20120103 Ver 1_401 Application_20120212

P O Box 244 Bunnievel NC 28323 [phone]
January 20, 2012
Christy Wicker
2 0 1 2 0 1 0 3
US Army Corps of Engineers r
69 Darlington Avenue
Wilmington, NC 28403
Re Town of Hope Mills — Drainage Improvements @ Hope Mills Lake (Thompson Circle)
Ms Wicker
Wetland/ Stream mvestigation/delmeation for the reference targeted project area has been conducted
and no jurisdictional wetlands or streams were observed inside the project area All wetland
determinations were made in accordance with the 1987 US Army Corps of Engineers Wetland
Delineation Manual and the Atlantic and Gulf Coastal Plain Regional Supplement and all streams were
identified by using the North Carolina Division of Water Quality Methodology Version 4 112010
Areas that meet the required criteria for wetlands /streams were observed and delineated as shown on
the attached wetland delineation map Enclosed are copies of a mapset plans pictures and pertinent
site information for your use in preparation for a non jurisdictional confirmation of wetland/stream
boundaries The following is pertinent site information p
Owner Town of Hope Mills
Applicant Town of Hope Mills FF R 3 2012 Y
Address
5770 Rockfish Road DENR WATER QTy
Hope Mills NC 28348 WE4MDOANDSTDRIMA E
[phone] SPANC11
Parcel ID Numbers
0414 -65 6966
Property Location
Clifton Forge Subdivision Lots 18 & 19
Thompson Circle Town of Hope Mills
Nearest Named Waterbody
Hope Mills Lake
Lat/Long of Site
Lat 34 975611 N Long 78 944781 W
Maps
See attachment
USGS Quad Name
Hope Mills
Tract Size
N /A, 15 acre Aommg homesites
Approximate Wetland Size
531 sgft
Please contact me if there is any additional information you need regarding site conditions
Thank you,
Adam Carter
Cc Chad Turlmgton, DWQ Town Manager Town of Hope Mills

Owner Information
Name
Mailing Address
City State Zip
Telephone #
Property Descrrorion
Project Name
Address
PIN #
County
E�� � r, —L�, d �f —1 if I
I =TUN0
9 ,V
Jan 3 2011
Town of Hope Mills
5770 Rockfish Road
Hope Mills NC 28348
[phone]
Thompson Circle Storm Drainage Protect
Thompson Circle Hope Mills NC
0414 -58 -6620
Cumberland
I, Ad as owner /agent of the above referenced
property autiionz6 the US Army Corps of Engineers and the NC Division of Water Quality to
enter the subject property for the purpose of ajunsdictional determination
I also authorize Mr Adam Carter of Wetland Solutions LLC to act in my behalf as my
agent in processing applications for wetland certification and/or permits
Date

O�0� W AT§9
o r
201 20 103
Office Use Only
Corps action ID no
DWQ project no
Form Version 13 Dec 10 2008
Page 1 of 11
PCN Form — Version 13 December 10 2008 Version
Pre - Construction Notification C For
A Applitcant Information
1
Processing
1 a
Type(s) of approval sought from the
Corps
®Section 404 Permit ❑Section 10 Hermit
1 b Specify Nationwide Permit (NWP) number NW 29 or General Permit (GP) number
1 c
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
le
Is this notificatton solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
® Yes ❑ No
For the record only for Corps Permit
® Yes ❑ No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? if so attach the acceptance letter from mitigation bank or in lieu
fee program
❑ Yes
® No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)
❑ Yes
® No
2
Project Information
2a
Name of project
Town of Hope Mills Drainage Improvements @ Hope Mills Lake
Thompson Circle
2b
County
Cumberland
2c
Nearest municipality / town
Hope Mills
2d
Subdivision name
Clifton Forge Subdivision Lots 18 & 19
2e
NCDOT only T I P or state
project no
N/A
3
Owner Informatwn
3a
Name(s) on Recorded Deed
(Lot 18) Michael D Mitchell (Lot 19) Lisa Carter Waring
3b
Deed Book and Page No
Lot 18 = 58/130 Lot 19 = 3628/305
3c
Responsible Party (for LLC if
applicable)
Town of Hope Mills
a F2
In)
3d
Street address
5770 Rockfish Road
3e
City state zip
Hope Mills NC 28348
FER 3 2012
3f
Telephone no
(910) 424 -4555
3g
Fax no
(910) 424 -4902
DENR V!!Al ER OUAL TY
3h
Email address
1wellis @town hope -mills nc us
Page 1 of 11
PCN Form — Version 13 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City state zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
Adam Carter
5b
Business name
(if applicable)
Wetland Solutions LLC
5c
Street address
P O Box 244
5d
City state zip
Bunnlevel NC 28323
5e
Telephone no
[phone]
5f
Fax no
5g
Email address
wetlandsolutionsnc@yahoo com
Page 2 of 11
PCN Form —Version 13 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
la Property identification no (tax PIN or parcel ID)
(Lot 18) PIN 0414 -66 5193 (Lot 19) PIN 0414 -65 -6966
Latitude 34 975611 N Longitude
lb Site coordinates (in decimal degrees)
78 944781 W
(DD DDDDDD) ( DD DDDDDD)
1c Property size
(Lot 18) 0 77 acres (Lot 19) 143 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
UT to Hope Mills Lake
proposed project
2b Water Quality Classification of nearest receiving water
Class B
2c River basin
Stream Index 18 -31 24 (6 5) HUC #03030004
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
Lots 18 & 19 are cleared residential lots that have been occupied for many years Between these lots a natural
drainageway in the landscape collects stormwater runoff from these lots and minimal upstream areas and conveys to
Hope Mills Lake Land use in the immediate vicinity is urban residential
3b List the total estimated acreage of all existing wetlands on the property
Less than 0 10 acres between Lots 18 & 19
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
none
3d Explain the purpose of the proposed project
The purpose of this project is for drainage improvements to minimize erosion of the topography adjoining the wetland areas
near Hope Mills Lake shoreline
3e Describe the overall project in detail including the type of equipment to be used
The proposed impacts will allow the owner to construct an open channel wide bottom swale for conveyance through
occupied residential lots to Hope Mills Lake The swale is to have sod installed immediately upon construction At the
discharge a minimal concrete and nprap energy disipation and stabalization structure will be constructed The excavation
and installation will be accomplished with a trackhoe and smaller supporting equipment
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
C3 Yes ED No El Unknown
project (including all prior phases) in the past?
Comments
4b If the Corps made the jurisdictional determination what type
C] Preliminary ❑Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company Wetland Solutions LLC
Name (if known) Adam Carter Wetland Solutions LLC
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
Page 4 of 11
PCN Form — Vernon 13 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
1a Which sections were completed below for your project (check all that apply)
® Wetlands ❑ Streams tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404 other)
(acres)
Temporary
W1 ® P [_-] T
Stormwater
System
Hillside Seep
® Yes
❑ No
® Corps
10 DWQ
001219
Excavation/Fill
W2 [:]POT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ PDT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
001219
2h Comments The attached site plan includes impacts totaling 531 sf
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P [IT
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
31 Comments
Page 5 of 11
PCN Form — Version 1 3 December 10 2008 Version

4 Open Water Impacts
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then individually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number—
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ❑ Tar Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary
impact
required?
B1 ❑P ❑T
❑Yes
❑ No
B2 []PC] T
❑ Yes
❑ No
B3 ❑ P ❑ T
❑ Yes
❑ No
6h_ Total buffer impacts
61 Comments
Page 6 of 11
PCN Form — Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
1a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The project was designed to avoid jurisdictional waters to the extent that is practicable The construction corridor and finished
grading plan have been designed to maintain the least impact to adjoining residential yards The proposed stormwater system
design is required for adequate energy disipation of the runoff before discharging to Hope Mills Lake
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Temporary erosion control measures will be utilized throughout construction Erosion control measures may include silt
fences seeding and mulching and gravel check dams installed where appropriate The finished system will prevent future
erosion and sedimentation for long term benefit to the community
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigation option will be used for this
projects
❑ Mitigation bank
Payment to in lieu fee program
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
Page 7 of 11
PCN Form — Version 13 December 10 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
15
6f Total buffer mibgabon required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 8 of 11
PCN Form — Version 13 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
Does the protect include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes then is a diffuse flow plan included? If no explain why
Yes No
®
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
<5%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this protect DOES NOT require a Stormwater Management Plan explain why The proposed linear impacts to wetlands
will provide the owner with future access to the stormwater conveyance Currently less than 5% impervious surface is
present from Lots 18 & 19 as well as adjoining residential areas
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review
3a
In which local government s jurisdiction is this project?
❑ Phase II
3b
Which of the following locally implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program Review
❑ Coastal counties
4a
Which of the following state implemented stormwater management programs apply
❑ HQW
❑ ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1 3 December 10 2008 Version

F Supplementary Information
1 Environmental Documentation (DWQ Requirement)
la Does the project involve an expenditure of public (federaUstate /local) funds or the
® Yes ❑ No
use of public (federal /state) land?
1 b If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter )
Comments
2 Violations (DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after the -fact permit application?
❑ Yes ® No
2c If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3 Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
Yes ® No
additional development which could impact nearby downstream water quality?
3b If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
The proposed impacts will allow the owner to construct a permanent stormwater conveyance between two occupied
residential lots No future development will occur at this site
4 Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project or available capacity of the subject facility
Existing home sites utilize public sewer system inside corporate limits of Hope Mills
Page 10 of 11
PCN Form — Version 13 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC DENR Div of Parks and Recreation Natural Heritage Element Occurrences NC DENR Div of Parks and
Recreation Natural Heritage Program Raleigh North Carolina
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Habitat and Ecosystem IMS available at http //ocean flondamanne org /efh_coral/ims/wewer htm
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
❑ Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
http //www ncdot org/ it/ gis/ DataDistribubon /FEMAFIoodData/default html
Adam Carter
Applicant/Agents Printed Name
Date
Applicant/Agents Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided
Page 11 of 11
PCN Form — Version 1 3 December 10 2008 Version

Town of Hope Mills
Drainage Improvements @Hope Mills Lake
Wetland JD Certification Map - Thompson Circle
USGS Topographic Vicinity Map
Hope Mills Lake
r
Aqi'
am
J 150 300 600 900 1,200 1,500 1,800 2,100
Feet
NOTE: All boundaries and distances are considered approximate.
This represents a preliminary map prepared from points obtained by
GPS and data from online sources. A PLS survey of delineated areas
and review and approval by the U.S. Army Corps of Engineers
is recommended prior to specific site planning _ _ -
.,

Town of Hope Mills
Drainage Improvements @Hope Mills Lake
Wetland JD Certification Map - Thompson Circle
Hope Mills Lake
�.:
Thompson Circle
Proposed Wetland
Impact Area
531sgft= 0.01219 ac
J 50 100 200 300 400 500 600 700
NOTE: All boundaries and distances are considered approximate.
This represents a preliminary map prepared from points obtained by
GPS and data from online sources. A PLS survey of delineated areas
and review and approval by the U.S. Army Corps of Engineers
is recommended prior to specific site planning. '

Town of Hope Mills
Drainage Improvements @Hope Mills Lake
Wetland JI) Certification Map - Thompson Circle
NRCS Soils Map
Hope Mills Lake
Thompson Circle
Proposed Wetland
Impact Area
531sgft= 0.01219ac
Va D
50 100 200 300 400 500 600 700
Fee
NOTE: All boundaries and distances are considered approximate.
This represents a preliminary map prepared from points obtained by
GPS and data from online sources. A PLS survey of delineated areas
and review and approval by the U.S. Army Corps of Engineers
is recommended prior to specific site planning.

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Pro)ecUSite �o r J I i A0914KCity /County l Jtivt �[,l /ol�� Sampling Date
Applicant/Owner, �6 Us State Sampling Point
Investigator(s) Section Township Range - M, P S
Landform (hdlslope terrace etc ) hi I? Local relief (concave convex none) C)YOC Slope ( /o) �
Subregion (LRR or MLRA) �- �R� Let 31-/ ct7SY. (! Long 79, �y�� Z�l Datum 3
Sod Map Unit Name L a kC leri a 13 NWI classification (� '
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no explain in Remarks) /
Are Vegetation . Soil or Hydrology significantly disturbed? Are Normal Circumstances present? Yes V No
Are Vegetation . Sod 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 Is the Sampled Area
Hydnc Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Presents Yes No
HYDROLOGY
Wetland Hydrology Indicators
Secondary Indicators (minimum of two reautred)
Primary Indicators (minimum of one is reauved
check all that aooly)
_ Surface Sod Cracks (136)
_ Surface Water (Al)
_ Water - Stained Leaves (B9)
_ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Aquatic Fauna (1313)
_ Drainage Patterns (1310)
_ Saturation (A3)
_ Marl Deposits (615) (LRR U)
_ Moss Trim Lines (B16)
_ Water Marks (8 1)
_ Hydrogen Sulfide Odor (Cl)
_ Dry-Season Water Table (C2)
_ Sediment Deposits (62)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Crayfish Burrows (C8)
_ Drift Deposits (133)
_ Presence of Reduced Iron (C4)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Recent Iron Reduction m Tilled Sods (C6)
_ Geomorphic Position (D2)
_ Iron Deposits (135)
_ Thin Muck Surface (C7)
allow Aquitard (D3)
Inundation Visible on Aerial Imagery (137)
Other (Explain in Remarks)
✓ FAC- Neutral Test (05)
Field Observations
Surface Water Present? Yes No
Depth (inches)
Water Table Present? Yes No
Depth (inches)
Saturation Present? Yes No
Depth (inches)
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available
Remarks
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants
Absolute Dominant Indicator
Tree Stratum (Plot size i) ) / Cover Species? Status
3 Pee
c_
4 k) C'_
5
6
7
= Total Cover
Saolma Stratum (Plot size 30 )
2 - 42r --�0�—�/�s,
3 S 1 2%
4
5
6
7
i t e i) = i otai cover
Shrub Stratum Plot size )
2 J° 1 / o Cis
3 1. ,C r. N j A V S 3 a valp F7+L
4
5
6
7 �
14 = Total Cover
Herb Stratum (Plot size So X o' )
1
2
3
4 LIAL
5
6
7
8
9
10
11
12
�= Total Cover
Woody Vine Stratum (Plot size L� )
1 oc(PiA drr t a vi� C
2 G v
3
4
5
j a = Total Cover
Sampling Point
Test worksheet
Number of Dominant Species
That Are OBL FACW or FAC 112— (A)
Total Number of Dominant
Species Across All Strata (B)
Percent of Dominant Species U
That Are OBL FACW or FAC (A/B)
Prevalence Index worksheet
Total A Cover of.
Multioiv by.
OBL species
x 1 =
FACW species
x2=
FAC species
x 3 =
FACU species
x4=
UPL species
x 5 =
Column Totals (A) (B)
Prevalence Index = B/A =
Dominance Test is >50 /
_ Prevalence Index is 53 0'
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydnc sod and wetland hydrology must
be present unless disturbed or problematic
Tree — Woody plants excluding woody vines
approximately 20 ft (6 m) or more in height and 3 in
(7 6 cm) or larger in diameter at breast height (DBH)
Sapling — Woody plants excluding woody vines
approximately 20 ft (6 m) or more in height and less
than 3 in (7 6 cm) DBH
Shrub — Woody plants excluding woody vines
approximately 3 to 20 ft (1 to 6 m) in height
Herb — All herbaceous (non woody) plants including
herbaceous vines regardless of size Includes woody
plants except woody vines less than approximately
3 ft (1 m) in height
IWoody vine — All woody vines regardless of height
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

SOIL Sampling Point
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix Redox Features
(inches) Color moist / Color (moist) / Type Loc Texture
—4 _ `' Cs
q -)LI /0 W s s�
ILI-11 tOW 151-21, s c�-
'Type C= Concentration
Hydric Soil Indicators
Histosol (At)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ Organic Bodies (A6) (LRR P T U)
_ 5 cm Mucky Mineral (A7) (LRR P T U)
Muck Presence (A8) (LRR U)
_ 1 cm Muck (A9) (LRR P T)
Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Sandy Mucky Mineral (S1) (LRR O S)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
_ Dark Surface (S7) (LRR P S T U)
Restrictive Layer (if observed)
Type
Depth (inches)
Remarks
Coated Sand Grains 2Location PL =Pore Lining
Indicators for Problematic Hydric
Polyvalue Below Surface (S8) (LRR S T U) _ 1 cm Muck (A9) (LRR O)
Thin Dark Surface (S9) (LRR S T U) _
2 cm Muck (A10) (LRR S)
_ Loamy Mucky Mineral (F1) (LRR O) _
Reduced Vertic (FIB) (outside MLRA 150A B)
_ Loamy Gleyed Matrix (F2) _
Piedmont Floodplain Sods (F19) (LRR P S T)
_ Depleted Matrix (F3) _
Anomalous Bright Loamy Sods (F20)
_ Redox Dark Surface (F6)
(MLRA 153B)
_ Depleted Dark Surface (F7) _
Red Parent Material (TF2)
_ Redox Depressions (F8) _
Very Shallow Dark Surface (TF12) (LRR T U)
_ Marl (F10) (LRR U) _
Other (Explain in Remarks)
_ Depleted Ochnc (F11) (MLRA 151)
Iron Manganese Masses (F12) (LRR O P T)
3Indicators of hydrophytic vegetation and
_ Umbric Surface (F13) (LRR P T U)
wetland hydrology must be present
_ Delta Ochnc (F17) (MLRA 151)
unless disturbed or problematic
_ Reduced Vertic (FIB) (MLRA 150A 1508)
Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Anomalous Bright Loamy Sods (F20) (MLRA 149A, 153C 153D)
Hydric Soil Present' Yes No J----"
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DET /RMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Project/Site a.. L () dt'1 S r vll ))11 4U ! OXCity /County 1 � J' (l2rUGr Sampling Date ►�C
Applicant/Owner 4 `c t t State C- ffSampling Point L
Investigator(s) A m a f' Section Township Range
Landform (hdlslope terrace etc) Local relief (concave convex none) CiDI ✓) 0AUC Slope (°/) /%o
Subregion (LRR or MLRA) L RR P Lat 9 7 SV t I Long 7�/ qZ/� 78l r Datum k
Sod Map Unit Name Z Q la In hi L� La S NWI classification s f�
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no explain in Remarks )
Are Vegetation Sod or Hydrology significantly disturbed? Are Normal Circumstances present? Yes No
Are Vegetation . Sod 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 Is the Sampled Area
Hydnc Sod Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks S� kf (, 7�C, 50 b(V15tOK its Gvf Seve, „Ei f
po
G1 P PC ct ( �— 4 )LA C 9 v`GU,t,- ( wc,-k tr "tee 6” , k
a -<Seap /iICAL4L.�
HYDROLOGY
Wetland Hydrology Indicators
Secondary Indicators (minimum of two required)
Primary Indicators (minimum one is reguired. check all that a
_ Surface Sod Cracks (66)
_ Surface Water (A1)
_ Water - Stained Leaves (B9)
_ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
_ Aquatic Fauna (B13)
J[ Drainage Patterns (610)
_ Saturation (A3)
_ Marl Deposits (615) (LRR U)
_ Moss Trim Lines (B16)
Marks (B1)
Hydrogen Sulfide Odor (Cl)
_ Dry- Season Water Table (C2)
/Water
Sediment Deposits (B2)
Oxidized Rhizospheres on Living Roots (C3)
_ Crayfish Burrows (C8)
Drift Deposits (133)
Presence of Reduced Iron (C4)
_ Saturation Visible on Aerial Imagery (C9)
_
_ Algal Mat or Crust (64)
_
_ Recent Iron Reduction in Tilled Sods (C6)
2Geomorphic Position (D2)
Iron Deposits (B5)
_ Thin Muck Surface (C7)
Shallow Aquitard (D3)
_
Inundation Visible on Aerial Imagery (57)
_ Other (Explain in Remarks)
4ZFAC- Neutral Test (D5)
Field Observations
Surface Water Presents Yes No
Depth (inches)
Water Table Present? Yes No
Depth (inches) 10
Saturation Present? Yes No
Depth (inches) i.N�
Wetland
Hydrology Present? Yes No
includes capillary frin e
Describe Recorded Data (stream gauge monitoring well aerial photos previous inspections) if available
Remarks
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

VEGETATION — Use scientific names of plants Sampling Point 1�
2
3
4
5
6
7
a Total Cover
Sapling �3 a Stratum (Plot size 3 -i' )
1
2
3
4
5
6
7
Total Number of Dominant
Species Across All Strata Z (B)
Percent of Dominant Species /
That Are OBL FACW or FAC G U (A/B)
Prevalence Index worksheet
Hy¢ ophytic Vegetation Indicators
Total / Cover of.
Multiply by,
OBL species
x 1 =
FACW species
x2=
FAC species
x3=
FACU species
x4=
UPL species
X5=
Column Totals
(A) (B)
P valence Index = B/A =
6
7
S
9
10
11
12
= Total Cover
Woody Vine Stratum (Plot size )
1
2
3
4
5
= Total Cover
Herb — All herbaceous (non woody) plants including
herbaceous vines regardless of size Includes woody
plants except woody vines less than approximately
3 ft (1 m) in height
Woody vine — All woody vines regardless of height
Hydrophytic
Vegetation
Present? Yes No
irks (If observed list morphological adaptations below) / l / /
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version
Hy¢ ophytic Vegetation Indicators
= Total Cover
Shrub Stratum (Plot size )
✓
_ Dominance Test is >50 /
1
_ Prevalence Index is 53 0'
_ Problematic Hydrophyhc Vegetation' (Explain)
'Indicators of hydnc sod and wetland hydrology must
be present unless disturbed or problematic
2
3
4
5
6
Definitions of Vegetation Strata
Tree — Woody plants excluding woody vines
7
Total Cover
approximately 20 ft (6 m) or more in height and 3 in
Herb Stratum (Plot size
(7 6 cm) or larger in diameter at breast height (DBH)
Sapling —Woody plants excluding woody vines
2
approximately 20 ft (6 m) or more in height and less
than 3 in (7 6 cm) DBH
3
4
Shrub — Woody plants excluding woody vines
approximately 3 to 20 ft (1 to 6 m) in height
5
6
7
S
9
10
11
12
= Total Cover
Woody Vine Stratum (Plot size )
1
2
3
4
5
= Total Cover
Herb — All herbaceous (non woody) plants including
herbaceous vines regardless of size Includes woody
plants except woody vines less than approximately
3 ft (1 m) in height
Woody vine — All woody vines regardless of height
Hydrophytic
Vegetation
Present? Yes No
irks (If observed list morphological adaptations below) / l / /
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

SOIL
Sampling Point
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix Redox Features
inches Color moist / Color (moist) / Type' Loc Texture Remarks
0 2 11/0- I00 --
I a ti e rove `/f 2 i
'Tvoe C= Concentration D= Depletion RM= Reduced Matrix CS= Covered or Coated Sand Grains 2Location PL =Pore Lining M =Matra
Hydnc Soil Indicators Indicators for Problematic Hydnc Soils
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ Organic Bodies (A6) (LRR P T U)
_ 5 cm Mucky Mineral (A7) (LRR P T U)
_ Muck Presence (A8) (LRR U)
_ 1 cm Muck (A9) (LRR P T)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Coast Prairie Redox (A16) (MLRA 150A)
=Sar3dy Mucky Mineral (S1) (LRR O S)
��
ndy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
_ Dark Surface (S7) (LRR P S T U)
Restrictive Layer (if observed)
Type
Depth (inches)
Polyvalue Below Surface (S8) (LRR S T U) _ 1 cm Muck (A9) (LRR O)
_ Thin Dark Surface (S9) (LRR S T U)
_ 2 cm Muck (A10) (LRR S)
_ Loamy Mucky Mineral (F1) (LRR O)
_ Reduced Vertic (F18) (outside MLRA 150A B)
_ Loamy Gleyed Matrix (172)
_ Piedmont Floodplain Sods (F19) (LRR P S T)
_ Depleted Matrix (F3)
_ Anomalous Bright Loamy Sods (F20)
_ Redox Dark Surface (176)
(MLRA 1538)
_ Depleted Dark Surface (F7)
_ Red Parent Material (TF2)
_ Redox Depressions (F8)
_ Very Shallow Dark Surface (TF12) (LRR T U)
_ Marl (F10) (LRR U)
_ Other (Explain in Remarks)
_ Depleted Ochnc (1711) (MLRA 151)
_ Iron Manganese Masses (F12) (LRR O P T)
_ Umbnc Surface (F13) (LRR P T U)
_ Delta Ochnc (F17) (MLRA 151)
_ Reduced Vertic (F18) (MLRA 150A 150B)
_ Piedmont Floodplam Sods (1719) (MLRA 149A)
_ Anomalous Bright Loamy Sods (1720) (MLRA 149A
3Indicators of hydrophytic vegetation and
wetland hydrology must be present
unless disturbed or problematic
153C 153D)
Hydric Sod Present? Yes _1.. ',o
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

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