20210438 Ver 1_2019-01299 AJD_20210326

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT

Action Id. 2019-01299 County: Surry U.S.G.S. Quad: NC- Copeland

NOTIFICATION OF JURISDICTIONAL DETERMINATION

Requestor: Duke Energy Renewables
James McRacken
Address: 2500 Fairfax Road
Greensboro, NC 27407

Size (acres) 364.3 Nearest Town Dobson
Nearest Waterway West Double Creek & Yadkin River River Basin Upper Pee Dee
USGS HUC 03040101 Coordinates Latitude: 36.285381
Longitude: -80.658593

Location description: The proposed “Stony Knoll Solar Site” is generally located on multiple parcels near Dobson Spring Trail,
near Stony Knoll in Surry County, NC.

Indicate Which of the Following Apply:
A. Preliminary Determination

There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. The approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. Therefore
this preliminary jurisdiction determination may be used in the permit evaluation process, including determining compensatory
mitigation. For purposes of computation of impacts, compensatory mitigation requirements, and other resource protection
measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that would be affected in any
way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may
request an approved JD, which is an appealable action, by contacting the Corps district for further instruction.

There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403).
However, since the waters, including wetlands have not been properly delineated, this preliminary jurisdiction determination
may not be used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is
merely an effective presumption of CWA/RHA jurisdiction over all of the waters, including wetlands at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters,
including wetlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination

There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.

There are waters, including wetlands on the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.

We recommend you have the waters, including wetlands on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.
The waters, including wetlands on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated 3/6/2019 and updated
09/24/19 (Figure 4, Sheets 1-6). We strongly suggest you have this delineation surveyed. Upon completion, this survey should
2019-01299
be reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to CWA
jurisdiction on your property which, provided there is no change in the law or our published regulations, may be relied upon for a
period not to exceed five years.

The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below onDATE. Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.

There are no waters of the U.S., to include wetlands, present on the above described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.

The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA).
You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to determine their
requirements.

Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Amanda Jones at 828-271-7980 ext. 4225 or
[e-mail].

C. Basis for Determination: See the approved jurisdictional determination form dated 11/06/2019.
D. Remarks: None.

E. Attention USDA Program Participants

This delineation/determination has been conducted to identify the limits of Corps’ Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination 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 request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.

F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)

This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:

US Army Corps of Engineers
South Atlantic Division
Attn: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801

In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by 01/05/2020.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**

Corps Regulatory Official: ______________________________________________________

Date of JD: 11/06/2019 Expiration Date of JD: 11/6/2024
FUEMMELER.AMANDA.J
ONES.1242835090
Digitally signed by
FUEMMELER.AMANDA.JONES.1242835090
Date: 2019.11.06 15:06:00 -05'00'

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Duke Energy Renewables, James McRacken File Number: 2019-01299 Date: 11/06/2019
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission) A
PROFFERED PERMIT (Standard Permit or Letter of permission) B
PERMIT DENIAL C
APPROVED JURISDICTIONAL DETERMINATION D
PRELIMINARY JURISDICTIONAL DETERMINATION E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
x ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
x OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
x ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.
x APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.
x ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
x APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.

SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)

ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
appeal process you may contact:
District Engineer, Wilmington Regulatory Division
Attn: Amanda Jones
Asheville Regulatory Office
U.S Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801

If you only have questions regarding the appeal process you may
also contact:
Mr. Phillip Shannin, Administrative Appeal Review Officer
CESAD-PDO
U.S. Army Corps of Engineers, South Atlantic Division
60 Forsyth Street, Room 10M15
Atlanta, Georgia 30303-8801
Phone: [phone]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day
notice of any site investigation, and will have the opportunity to participate in all site investigations.

________________________________________
Signature of appellant or agent.
Date: Telephone number:

For appeals on Initial Proffered Permits send this form to:

District Engineer, Wilmington Regulatory Division, Attn: Amanda Jones, 69 Darlington Avenue, Wilmington, North Carolina
28403

For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:

Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-8801
Phone: [phone]

Copies Furnished (w/out maps to property owners):

Burrus Family Farm, LLC Charles Holyfield, Jr.
Attn: Harold Burrus 205 Pelican Lane
5508 Traphill Road Clemmons, SC 27012
Traphill, NC 28685

R. Tom Frazier Jimmy L. Matthews
P.O. Box 25 991 Old Rockford Road
North Wilkesboro, NC 28659 Dobson, NC 27011

Copies Furnished (Agent):
Timmons Group, Attn: Eli Wright (via email)

DRAWING DESCRIPTION
PROJECT NAME & LOCATION
SHEET NUMBERSCALE1 of 6
DATE 03/06/2019
DESIGNED BY / DRAWN BY
PROJECT NAME
L. WHEELER
STONY KNOLL
A
A
A
gM/
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gM/
gM/
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A
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AA
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A
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A
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A
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gM/gM/gM/
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A
AA
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gM/
gM/
A
A
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A
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A
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gM/
gM/
gM/gM/
gM/
gM/
gM/
A
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A
A
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
FDS-28A2-1
FDS-28E2-1
FDS-28J2-1
FDS-28A1-1
FDS-28C1-1
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FDS-27A1-1
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FDS-27A1-3
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FDS-23Z1-4
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FDS-23D1-1
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Sheet 6
Sheet 3
Sheet 5
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101010051000995970930905
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935
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0895 9859809709559 5 0
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870
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915
920
910103510251045
1040 10201030101 5
10101
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3
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1020
995
985
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935
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975970
980
960
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950945
935 940
930 9359159 0 5
8 8 0885
87510009959909
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0 9609109001025
1020
1000
990
980975
91590587587010301025985980
9309151
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4
01
0351025
1 0 2 0
1000
995
9659 6 0
9909
8
0
965
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9
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930
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1010
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990
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8 7 0 865
1 0 5 0
1015
9909809659609
3
5
925
930
930
920 895865
860
9 2 5
BogartLn
WolfeCreekTrlH oneyB ird Ln
RobertBurrusRd Old R o c k f o r d R d
O l d W a g o n T r l
T a n g l e Holly Ln
Dobson Spring Trl
Culvert
1 " = 300 'H:
FIGURE 4:WETLANDS ANDWATERS OF THEU.S. DELINEATIONMAP
REVISIONS
MM/DD/YY#DESCRIPTION
These plans and associated documents are theexclusive property of TIMMONS GROUP andmay not be reproduced in whole or in part andshall not be used for any purpose whatsoever,inclusive, but not limited to construction, bidding,and/or construction staking without the expresswritten consent of TIMMONS GROUP.
PROJECT NUMBER43264STONY KNOLSURRY COUNTY, NORTH CAROLINA1001 Boulders Parkway, Suite 300Richmond, VA 23225TEL [phone]www.timmons.com[
PLANS PRINTED AS 11X17 ARE HALF SCALE0310 620
SCALE (FEET)
Y:\805\43264-Stony_Knoll_Solar\GIS\Wetland Delineation\43264-WTDM.mxd
1. Waters of the U.S. within theproject study limits have beenlocated using submeter, BluetoothGPS antennas by TimmonsGroup.2.Waters of the U.S. have notbeen confirmed by the U.S. ArmyCorps of Engineers.3. Project limits are approximate.4. Topography based on USGSLiDAR.5. Cowardin StreamClassifications are based solelyon field observations. No formalStream assessment methodologywas completed to determine theseCowardin Classifications.
Sheet 3
Sheet 5
Sheet 2
Sheet 6
Sheet 4
Legend
Project Limits - 364.3 Acres
gM/Wetland Flag
A Field Data Station
")X Stream Identifier
!(X Wetland Identifier
Overland Flow (Significant Nexus)
Culvert
Perennial Stream (R 3; RPW )
Intermittent Stream (R4; RPW )
Ephemeral Stream (R 6; W OTU S)
Palustrine Emergent Wetlands (PE M; WOTUS)
Palustrine Forested Wetlands (PFO; WOTUS )
Palustrine Scrub-Shrub Wetl ands (PS S; WOTUS )
5' Topographic Contours
Major
Minor
PFO(s q ft)PSS(sq ft)PEM(sq ft)POW(s q ft)R3(lf)R4(lf)R6(lf)Ditch(lf)A 4,388 NT / NV
B 260 NT / NVC183NT / NVD167NT / NVE6,314 NT / NV
F 547 NT / NV
G 373 NT / NV
H 58 NT / NVI100NT / NVJ25NT / NVK1,742 NT / NV
L 666 348 NT / NV
M 176 NT / NV
N 510 NT / NV
O 15 NT / NVP89745NT / NVQ163NT / NVR1,213 NT / V
S 564 NT / V
T 222 NT / V
U 820 NT / V
V 1,967 NT / VW1,328 NT / VX227NT / VY4,768 NT / V
Z 409 NT / V
A2 1,160 NT / V
B2 1,003 NT / VC2308NT / VD21,441 NT / VE2571NT / V
F2 290 NT / V
G2 764 NT / V
H2 343 NT / V
I2 414 NT / VJ21,962 NT / VK267NT / VL263NT / V
Tota l 11,718 7,550 636 0 13,301 3,618 58 0
Tota l Stre a m Le ngth =16,977 lf
* T=Tidal; NT=Non-tidal; V=Vegetated; NV=Non-Vegetated; PFO=Palustrine Fores ted Wetland; PSS=Palus trine Scrub-Shrub W etland; PEM=Palus trine Emergent Wetland; POW= Palustrine Open Water; EIW = Es tuarine Intertidal W etlands; R3= Upper Perennial Streams; R4=Intermittent Streams; R6 = Ephemeral Streams
Res ource Identification
Confirma tion ResourceDescriptionNotes*
Tota l W e tla nd Are a =19,904 sq ft 0.46 a c
1 09/24/19 Per COE visit 8-21-2019
DRAWING DESCRIPTION
PROJECT NAME & LOCATION
SHEET NUMBERSCALE2 of 6
DATE 03/06/2019
DESIGNED BY / DRAWN BY
PROJECT NAME
L. WHEELER
STONY KNOLL
A
A
A
A
A
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
!(R
!(S
")B
")A
FDS-27A1-2
FDS-27A1-3
FDS-23B1-1
FDS-23D1-1
FDS-23Z1-1
23A1-1
23A1-9
23B1-2
23B1-8
23B1-21
23B1-29
23B1-43
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1
0
30
1
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5
9
6
0 9809759709551010
1005
1000
995
990985980
975970965960995990985980975970965960995
990
9
8
5
9809759709
6
5
9
6
0 10151010100510009959909659559
9
5
9
9
0
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8
09759
7
096
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40
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0 102510209909859909859 5 5
9 5 0
9451025
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7
0 960960
955
9 5 0 10401 0 4 0
1030
1020
1 0 2 0980950
9
4
5
945
9
4
0
1 0 1 5
1 " = 100 'H:
FIGURE 4:WETLANDS ANDWATERS OF THEU.S. DELINEATIONMAP
REVISIONS
MM/DD/YY#DESCRIPTION
These plans and associated documents are theexclusive property of TIMMONS GROUP andmay not be reproduced in whole or in part andshall not be used for any purpose whatsoever,inclusive, but not limited to construction, bidding,and/or construction staking without the expresswritten consent of TIMMONS GROUP.
PROJECT NUMBER43264STONY KNOLSURRY COUNTY, NORTH CAROLINA1001 Boulders Parkway, Suite 300Richmond, VA 23225TEL [phone]www.timmons.com[
PLANS PRINTED AS 11X17 ARE HALF SCALE0100200
SCALE (FEET)
Y:\805\43264-Stony_Knoll_Solar\GIS\Wetland Delineation\43264-WTDM.mxd
1. Waters of the U.S. within theproject study limits have beenlocated using submeter, BluetoothGPS antennas by TimmonsGroup.2.Waters of the U.S. have notbeen confirmed by the U.S. ArmyCorps of Engineers.3. Project limits are approximate.4. Topography based on USGSLiDAR.5. Cowardin StreamClassifications are based solelyon field observations. No formalStream assessment methodologywas completed to determine theseCowardin Classifications.
Sheet 3
Sheet 5
Sheet 2
Sheet 6
Sheet 4
Legend
Project Limits - 364.3 Acres
gM/Wetland Flag
A Field Data Station
")X Stream Identifier
!(X Wetland Identifier
Overland Flow (Significant Nexus)
Culvert
Perennial Stream (R 3; RPW )
Intermittent Stream (R4; RPW )
Ephemeral Stream (R 6; W OTU S)
Palustrine Emergent Wetlands (PE M; WOTUS)
Palustrine Forested Wetlands (PFO; WOTUS )
Palustrine Scrub-Shrub Wetl ands (PS S; WOTUS )
5' Topographic Contours
Major
Minor
PFO(s q ft)PSS(sq ft)PEM(sq ft)POW(s q ft)R3(lf)R4(lf)R6(lf)Ditch(lf)A 4,388 NT / NV
B 260 NT / NVC183NT / NVD167NT / NVE6,314 NT / NV
F 547 NT / NV
G 373 NT / NV
H 58 NT / NVI100NT / NVJ25NT / NVK1,742 NT / NV
L 666 348 NT / NV
M 176 NT / NV
N 510 NT / NV
O 15 NT / NVP89745NT / NVQ163NT / NVR1,213 NT / V
S 564 NT / V
T 222 NT / V
U 820 NT / V
V 1,967 NT / VW1,328 NT / VX227NT / VY4,768 NT / V
Z 409 NT / V
A2 1,160 NT / V
B2 1,003 NT / VC2308NT / VD21,441 NT / VE2571NT / V
F2 290 NT / V
G2 764 NT / V
H2 343 NT / V
I2 414 NT / VJ21,962 NT / VK267NT / VL263NT / V
Tota l 11,718 7,550 636 0 13,301 3,618 58 0
Tota l Stre a m Le ngth =16,977 lf
* T=Tidal; NT=Non-tidal; V=Vegetated; NV=Non-Vegetated; PFO=Palustrine Fores ted Wetland; PSS=Palus trine Scrub-Shrub W etland; PEM=Palus trine Emergent Wetland; POW= Palustrine Open Water; EIW = Es tuarine Intertidal W etlands; R3= Upper Perennial Streams; R4=Intermittent Streams; R6 = Ephemeral Streams
Res ource Identification
Confirma tion ResourceDescriptionNotes*
Tota l W e tla nd Are a =19,904 sq ft 0.46 a c
1 09/24/19 Per COE visit 8-21-2019
DRAWING DESCRIPTION
PROJECT NAME & LOCATION
SHEET NUMBERSCALE3 of 6
DATE 03/06/2019
DESIGNED BY / DRAWN BY
PROJECT NAME
L. WHEELER
STONY KNOLL
A
A
A
A
gM/
gM/
gM/
gM/
gM/
A
A
gM/
gM/
gM/
gM/
!(T
")C
")D
")A
")A
FDS-23K1-1
FDS-23Z1-2
FDS-23Z1-3
FDS-23Z1-4
FDS-23B1-2
23B1-103
23B1-118
23F1-10
23H1-6
23K1-2
23B1-52
23B1-62
23B1-75
23B1-86
980
970
965
96 0
9 5 5
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945940
930925920
915
9
8
5975
9709 6 5960935925915
975
9
5
0
940
930
920
910975970965960955950945940995990985990985935
925
9 8 5
980960
955
9
3
0
925
9 0 0
8959
3
5910
905
9
4
5930925920
9
9
0940935
935925
925
9
1
0
905925
RobertBurrusRd
Culvert
Culvert
1 " = 100 'H:
FIGURE 4:WETLANDS ANDWATERS OF THEU.S. DELINEATIONMAP
REVISIONS
MM/DD/YY#DESCRIPTION
These plans and associated documents are theexclusive property of TIMMONS GROUP andmay not be reproduced in whole or in part andshall not be used for any purpose whatsoever,inclusive, but not limited to construction, bidding,and/or construction staking without the expresswritten consent of TIMMONS GROUP.
PROJECT NUMBER43264STONY KNOLSURRY COUNTY, NORTH CAROLINA1001 Boulders Parkway, Suite 300Richmond, VA 23225TEL [phone]www.timmons.com[
PLANS PRINTED AS 11X17 ARE HALF SCALE0100200
SCALE (FEET)
Y:\805\43264-Stony_Knoll_Solar\GIS\Wetland Delineation\43264-WTDM.mxd
1. Waters of the U.S. within theproject study limits have beenlocated using submeter, BluetoothGPS antennas by TimmonsGroup.2.Waters of the U.S. have notbeen confirmed by the U.S. ArmyCorps of Engineers.3. Project limits are approximate.4. Topography based on USGSLiDAR.5. Cowardin StreamClassifications are based solelyon field observations. No formalStream assessment methodologywas completed to determine theseCowardin Classifications.
Sheet 3
Sheet 5
Sheet 2
Sheet 6
Sheet 4
Legend
Project Limits - 364.3 Acres
gM/Wetland Flag
A Field Data Station
")X Stream Identifier
!(X Wetland Identifier
Overland Flow (Significant Nexus)
Culvert
Perennial Stream (R 3; RPW )
Intermittent Stream (R4; RPW )
Ephemeral Stream (R 6; W OTU S)
Palustrine Emergent Wetlands (PE M; WOTUS)
Palustrine Forested Wetlands (PFO; WOTUS )
Palustrine Scrub-Shrub Wetl ands (PS S; WOTUS )
5' Topographic Contours
Major
Minor
PFO(s q ft)PSS(sq ft)PEM(sq ft)POW(s q ft)R3(lf)R4(lf)R6(lf)Ditch(lf)A 4,388 NT / NV
B 260 NT / NVC183NT / NVD167NT / NVE6,314 NT / NV
F 547 NT / NV
G 373 NT / NV
H 58 NT / NVI100NT / NVJ25NT / NVK1,742 NT / NV
L 666 348 NT / NV
M 176 NT / NV
N 510 NT / NV
O 15 NT / NVP89745NT / NVQ163NT / NVR1,213 NT / V
S 564 NT / V
T 222 NT / V
U 820 NT / V
V 1,967 NT / VW1,328 NT / VX227NT / VY4,768 NT / V
Z 409 NT / V
A2 1,160 NT / V
B2 1,003 NT / VC2308NT / VD21,441 NT / VE2571NT / V
F2 290 NT / V
G2 764 NT / V
H2 343 NT / V
I2 414 NT / VJ21,962 NT / VK267NT / VL263NT / V
Tota l 11,718 7,550 636 0 13,301 3,618 58 0
Tota l Stre a m Le ngth =16,977 lf
* T=Tidal; NT=Non-tidal; V=Vegetated; NV=Non-Vegetated; PFO=Palustrine Fores ted Wetland; PSS=Palus trine Scrub-Shrub W etland; PEM=Palus trine Emergent Wetland; POW= Palustrine Open Water; EIW = Es tuarine Intertidal W etlands; R3= Upper Perennial Streams; R4=Intermittent Streams; R6 = Ephemeral Streams
Res ource Identification
Confirma tion ResourceDescriptionNotes*
Tota l W e tla nd Are a =19,904 sq ft 0.46 a c
1 09/24/19 Per COE visit 8-21-2019
DRAWING DESCRIPTION
PROJECT NAME & LOCATION
SHEET NUMBERSCALE4 of 6
DATE 03/06/2019
DESIGNED BY / DRAWN BY
PROJECT NAME
L. WHEELER
STONY KNOLL
A
gM/
gM/
gM/
gM/
gM/
gM/
A
A
A
A
A
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
A
A
A
gM/
gM/
gM/
A
gM/
gM/
!(Y
!(Z
!(A2
!(V
!(W
!(X
!(U
")H
")I
")G
")F
")E
")E
")E
FDS-28A2-1
FDS-28A1-1
FDS-28C1-1
FDS-28C1-2
FDS-28H1-1
FDS-28H1-2
FDS-27A1-2
FDS-27A1-3
FDS-27G1-1
28D2-4
28A2-21
28A2-23
28A2-32
28A2-40
28A2-51
28E1-1
28A1-2
28A1-8
28A1-11
28A1-14
28A1-17
28A1-19
28A1-30
28A1-35
28A1-37
28A1-42
28D1-4
28C1-4
28C1-8
28H1-9
27A1-4
27A1-15
27B1-5
27G1-61
27N1-6
1010995985
9
8
0
9
7
5
970
965
955
95
0
9
4
5
940
925
920
1 0 1 510051000990 935
930
1025
1020
1 0 1 5
1 0 1 0
1 0 0 5
1 0 0 0
9 9 5
9 9 0
985
960
955
950
945
940
935
965
9259
2
0
980
975
970
965
960
1000
995
990
975970965960955950
1 0 2 5
1 0 2 0
10151030
1010
9
5
0
9
4
5
9409359301
0
0
5
10009
9
5
9
9
0
9
8
5
101510101005980
975
9
7
0
96510401
0
3
5
102510209609
5
5
9109059151
0
3
0
9809851020104010401020985950
950
9 4 0
935
930
9151000
Old W a g o n T r l
Tangle Holly Ln
1 " = 100 'H:
FIGURE 4:WETLANDS ANDWATERS OF THEU.S. DELINEATIONMAP
REVISIONS
MM/DD/YY#DESCRIPTION
These plans and associated documents are theexclusive property of TIMMONS GROUP andmay not be reproduced in whole or in part andshall not be used for any purpose whatsoever,inclusive, but not limited to construction, bidding,and/or construction staking without the expresswritten consent of TIMMONS GROUP.
PROJECT NUMBER43264STONY KNOLSURRY COUNTY, NORTH CAROLINA1001 Boulders Parkway, Suite 300Richmond, VA 23225TEL [phone]www.timmons.com[
PLANS PRINTED AS 11X17 ARE HALF SCALE0100200
SCALE (FEET)
Y:\805\43264-Stony_Knoll_Solar\GIS\Wetland Delineation\43264-WTDM.mxd
1. Waters of the U.S. within theproject study limits have beenlocated using submeter, BluetoothGPS antennas by TimmonsGroup.2.Waters of the U.S. have notbeen confirmed by the U.S. ArmyCorps of Engineers.3. Project limits are approximate.4. Topography based on USGSLiDAR.5. Cowardin StreamClassifications are based solelyon field observations. No formalStream assessment methodologywas completed to determine theseCowardin Classifications.
Sheet 3
Sheet 5
Sheet 2
Sheet 6
Sheet 4
Legend
Project Limits - 364.3 Acres
gM/Wetland Flag
A Field Data Station
")X Stream Identifier
!(X Wetland Identifier
Overland Flow (Significant Nexus)
Culvert
Perennial Stream (R 3; RPW )
Intermittent Stream (R4; RPW )
Ephemeral Stream (R 6; W OTU S)
Palustrine Emergent Wetlands (PE M; WOTUS)
Palustrine Forested Wetlands (PFO; WOTUS )
Palustrine Scrub-Shrub Wetl ands (PS S; WOTUS )
5' Topographic Contours
Major
Minor
PFO(s q ft)PSS(sq ft)PEM(sq ft)POW(s q ft)R3(lf)R4(lf)R6(lf)Ditch(lf)A 4,388 NT / NV
B 260 NT / NVC183NT / NVD167NT / NVE6,314 NT / NV
F 547 NT / NV
G 373 NT / NV
H 58 NT / NVI100NT / NVJ25NT / NVK1,742 NT / NV
L 666 348 NT / NV
M 176 NT / NV
N 510 NT / NV
O 15 NT / NVP89745NT / NVQ163NT / NVR1,213 NT / V
S 564 NT / V
T 222 NT / V
U 820 NT / V
V 1,967 NT / VW1,328 NT / VX227NT / VY4,768 NT / V
Z 409 NT / V
A2 1,160 NT / V
B2 1,003 NT / VC2308NT / VD21,441 NT / VE2571NT / V
F2 290 NT / V
G2 764 NT / V
H2 343 NT / V
I2 414 NT / VJ21,962 NT / VK267NT / VL263NT / V
Tota l 11,718 7,550 636 0 13,301 3,618 58 0
Tota l Stre a m Le ngth =16,977 lf
* T=Tidal; NT=Non-tidal; V=Vegetated; NV=Non-Vegetated; PFO=Palustrine Fores ted Wetland; PSS=Palus trine Scrub-Shrub W etland; PEM=Palus trine Emergent Wetland; POW= Palustrine Open Water; EIW = Es tuarine Intertidal W etlands; R3= Upper Perennial Streams; R4=Intermittent Streams; R6 = Ephemeral Streams
Res ource Identification
Confirma tion ResourceDescriptionNotes*
Tota l W e tla nd Are a =19,904 sq ft 0.46 a c
1 09/24/19 Per COE visit 8-21-2019
DRAWING DESCRIPTION
PROJECT NAME & LOCATION
SHEET NUMBERSCALE5 of 6
DATE 03/06/2019
DESIGNED BY / DRAWN BY
PROJECT NAME
L. WHEELER
STONY KNOLL
gM/
gM/
gM/
gM/
A
A
gM/
gM/
gM/
gM/
A
gM/
gM/
gM/
gM/
gM/
gM/
gM/
A
A
gM/
gM/
gM/
gM/
gM/
gM/
gM/
gM/
A
A
A
A
gM/
gM/
gM/
gM/
!(G2 !(H2
!(F2
!(D2
!(B2
!(C2
!(I2
!(J2
!(E2
")J
")M
")L
")N
")K
")O
")E
FDS-27C1-1
FDS-27I1-1
FDS-27N1-1
FDS-27O1-1
FDS-27O1-2
FDS-27I1-2
FDS-23N1-1
FDS-23N1-2
FDS-23R1-1
28A2-1
28A2-8
28A2-15
28B2-6
27C1-1
27C1-18
27C1-34
27C1-47
27N1-22
27N1-29
27N1-36
27N1-43
27N1-45
27N1-48
27O1-11
27G1-23
27N1-4
27U1-5
31A1-13
31A1-17
31A1-31
31A1-47
27S1-5
23R1-6
23R1-15
23P1-3
23P1-8
990
9
8
5
9
8
0
9
7
5
9
7
0
9
6
5
9
6
0
9
5
59509459309259209
1
5
910
9
0
5900 8
9
5 890940935 950945940935930925920915955950945940925920915910985
980
975
9
7
0
9
6
5
9
6
0
9
5
5
950
9
8
09759
7
0
9
6
5
9
6
0
9559509459359
309259209158658608 8 0
875
95 5950945
8908859609559459408 7 5
87089088587591090594
5
8 7 0
980965925 900900895
885880
8
7
5
875
870 865Dob s on Spring Trl
1 " = 100 'H:
FIGURE 4:WETLANDS ANDWATERS OF THEU.S. DELINEATIONMAP
REVISIONS
MM/DD/YY#DESCRIPTION
These plans and associated documents are theexclusive property of TIMMONS GROUP andmay not be reproduced in whole or in part andshall not be used for any purpose whatsoever,inclusive, but not limited to construction, bidding,and/or construction staking without the expresswritten consent of TIMMONS GROUP.
PROJECT NUMBER43264STONY KNOLSURRY COUNTY, NORTH CAROLINA1001 Boulders Parkway, Suite 300Richmond, VA 23225TEL [phone]www.timmons.com[
PLANS PRINTED AS 11X17 ARE HALF SCALE0100200
SCALE (FEET)
Y:\805\43264-Stony_Knoll_Solar\GIS\Wetland Delineation\43264-WTDM.mxd
1. Waters of the U.S. within theproject study limits have beenlocated using submeter, BluetoothGPS antennas by TimmonsGroup.2.Waters of the U.S. have notbeen confirmed by the U.S. ArmyCorps of Engineers.3. Project limits are approximate.4. Topography based on USGSLiDAR.5. Cowardin StreamClassifications are based solelyon field observations. No formalStream assessment methodologywas completed to determine theseCowardin Classifications.
Sheet 3
Sheet 5
Sheet 2
Sheet 6
Sheet 4
Legend
Project Limits - 364.3 Acres
gM/Wetland Flag
A Field Data Station
")X Stream Identifier
!(X Wetland Identifier
Overland Flow (Significant Nexus)
Culvert
Perennial Stream (R 3; RPW )
Intermittent Stream (R4; RPW )
Ephemeral Stream (R 6; W OTU S)
Palustrine Emergent Wetlands (PE M; WOTUS)
Palustrine Forested Wetlands (PFO; WOTUS )
Palustrine Scrub-Shrub Wetl ands (PS S; WOTUS )
5' Topographic Contours
Major
Minor
PFO(s q ft)PSS(sq ft)PEM(sq ft)POW(s q ft)R3(lf)R4(lf)R6(lf)Ditch(lf)A 4,388 NT / NV
B 260 NT / NVC183NT / NVD167NT / NVE6,314 NT / NV
F 547 NT / NV
G 373 NT / NV
H 58 NT / NVI100NT / NVJ25NT / NVK1,742 NT / NV
L 666 348 NT / NV
M 176 NT / NV
N 510 NT / NV
O 15 NT / NVP89745NT / NVQ163NT / NVR1,213 NT / V
S 564 NT / V
T 222 NT / V
U 820 NT / V
V 1,967 NT / VW1,328 NT / VX227NT / VY4,768 NT / V
Z 409 NT / V
A2 1,160 NT / V
B2 1,003 NT / VC2308NT / VD21,441 NT / VE2571NT / V
F2 290 NT / V
G2 764 NT / V
H2 343 NT / V
I2 414 NT / VJ21,962 NT / VK267NT / VL263NT / V
Tota l 11,718 7,550 636 0 13,301 3,618 58 0
Tota l Stre a m Le ngth =16,977 lf
* T=Tidal; NT=Non-tidal; V=Vegetated; NV=Non-Vegetated; PFO=Palustrine Fores ted Wetland; PSS=Palus trine Scrub-Shrub W etland; PEM=Palus trine Emergent Wetland; POW= Palustrine Open Water; EIW = Es tuarine Intertidal W etlands; R3= Upper Perennial Streams; R4=Intermittent Streams; R6 = Ephemeral Streams
Res ource Identification
Confirma tion ResourceDescriptionNotes*
Tota l W e tla nd Are a =19,904 sq ft 0.46 a c
1 09/24/19 Per COE visit 8-21-2019
DRAWING DESCRIPTION
PROJECT NAME & LOCATION
SHEET NUMBERSCALE6 of 6
DATE 03/06/2019
DESIGNED BY / DRAWN BY
PROJECT NAME
L. WHEELER
STONY KNOLL
A
A
gM/
gM/
gM/
gM/
gM/
!(K2
!(L2
")P
")Q
FDS-28E2-1
FDS-28J2-1
28E2-5
28F2-7
28E2-12
28E2-20
28E2-30
9409359309259209159109059008958908858759
8
0
9
7
5
9
7
0
9
6
5
955
945 9008958908858808758 7 0
8 6 5
860
9359
3
09
259209
1
59
1
0 9159109059008959209159109059 1 5
9 1 0
9 0 5
9
9
5
990
985
970965960960955950960
9559509459609 5 5
9 4 0
9 3 5
9 3 0
9259008 9 5
870865
8 5 0
845
9508 8 0
1000 855950
930
OldRockfordR d
Tan
gle H
olly Ln
1 " = 100 'H:
FIGURE 4:WETLANDS ANDWATERS OF THEU.S. DELINEATIONMAP
REVISIONS
MM/DD/YY#DESCRIPTION
These plans and associated documents are theexclusive property of TIMMONS GROUP andmay not be reproduced in whole or in part andshall not be used for any purpose whatsoever,inclusive, but not limited to construction, bidding,and/or construction staking without the expresswritten consent of TIMMONS GROUP.
PROJECT NUMBER43264STONY KNOLSURRY COUNTY, NORTH CAROLINA1001 Boulders Parkway, Suite 300Richmond, VA 23225TEL [phone]www.timmons.com[
PLANS PRINTED AS 11X17 ARE HALF SCALE0100200
SCALE (FEET)
Y:\805\43264-Stony_Knoll_Solar\GIS\Wetland Delineation\43264-WTDM.mxd
1. Waters of the U.S. within theproject study limits have beenlocated using submeter, BluetoothGPS antennas by TimmonsGroup.2.Waters of the U.S. have notbeen confirmed by the U.S. ArmyCorps of Engineers.3. Project limits are approximate.4. Topography based on USGSLiDAR.5. Cowardin StreamClassifications are based solelyon field observations. No formalStream assessment methodologywas completed to determine theseCowardin Classifications.
Sheet 3
Sheet 5
Sheet 2
Sheet 6
Sheet 4
Legend
Project Limits - 364.3 Acres
gM/Wetland Flag
A Field Data Station
")X Stream Identifier
!(X Wetland Identifier
Overland Flow (Significant Nexus)
Culvert
Perennial Stream (R 3; RPW )
Intermittent Stream (R4; RPW )
Ephemeral Stream (R 6; W OTU S)
Palustrine Emergent Wetlands (PE M; WOTUS)
Palustrine Forested Wetlands (PFO; WOTUS )
Palustrine Scrub-Shrub Wetl ands (PS S; WOTUS )
5' Topographic Contours
Major
Minor
PFO(s q ft)PSS(sq ft)PEM(sq ft)POW(s q ft)R3(lf)R4(lf)R6(lf)Ditch(lf)A 4,388 NT / NV
B 260 NT / NVC183NT / NVD167NT / NVE6,314 NT / NV
F 547 NT / NV
G 373 NT / NV
H 58 NT / NVI100NT / NVJ25NT / NVK1,742 NT / NV
L 666 348 NT / NV
M 176 NT / NV
N 510 NT / NV
O 15 NT / NVP89745NT / NVQ163NT / NVR1,213 NT / V
S 564 NT / V
T 222 NT / V
U 820 NT / V
V 1,967 NT / VW1,328 NT / VX227NT / VY4,768 NT / V
Z 409 NT / V
A2 1,160 NT / V
B2 1,003 NT / VC2308NT / VD21,441 NT / VE2571NT / V
F2 290 NT / V
G2 764 NT / V
H2 343 NT / V
I2 414 NT / VJ21,962 NT / VK267NT / VL263NT / V
Tota l 11,718 7,550 636 0 13,301 3,618 58 0
Tota l Stre a m Le ngth =16,977 lf
* T=Tidal; NT=Non-tidal; V=Vegetated; NV=Non-Vegetated; PFO=Palustrine Fores ted Wetland; PSS=Palus trine Scrub-Shrub W etland; PEM=Palus trine Emergent Wetland; POW= Palustrine Open Water; EIW = Es tuarine Intertidal W etlands; R3= Upper Perennial Streams; R4=Intermittent Streams; R6 = Ephemeral Streams
Res ource Identification
Confirma tion ResourceDescriptionNotes*
Tota l W e tla nd Are a =19,904 sq ft 0.46 a c
1 09/24/19 Per COE visit 8-21-2019

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers

This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.

SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): 11/06/19

B. DISTRICT OFFICE, FILE NAME, AND NUMBER: RGA-2019-01299 Stony Knoll Solar

C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: North Carolina County/parish/borough: Surry County City: Stony Knoll (closest township)
Center coordinates of site (lat/long in degree decimal format): Lat. 36.287611 ° N, Long. 80.65847° W.
Universal Transverse Mercator: NAD 83
Name of nearest waterbody: West Double Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Yadkin River
Name of watershed or Hydrologic Unit Code (HUC): 03040101
Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
Check if other sites (e.g., offsite mitigation sites, disposal sites, etc…) are associated with this action and are recorded on a
different JD form.

D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s): 8/21/2019

SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.

There Are no “navigable waters of the U.S.” within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain: .

B. CWA SECTION 404 DETERMINATION OF JURISDICTION.

There Are “waters of the U.S.” within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]

1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): 1
TNWs, including territorial seas
Wetlands adjacent to TNWs
Relatively permanent waters2 (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
Isolated (interstate or intrastate) waters, including isolated wetlands

b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: (R3, RPW) - 13,301 linear feet, (R4, RPW) - 3,618 linear feet, and R6 (Non-RPW, WOTUS) - 58 linear
feet: total -16,977 linear feet: 10 width (ft) and/or acres.
Wetlands: acres.

c. Limits (boundaries) of jurisdiction based on: Established by OHWM.
Elevation of established OHWM (if known): .

2. Non-regulated waters/wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain: .

1 Boxes checked below shall be supported by completing the appropriate sections in Section III below.
2 For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least “seasonally”
(e.g., typically 3 months).
3 Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS

A. TNWs AND WETLANDS ADJACENT TO TNWs

The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.

1. TNW
Identify TNW: .

Summarize rationale supporting determination: .

2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is “adjacent”: .

B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):

This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.

The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are “relatively permanent
waters” (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.

A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.

If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.C below.

1. Characteristics of non-TNWs that flow directly or indirectly into TNW

(i) General Area Conditions:
Watershed size: >50 acres
Drainage area: >50 Pick List
Average annual rainfall: 45 inches
Average annual snowfall: 4 inches

(ii) Physical Characteristics:
(a) Relationship with TNW:
Tributary flows directly into TNW.
Tributary flows through 2 tributaries before entering TNW.

Project waters are 1 (or less) river miles from TNW.
Project waters are 1 (or less) river miles from RPW.
Project waters are 1 (or less) aerial (straight) miles from TNW.
Project waters are 1 (or less) aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain: .

Identify flow route to TNW5: West Double Creek and its unnamed tributaries, as well as an unamed tributary of the
Yadkin River and its tributaries are both flow south to southeast and converge with the Yadkin River (TNW)

4 Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the arid
West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

.
Tributary stream order, if known: .

(b) General Tributary Characteristics (check all that apply):
Tributary is: Natural
Artificial (man-made). Explain: .
Manipulated (man-altered). Explain: .

Tributary properties with respect to top of bank (estimate):
Average width: 10 feet
Average depth: 2 feet
Average side slopes: 2:1.

Primary tributary substrate composition (check all that apply):
Silts Sands Concrete
Cobbles Gravel Muck
Bedrock Vegetation. Type/% cover:
Other. Explain: .

Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain: Eroding with sloughing banks.
Presence of run/riffle/pool complexes. Explain: There is the presence of riffle/pool complexes throughout RPWs.
Tributary geometry: Relatively straight
Tributary gradient (approximate average slope): 1-2 %

(c) Flow:
Tributary provides for: Seasonal flow
Estimate average number of flow events in review area/year: 20 (or greater)
Describe flow regime: Perennial.
Other information on duration and volume: .

Surface flow is: Discrete and confined. Characteristics: .

Subsurface flow: Unknown. Explain findings: .
Dye (or other) test performed: .

Tributary has (check all that apply):
Bed and banks
OHWM6 (check all indicators that apply):
clear, natural line impressed on the bank the presence of litter and debris
changes in the character of soil destruction of terrestrial vegetation
shelving the presence of wrack line
vegetation matted down, bent, or absent sediment sorting
leaf litter disturbed or washed away scour
sediment deposition multiple observed or predicted flow events
water staining abrupt change in plant community
other (list):
Discontinuous OHWM.7 Explain: .

If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
High Tide Line indicated by: Mean High Water Mark indicated by:
oil or scum line along shore objects survey to available datum;
fine shell or debris deposits (foreshore) physical markings;
physical markings/characteristics vegetation lines/changes in vegetation types.
tidal gauges
other (list):

(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain: Water color is clear.
Identify specific pollutants, if known: .

6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody’s flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
7Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
Riparian corridor. Characteristics (type, average width): forested, 100+ feet .
Wetland fringe. Characteristics: .
Habitat for:
Federally Listed species. Explain findings: .
Fish/spawn areas. Explain findings: Perennial waterbodies support fishes.
Other environmentally-sensitive species. Explain findings: .
Aquatic/wildlife diversity. Explain findings: supports amphibians and fishes.

2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW

(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain: .
Wetland quality. Explain: .
Project wetlands cross or serve as state boundaries. Explain: .

(b) General Flow Relationship with Non-TNW:
Flow is: Pick List. Explain: .

Surface flow is: Pick List
Characteristics: .

Subsurface flow: Pick List. Explain findings: .
Dye (or other) test performed: .

(c) Wetland Adjacency Determination with Non-TNW:
Directly abutting
Not directly abutting
Discrete wetland hydrologic connection. Explain: .
Ecological connection. Explain: .
Separated by berm/barrier. Explain: .

(d) Proximity (Relationship) to TNW
Project wetlands are Pick List river miles from TNW.
Project waters are Pick List aerial (straight) miles from TNW.
Flow is from: Pick List.
Estimate approximate location of wetland as within the Pick List floodplain.

(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain: .
Identify specific pollutants, if known: .

(iii) Biological Characteristics. Wetland supports (check all that apply):
Riparian buffer. Characteristics (type, average width): .
Vegetation type/percent cover. Explain:Forested/ 100% cover.
Habitat for:
Federally Listed species. Explain findings: .
Fish/spawn areas. Explain findings: .
Other environmentally-sensitive species. Explain findings: .
Aquatic/wildlife diversity. Explain findings: .

3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: Pick List
Approximately ( ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:

Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)

Summarize overall biological, chemical and physical functions being performed: .

C. SIGNIFICANT NEXUS DETERMINATION

A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.

Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?

Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:

1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D: .

2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D: Non-RPW or overland flow serves as jurisditional connection/significant nexus
between wetlands and stream. Stream perenniality was determined using NC DWQ Stream Identificaton Form Version 4.1.

3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III.D: .

D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):

1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.

2. RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial: Stream perenniality was determined using NC DWQ Stream Identificaton Form Version 4.11e.
Tributaries of TNW where tributaries have continuous flow “seasonally” (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally: Stream perenniality was determined using NC DWQ Stream Identificaton Form Version 4.11.

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: 16,919 linear feet 10 width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters: .

3. Non-RPWs8 that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.

Provide estimates for jurisdictional waters within the review area (check all that apply):
Tributary waters: 58 linear feet 4 width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters: .

4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW: .

Wetlands directly abutting an RPW where tributaries typically flow “seasonally.” Provide data indicating that tributary is
seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW: .

Provide acreage estimates for jurisdictional wetlands in the review area: acres.

5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.

Provide acreage estimates for jurisdictional wetlands in the review area: acres.

6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.

Provide estimates for jurisdictional wetlands in the review area: acres.

7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from “waters of the U.S.,” or
Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).

E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):10
which are or could be used by interstate or foreign travelers for recreational or other purposes.
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
which are or could be used for industrial purposes by industries in interstate commerce.
Interstate isolated waters. Explain: .
Other factors. Explain: .

8See Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Identify water body and summarize rationale supporting determination: .

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters: .
Wetlands: acres.

F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
Prior to the Jan 2001 Supreme Court decision in “SWANCC,” the review area would have been regulated based solely on the
“Migratory Bird Rule” (MBR).
Waters do not meet the “Significant Nexus” standard, where such a finding is required for jurisdiction. Explain: .
Other: (explain, if not covered above): .

Provide acreage estimates for non-jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
Other non-wetland waters: acres. List type of aquatic resource: .
Wetlands: acres.

Provide acreage estimates for non-jurisdictional waters in the review area that do not meet the “Significant Nexus” standard, where such
a finding is required for jurisdiction (check all that apply):
Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes/ponds: acres.
Other non-wetland waters: acres. List type of aquatic resource: .
Wetlands: acres.

SECTION IV: DATA SOURCES.

A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant: .
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
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: .
USDA Natural Resources Conservation Service Soil Survey. Citation: .
National wetlands inventory map(s). Cite name: .
State/Local wetland inventory map(s): .
FEMA/FIRM maps: .
100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
Photographs: Aerial (Name & Date): .
or Other (Name & Date): Site photographs.
Previous determination(s). File no. and date of response letter: .
Applicable/supporting case law: .
Applicable/supporting scientific literature: .
Other information (please specify): .

B. ADDITIONAL COMMENTS TO SUPPORT JD: .

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers

This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.

SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):

B. DISTRICT OFFICE, FILE NAME, AND NUMBER:

C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State:North Carolina County/parish/borough: Surry County City: Stony Knoll (closest township)
Center coordinates of site (lat/long in degree decimal format): Lat. 36.287611° N, Long. 80.65847° W.
Universal Transverse Mercator: NAD 83
Name of nearest waterbody: West Double Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Yadkin River
Name of watershed or Hydrologic Unit Code (HUC): 03040101
Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
Check if other sites (e.g., offsite mitigation sites, disposal sites, etc…) are associated with this action and are recorded on a
different JD form.

D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s): 8/21/2019

SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.

There Are no “navigable waters of the U.S.” within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain: .

B. CWA SECTION 404 DETERMINATION OF JURISDICTION.

There Are “waters of the U.S.” within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]

1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): 1
TNWs, including territorial seas
Wetlands adjacent to TNWs
Relatively permanent waters2 (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
Isolated (interstate or intrastate) waters, including isolated wetlands

b. Identify (estimate) size of waters of the U.S. in the review area:
Non-wetland waters: linear feet: width (ft) and/or acres.
Wetlands: PFO - 0.27 acres, PSS - 0.17 acres, PEM - 0.02 acres, total WOTUS - 0.46 acres.

c. Limits (boundaries) of jurisdiction based on: 1987 Delineation Manual
Elevation of established OHWM (if known): .

2. Non-regulated waters/wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain: .

1 Boxes checked below shall be supported by completing the appropriate sections in Section III below.
2 For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least “seasonally”
(e.g., typically 3 months).
3 Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS

A. TNWs AND WETLANDS ADJACENT TO TNWs

The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.

1. TNW
Identify TNW: .

Summarize rationale supporting determination: .

2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is “adjacent”: .

B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):

This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.

The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are “relatively permanent
waters” (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.

A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.

If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.C below.

1. Characteristics of non-TNWs that flow directly or indirectly into TNW

(i) General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches

(ii) Physical Characteristics:
(a) Relationship with TNW:
Tributary flows directly into TNW.
Tributary flows through Pick List tributaries before entering TNW.

Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from TNW.
Project waters are Pick List aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain: .

Identify flow route to TNW5: .

4 Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the arid
West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

.
Tributary stream order, if known: .

(b) General Tributary Characteristics (check all that apply):
Tributary is: Natural
Artificial (man-made). Explain: .
Manipulated (man-altered). Explain: .

Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: Pick List.

Primary tributary substrate composition (check all that apply):
Silts Sands Concrete
Cobbles Gravel Muck
Bedrock Vegetation. Type/% cover:
Other. Explain: .

Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain: .
Presence of run/riffle/pool complexes. Explain: .
Tributary geometry: Pick List
Tributary gradient (approximate average slope): %

(c) Flow:
Tributary provides for: Pick List
Estimate average number of flow events in review area/year: Pick List
Describe flow regime: .
Other information on duration and volume: .

Surface flow is: Pick List. Characteristics: .

Subsurface flow: Pick List. Explain findings: .
Dye (or other) test performed: .

Tributary has (check all that apply):
Bed and banks
OHWM6 (check all indicators that apply):
clear, natural line impressed on the bank the presence of litter and debris
changes in the character of soil destruction of terrestrial vegetation
shelving the presence of wrack line
vegetation matted down, bent, or absent sediment sorting
leaf litter disturbed or washed away scour
sediment deposition multiple observed or predicted flow events
water staining abrupt change in plant community
other (list):
Discontinuous OHWM.7 Explain: .

If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
High Tide Line indicated by: Mean High Water Mark indicated by:
oil or scum line along shore objects survey to available datum;
fine shell or debris deposits (foreshore) physical markings;
physical markings/characteristics vegetation lines/changes in vegetation types.
tidal gauges
other (list):

(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain: .
Identify specific pollutants, if known: .

6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody’s flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
7Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
Riparian corridor. Characteristics (type, average width): .
Wetland fringe. Characteristics: .
Habitat for:
Federally Listed species. Explain findings: .
Fish/spawn areas. Explain findings: .
Other environmentally-sensitive species. Explain findings: .
Aquatic/wildlife diversity. Explain findings: .

2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW

(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size:0.46 acres
Wetland type. Explain: PFO, PSS, PEM (all WOTUS) .
Wetland quality. Explain:onsite wetlands are all small seeps abutting or adjacent to streams .
Project wetlands cross or serve as state boundaries. Explain: No.

(b) General Flow Relationship with Non-TNW:
Flow is: Intermittent flow. Explain: Wetland surface water releases at higher rain events. Wetlands flow into the culvert
and then into the tributary.

Surface flow is: Discrete
Characteristics: .

Subsurface flow: Unknown. Explain findings: .
Dye (or other) test performed: .

(c) Wetland Adjacency Determination with Non-TNW:
Directly abutting
Not directly abutting
Discrete wetland hydrologic connection. Explain: One wetland flows into RPW via well defined Non-RPW.
Ecological connection. Explain: .
Separated by berm/barrier. Explain: .

(d) Proximity (Relationship) to TNW
Project wetlands are 1 (or less) river miles from TNW.
Project waters are 1 (or less) aerial (straight) miles from TNW.
Flow is from: Wetland to navigable waters.
Estimate approximate location of wetland as within the 2 - 5-year floodplain.

(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain: water color is clear.
Identify specific pollutants, if known: .

(iii) Biological Characteristics. Wetland supports (check all that apply):
Riparian buffer. Characteristics (type, average width):forested 100+.
Vegetation type/percent cover. Explain:Forested/ Emergent/scrub-shrub/no cover.
Habitat for:
Federally Listed species. Explain findings: .
Fish/spawn areas. Explain findings: .
Other environmentally-sensitive species. Explain findings: .
Aquatic/wildlife diversity. Explain findings:Supports amphibians.

3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: 15-20
Approximately ( 0.46 ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:

Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
All wetlands directly abut an RPW with exception of Wetland E2 (0.013 acre) and Wetland U (0.019 acre). Please see
Figure 4: Wetlands and Waters of the U.S. Delineation Map for location and size of each wetland feature. Total wetlands on-site
are 0.46 acre (over 21 individual wetland areas).

Summarize overall biological, chemical and physical functions being performed: These wetlands in concert and
individually perform typically wetland functions to include but limited to filtration, removal of polluttants and wildlife habitat for
amphibian and terrestrial species. These wetlands appear to be functioning and have not been impaired from past/current
disturbances. In the cases of adjacent wetlands, these wetlands also provide floodwater retention and treatment and collect naturally
occurring sediment/alluvial deposition.

C. SIGNIFICANT NEXUS DETERMINATION

A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.

Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?

Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:

1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D: .

2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D: Non-RPW or overland flow serves as jurisditional connection/significant nexus
between wetland and stream.

3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III.D: .

D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):

1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.

2. RPWs that flow directly or indirectly into TNWs.

Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial: .
Tributaries of TNW where tributaries have continuous flow “seasonally” (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally: .

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters: .

3. Non-RPWs8 that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.

Provide estimates for jurisdictional waters within the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters: .

4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW: Some wetlands are physically connected to perennial stream which has year round flow.
Stream perenniality was determined using NC DWQ Stream Identificaton Form Version 4.11e.

Wetlands directly abutting an RPW where tributaries typically flow “seasonally.” Provide data indicating that tributary is
seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW: Several wetlands directly abut "seasonally" flowing RPW. Stream perenniality was determined using
NC DWQ Stream Identificaton Form Version 4.11e .

Provide acreage estimates for jurisdictional wetlands in the review area: 0.43 acres.

5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.

Provide acreage estimates for jurisdictional wetlands in the review area: 0.01 acres.

6. Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.

Provide estimates for jurisdictional wetlands in the review area: 0.02 acres.

7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from “waters of the U.S.,” or
Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).

8See Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.

E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):10
which are or could be used by interstate or foreign travelers for recreational or other purposes.
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
which are or could be used for industrial purposes by industries in interstate commerce.
Interstate isolated waters. Explain: .
Other factors. Explain: .

Identify water body and summarize rationale supporting determination: .

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non-wetland waters: acres.
Identify type(s) of waters: .
Wetlands: acres.

F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
Prior to the Jan 2001 Supreme Court decision in “SWANCC,” the review area would have been regulated based solely on the
“Migratory Bird Rule” (MBR).
Waters do not meet the “Significant Nexus” standard, where such a finding is required for jurisdiction. Explain: .
Other: (explain, if not covered above): .

Provide acreage estimates for non-jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
Non-wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
Other non-wetland waters: acres. List type of aquatic resource: .
Wetlands: acres.

Provide acreage estimates for non-jurisdictional waters in the review area that do not meet the “Significant Nexus” standard, where such
a finding is required for jurisdiction (check all that apply):
Non-wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes/ponds: acres.
Other non-wetland waters: acres. List type of aquatic resource: .
Wetlands: acres.

SECTION IV: DATA SOURCES.

A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant: .
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report.
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: .
USDA Natural Resources Conservation Service Soil Survey. Citation: .
National wetlands inventory map(s). Cite name: .
State/Local wetland inventory map(s): .

10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

FEMA/FIRM maps: .
100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
Photographs: Aerial (Name & Date): .
or Other (Name & Date): Site photographs.
Previous determination(s). File no. and date of response letter: .
Applicable/supporting case law: .
Applicable/supporting scientific literature: .
Other information (please specify): .

B. ADDITIONAL COMMENTS TO SUPPORT JD: .