITED STATES OF AMERICA, hereinafter called the "Government,"
permit or right -of -entry upon the following terms and conditions:
1. The Owner hereby grants to the Government an irrevocable right to enter upon the lands hereinafter described at any time within a period
12 { Twelve ) months from the date of this instrument, in order to survey, make test borings, and carry out such other
ploratory work as may be necessary to complete the investigation being made of said lands by the Government.
2. This permit includes the right of ingress and egress on other lands of the Owner not described below, provided such ingress and egress is
necessary and not otherwise conveniently available to the Government.
3. All tools, equipment, and other property taken upon or placed upon the land by the Government shall remain the property of the
Government and may be removed by the Government at any time within a reasonable period after the expiration of this permit or right -of -entry,
4. If any action of the Government's employees or agents in the exercise of this right -of -entry results in damage to the real property. the
Government will, at its option, either repair such damage or make an appropriate settlement with the owner. In no event shall such repair or settlement
exceed the fair market value of the fee interest of the real property at the time immediately preceding such damage. The Government's liability under
this clause may not exceed appropriations available for such payment and nothing contained in this agreement may be considered as implying that
Congress will at a later date appropriate funds sufficient to meet deficiencies. The provisions of this clause are without prejudice to any rights the Owner
may have to make a claim under applicable laws for any other damages than provided herein.
5. The land affected by this permit or right -of -entry is located in the State of North Carolina
County of Stanly
, and is described as follows:
Physical Address: 24724 South Business 52 Albemarle, NC 28001
ivIailitig Address: PO Box 947 Salisbury, NC 28145
PIN:654702781094
Acres: 8.8
Owner name: Lutheran Home Albemarle Prop.
WITNESS MY HAND AND SEAL this h day of I N I-J �� 20 , []
(SEAL)
(SEAL)
.f '
By �" sir• .ti
{Trfle]
ENG FORM 1258, MAY 1998 PREVIOUS EDITIONS ARE OBSOLETE. VERSION 1.1

s o n
ALBEMARLE
NORTH CAROLINA
January 7, 2020 (dater, 40. lard 0?,W VO,
"OFFICIAL NOTICE OF SURVEYS, BORINGS, AND EXAMINATIONS FORTIS US ARMY
CORP OF ENGMERS TO REVIEW WETLAND AND STREAM PERMIT -PING FOR THE
SEWER OUTFALL LINE OF THE ALBEMARLE BUSINESS CENTER.**
Dear Mr. Dennis Holbrook and MDS Smith,
You had previously signed a Right of Entry form but it has expired.
Attached please find a Right -of -Entry for Survey and Exploration form (hereinafter referred to as
"Right -of -Entry") for your consideration. Should you agree to grant permission for the entering,
surveying, and testing of your property, please sign the form and return it to me as soon as
possible in the enclosed envelope. A signed Right -of -Entry allows us to begin the survey work
immediately.
Should you decide not to grant permission, North Carolina law gives cities the power to enter
private property for the purpose of making "surveying, borings, examinations and appraisals" on
condition that property owner(s) and tenant(s) (if any) are first given notice. This letter shall
serve as OFFICIAL NOTICE under section 40A-1 i of the North Carolina General Statutes that
The City of Albemarle or its agent intends to enter your property identified as Parcel
#654702776623 in order to conduct surveys, borings, examinations, and appraisals in no less
than thirty (30) days from the date of this letter. You are entitled to compensation For any
damages that may be caused during the survey or inspection.
If you have any questions, please feel free to call our office at 704-984-9419. Thank you for your
support of this project.
Sincerely,
Mark F. Donham, Director of Economic Development
Enclosures
Albemarle department of Economic Development
www.albemarienc.gov PI 704,984.9419
144 North Second Street
Albemarle, NC 28002

DEPARTMENT OF THE ARMY
RIGHT -OF -ENTRY FOR SURVEY AND EXPLORATION
For use of this form, see ER 405-1-12; the proponent agency is CERE-A.
Proposed Albemarle Corporate Center Sewer Extension
(Project, installation or Activity)
PIN:654702776623
(Tract Number or Other Property identification)
The undersigned, hereinafter called the "Owner," hereby grants to the UNITED STATES OF AMERICA, hereinafter called the "Government,"
a permit or right -of -entry upon the following terms and conditions:
1. The Owner hereby grants to the Government an irrevocable right to enter upon the lands hereinafter described at any time within a period
12 { Twelve } months from the date of this instrument, in order to survey, make test borings, and carry out such other
ry work as may be necessary to complete the investigation being made of said lands by the Government.
2. This permit includes the right of ingress and egress on other lands of the Owner not described below, provided such ingress and egress is
ry and not otherwise conveniently available to the Government.
3. All tools, equipment, and other property taken upon or placed upon the land by the Government shall remain the property of the
Government and may be removed by the Government at any time within a reasonable period after the expiration of this permit or right -of -entry
4. If any action of the Government's employees or agents in the exercise of this right -of -entry results in damage to the real property, the
Government will, at its option, either repair such damage or make an appropriate settlement with the owner. in no event shall such repair or settlement
exceed the fair market value of the Fee interest of the real property at the time immediately preceding such damage. The Government's liability under
this clause may not exceed appropriations available for such payment and nothing contained in this agreement may be considered as Implying that
Congress will at a later date appropriate funds sufficient to meet deficiencies. The provisions of this clause are without prejudice to any rights the Owner
may have to make a claim under applicable laws for any other damages than provided herein.
5. The land affected by this permit or right -of -entry is located in the State of !North Carolina
ICounty of Stanly
and is described as follows:
Physical Address: South Business 52 Albemarle, NC 28001
Mailing Address: 633 East Cannon Avenue Albemarle, NC 28801
PIN:654702776623
Acres: 29.18
Owners: Dennis Holbrook & MDS Smith
Owner Name 2: CIO David M Smith
WITNESS MY HAND AND SEAL this J10-� day of L& 1 .20 �Q
(SEAL)
(SEAL)
UNITED STATES OF AMERICA
By � /,/-, --e r-
(Titre)
ENG FORM 1258, MAY 1998 PREVIOUS EDITIONS ARE OBSOLETE. vER&ON $J