20120227 Ver 1_401 Application_20120312

March 1 2012
USACE Raleigh Regulatory Field Office
3331 Heritage Trade Drive Suite 105
Wake Forest North Carolina 27587
Attention Mr Eric Alsmeyer
N C Division of Water Quality
401 Wetlands Unit
512 North Salisbury Street
Raleigh North Carolina 27604
Attention
Reference
Ms Karen Higgins
Application for Nationwide Permit No 14 and
Request for Jurisdictional Determination
The Reserve Subdivision Access Road
Lake Hyco Person County North Carolina
S &ME Project No 1054 12 048
Dear Mr Alsmeyer and Ms Higgins
•
20120227
NAR 2012
DENR WATER QUALITY
wETLANGa AND STORMWATER BRANCH
S &ME Inc (S &ME) is submitting this application for impacts to waters of the U S in
accordance with Department of the Army Nationwide Permit (NWP) No 14 — Linear
Transportation Projects along with supporting documentation for verification of the
jurisdictional boundaries located within the project area S &ME has been retained by
BM Deep Water Development LLC the applicant for the proposed project to provide
services related to acquisition of the NWP and corresponding North Carolina Water
Quality Certification (WQC) pursuant to the Clean Water Act The project will involve
the construction of a residential road to serve the proposed Reserve Subdivision Lots 1
31 In support of this NWP No 14 application please find enclosed the following
• Appendix I Agent Authorization Form & Pre Construction Notification (PCN)
• Appendix II Figures —USGS Topographic Map (Figure 1) Person County Soil
Survey Map (Figure 2) 2011 Aerial Photograph (Figure 3) Approximate Waters
of the U S Delineation (Figure 4 & 5)
• Appendix III Overall Site Map (Exhibit 1) Area I Impact Map (Exhibit 2) Area
2 Impact Map ( Fxhibit 3)
• Appendix IV Site Photographs
• Appendix V USAGE Wetland Determination Forms
• Check for $240 (DWQ processing fee)
S &ME INC / 3201 Spring Forest Road / Raleigh NC 27616 / p 919 872 2660 f 919 876 3958 / www smeinc corn

Nationwide Permit No 14 /Request for Jurisdictional Determination S &ME Project No 1054 12 048
The Reserve Subdivision Access Road March 1 2012
The location of the project area is depicted on the USGS Topographic Map (Figure 1)
Person County Soil Survey Map (Figure 2) 2011 Aerial Photograph (Figure 3) included
in Appendix II and the Overall Site Map (Exhibit 1) in Appendix III
BACKGROUND INFORMATION
The purpose of the proposed project is to provide ingress and egress for the thirty one
single family residential homesites associated with The Reserve Subdivision
PROPOSED PROJECT IMPACTS
The proposed project will require a 1221f of permanent stream impact to a portion of
Stream 1 located at Impact Area 2 and a combined wetland impact of 0 0015 acres
located at Impact Area 1 & 2 Please refer to the attached impact maps for further
information
PROTECTED SPECIES AND CULTURAL RESOURCES
Protected Species
S &ME's review of potential protected species habitat entailed a literature review of
existing records obtained from federal and state sources to identify documented records
of protected species The USFWS list of federally protected species was consulted for a
listing of protected species documented within Person County North Carolina This
review did not identify any protected plant species or animal species within the project
area
As part of the literature review S &ME also consulted the North Carolina Natural
Heritage Program NCNHP Geographic Information Systems (GIS) database Virtual
Workroom and Element Occurrence (EO) Database for a listing of EO s of endangered or
threatened species within or near the project area This review did not identify EO s
pertaining to federally protected species within a two mile radius of the project area
A copy of this NWP No 14 application will be provided to the NCNHP and the U S Fish
and Wildlife Service ( USFWS) Raleigh Field Office requesting their review of records
they may have in regards to the proposed project and to provide comments regarding
agency interests
Cultural Resources
A copy of this NWP No 14 application will be provided to the North Carolina State
Historic Preservation Office (SHPO) requesting their review of records regarding
cultural archaeological or historical resources in or near the project area and to provide
written comments regarding the interests of their agency
AVOIDANCE AND MINIMIZATION
The applicant surveyor and projeLt engineer located the road corridor where proposed
due to topographic and property boundary constraints The proposed alignment runs
down the center of a ridge approximately equal distance on either side from the edge of
2

Nationwide Permit No 14 /Request for Jurisdictional Determination S &ME Project No 1054 12 048
The Reserve Subdivision Access Road March 1 2012
water of Hyco Lake If stream flow is encountered during construction a coffer dam
pump around and rock check dam will be used to prevent sedimentation of downstream
portions of the impacted stream channel Following construction disturbed areas will be
returned to original grade and elevation The proposed project should not result in
permanent changes in pre construction elevation contours or stream dimension pattern or
profile beyond those described in this application
REGULATORY CONSIDERATIONS
Following construction temporarily disturbed areas will be restored to original grade and
elevation The proposed project should not result in permanent changes in pre
construction elevation contours or stream dimension pattern or profile beyond those
described in this application Excess material will be removed to a high ground disposal
area
Appropriate sediment and erosion control practices outlined in the most recent version of
the North Carolina Sediment and Erosion Control Planning and Design Manual" and
approved by the local governing authority will be in compliance with specifications
governing the proper design installation operation and maintenance of such Best
Management Practices (BMP s) to comply with the appropriate turbidity water quality
standard Sediment and erosion control measures placed in waters will be removed and
the original grade restored within two months after the Division of Land Resources has
released the project Impacts have been avoided and minimized and appropriate
measures will be taken during construction to allow flow and circulation patterns of
waters of the U S to remain unaffected After construction disturbed areas will be
seeded and restored
The proposed project will result in additional impervious surface however the project is
a linear transportation corridor and amounts of impervious surface are calculated at 3 5
% of the project area and therefore will not exceed 24% of the project area
3

Nationwide Permit No 14 /Request for Jurisdictional Determination S &ME Project No 1054 12 048
The Reserve Subdivision Access Road March 1. 2012
CLOSING
By copy of this correspondence and completed PCN we are requesting your written
concurrence with this NWP No 14 permit application If we can provide additional
information or answer questions you may have please feel free to contact us at
919 872 2660
Sincerely
S &ME
Walter Cole L S S R E H S
Environmental Scientist
Attachments
cc Mr Renee Gledhill Earley State (North Carolina) Historic Preservation Office
Mr David Ration U S Fish and Wildlife Service Raleigh Field Office
Mr Harry LeGrand Jr North Carolina Natural Heritage Program
S \1 054\PROJECTS\2012\1 054 12 048 The Reserve S/D Access Road
4

APPENDIX 1
Agent Authorization Form & PCN

-. E-z�
AGENT AUTHORIZATION FORM
Date ;), '� 3 \ "L—
Project information
S &ME Project Name The Reserve Subdivision Access Road
Type of Project Jurisdictional Delineation and Nationwide Pernntting Services
Location Lake Hyco, Person County, North Carolina
Property Owner /Representative Information
Business Name
Mailing Address
City State Zip Code
Telephone No
Contact
Agent Information
Business Name
Street Address
City, State, Zip Code
Telephone No
Contact
6550 5 n u'`6\5J
S &ME, Inc
3201 Spring Forest Road
Raleigh NC 27616
[phone]
Mr Walter Cole LSS REHS
Authorization
I on behalf of
(Contact Signature)
hereby authorize
(Name of Landowner or Representative)
S&ME Inc to act as agent for the above - mentioned project
£ d Z9Zbti899££ plaoMeanjivan� junoosiQ e6Z 6l ZL £6 qe�

y�0F wArF9v9
� r
O 'c
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification PC Form
A Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
1 b
Specify Nationwide Permit (NWP) number 14 or General Permit (GP) number
1c
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 notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
❑ Yes
® No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1 h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
The Reserve Subdivision Access Road
2b
County
Person
2c
Nearest municipality / town
Roxboro
2d
Subdivision name
The Reserve
2e
NCDOT only T I P or state
project no
N/A
3
Owner Information
3a
Name(s) on Recorded Deed
BM Deepwater Devlopment LLC
3b
Deed Book and Page No
DB 763 P 74
3c
Responsible Party (for LLC if
applicable)
Bob Rose Jr
3d
Street address
3550 South Church Street
3e
City state zip
Burlington NC 27215
3f
Telephone no
[phone]
3g
Fax no
[phone]
3h
Email address
dfworld @bellsouth net
Page 1 of 11
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other specify
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
Walter Cole
5b
Business name
(if applicable)
S &ME
5c
Street address
3201 Spring Forest Road
5d
City state zip
Raleigh NC 27616
5e
Telephone no
[phone]
5f
Fax no
[phone]
5g
Email address
wcole @smeinc com
Page 2 of 11
PCN Form — Version 1 3 December 10 2008 Version

B Project Information and Prior Project History
1 Property Identification
1a Property identification no (tax PIN or parcel ID)
907004938631
lb Site coordinates (in decimal degrees)
Latitude 36 5065N Longitude 79 0701W
(DD DDDDDD) (DD DDDDDD)
1c Property size
86 86 acres
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Hyco Lake
proposed project
2b Water Quality Classification of nearest receiving water
WS V B
2c River basin
Roanoke
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The project area is primarily wooded and surrounding land use is primarily residential
3b List the total estimated acreage of all existing wetlands on the property
0 038 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
131 linear feet
3d Explain the purpose of the proposed project
The purpose of this project is to access high ground and to provide ingress and egress to the home sites for the proposed
Reserve Subdivision Lots 1 31 Impacts resulting from the construction of this road will result in 0 015 acres of wetland
impact and 122 linear feet of stream impact
3e Describe the overall project in detail including the type of equipment to be used
The overall project consists of the construction of one access road that terminates into a cul de sac Typical heavy
equipment associated with road construction will be used for this project
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes [D No El Unknown
project (including all prior phases) in the pasty
Comments
4b If the Corps made the jurisdictional determination what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known)
Other
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
Page 3 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes explain
Page 4 of 11
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la 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
FILL
❑ Yes
❑ No
® Corps
❑ DWQ
0095
W2 ®P ❑ T
FILL
❑ Yes
❑ No
® Corps
❑ DWQ
0055
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
015
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(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
FILL
❑ PER
® INT
® Corps
® DWQ
3
122
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
122
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 T
01 ❑P ❑T
02 ❑ P ❑T
03 ❑ PEI T
04 ❑ PEI T
417 Total open water impacts
4g Comments
5 Pond or Lake Construction
If pond or lake construction proposed then complete the chart below
5a I 5b I 5c 5d 5e
Pond ID Proposed use or purpose
number of pond
Wetland Impacts (acres) I Stream Impacts (feet) I Upland
Flooded I Filled I Excavated I Flooded I Filled I Excavated I 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)
51 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
Project is in which protected basin?
6b 6c 6d
Buffer impact
number — Reason
Permanent (P) or for
Temporary (T) impact
61 ❑P ❑T
B2 ❑P ❑T
B3 ❑P ❑T
61 Comments
❑ Neuse ❑ Tar Pamlico ❑ Other
❑ Catawba ❑ Randleman
6e 6f 6g
Buffer
Stream name mitigation
-required?
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
6h Total buffer impacts
Zone 1 impact I Zone 2 impact
(square feet) (square feet)
Page 6 of 11
PCN Form —Version 1 3 December 10 2008 Version

D Impact Justification and Mitigation
1 Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The applicant surveyor and project engineer located the road corridor where proposed due to topographic and property
boundary constraints The proposed alignment runs down the center of a ridge approximately equal distance on either side
from the edge of water of Hyco Lake
1 b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
If stream flow is encountered during construction a coffer dam pump around and rock check dam will be used to prevent
sedimentation of downstream portions of the impacted stream channel Following construction disturbed areas will be
returned to original grade and elevation The proposed project should not result in permanent changes in pre construction
elevation contours or stream dimension pattern or profile beyond those described in this application
2 Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes which mitigation option will be used for this
project?
❑ Mitigation bank
❑ ro Payment to in lieu fee ram
y p g
❑ Permittee Responsible Mitigation
3 Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4 Complete if Making a Payment to In lieu Fee Program
4a Approval letter from in lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5 Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
Page 7 of 11
PCN Form — Version 1 3 December 10 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
6h Comments
Page 8 of 11
PCN Form — Version 1 3 December 10 2008 Version

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b
If yes then is a diffuse flow plan included? If no explain why
❑ Yes El No
Comments
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
35%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why The project will not result in impervious
surface that exceeds 24%
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?
Person County
❑ 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
[--] HQW
4a
Which of the following state implemented stormwater management programs apply
El ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 11
PCN Form — Version 1 3 December 10 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
1a
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
® No
use of public (federal /state) land?
lb
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)?
1 c
If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
letter )
❑ Yes
® No
Comments
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
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
Individual on site wastewater treatment and disposal systems will be used
Page 10 of 11
PCN Form — Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
5c If yes indicate the USFWS Field Office you have contacted
El Raleigh
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A copy of this PCN will be provided to the USFWS and the NC Natural Heritage Program Office A literature review of the
study area and our professional experience did not indicate the presence of endangered species for Person County The
study area and vacinity are not located in a designated critical habitat Review of the North Carolina Natural Heritage
Program Geographic Information Systems Virtual Workroom did not reveal any occurrences of federally listed species
within a two mile radius from the project area
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ 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?
A copy of this PCN will be provided to SHPO
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? FIRM maps
Walter Cole
March 1 2012
Applicant/Agent s Signature
Applicant/Agent s Printed Name
Date
(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

APPENDIX 11
USGS Topo Map (Figure 1), Person Co Soil Survey Map
(Figure 2), 2011 Aerial Photo (Figure 3), Approximate
Waters of the U S Delineation (Figure 4 & 5)

ni �. The Reserve it
Property Boundary
SO
Area 2 Wetland
& Stream Impact J !
rr
Area 1
Wetlands - `F-
r5 1A -
"�,, Impact
,
1
7 ,
The Reserve :r',.
�_- Proposed
Access Road .f
Limits of 'r-
Disturbance _. -5.
'1r
It
-, -s �T� era r •'`I �4; __ i',, + - T z ' ``- .K,'4
IL
�'" : � %�'~- j �+. .,n,. -'ir � '`'ti 54\ • _ '•'� ^'eE � + ..'�r r � /r — r
it
Alt, _a
0 4r
, 1
�. ti ,- _ 4' r } i � fi�° ff • \,� 'r•-..i` V'i rr ',. 5• `\.�ti.T ..r � ^ L�i' I �.y �' r
+.
-
MAP SOURCE: MY TOPO TERRAIN NAVIGATOR; USGS TOPOGRAPHIC QUADRANGLE MAPS; MAP EDITION 4.0
SCALE: 1 :12,00 FIGURE N0.
DATE: MARCH USGS TOPOGRAPHIC MAP
MARCH 2012 ALTON QUADRANGLE 1 DRAWN BY: WC
WWW.SMEINC.COM THE RESERVE SUBDIVISION ACCESS ROAD
PROJECT NO: NC ENGINEER LICENSE #F -0176 LAKE HYCO, PERSON COUNTY, NORTH CAROLINA
1054 -12 -048 3201 SPRING FOREST RD, RALEIGH, NC 27616

_ - -IAIAFAX (201) N'I'ti VIRGINIA
_ PaB? WeE — Wel? %' PaC2 1 PaB2
�� cl
WeD WeD P c" W" _ M PaB2 4 �1P 1323
QaG� PaB2
PaC2 PaB2 [_ �• PaC2
Pa
q 1317
\ •• ��� � �J ��,'� Wei
pad WeC DrNJ / Pa82 WeD 4 P
A C� PaB2 1372
PaB2 dc? ( 1 a / PaB2
Cu nngam °C PaC2 1 WeD
ih
2 wen / PaC2 PaC2 WeC I o
PaC2 _ WeD e0 °O
PaB2 WeC / o
1-1 c aC2
ci
p 4 w PaC2
3 WeE PaB2 : f' aC _ /
We � p 2
WeE WeC PaB2 Q° eD
J �._ PaB2 Q� _— PaB2
1318 F.— T \f We PaC2
2 _. \ P 2 - co a eE We
We,
� j Wk8 m PaC2
\� ,WeEl -
WeE �� Wk13 WkF WkF Wk PaC2 O H B
/Z- \ WkF,. iµ6 WkF PaB2 CeB
PaC2 i v g HeB j Wk kF �f WkEl / �m
�I -� F kg Wk / HeB / I kB APB EnB
PaB2
\ JWkD WkB
WeC k �. EnC
z0 WI<B WkF WkD 1 W WkD s'�yS� µ0� EnE
�WkF 111 WkF I1
1 ��Q• EnB
WkB,• _ �J 4 ; x Wk k
�\
D \ J WkD
Wk6 WkB
O W
- s�� ,'s�v- /
WIcB
HeB WkB
WkF
Cw Wk8<_.%
MAP SOURCE: USDA -NRCS PERSON COUNTY SOIL SURVEY MAP; 1995
SCALE: 1:2000 FIGURE N0.
DATE: S&ME USDA -NRCS SOIL SURVEY MAP
MARCH 2012 PERSON COUNTY; SHEET 2 2
DRAWN BY: WC
W1MN.SMEINC.COM THE RESERVE SUBDIVISION ACCESS ROAD
PROJECT NO NC ENGINEER LICENSE #F -0176 HYCO LAKE, NORTH CAROLINA
1054 -12 -048 3201 SPRING FOREST RD, RALEIGH, NC 27616

APPENDIX 111
Overall Site Map (Exhibit 1), Area 1 Impact Map (Exhibit
2), Area 2 Impact Map (Exhibit 3)

F-
1 4 W d
o
> 0
o � J
O
CO) Q g e J W 0 as N N E
6 r 6€ U W N ? C 0 Z
N
amniommmomv BdWOOONV7 BNINNV1d ONIMBBNIONB d 2 a O L O r^ _
r ) 0 () a x cn vi U)
0
U
Wz cc
W�
ZCi)
�W
a
Ir +fr
l / r(J
��`11
/
W�
s
1 TV-
1 �
2
m
j
ti
D
O
W
O
O
CL
W�
Y
s
O
�1 � )rl lllYll
O
N
3
U
W�
N
(no 5
�WQ:
k (0
�- 11
V
a
J
W
Z
W
O
O
LO
G
il� �_-
t
��� �s ui hq1 '=�y uJ) Iir ��� JJ��IJr))� `�(/c \` till) i i r ((( ✓ / / //i i Ln
tr
_�� � nd II ✓ /� -- t 1 r
;1 /iratlll III
�i g �f�' ��f �,//�,� /✓� %!�'f��" � Gam',
/�A 1
J d
6rrr r � (�(` � (ii`�`\` �� � > / J 1 � I )))) >)Ij I V ✓1�, =- � � � � /1 � l f J rgh��
^O�iy
Q3�
oc
CL
Q
� 2
ULLJ
� U
T
= '»)w\\�
�� � ��fi�' lit +(� Irrlr / /� / /rlr + ✓/� _ �rr�
��i/ C (ir r \ �� 1JIJirlli11111 L
_� ��__`-- _=7 /f.•��i'� /i �- - \ \, � ' � 1 flirt( //
1 \ \k \l\
lim J l
rr��GcC< <tct (rr(�<<��L�_�
i Jr r �1
1
C ,r r " in
/
1
1
,(r,
�Il Jl /�i�Jh

F-
W D
�n LL
vU O
o
>
03
o
o Z mm O
��� i �!i o�� W vJ U> > 9)i p W Z
2 W Z 3 V N N N
8VnJLO811NOVV BdVO9ONV'l BNINNV1d BNIMaSNIONE O L n� W
a ' U o cLn cLn
�z� o ��
ui
J
— -Q W
\�\ g m o
Oz C
LU
\ \ �1A
— — — — — —
W
13 --Lai
- off- ---
Al
CL _ �C
- �
-------- - - - - --
�' -- j -- rn --
Z
/ — 0 O
r
— —
i / / '
O
t / /
rn

� w z
^ « N
O ` #
t
� �' 8 W z N
e �dIJ 0 as n
A O 6 S V W v/ V J 7 Qi 0
w Z C V W N N
aunLo311NONV 8dvasaNYi SNINNY1d BNIVENNIBN8 d a n0 (`0 t N 1 L Q L
�00X to (A
co
AL
IN, 04
/ Q
`. / l� F-
/ k / / / °yam \\ \\ Z - - -- - -c~n - -- 4 Co L
pt
// / - --�
(3 / \ - - -- Rig W rcrL-
z� / \ \\ Z 0 L
LU
CL
LL
LU
��- -2'l Q:; -7
/ W�/A� J J // W N
/ \ / I / \ \ �� — //
zz
v�
Co
QL
/
a
z \1
I WIZ \ \
p�
ELI
II
M
\A \
/

APPENDIX IV
Site Photographs

Photo 1: View of impact Area 2, beginning of intermittent
stream channel, flag C -1.
Photo 3: View of intermittent stream channel downstream of
Impact Area 2 near flag C -17.
Photo 5: View of wetland area near flag W -80.
Photo 2: View of intermittent stream channel at flag C -5.
Photo 4: View of wetland at Impact Area 1 near flag C -51.
THE
SITE PHOTOGRAPHS (01.23.12)
PROPOSED ROAD IMPACT AREAS 1 & 2
HYCO LAKE, PERSON COUNTY, NC
Photo Page 1 of 1

APPENDIX V
USACE Wetland Determination Forms

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site ;,;e_ga5eirt/e os a 4e ees City/County 4 VPo - aLit� -W3b l(✓a SamplingDate pat a3 /e2
Applicant/Owner 91W l epaa �e�a�%isre�t�- GGG State 1114 Sampling Point U 'I o�
Investigator(s) �` �Y /K Section Township Range EI( W-10
Landform (hdislope terrace etc) Local relief (concave convex none) t� nI7 ✓Q X Slope (A) 0%
Subregion (LRR or MLRA) AAA 1% �kP Lat -16 5ro6l -h(;, N Long -79 n7 DD ' W Datum N A9
Soil Map Unit Name 2190/9 NWI classification &1.4
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no explain In Remarks)
Are Vegetation Soil or Hydrology significantly disturbed? Are 'Normal Circumstances present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed explain any answers in Remarks )
SUMMARY OF FINDINGS — Attach site map showing sampling point locations transects important features etc
Hydrophytic Vegetation Present? Yes No is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
US Army Corps of Engineers Eastern Mountains and Piedmont- Interim Version
Wetland Hydrology Indicators Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required, check all that aooly) _ Surface Sod Cracks (86)
_ Surface Water (Al) _ True Aquatic Plants (1314) _ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Patterns (610)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
_ Water Marks (131) _ Presence of Reduced Iron (C4) _ Dry Season Water Table (C2)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Sods (C6) _ Crayfish Burrows (C8)
_ Drift Deposits (133) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
_ Iron Deposits (135) _ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137) _ Shallow Agwtard (D3)
_ Water Stained Leaves (139) _ Microtopographic Relief (134)
_ Aquatic Fauna (1313) _ FAC- Neutral Test (D5)
Field Observations
Surface Water Present? Yes No Depth Qnches)
Water Table Present? Yes No Depth (inches)
Saturation Present? Yes No Depth (inches)
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge monitoring well aerial photos previous Inspections) if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont- 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) A
Color (moist) / Tvoe Loc
Texture Remarks
A_
-S Y i3 v
c L
zw
'Type C= Concentration D =De letion RM= Reduced Matrix MS= Masked Sand Grains
2Location PL =Pore Uning M =Matrix
Hydric Soil Indicators
Indicators for Problematic Hydric Sods'
_ Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muds (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147
148) _ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147 148)
(MLRA 147 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplam Sods (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (173)
(MLRA 136 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Red Parent Material (72)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
_ Very Shallow Dark Surface (TF12)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_ Other (Explain In Remarks)
_ Sandy Mucky Mineral (S1) (LRR N
_ Iron - Manganese Masses (F12) (LRR N
MLRA 147 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbnc Surface (F13) (MLRA 136 122)
31ndicators of hydmphytic vegetation and
_ Sandy Redox (85)
_ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6)
unless disturbed or problematic
Restrictive Layer (if observed)
Type
/
Depth (inches)
Hydric Soli Present? Yes No V
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

VEGETATION (Four Strata) — Use scientific names of plants
®`
Sampling Point
Tree Stratum (Plot size to le—re, )
Absolute Dominant Indicator
Cover Species? Status
Dominance Test worksheet
1 �uP, v✓C.ccS 1 �xt
a�- ��S E&v
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 (A113)
3 C4Z A66 64W
4 Ole r—,e° x ti0
5
6
7
Prevalence index worksheet
Total / Cover of Multiply by
8
Sapling /Shrub Stratum (Plot size
1
2
3
4
5
6
7
8
9
10
Herb Stratum (Plot size
1
2
3
4
5
6
7
8
9
10
11
12
=Total Cover OBL species x 1 =
FACW species x2=
FAC species o',—' x3=
%O
FACU species J? x4=
UPL species x5=
Column Totals _ (A) (B)
Prevalence Index = B/A = —�
— 1 Rapid Test for Hydrophytic Vegetation
_ 2 Dominance Test is >50 /
_ 3 Prevalence Index is 53 0'
=Total Cover — 4 Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
— Problematic Hydrophyhc Vegetation' (Explain)
'Indicators of hydnc soil and wetland hydrology must
be present unless disturbed or problematic
Definitions of Four Vegetation Strata
Tree — Woody plants excluding vines 3 in (7 6 cm) or
more in diameter at breast height (DBH) regardless of
height
Sapling /Shrub — Woody plants excluding vines less
than 3 in DBH and greater than 3 28 ft (1 m) tall
Herb —All herbaceous (non woody) plants regardless
of size and woody plants less than 3 28 ft tall
' = Total Cover Woody vine — All woody vines greater than 3 28 ft in
Woody Vine Stratum (Plot size a0z ) height
1 5r11 /Gt L/ r tint 411; a — W-0 i��4C
2
3
4
5 Hydrophytic
Vegetation
6 Present? Yes No
f = Total Cover
Remarks (Include photo numbers here or on a separate sheet)
US Army Corps of Engineers Eastern Mountains and Piedmont — Interim Version

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site V e, �5PYl& —'5 0 QMd City/County - vCo . ;2rSOgll Sampling Date r?3 %a2
Applicant/Owner /Ll`' 40,0 Gl/ State /Vd Sampling Point d
Investigator(s) Q �z►i� sE Section Township Range //--/ug G�% SD
Landfonn (hilislope terrace etc) � Local relief (concave convex none) GbR dLX } �!� k Slope (/) `✓lam
Subregion (LRRorMLRA) yIIWA Let "Al Long 790 670050 W Datum IVAA, -) 3
Sod Map Unit Name '4�1CW NWI classification I-t11141
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
Hydric Soil Present? Yes No within a Wetland? Yes V No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetland Hydrology Indicators
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is reowred, check all that aooly)
_ Surface Soil Cracks (B6)
ace Water (A1)
True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (68)
_Z High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
Saturaton (A3)
Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (B16)
_ Water Marks (61)
_ Presence of Reduced Iron (C4)
_ Dry Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Sods (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (B3)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (02)
_ Inundation Visible on Aerial Imagery (67)
_ Shallow Aquitard (D3)
_ Water Stained Leaves (139)
_ Microtopographic Relief (134)
_ Aquatic Fauna (B13)
_ FAC Neutral Test (135)
Field Observations
Surface Water Present? Yes No
Depth (inches)
Water Table Present? Yes ✓ No
Depth (inches) 3
Saturation Present? Yes � No
Depth (inches)_
Wetland Hydrology Present? Yes V-----No
Includes ca ilia fringe)
Describe Recorded Data (stream gauge monitoring well aerial photos previous Inspections) if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont— Interim Version

VEGETATION (Four Strata) — Use scientific names of plants Sampling Point 4&2�16_yo
Absolute Dominant Indicator
Tree Stratum (Plot size -�-� X 30) Cover Species? Status
1 v2;rGaS n Y-5 a �,�
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/B)
2 Z14 '�
3
4
5
6
7
Prevalence index worksheet
Total / Cover of Mulboly 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 =
8
= Total Cover
SaDllnq4S.hrub Stratum (Plot size 30 Y30 )
1 eo r' P'A6y -::" ✓! t k
2
3
4
5
6
7
Hydrophytic Vegetation Indicators
_ 1 Rapid Test for Hydrophytic Vegetation
_ 2 Dominance Test is >50°/
_ 3 Prevalence Index Is 53 0'
_ 4 Morphological Adaptations' (Provide supporting
data In Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydnc soil and wetland hydrology must
be present unless disturbed or problematic
8
9
10
= Total Cover
Herb Stratum (Plot size )
1
2
3
4
5
Definitions of Four Vegetation Strata
Tree - Woody plants excluding vines 3 in (7 6 cm) or
more In diameter at breast height (DBH) regardless of
height
Sapling /Shrub -Woody plants excluding vines less
than 3 in DBH and greater than 3 28 ft (1 m) tall
Herb -All herbaceous (non woody) plants regardless
of size and woody plants less than 3 28 ft tall
Woody vine - All woody vines greater than 3 28 ft In
height
6
7
8
g
10
11
12
= Total Cover
Woody Vine Stratum (Plot sized -� ,
Hydrophytic
Vegetation
Present? Yes No
2
3
4
5
6
= Total Cover
IemarKs (Include photo numbers here or on a separate sheet)
d%
le-
US Army Corps of Engineers Eastern Mountains and Piedmont - Interim Version

SOIL
needed to document the indicator or
Sampling Point f� �O/
Depth Matrix Redox Features
(inchesl Color (moist) A Color (moist) % Type' Loc7— Texture Remarks
©-`r; ®9 J /GYM 0a eq
L J Ice, �11 o>t c.+lye rI 74 t
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 (Al2)
_ Sandy Mucky Mineral (S1) (LRR N
MLRA 147 148)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Type
Depth (inches)
Grains
_ Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147 148)
_ Thin Dark Surface (S9) (MLRA 147 148)
_ Loamy Gleyed Matrix (F2)
,Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ dox Depressions (F8)
Iron Manganese Masses (F12) (LRR N
MLRA 136)
_ Umbnc Surface (1713) (MLRA 136 122)
_ Piedmont Fioodplam Soils (F19) (MLRA 148)
Indicators for Problematic Hydric Sc
— 2 cm Muck (A10) (MLRA 147)
_ Coast Prame Redox (A16)
(MLRA 147 148)
_ Piedmont Floodpiain Soils (F19)
(MLRA 136 147)
_ Red Parent Material (72)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic
Hydric Sod Present? Yes -J,�No
L�f�(0vy�[ �l�e' %4 CS �s�ro✓!, So'! Grimm/ �'�`�/� /�Y ���Gri�'.C�
US Army Corps of Engineers Eastern Mountains and Piedmont – Interim Version