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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 39 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non-404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes ❑X 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.
❑X Yes ❑ No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
Sunset Road Industrial
2b.
County:
Mecklenburg County
2c.
Nearest municipality / town:
Charlotte
2d.
Subdivision name:
n/a
2e.
NCDOT only, T.I.P. or state project no:
n/a
3.
Owner Information
3a.
Name(s) on Recorded Deed:
BVB Properties
3b.
Deed Book and Page No.
03315-035, 05321-384, 05062-851, 20304-278, 20268-371
3c.
Responsible Party (for LLC if
applicable):
BV Belk Jr.
3d.
Street address:
204-C West Woodlawn Road
3e.
City, state, zip:
Charlotte, NC 28217
3f.
Telephone no.:
704.532.0028
3g.
Fax no.:
n/a
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

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:
Chris Huysman
5b.
Business name
(if applicable):
Wetlands & Waters, Inc.
5c.
Street address:
328 East Broad Street, Suite D
5d.
City, state, zip:
Statesville, NC 28677
5e.
Telephone no.:
336.406.0906
5f.
Fax no.:
n/a
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
04124201,04124202, 04124203, 04124204, 04124206
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.3059 Longitude:-80.84298
1c.
Property size:
27 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Dillons Twins Lakes, connecting to Irwin Creek
2b.
Water Quality Classification of nearest receiving water:
C
2c.
River basin:
Catawba
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:
Existing conditions, prior to site grading, was vacant land consisting of mid -successional woodlands. The existing land use in the vicinity of the project
consists of a mixture of residential, commercial and industrial development.
3b.
List the total estimated acreage of all existing wetlands on the property: 0.22
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 220
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct an industrial building facility, proximate to Interstate 77, to be used for distribution.
3e. Describe the overall project in detail, including the type of equipment to be used:
See cover letter for project description. Typical equipment such as dozers, track hoes, and trucks will be used.
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑X Yes ❑ No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑X Preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): C. Huysman
Agency/Consultant Company: Wetlands & Waters, Inc.
Other: H&B, Inc. (previous)
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
this project (including all prior phases) in the past?
❑Yes ❑X No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X 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.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill (NWP 39)
Headwater Wetland
Yes
Corps
0.22
W2
Choose one
Choose one
Yes/No
W3
Choose one
Choose one
Yes/No
W4
Choose one
Choose one
Yes/No
W5
Choose one
Choose one
Yes/No
W6
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.22
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.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Fill
UT-1 to Irwin Creek
INT
Corps
2
70
S2 P
Fill
UT-2 to Irwin Creek
INT
Corps
2
150
S3 P
Choose one
S4 P
Choose one
S5
Choose one
S6
Choose one
3h. Total stream and tributary impacts
220
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

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 indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
Choose one
Choose
02
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1
Yes/No
B2
Yes/No
B3
Yes/No
B4
Yes/No
B5
Yes/No
B6
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Project has been designed in order to maintain a wooded perimeter buffer, and to avoid grading within existing utility easements. Wetland impacts are
necessary in order to achieve a building pad sufficient to support the proposed use. The majority of the stream impacts are necessary in order to
construct a minor collector road, as mandated by local ordinance, which has separate utility from the proposed project.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Project has been graded under a locally approved sediment and erosion control plan to ensure that materials incidental to grading and construction are
not transported into downstream receiving waters.
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?
❑X Yes ❑ No
2b.
If yes, mitigation is required by (check all that apply):
❑ DWQ ❑X Corps
2c.
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑X Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Stream
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑X Yes
4b.
Stream mitigation requested:
660 linear feet
4c.
If using stream mitigation, stream temperature:
warm
4d.
Buffer mitigation requested (DWQ only):
square feet
4e.
Riparian wetland mitigation requested:
acres
4f.
Non -riparian wetland mitigation requested:
0.44 acres
4g.
Coastal (tidal) wetland mitigation requested:
acres
4h.
Comments: See cover letter for mitigation discussion
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 6 of 10
PCN Form — Version 1.4 January 2009

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
❑ Yes ❑X No
buffer mitigation?
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.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(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 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
30 %
2b.
Does this project require a Stormwater Management Plan?
❑X Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
Project will adhere to applicable stormwater requirements under review of City of Charlotte.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
City of Charlotte
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
City of Charlotte
❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑X Other: City of Charlotte
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑Yes ❑X No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
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 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ❑X No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑X Yes ❑ No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
DYes ❑ No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
See attached cover letter. These are self reported unauthorized impacts.
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑Yes ❑X 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 prollect, or available capacity of the subject facility.
Project includes to tie downstream facilities.
construction of sanitary sewer into receiving
Page 9 of 10
PCN Form — Version 1.4 January 2009

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.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NO Natural Heritage Program generated report indicates only a historical account of a federally protected species within a mile of 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 ❑X 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?
NO SHPO Web GIS services.
S. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year ftoodplain?
❑ Yes © No
8b, if yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
FEMA National Flood Hazard Layer
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Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agenrs signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

Additional Project Information
Date:8/16/21
Corps Agent: Bryan Roden Reynolds (Prior Agent: William Elliot)
State Agent: Alan Johnson
The purpose of the project is to construct an industrial distribution site and roads within a project
known as Sunset Road Industrial Site. On June 18, 2020 the owner/applicant, the purchaser, and W&W
staff met with the Corps to self -report unauthorized impacts and seek guidance on an after the fact
permit authorization for the site.
The site, comprised of approximately 27 acres, is located at the intersection of Sunset Road and
Millhaven Lane proximate to both Interstates 77 and 85. The assemblage includes parcels that were
reviewed under Action ID 2009-01478; a copy of the PJD is included for consideration as Appendix 1.
The site had undergone some preliminary grading because it is ideally situated to be developed as an
industrial site or a distribution center (Attachment 1.). The preliminary grading permit was issued by the
City of Charlotte without any comments relating to wetlands or waters. In fact, the attached approved
plans are a Revision To Approved Plan (RTAP) meaning that the plan was reviewed not once but twice
(Attachment 2.) Further, City inspectors conducted field reviews prior to and during grading. A prior
wetland delineation conducted by our office, including site vicinity and other resource maps, is included
for reference in the attachments (Attachment 3). W&W completed an after the fact SAM form to assist
in determining what a suitable mitigation ration may be (Attachment 4). The impacts were discovered
by the applicant during the due diligence process.
Based on the attached maps provided by the applicant (Attachment 1), it appears that 220 linear feet of
intermittent streams and 0.22 acres of headwaters wetlands have been impacted by the preliminary
grading for the construction of a distribution center and a City mandated public access road. The site
plan illustrates sufficient paved areas to circulate both tractor trailers and delivery vans between two
large rectangular buildings, allocates areas for stormwater BMP's, and depicts access points into the
project area. The City is mandating that a public street be constructed along the southern boundary of
the site to improve safety and alleviate congestion concerns at the intersection of Milhaven and Sunset.
But for the zoning mandate, the applicant would not construct the road because suitable access to and
circulation within the site can be achieved without its construction.
The project is located in Catawba HUC 03050103 and mitigation will be achieved through a purchase of
credits from the NC Division of Mitigation Services. Wetland mitigation for impacts to the headwaters
wetlands will be at a 2:1 ratio and stream mitigation for the intermittent streams will be at a 1.5:1 ratio.
The customary wetland ratio is based on our review of the wetland data -forms and photographs
included in a prior jurisdiction determination request (Attachment 3). Stream mitigation is proposed at

a 1.5:1 ratio in consideration of the following factors: 1) One stream was assessed to be weakly
intermittent scoring just 21.5 points on forms submitted with the PJD request. 2) Another stream was
the outlet of a "non -regulated" BMP that flowed after storm events. 3) The applicant is providing
stormwater management for the public road that they do not need for their project but are required to
build as a zoning requirement and 4) SAM forms would likely have ranked the features in the medium
range based on a review of our files.

Mto] 4411►1C - ►
WHEREAS, the United States of America, on behalf of the United States Anny
Corps of Engineers (Corps) may file a complaint against BVB Properties (i.e., BV Belk
Jr. ("potential defendants)") for, inter ilia, alleged violations of Sections 301(a), 309, &
404 of the Clean Water Act ("MA"), 33 U.S.C. Sections 1311(a), 1319, & 1344 and/or
Section 9, 10, or 13 of the Rivers and Harbors Act of 1899, 33 U.S.C.
Sections 40t, 403, or 447, and/or Ocean Dumping Act Sections 101 and/or 103 (33
U.S.C. 1411, 1413), at a site commonly known as Sunset Road (PIN: SAW-2049-0 1478).
WHEREAS, the purpose of any such complaint would be to obtain appropriate
injunctive relief and to impose appropriate civil or criminal penalties for potential
defendant'(s) alleged violations of the statute(s) cited above;
WHEREAS, the Carps accepted an after -the -fact (ATF) permit application from
the potential defendant(s) in an attempt to settle the above claims;
WHEREAS, both parties believe that their interests will best be served by
continuing the ATF permit process without the disruption that might be occasioned
should the United States file a complaint in the immediate future;
AND WHEREAS both parties acknowledge the requirement found at 33 CYK
331.11(c) for an applicant for an ATF permit to provide a signed tolling agreement;
THEREFORE, the United States and potential defendant(s) stipulate and agree as
follows:

. The United States and potential defendants) agree that the time between the
acceptance by the Corps of the ATF pen -nit application and the final Corps decision (as
defined at 33 CFR 331.10), plus one year thereafter, will not be included in calculating
any statute of limitations that might be applicable to the alleged statutory violation(s)
described above. Potential defendants agree not to assert, plead, or raise in any fashion
on behalf of any party, whether by answer, motion, or otherwise, any defense or
avoidance based on the running of any statute of limitations that may apply during that
period or any defense or avoidance based on lathes or other principle concerning the
timeliness of commencing a civil action, based on the failure of the United States to file
its complaint during that period.
2. Potential defendants further agree not to transfer the property in question
during the pendency of this tolling agreement nor during the pendency of any civil action
brought as described above, without first notifying the United States and giving the
United States a reasonable opportunity to oppose such transfer. Notwithstanding the
foregoing, the United States acknowledges that the potential defendant has notified the
United States that it intends to transfer ownership of the property to SunCap Property
Group, LLC or affiliate and the United States hereby confirms that it does not oppose
such transfer to SunCap Property Group, LLC or affiliate.
3. Nothing in this tolling agreement shall restrict or otherwise prevent the
United States from filing a complaint regarding any alleged statutory violation(s) not
described above, at any time.
4. This tolling agreement does not constitute any admission of liability on the
part of potential defendants; nor does it constitute any admission or acknowledgment on
the part of the United States that any statute of limitations has run or that any statute of
limitations is applicable to the statutory claims described above.
5. This tolling agreement contains the entire agreement between the parties, and
no statement, promise or inducement made by any party to this agreement, or any agent
of such, parties, that is not set forth in this agreement shall be valid or binding. This
tolling agreement may not be enlarged, modified or altered except in writing signed by

the parties. This tolling agreement may be executed in counterparts.

FOR the United States of America:
District Counsel
Wilmington District, U.S. Army Corps of Engineers
FOR ("potential defendants)")
DATE
odzlm
DATE

ROY COOPER
Governor
ELIZABETH S. BISER
Secretory
TIM BAUMGARTNER
Urrei tor'
BV Belk
BVB Properties
204-C West Woodlawn Road
Charlotte, NC 28217
Project: Sunset Road Industrial Site
NORTH CAROLINA
Environmental Quality
August 17, 2021
Expiration of Acceptance: 2/17/2022
County: Mecklenburg
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
River Basin
Impact Location
8-di it HUC
Impact Type
Impact Quantity
Catawba
03050103
Riparian Wetland
0.44
Catawba
03050103
Warm Stream
660
*DMS proposes to utilize the Catawba 03 Expanded Service Area to meet the mitigation requirement.
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010.
Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any questions or need
additional information, please contact [e-mail].
Sincerely,
FOR James. B Stanfill
Asset Management Supervisor
cc: Chris Huysman, agent
DNorth Carolina Department of Environmental Quality I Division of Mitigation Services
E217 West Jones Street 1 1652 Mail Service Center I Raleigh. North Carolina 27699-1652
a�^^c^'^•�� n 414.707.6976

Attachment 1
Impact Figure

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Attachment 3
Wetland Delineation

H J S1VA1`V E,7ir BANDY, , INC.
WETLAND AND ENVIRONMENTAL CONSULTANTS
September 15, 201S
US Army Corps of Engineers
Asheville Regulatory Field Office
Attn: Mr. William Elliott
151 Patton Avenue, Room 208
Asheville, North Carolina 28801.-5006
Re: Jurisdictional Determination Request
Sunset Road —18 acres
Mecklenburg County (Parcel ID: 04124201., 04124202, 04124206)
Milhaven Ln. Charlotte, Mecklenburg County, NC
William:
Huysman and Bandy, Inc., representing BV Belk Properties, is requesting issuance of a
preliminary Jurisdictional Determination for the above referenced property. The property is
located on Milhaven Lane near the intersection of Sunset Rd./US 21 and 1-77 in Charlotte,
Mecklenburg County, NC. The contact for this request is Mr. Randy Smith and he can be reached
at 704-562-0203.
H&B completed a detailed delineation of the subject property in September 2015. After field
investigation a jurisdictional wetland, flagged in the field as "1000 series" was found along with
two intermittent channels (see attached data forms). Also located was a non jurisdictional
existing BMP that appears to be holding water from a nearby busted sewer line. Please review
the attached documentation and figures in regard to the issuance of this request:
Attachments:
1. Agent Authorization Form
2. Preliminary Jurisdictional Determination Request Form
3. Jurisdictional Determination bequest Form
4. Tax Parcel Map
5. USGS topographic Map
6. Approximate Waters Map
7. Soil Survey Map
8. NWI Map
9. Site Photographs
10. Stream Classification
Christopher Huysman Tamp Bandy
170 Dew Drop Road 4108 LB Propst Drive
Sparta, NC 28675 Conover, NC 28613
336.406.0906 829.302.3437
Chris. [e-mail] [e-mail]

HUY"SMAN & DANDY, INC.
WETLAND AND ENVIRONMENTAL. CONSULTANTS
11. Wetland Data Forms
12. NC DWQ, Stream Identification Form
Please correspond if we need to provide any additional assistance or information necessary to
assist you with your review.
Sincerely,
Berry Isner
Christopher Huysman Tamp Bandy
170 Dew Drop Road 4108 CB Propst Drive
Sparta, NC 28675 Conover, NC 28613
336A06.0906 828,302.3437
[e-mail] [e-mail]

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name Sunset Road
2. Name of Property Owner/Applicant: BV Belk Investments
3. Name of Consultant/Agent: Huysman & Bandy, Inc. Attn: Chris Huysrmn f Perry Isner
*Agent authorization needs to be attacbed.
4. Related/Previous Action.ED number(s): DWR#
5. Site Address: Milhaven Lane, Charlotte, NC
6. Subdivision Name: N/A
7. City. Charlotte
8. County: Mecklenburg
9. Lat: 35.30529 Long:-80.84296 (Decimal Degrees Please }
10. Quadrangle Name: Derita
I I.. Waterway: Irwin Creek
12.Watershed: Catawba (HUC 030501050101)
13. Requested Action:
Nationwide Permit #
General Permit #
e� Jurisdictional Determination Request
Pre -Application Request
The following information will be completed by Corps office:
Prepare File Folder Assign number in ORM -- --- ----- Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name: Irwin Creek
Keywords:

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD): 911,115
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Ho sman & Bandy,Attn: Chris Hu sman j Perrylsner
17o Dew Drop Rd. Sparta, NC 28675
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
USACE AID:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Parcels 041-24-202, 041-24-201, 041-24-206; Mlllhaven Lane, Charlotte, NC
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC
Countylparish/borough: Mecklenburg City: Charlotte
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.30529 ON; Long.-8o•84296 11WV
Universal Transverse Mercator:
Name of nearest waterbody: Irwin, Creels
Identify (estimate) amount of waters in the review area:
Non-wetiand wafters:
22o linear feet: 3 width (ft) andlor acres.
Cowardin Class: riverinfe
Stream Flow: intermittent
Wetlands: 0•22 acres.
Cowardin Class: palustrine
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal:
Non -Tidal:

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
® Field Determination. Date(s): H&B Field Evaluation 0glio/1$
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should be included in case file and,
where checked and requested, appropriately reference sources below):
L .1 Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
Lin Data sheets prepared/submitted by or on behalf of the
app is nt/consultant.
Office concurs with data sheetsldelineation 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 PROJECT HUC 030501050101
11-21
U.S. Geological Survey map(s). Cite scale & quad name: Derita
USDA Natural Resources Conservation Service Soil Sui
Citation: WEB SOIL SURVEY OR PAPER COPY OF M
fyNational wetlands inventory map(s). Cite name: wetlands Mapper
n
State/Local wetland inventory maps):,
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
® Photographs: 1:1 Aerial (Name & Date): or
JZ Other (Name & Date):. 09/l0/15
❑ Previous determination(s). File no. and date of response letter: -
❑ Other information (please specify):
0)

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General permit (NWP) or other general permit verification requiring
"pre -construction notification" (PCN), or requests verification for a non -reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following. (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the united States, and precludes any challenge to
such jurisdiction in any administrative orjudicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant. to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
3

This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Cor s and should not be relied upon for
later 'urisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)
4

Site Number latitude Longitude
Wetland 1000 35.30518
Intermittent 35.30485
RPW 1
Intermittent 35.3054
RPW 2
11
Estimated
Cowardin amount of Class of aquatic
aquatic
Class resource
resource in
review area
-80.84362 Palustrine 0,22 ac nun -section 10 -
wetland
-80.84321 Riverine 70 linear feet sRPW
-80.8424 Riverine 150 linear feet sRPW

jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address:
City, State:
Milhaven Lane
Charlotte, NC
County: Mecklenburg
Directions: From 1-77 hake exit 16 towards Sunset Road east. Turn right
onto Millhaven Lane. Site is on the right.
Parcel Index Number(s) (PIN): 041-24-202 041 24-201 o41-24-2o6
B. REQUESTOR INFORMATION
Name: Perry Isner
Mailing Address: 17o Dew Drop Road, Sparta, NC 28675
Telephone Number: [phone]
Electronic Mail Address': [e-mail]
Select one:
ElI asn the current property owner.
I am an Authorized Agent or Environmental Consultantz
❑ Interested Buyer or Uncles- Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: BV Belk Investments
Mailing Address: 45o8 E. Independence Blvd. Suite 207
Charlotte, NC 28205
Telephone Number:
Electronic Mail Address:
® Proof of Ownership Attached (e.g. a copy of Deed, County GISfParcel/Tax Record data)
1 If available
Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

uris ictionai Determination Request
0. PROPERTY C MrNTFR CURTIpICATION¢
I, the undersized, a duly authorized owner of record of the propertylproperdes identified herein,
do authorize representatives of the Wiltrtington District, U.S, Army Corps of Engineers (Corps)
to eater upon the property herein, described for the purpose of conducting on -site investigations
and issuing a detenrination associated with Waters of the U.S, subject to Federal jurisdiction
under Section 404 of the Clean Water act and/or Section 10 of the Rivers and Harbors Act of
1899,
Pi operty Owner se print) Date
Property 0�viier Signature
E. JURISDIMONAL DETERMINATION TYPE
Select One:
RII am requesting that the Corps provide a pM9nIjA= JD for the property identified hereim
This request does include a delineation,
17 I mn requesting that the Corps provide a pmI_imiXtiy JD for the property identified herein.
This request hoes NOT include a delineation,
ElI ,am requesting that the Corps investigate the property/project area for the presence or
absence ofaUS 5 and provide an �€rved J-D fir the proper ty i derrtified herein. This
request does NOT include a request for a verified delineation.
t am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area, and provide an 4ppLQved ID (this may or may not -include a. survey plat).
l am requesting that the Corps evaluate and approve a delineation oi`WoUS (conduoted
by others) can a property/project area and provide an aopTaved Jp (may or may not
include a survey plat).
n For NCDOT requests following the current NCDOTMACE protocols, .skfp to Fart F
Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
® Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
® Size of Property or Project Area
+J-18 acres
I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marred or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
® Completed and signed PrelitninM Jurisdictional Determination l=onTO,
2 Project Coordinates: 35.30529 Latitude-80.84296 Longitude
Maps (too larger than I I x 17) with Project Boundary Overlay:
9 Large and small scale reaps that depict, at minimum: streets, intersections, towns
® Aerial Photography of the project area
® [ iSGS Topographic Map
1? Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR Wraps, i EMA floodplain reaps)
See Appendix A of this Form. From Regulatory Guidance Utter No, 08-02, dated June 26, 2008
Version. December 2013 page 5

jurisdictional Determination Request
Delineation Information (when applicable)7:
Wetlands:
® Wetland Data Sheets
Tributaries:
USACE Assessment Forms
�✓ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
® Landscape Photos, if taken
® Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations ofwetiand data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
Project Coordinates: 35.30529 Latitude w80.84296 Longitude
Maps (no larger than I l x l 7) with Project Boundary Overlay:
Fol
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetiand Inventory Map, Proposed Site Plan.,
previous delineation maps)
7 1987 Manual Regional Supplements and Data forms can be found at:
httjJw}vw.usace.armv.rrtil/Ilissirns/Ciuil;t�lorbs/fieulatarvPrcrrarr�andPerrnitslre supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
htt )ortal.ncdenr.or c documen tibrar et file?uuid=76f3c58b-dah8-4 50-ba43-45b7faf06f4c& rou ld=38364and,
http:/lwww.saw.usace.army.mil/Portaft[59/dots/regulatory/publicnotices/Z7013/NCSAM _Draft User Manual_130318.pdf
a Delineation Information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
Wetland Data Sheets9
1-1
Tributaries:
USAGE Assessment Forms
Upland Data Sheets Other Assessment Fors -as
(when appropriate)
QLandscape Photos, if taken
11 Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved 3Ds only)
Approved Jurisdictional Determination Fori-n(s) (also known as "Rapanos
Fcnn(s)")
Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Dellneatlon information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

jurisdictional Determination bequest
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard -
copy submittals include at least one original Plat to scale that is no larger than 11."xl7"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11 "x 17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a portable
Document. Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
WMust be sealed and signed by a licensed professional land surveyor
R1Must be to scale (all maps must include both a graphic scale and a verbal scale)
lil Must be legible
Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings/metes
and boundsfGPS coordinates of all surveyed delineation points
® Must clearly depict surveyed property or project boundaries
Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
ZWhen wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Cp
Version: December 2013 Page 8

jurisdictional Determination Request
zWhen tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marrs
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
reap) or, when no USGS name exists, identify as "unnamed tributary"
LJ ail depicted WoUS (wetland polygons and tributary lines) mast intersect or tie -to
surveyed project/property boundaries
Must include the location of wetland data points and/or tributary assessment
reaches
Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands", "non -
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
When the entice actual Jurysdictional Boundar is de icted:
include the following Corps Certification language:
`7his certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the law or our publishes' regulations, the determination of
Section 404 jurisdiction maybe relied upon for a period not to exceed five (S) years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Date:
USA CEAction ID No.:
When u lands Maybe present within a depicted Jurisdictional Boundar .
include the following Carps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may he relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Array Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title,
Date:
USACE Action ID No.:
Version: December 2013 page 10

jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
0 be at sub -meter accuracy at each survey point.
Elinclude are accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS and cross-referenced with the existing traditional property survey (metes and
bounds).
include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

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NC DENR - DMSON OF WATER QUALPFY 2 B .0300
.0308 CATAWBA RIVER BASIN
Name of Stream
Description
Class
Class
Date
Index No.
McGill Branch
From source to
Crowders
C
09/01/74
11-135-9
Creek
South Fork Crowders Creek
North Carolina
Portion
C
03/01/62
11-135-10
South Crowders Creek
From source to
South Fork
C
03/01/62
11-135-10-1
Crowders Creek
Unnamed Tributary at
From source to
Dam at
B
03/01/62
11-135-10-1-1-(1)
Sparrow Springs Lake
Sparrow Springs
Lake
ipparrow Springs Lake)
Unnamed Tributary at
Sparrow Springs Lake
From Dam at Sparrow Springs C
Lake to South Fork Crowders
Creek
03/01/62 11-135-10-1-1-(2)
Rocky Branch
From source to North
C
09/01/14
11-135-11
Carolina -South Carolina
State Line
Torrence Branch
From source to North
B
03/01/77
11-136
Carolina -South Carolina
State Line
Sugar Creek
From source to North
C
09/01/74
11-137
Carolina -South Carolina
State Line
Irwin Creek
From source to Sugar Creek
C
09/01/74
11-13'7-1
Dillons Twins Lakes and
Entire lakes and connecting
C
09/01/74
11-137-1--1
Lake Jo
streams to Irwin Creek
Stewart Creek
From source to Irwin Creek
C
09/01/74
11-137-1-2
Taggart Creek (laggard
From source to Sugar Creek
C
09/01/74
11-137-2
Creek)
Greenwood Lake
Entire lake and connecting
C
09/01/74
11-137-3
stream to Sugar Creek
Coffey Creek
From source to Sugar Creek
C
09/01/74
11-137-4
Whippoorwhill Lake
Entire lake and connecting
C
09/01/74
11-137-4-1
stream to Coffey Creek
Eagle Branch (Watt Lake,
From source to Dam at Eagle
B
03/01/62
11-137-4-2-(1)
Eagle Lake)
Lake
Eagle Branch
From Dam at Eagle Lake to
C
09/01/74
11-131-4�2-(2)
Coffey Creek
Maynard Lake
Entire lake and connecting
C
09/01/74
11-137-4-3
stream to Coffey Creek
Moody Lake
Entire lake and connecting
C
09/01/74
11-137-4-4
stream to Coffey Creek
Johnson Lake
Entire lake and connecting
C
09/01/74
11-137-4-5
stream to Coffey Creek
Spratt Lake
Entire lake and connecting
C
09/01/74
11-137-5
stream to Sugar Creek
Kings Branch
From source to Sugar Creek
C
09/01/74
11-131-6
McCullough Branch
From source to Sugar Creek
C
09/01/74
11-131-7
Page 37 of 40 2013-12-09 10.46:19

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecVSite: Sunset Road City/County: Charlotte, Mecklenburg Sampling Date: 091/0/15
Applicant/Owner: BV Belk State: NC Sampling point; DP 1
Investigator(s): Huysrnan Bandy Isner Section, Township, Range:
Landform (hillslope, terrace, etc.): fiat - Local relief (concave, convex, none): concave Slope (%): 1
Subregion (L.RR or ML.RA): LRR P Lat: 35.30532 Long:: 0.84386 Datum: WGS 84
Soil Map Unit Name: Helena NWl classification:
Are climatic I 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 VF 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, transacts, important features, etc.
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Soil Present? Yes _ No_ a within a Wetfand? Yes No
Wetland Hydrology Present? Yes. J No _
Remarks: WL Series
WL Type Appx. Acreage
24 HR Weather
Recent Weather
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required]
Primary Indicators minimum of one is required, c eck II h a I
Surface Soil Cracks (B6)
Surface Water (Al)
True Aquatic Plants (B14)
✓ Sparsely Vegetated Concave Surface (88)
High Water Table (A2)
Hydrogen Sulfide Odor (Cl)
✓ Drainage Patterns (810)
Saturation (A3)
Oxidized Rhlzospheres on Living Roots (C8)
..! Moss Trim Lines (1316)
Water Marks (81)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
Sediment Deposits (132)
Recent Iron Reduction in Tilled Soils (CE)
✓ Crayfish burrows (C8)
_ Drift Deposits (133)
Thin Muck Surface (07)
Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4)
Other (Explain in Remarks)
Stunted or Stressed Plants (131)
Iron Deposits (65)
Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
Water -Stained Leaves (139)
Microtopographio Relief (D4)
_ Aquatic Fauna (1313)
FAG -Neutral Test (D5)
Field observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
✓ Depth (inches):
�
Saturation Present? Yes No
✓ Depth (inches):
Wetland
Hydrology Present? Yes � No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) Use scientific names of plants.
Sunset Road
Sampling Point: DP 1
Tree Stratum (Plot size: 30' }
% Cover.
Species?
Status
1. Quercus phellos
-_ 30
Y
FAC
2. Morus alba
30
Y
UPL
s. Ulmus rubra
30
Y
FAG
4. Llauldambar styraciflua
20
N
FAC
110
= Total Cover
50% of total cover; 55
201/6
of total cover:
22
Sapling Stratum (Plot size: 15 }
1. Lidodendron tulipfera
25
Y
FACU
2. Morus alba _
25
Y
UPL.
3. Fraxinus Dennsvlvanica
15
Y
FACV1
4. Ulmus alata
5N
FACU
5. (✓OMUS SM
5_
_ N
6.
75 Total Cover
50% of total cover: 37.5 20% of total cover: 15
Shrub Stratum (Plot size: 15 + 1
1. baustum sinense 10 Y FACU
3.
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
Total Number of Dominant
Species Across All Strata: (8)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 50 (A/B)
Prevalence Index worksheets
Total % Cover of:
Multiply bv: .
0131-species
x 1 =
FACW species
x 2 =
FAG species
x 3 =
FACU species
x 4 =
UPI. species
x 5 =
Column Totals:
(A) (B)
Prevalence Index - B/A =
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >500%
3 - Prevalence Index is j3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must
6.
be present, unless disturbed or problematic.
---
10 = Total Cover
Definitions of Five Vegetation Strata:
500/0 of total cover: 5
20% of total cover:
Tree -Waady plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6 m) or more in height and 3 in.
1
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
2
3.
approximately 20 ft (6 m) or more in height and less
4.
than 3 in. (7.6 cm) 081-1_
5._ .
Shrub - Woody plants, excluding woody vines,
6
approximately 3 to 20 ft (1 to 6 m) in height.
7.
Herb -- All herbaceous (non -woody) plants, including
8
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
9.
ft (1 m) in height.
14.
Woody vine --All woody vines, regardless of height.
11.
Total Cover
50% of total cover:
20% of total cover:
Woody Vine Stratum (Plot size: 30r }
1. Smilax rotundifolia
5 Y FAC
2. Toxicodendron radicans
5 Y FAC
3. Parfhenocissus auinguefolia.........
5 Y FACU
4.
5'
Hydrophytic
= Total Cover
Vegetation
500/0 of total cover: 7.5
20% of total cover:_3_
Present? Yes Ito
Remarks: (include photo numbers here or on a separate sheet.)
U5 Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sunset Road
Sampling Point: DP 1
Profile Description: (Describe to the depth needed to document time indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
Inches
Color (moist)
%
Color (moist) 9',_
Tyne n
2
Texture Remarks
0-1
10 YR 4 /2
100
fine
1-6
10 YR 5 /3
50
10 YR 5 /4 40
C
M
fire
10YR 6 /2 10
C
M
6-14
10 YR 6 12
50
10 YR 6 A 50
C
M
fine
'Type: C=Concentration, D=Depletlon, RM=Reduced Matrix, MS=Masked Sane! Grains. `Location: PL=Pare Lining, WMatrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
r Histosof (Al)
_ Dark Surface (S7)
_ 2 cm Muck (Al0) (MLRA 147)
Histic Epipedon (A2)
— Polyvalue Below Surface (SS) (MLRA 147,148)
_ Coast Prairie Redox (Al 6)
�. Black Histic (A3)
_._. Thin Hark Surface (S9) (MLRA 147,148)
(MLRA 147,1481
Hydrogen Sulfide (A4)
— Loamy Gleyed Matrix (F2)
— Piedmont Floodplain Solis (F19)
Stratified Layers (A5)
Depleted Matrix (F8)
(MLRA 136,147)
_ 2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
_,,,,, Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (All)
_ Depleted Dark Surface (F7)
Other (Explain in Remarks)
'thick Dark Surface (Al2)
Aedox Depressions (F8)
Sandy Mucky Mineral (Si) (Lail N,
iron -Manganese Masses (F12) (LRR N,
MLRA 147,148)
MLRA 136)
Sandy Gfeyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136,122)
3indicators of hydrophytic vegetation and
Sandy Redox (S5)
Piedmont Floodplain Soils (Ft 8) (MLAA 148)
wetland hydrology must be present,
Stripped Matrix (S6)
_ Red Parent Material (F21) (MLRA 127,147)
unless disturbed or problematic.
Type:
Depth (inches)::
Hydric Soil Present? Yes _- _ . No
US Army Corps of Engineers Eastern Mountains and Piedmont- Version 2.0

WETLAND DETERMINATION DATA FORM— Eastern Mountains and Piedmont Region
project/Site, Sunset Road --.__-- City/County: Charlotte, Mecklenburg Sampling Date: o9j1oji5
Applicant/Owner: BV Belk State: NC Sampling Point: DP 2
Investigator(s):. Huysman Bendy Isner Section, Township, Range:
Landform (hil€slope, terrace, etc.): flat Local relief (concave, convex, none): concave Slope (%): 1
Subregion (LRR or MLRA): LRR P Lat: 35�30520 Long:-80.84369 Datum: WGS 84
Soil Map Unit Name: Helena NWI classification.
Are climatic / hydrologic conditions on the site typical for this time of year? Yes _ No (if no, explain in Remarks.)
Are Vegetation , Soil _ ., or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes ✓ 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
Wetiand Hydrology Present? Yes. e/ _ No- _
Remarks: WL Series
WL Type Appx. Acreage
24 HR Weather
Recent Weather
HYDROLOGY
Welland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators iminimum of one is required', check all h t I
Surface Soil Cracks (B6)
Surface Water (Al)
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (138)
High Water Table (A2)
ve Hydrogen Sulfide Odor (Ci)
✓ Drainage Patterns (B10)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
. ✓ Moss Trim Lines (1316)
Water Marks (81)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
Sediment Deposits (B2)
Recent Iron Reduction in Tilled Soils (C6)
✓ Crayfish Burrows (C8)
— Drift Deposits (63)
Thin Muck Surface (C7)
Saturation Visibis on Aerial Imagery (C9)
Algal Mat or Crust (B4)
Other (Explain in Remarks)
Stunted or Stressed Plants (D1)
Iron Deposits (B5)
Geomorphic position (D2)
— Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (133)
Water -Stained Leaves (89)
Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAG -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
✓ Depth (inches):
Saturation Present? Yes No
✓ Depth (inches):
Wetland
Hydrology Present? Yes No
Includes ca illa fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont -- Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Sunset Road
Sampling Point: DP 2
Tree Stratum (Plot size: 30' )
Absolute
% Cover
Dominant Indicator
Species? Status
1. Lflmus rubra
30 -
Y
FAC
2. Liauidambar sturaciflua
30
Y
FAC
3. Fraxinus PennsvIvanica
20
Y
FAU
4. Liriodendron tuAdera
10
N
FACU
5. -
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 7 (A)
Total Number of Dominant
Species Across All Strata: $ (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 88 (AiB)
90 Total Cover
Prevalence index worksheet:
50%of total cover: 45
20% of total cover: 18
Total % Cover of:
Multiply by:
15
OBL Species
z 1
Sapling Stratum (Plot size:
Nvssa biflora
15 Y FAC
FACW species
x 2 =
1.
2. Corms SOD.
10 Y FAC
FAC species
x a =
__
FACU species
x 4 w
3.
--R
UPL species
x 5
5.
6._
25 = Total Cover
500/6 of total cover: 12.5 20% of total cover: 5
Shrub Stratum (Plot size: )
= Total Cover
50% of total cover: 20% of total cover -
Herb Stratum (Plot size: 5)
1. Trillium arandiflorum 10 Y FAC
2. Rubus allepheniensis 5 Y FACU
11
Total Cover
50% of total cover: 7.5 20% of total cover: 3
Woody Vine Stratum (Plot size: 30' )
1. Smilax rotundifolia 20 _ Y FAC
2._Toxicodendfon radicans 5 N FAC
s. Parthenocissus auinauefolia 5 N FACU
30 = Total Cover
50% of total cover: 1 5 20% of total .cover: 6
rs here or on a separate sheet.)
Column Totals: (A) (B)
Prevalence index = B1A =
Hydrophytic Vegetation Indicators:
0�1 - Rapid Test for Hydrophytic vegetation
Ej 2 - Dominance Test is >50%
a - Prevalence Index is 53.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
0 Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(T6 cm) or larger in diameter at breast height (DBH).
Sapling — Woody plants, excluding woody vines,
approximately 20 ft (6 rn) or more in height and less
than 3 in. (7,6 cm) DBH.
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb — All. herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
It (1 m) in height.
Woody vine — All woody vines, regardless of height.
flydrophytic
Vegetation Present? yes i3o
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

SOIL
Sunset Road
Sampling Point: DP z
Profile Descriptiom (Describe to the depth needed to document the indicator or confirm the absence of Indicators.)
Depth
Matrix
_
Redox Features
(inches)
Color {moist) _ _.
%
Color (moist)
%
Tvpe�
Loci
Texture Remarks T
0-1
16 YR 4 /2
100
fine
1-6
10 YR 6 /3
80
10 YR
3 /3
10
C
M
file
10 YR
4 /6
10
C
M
6-16
10 YR 6 /1
70
10 YR
5 /6
15
C
M
fine
10 YR
6 /8
16
C
M
Hydric Soil Indicators:
_ Histosol (Al)
T Dark Surface (S7)
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147,148)
Black Histic (A3)
Thin {lark Surface (89) (MLRA 147,148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Stratified Layers (A5)
✓ Depleted Matrix (F3)
2 cm Muck (Al 0) (LRR N)
_,_, Redox Dark Surface (F6)
Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
Thick Dark Surface (Al 2)
___, Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N,
Iron -Manganese Masses (F12) (LRR N,
MLRA 147,148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
Umbric Surface (F13) (MLRA 136, 122)
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
Stripped Matrix (86)
Red Parent Material (F21) (MLRA 127,147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Indicators for Problematic Hydric Soils':
2 cm Muck (A10) (MLRA 147)
Coast Prairie Redox (Al 6)
(MLRA 147, 148)
Piedmont Floodpiain Soils (F19)
(MLRA 136,147)
T Very Shallow Dade Surface (TF12)
Other (Explain in Remarks)
'Indicators of hydrophyiic vegetation and
wetland hydroiogy must be present,
unless disturbed or problematic_
Hydric Soil Present? Yes V No
US Army Corps of Engineers Eastern Mountains and Piedmont— Version 2.0

NC' 111W0 CtrAnm Irientifieaiion Form Version d-i 1
(Date: 09/10/15
� Be Investments
pro ectlSite:5unset Road
� 8
Latitude: 35- 4
Evaluator: Huysman Isner
County: Mecklenburg
Longitude:-80.84321
Total Points:
Stream Determination (circle one)
Other Derita
Stream is at least intermittent 21.5
If 19 or erennial If 30k
Ephemeral lntVrfittent Perennial
M"1.
e.g. Quad Name:
A. Geomorphology Subtotal = 9
Absent
Weak
Moderate
Strong
V, Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri pie -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
1 0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
R Hvrirnlnnv (.Riihtnfial = r,_r, 1
12. Presence of Base#low
0
1
2
3
13, Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.6
1
1.5
16. Organic debris lines or piles
0
0.5
1
1 1.5
17. Soil -based evidence of high water table?
No M 0
Yes = 3
r.. Rininnv (.t iihtntM = 7 l
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24, Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Weiland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: 4
1111 L 1000 <_� Strum Form
i
2
1
1
1
0
0
0
3
0.5
0.5
0
1
0
1
0
0.5
3
3
3
0
0
0
1
0
0
0

U.S. ARMY CORPS OF ENGINEERS
WII,MINGTON DISTRICT
Action I.D.: SAW-2009-0I478 County: Mecklenburg U.S.G.S. Quad: NC-Derita
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Agent: BV Belk
Address: 204-C West Wood lawn Rd Charlotte, North Carolina 28217 Telephone No.: FIL E copy
Property description:
Size (acres): 7.9 Acres
Nearest 'Town: Charlotte
Nearest Waterway: Irwin Creek River Basin: Catawaba
Coordinates: Hydrologic Unit Code: 03050103 Lower Cataba
Location Description. The site is located east of the intersection of Sunset Road and I-77 at 5300 Milhaven Lane,
Charlotte, NC Coordinates: 35.3053,-80,8422
Indicate Which of the Follow iny_ Apply:
A. Preliminary Determination
Based on preliminary information, there may be waters and wetlands on the above described property. We strongly
suggest you have this property inspected to determine the extent of Department of the Army (DA) jurisdiction. To be
considered final, a jurisdictional determination must be verified by the Corps. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 331). ). 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.
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act. 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 waters and wetlands on the above described 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 strongly suggest you have the waters and wetlands on your property delineated. Due to the size of your property
and/or our present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner. For a
more timely delineation, you may wish to obtain a consultant. To be considered final, any delineation must be verified by
the Corps.
The waters and wetlands on your property have been delineated and the delineation has been verified by the Corps. We
strongly suggest you have this delineation surveyed. Upon completion, this survey should 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 and wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the Corps
Regulatory Official identified below on . 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.
X 'There are no waters of the U.S., to include wetlands, present on the above described 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.

Action Id.: SAW-20O9-01478
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). If you have any questions regarding this
determination and/or the Corps regulatory program, please contact William Elliott at 828-271-7980.
C. Basis For Determination
The site contains no wetlands as determined by the 1987 Corps of Engineers Welland Delineation Manual and the Interim
Regional Supplement to the Corps of Engineers Wetlands Delineation Manual. Eastern Mountain and Piedmont Region. There
are not stream channels located on the property that exhibit indicators of ordinary high water marks. The nearest stream
channel is known as Irwin Creek which flows into the Catawaba River.
D. Remarks: No Jurisdictional "Waters of the US" have been identified on this property as
depicted by submitted Jurisdictional Request Package on file.
E. Attention USDA Program Participants
This delineationldetenmination has been conducted to identify the limits of Corps' Clean Water Act jurisdiction for the
particular site identified in this request. The d e I i neat i on/dete rm i n at ion 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
H. above)
Attached to this verification is an approved jurisdictional determination. If you are not in agreement with that approved
jurisdictional determination, you can make an administrative appeal under 33 CFR 331. Enclosed you will find a 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: Jason Steele, Review Officer
60 Forsyth Street SW, Room I GM 15
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 within 60 days of the issue date below.
**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: William Elliott
Issue Date: June 24, 2015 Expiration Date: June 23, 2020
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we continue to
do so, please complete the Customer Satisfaction Survey located at our website at hqp://per2.nmM.usace.arrny.mil/survey.httnl
to complete the survey online.
CF: Chris Huysman, 170 Dew Drop Road, Sparta, NC 28675
2

NOTIFICATION OF ADMINISTRXI'I PPEAL OPTIONS AND PROCESS AND
REQ1JEST FOR APPEAL-7
--
Applicant: BV Belk File Number: SAW-2009- Date: June 24, 20I5
DI47$
Attached is: See Section below
INITIAL PROFFERED PERMIT Standard Permit or Letter of rmission)
A
PROFFERED PERMIT Standard Permit or Letter of Ermissian
B
PERMIT DENIAL
C
X
APPROVED J[RISDICTIONAL DETERMINATION
D
E
PRELIMINARY JURISDICTIONAL DETERMINATION
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above
decision. Additional information may be found at
http://www.usace.anny.mil/CECWIP +rslreg_materials.aspx or Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for fmal
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.
■ OBJECT: If you object to -the permit (Standard or LOP) because of certain terns 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
• 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 terns and conditions, and approved jurisdictional determinations associated with the permit.
• 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 11 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.
• 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.
■ 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 division 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 inforination for further consideration by the Corps to reevaluate the JD.
SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITL4L 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
If you only have questions regarding the appeal process you may
process you may contact:
also contact:
William Elliott, Project Manager
Mr. Jason Steele, Administrative Appeal Review Officer
USACE, Asheville Regulatory Field Office
CESA❑-PDO
151 Patton Ave
U.S. Army Corps of Engineers, South Atlantic Division
RM 208
60 Forsyth Street, Room I OM IS
Asheville, NC 28801
Atlanta, Georgia 30303-8801
828-271-7990
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.
Date:
Tclephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attu: William Elliott, 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. Jason Steele,
Administrative Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room IOM15, Atlanta, Georgia 30303-8801
Phone: [phone]
M

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 5300 Milhavan Lane
City, State: Charlotte, NN 220269
County: Modde^Wrs, MC
Directions: Cast x rtnisraeiz6on of Sunset goad and 1.77. Saulh an Mahaven. see an 'en.
Parcel Index Nuinber(s) (PIN): 04124203 and 0A124204
B. REQUESTOR INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
Chris Huysman
1 7% 0 Dew Drop Road. Spara, NC 28575 4
336 4()6.MG
[e-mail]
Select one:
❑ I am the current property owner.
I am an Authorized Agent or Environmental Consultant
❑ Interested Suer or Under Contract to Purchase
❑ Other, please explain.
r Yr7i:�:iaT:ils �iT:iuTr V 1114 1 Z
Name:
Mailing Address:
eV Be*
2d4-c West Woodlawn Rd
Charlotte. NC 28217
Telephone Number:
Electronic Mail Address3:
Proof of Ownership Attached (e.g. a copy of Deed, County GIS[Parcel/Tax Record data)
' If available
Must attach completed Agent Authorization Form
If available
Version: December 2013 Page 3

rurisdictional Determbiation Request
D. PROPERTY OWNER CERTMCATION 4
1, the undersigned, a duly authorized owner of'record of the property,'properties identified herein,
do authorize representatives of the Wilnungton District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with WaterS of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899,
Property Owner (please print) Hate
Property OWnar Signature
E. JURISDICTIONAL DETERAIrl NATION TYPE
Select Cane:
1 am requesting that the Corps pro�.-ide a re imin r 1D for the property identified herein.
This request does include a delineation.
i am requesting that td`te Corps provide a prelimin?ry ID for the property identified herein.
This request does NOT include z delineation.
I am requesting that the. Corps investigate the property/project area For the presence or
absence of WoUSs and provide an approved 3D for the property identified herein. This
request does NOT include a request for a verified delineation.
1 am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
l am requesting that the Corps evaluate and approve a delineation of WoUlS {conducted
by others) on :t properry/project area and provide an approved J (mayor may not
include a survey plat).
For NCDOirequests foVDwing the current NCOOT/USAC£ PMWCvfs, skip to Part E.
5 Waters of t`e United States
Version: December 2013 Page 4

jurisdictional Determination Request
D. PROPERTY OWNER CERT1rF1(CATION4
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U,S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print)
Property Owner
E. .JURISDICTIONAL DETERMINATION TYPE
Select One:
Date
I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
T am requesting that the Corps provide a pLelirnina JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUS5 and provide an Vnroved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an =roved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an amoved JD (may or may not
include a survey plat).
For NCDOF requests following the current NCOo7/USACE pratacois, skip to Part E.
s Waters of the United States
Version: December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
21 Size of Property or Project Area T9 acres acres
Q. f verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(I i Preliminary JD Requests:
0 Completed and signed Preliminary Jurisdictional Determination Form6.
n✓ Project Coordinates: 35.30665 Latitude-80.84389 Longitude
Maps (no larger than l W T) with Project Boundary Overlay:
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Nlap
Z Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, F)EMA f3oodplain maps)
See Appendix Aof this form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2009
Version. D cember 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)':
Wetlands;
❑ Wetland Data Sheetss
Tri butaries:
❑ USACE Assessment Forms
aUpland Data Sheets ❑ other Assessment Forms
(when appropriate)
aLandscape Photos, if taken
Ftel Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
* Locations of wetland data points and/Dr tributary assessment reaches
Locations of photo stations
■ Approximate acrea¢6linear footage of aquatic resources
(2) Approved ]Ds including Verification of a Delineation:
❑ Project Coordinates:
Latitude
Lonwirude
Maps (no larger than 1 1 x 17 i with Project Boundary overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ other Maps, as appropriate (e.g. National Wetland Inventors Map, Proposed Site flan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
hitn llwww.u5are.army.mollMissions]Ciw?Works-/Ref—utaiMPropramandPermits(reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
hitp:l/Aartal.ncdenr.oFglJdocument librarylget file?uuid=76f3c5Bb-dab8-4960-ba43-45b7fafo6f4c&ikroupld=38364 and,
htto:l/wk%k-saw.usace.army rnWPartalsj59/doi e ul tnryj ublicnoUce5J2D13JhC$AM Draft_ User Manual 13Q318.pdf
s Detineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

Wetland and Natural Resource
Consultants, Inc.
January 12, 2015
WNR Project #: LDP-1001-14-Sunset
US Army Corps of Engineers
Asheville Regulatory Field Office
Attn: Mr. William Elliott
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
Re: Jurisdictional Determination Request
Milhaven Lane — 7.91 acres
Mecklenburg County (Parcel ID: 04124203, 04124204)
Milhaven Lane, Charlotte, Mecklenburg County, NC
William:
Wetland and Natural Resource Consultants, representing BV Belk Properties, is requesting
issuance of a Jurisdictional Determination far the above referenced property. The property is
located on Miihaven Lane near the intersection of Sunset RdJUS 21 and 1-77 in Charlotte,
Mecklenburg County, NC. The contact for this request is Mr, Randy Smith and he can be reached
at 704-562-0203.
WNR completed a detailed delineation of the subject property in January 2015. After field
investigation, no jurisdictional features were identified on this site. (See attached data forms)
Please review the attached documentation and figures and issue either a letter that states 'no
wetlands', or a letter that states 'no wetland permit is needed to develop the site.'
Documentation including Wetland/ Upland Data Forms, and supporting maps and figures is
enclosed for your reference.
Attachments:
1. Agent Authorization Form
2. Preliminary Jurisdictional Determination Request Form
3. Tax Parcel Map
4. USGS topographic Map
5. Approximate Waters Map
Sparta Office
jrce
170 Dew Drop Road
Sparta, NC 28613
Phone_ 336406-0906

6. Soil Survey Map
7. NWI Map
B. Stream Classification
9. Wetland Data Forms
Please correspond if we need to provide any additional assistance or information necessary to
assist you with your review.
Sincerely,
%N
Chris Huysman
Sparta Office
170 pew Drop Road
Sparta, NC 2867S
Phone: [phone]

Elliott, William A SAW
To: Chris Huysman
Subject: SAW 2009-01478 BV Belk JD
Chris Please send me the 7D request form for this project.
William Elliott
Regulatory Specialist
US Army Corp of Engineers
Asheville Regulatory Field Dffice
151 Patton Ave, Room 208
Asheville, NC 28801
Phone: [phone], ext 224
Fax: [phone]
The Wilmington District is committed to providing the highest level of public support.
Please vist our website at:
http:llwww.saw.usace.army.mil/Missions/RU ulatoryPermitProgram.aspx
Please assist us in better serving you! Please complete the customer survey by clicking on
the following link: http:llper2.nwp.usace.army.mil/survey.html

L�A
fait
I '
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s

POLARIS 313 PARCEL OWNERSHIP AND GIS SUMMARY
Date Printed:
Identity
Parcel ID GIS ID
04124203 104124203
Property Characteristics
Legal desc
N1A
Land Area
6.51 AC
Fire District
CITY OF CHARLOTTE
Special District
Account Type
INDIVIDUAL.
Municipality
CHARLOTTE
Property Use
COMMERCIAL
01 /07/2015
Ownership
Owner Name
Mailing Address
BASCOM V JR BELK
204-C WEST WOODLAWN RD
CHARLOTTE NG 28217
HARRIET C BELK
204-C WEST WOODLAWN RD
CHARLOTTE NG 28217
Deed Reference(s) And Sale Price
Deed
I Sale Date j
Sale Price
03315-035
09/20/1971
1$0.00
Site Location
Charlotte Historic District No
Zoning Charlotte 6/30/2011 Annexation Area I No
Contact appropriate Planning Department or see Map.
Post Constnuctlon District
Water Quality Suffer Stream Watershed Districts
I -Parcel Inside Water duality Buffer INo. Watershed Name INA
FEMA and Community Floodpialn
FEMA Flood Zone
OUT:VIEW FEMA FLOODPLAIN TO
VERIFY
Community Flood
OUT:VIEW COMMUNITY FLOODPLAIN
Zone
TO VERIFY
Sltus Addresses lied to Parcel
MILHAVEN LN CHARLOTTE
Regulated Drtnkinp Watershed Districts
Watershed Nama
NA
Watershed Class
I NA
This map or report Is prepared for the inventory of real property within Mecklenburg County and Is compiled from recorded deeds, plats, tax wraps,

POLARIS 3G PARCEL OWNERSHIP AND GIS SUMMARY
Date Printed
Identity
Parcel ID I GIS ID
04124204 104124204
Property Characteristics
Legal desc
N1A
Land Area
1.4 AC
Fire District
CITY OF CHARLOTTE
Special District
Account Type
INDIVIDUAL
Municipality
CHARLOTTE
Property Use
FOREST - COMMERCIAL
PRODUCTION
01 /12/2015
Ownership
Owner Name
Mailing Address
B V JR BELK
204-C WEST WOODLAWN RD
CHARLOTTE NC 28217
CIO B V B PROPERTIES
204-C WEST WOODLAWN RD
CHARLOTTE NC 28217
Deed Reference(s) and Sale Price
Dead Sale Date I Safe Price
05062-851 07/31 /1985 1$14,500.00
Site Location
Charlotte Historic District No
Charlotte 613o12011 Annexation Area lNo
Zoning Post Construction District
Contact appropriate Planning Department or see Map,
Stream Watershed Districts
Water Duality Buffer Watershed Name INA
Parcel Inside Water ❑uality Buffer INo
FEMA and Community Floodplain
FEMA Flood Zone OUT:VIEW FEMA FLOODPLAIN TO
VERIFY
Community Flood OUT:VIEW COMMUNITY FLOODPLAIN
Zone TO VERIFY
Sttus Addresses Tied to Parcel
MILHAVEN LN CHARLOTTE
Regulated Drinking Watershed Districts
Watershed Name
NA
Watershed Class
INA
This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps,

Parcel 04124204 Boundary Map
Date Printed: 1/1212015 3:16:04 PM

Parcel 04124203 Boundary Map
Date Printed: 1/7/2015 11:34:41 AM

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Soil Map —Mecklenburg County, North Carolina
(Parcel: 04124203, 04124204)
5:ASJJ ,laliU 51400 ],4--!c
514100 51413D 514160 514190 514220 514250
3
Mp Sole: 1:fi430If prrttEd an A pa b (8.5" x 111
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0 50 100 200 30r
Map projec5m: Web Mercator Corneroxr&OUs: VVGS64 Edge tits: LrrM Zone 17N VVGS84
Natural Resources Web Soil Survey
WM Conservation Service National Cooperative Soil Survey
5142M
R
1/12/2015
Page 1 of 3

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Soil Map —Mecklenburg County, North Carolina
Parcel: 04124203. 04124204
Map Unit Legend
Mecklenburg County, North Carolina (NC 119)
Map Unit Symbol
Map Unit Name
Acres In A0l
Percent of A01
CeB2 Cecil sandy day loam, 2 to a
6.2 78.3%
percent slopes, moderately
eroded
CeD2 Cecil sandy clay loam, 8 to 15
0.1 1.8%
percent slopes, moderately
eroded
HeB
Helena sandy laam, 2 to 8
1.6
19.9%
percent slopes
_ 8.0
Totals for Area of Interest
Natural Resources Web Soil Survey 1112/2015
°'""M Conservation Service National Cooperative Sal Survey Page 3 of 3

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: 5unse# Road City/County: Mecklenburg Sampling Date: 2015 01 o6
Applicant/Owner: Randy Smith State- NC Sampling Point. upland 2
investigator(s): Huysman Bandy Section, Township, Range:
Landform (hillslope, terrace, etc.): flat Local relief (concave, convex, none): concave Slope (%): 1
Subregion (LRR or MLRA): LRR P Lat: 35.305362 Long: -$0.844031 Datum: WGS 84
Sail Map Unit Name: Chewacla NWI classification: None
Are climatic 1 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: not a wetland WL Series data point flagged none
WL Type Appx. Acreage
24 H R Weather Light rain within 48 hours. 35 Fahrenheit
Recent Weather normal
HYDROLOGY
Weiland Hydrology Indicators:
Secondary Indicators (minimum of two require�)
Primary Indicators {minimum of one is required;
check all that apply) _ _ Surface Soil Cracks (136)
Surface Water (At)
True Aquatic Pi ants (B14) _ _ Sparsely Vegetated Concave Surface (98)
High Water Table (A2)
Hydrogen Sulfide Odor (C1) Drainage Patterns (B1 D)
+�. Saturation (A3)
oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
Water Marks (Bt)
Presence of Reduced Iran (C4) Dry -Season Water Table (C2)
Sediment Deposits (82)
Recent Iron Reduction in Tilled Soils (C6) Crayfish Burrows (CS1
T Drift Deposits (B3)
Thin !Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4)
Other (Explain in Remarks) Stunted or Stressed Plants (DI)
Iron Deposits (B5)
Geomorphic Position (132)
Inundation Visible on Aerial Imagery (K)
Shallow Aquitard (D3)
Water -Stained Leaves (139)
Microtopographic Relief (D4)
Aquatic Fauna (Bt 3)
FAG -Neutral Test (❑5)
Field Observations:
Surface Water Present? Yes No
Depth (inches): 1
Water Table Present? Yes No
Depth (inches):
Saturation Present? Yes No
Depth (inches): 1
f
Wetland Hydrology Present? Yes Noy
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring
well, aerial photos, previous inspections); if available:
Remarks:
Saturation observed outside of the growing
season. This is an area that is assessed to be infrequently flooded for brief
duration. An existing sewerline restricts
flow through the valley; it drains at a slower rate than if the conditions were
natural. Water table is not: present within top 18 inches, this is a surface system that does not meet duration requirements.
US Army Corps of Engineers Eastern Mountains and Piedmont— Version 2.0

LD P-1001-14 Sunset
VEGETATION (Five Strata) — Use scientific names of plants.
Tree Stratum {Plot size: 30
Absolute Dominant Indicator
3 I Cover Spgcies? - flatus
1. Acer rubrum 20 Y FAG
2_ Fraxi.nus Aennsirlvanica 10 Y FACV
3
4
6
50% of total cover: 10
Sapling Stratum (Plot size: 1 5 ' J
#. Acer rubrum
2.
3.
4,
S.
Shrub Stratum (Plot size
1.
2.
3,
4.
20 = Total Cover
20 % of total cover: 4
15 Y FAG
15 = Total Cover
50% of total cover. 7.5 20% of total cover: 3
501 of total cover:
Herb Stratum (Plot size: j
1.
2.
3.
7
501 of total cover:
WOody_Vine Stratum {Plot size: 30' j
1. Vitus rotundifolia 5
2. Smilax rotundifolia 5
3.
4.
5.
I otal Cover
201 of total cover:
= Total Cover
201 of total cover:
Y FAG
Y FAG
Sunset Road
Sampling Point: upland 2
tominanc9 Test worksheet:
Number of Dominant Species
That Are CBL, FACW, or FAC: 4 (A)
Total Number of Dominant
Species Across All Strata: 4 ($)
Percent of Dominant Species
Thai Are OBL, FACW, or FAC: 100 (AIS)
Prevalence Index wo►ksheet:
Total % Cover of: Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
IJPL species
x 5 =
Golumn Totals:
(A) (B)
Prevalence Index
= BIA —
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑� 2 - Dominance Test is >501
❑ 3 - Prevalence Index is 53.0'
❑ 4 - Morphological Adaptations' (Provide supportin¢
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Deflnitlons of Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling -- Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub -- Woody plants, excluding woody vines,
approximately 3 to 20 tt (1 to 6 m) in height.
Herb — All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine — All woody vines, regardless of height.
nyuropriyuc
10 = Total Cover Vegetation
50% of total cover: 5 20 Io of total cover: 2 Present?
Remarks: (Include photo numbers here oron a separate sheet,) v
small area that does not drain well, created by existing sewerline, but for ash, not wet vegetation
Yes t/ Mo
US Army Corps of Engineers Eastern Mountains and Piedmont— Version 2.0

LDP-1001-44 Sunset
SOIL
Sunset Road
Sampling Point: upland 2
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of inoicators.)
Depth Matrix _ Redox Features
finchesl Color [moist] % Color {moist) °/° Type Loc' Texture Re
0-3 10 YR 4 /2 100 fire
3-18 10 YR 5 13 70 7.5 YR 5 I6 30 C fine
'Type: C=Concentration, D=De lellon, RM=Reduced Matrix MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydrlc Soil Indicators:
Indicators for Problematic Hydric SoIW:
_ Histosok (Al)
_ Dark Surface (S7)
— 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
. Black Hlstic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
_ Piedmont Floodpfain Soils (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6]
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (Al I)
_ ._. Depleted Dark Surface (F7)
Other (Explain in Remarks)
_ Thick Dark Surface (Al2)
Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N,
Iron -Manganese Masses (F12) (LRFl H,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
31ndicators of hydrophytic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetiand hydrology must be present,
Stripped Matrix (S6)
Red Parent Material (F21 ) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
r✓
Depth (inches):
Hydrlc
Soil Present? Yes No
Remarks: Does not meet F3 or FC. The system is not a closed depression
US Army Corps of Engineers Eastern Mountains and Piedmont— Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Sunset Road City/County: Mecklenburg Sampling Date: 2015 o1 o6
ApplicanVOwner: Randy Smith State: NC Sampling Point: upland 1
Investigator(s): Hu smart Bandy Section, Township, Range:
Landform (hillslope, terrace, etc.): flat Local relief (concave, convex, none): concave Slope (%): 1
Subregion (LRR or MLRA): LRR P Lai: 35.30604 Long:-80-844083 Datum: WGS 84
Soil Map Unit Name: Chewacla NWI classification: None
Are climatic J 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 00� 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, transacts, important features, etc.
Hydrophytic Vegetation Present? Yes _ _ No Is the Sampled Area
Hydric Soil Present? Yes. No_ We _ within a Wetland? Yes No
Wetland Hydrology Present? Yes _ _ No _ vO _
Remarks:
not a wetland WL Series data point flagged
WLTe Appx. Acreage 'one
24 H R Weather Light rain within 48 hours. 35 Fahrenheit
Recent Weather normal
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Phmary Indicators minimum of one is re uired• check all th t I
` Surface Soil Cracks (86)
Surface Water (Al)
True Aquatic Plants (B14)
Sparsely Vegetated Concave Surface (68)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (B10)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (B16)
Water Marks (B1)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
Sediment Deposits (82)
Recent Iron Reduction in Tilled Soils (C6)
•r Crayfish Burrows (08)
Drift Deposits (83)
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 (65)
Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
` Shallow Aquitard (D3)
_ Water -Stained Leaves (69)
Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAG -Neutral Test (D5)
Field observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
Depth (inches):
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections). if available:
Remarks:
Saturation observed outside of the growing season
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

LDP-1001-14 Sunset Sunset Road
VEGETATION (Five Strata) — Use scientific names of plants. Sampling Point: upland 1
Absolute Dominant Indicator ❑omInance Test worksheet:
Tree Stratum (Plot size: 30' ] ° Cover Species? Status Number of Dominant Species
1. Acer rubrum 20 Y FAC That Are OBL, FACW, or FAC: 5 (A)
2. Total Number of Dominant
50% of total cover: 10
SSgpa ling Stratum (Plot size' 15 ]
t. Acer rubrum
2.
3,
4.
5,
Species Across All Strata-
5
(B)
Percent of Dominant Species
That Are OBL, FACW, or FAC.
100
(AIB)
20 Total Cover
Prevalence Index wo►ksheet:
_ 20% o} total cover: 4
Total 14 Cover of:
Multiply by:
OBL species x 1 =
15 Y FAC
FACW species
FAC species
x 2 =
x 3 =
FACU species
x 4 =
L1PL species
x 5 -
Column Totals:
(A)
(B)
6. Prevalence Index = BIA =
15 = Total Cover Hydrophytic Vegetation Indicators:
50% of total cover: 7.5 20% of total cover: 3 ❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot site: 15 2 - Dominance Test is >50%
t. Alnus serrulata 60 Y OBL Q 3 - Prevalence Index is s3.0'
2 ❑ 4 - Morphological Adaptations' (Provide supporting
3. data in Remarks or on a separate sheet)
4. Problematic Hydrophytic Vegetation' (Explain)
5. ,
50% of total cover: 30
Herb Stratum (Plot size: 5' j
1.
3.
4.
5.
iA
i0.
11.
50% of total cover:
Woody Vine Stratum (Plot size: 30` )
1. Vitus rotundifolia
2--Smilax rotundifolia
3. Lonicera iaponica
4,
5.
Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
60 = Total Cover Definitions of Five Vegetation Strata:
W 20% of total cover: 12 Tree - Woody plants, excluding woody vines,
approximately 20 It (6 m) or more in height and 3 in.
(7.6 cm) or larger in diameter at breast height (DBH).
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7-6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
He►b - Ali herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
= Totaf Cover
20% of total cover:
5 Y FAC
5 Y FAC
5 Y FAC
10 = Total Cover
50% of total cover: 5 20% of total cover: 2
Remarks: (Include photo numbers Here or on a separate sheet.) -
small pocket of tag alder within a larger complex that supports tulip poplar,
plants, except woody vines, less than approximately 3
ft (1 m) in height.
I Woody vine - All woody vines, regardless of height.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

LDP-1001-14 Sunset
Sunset Road
SOIL Sampling Point
upland 1
Protile Description: (Describe to the depth needed to document the Indicator or confirm the absence of indicators.)
Depth
Ma rix
Redox Features
(inches)
Color (moist)
%
Colgr Imaist] % Type' Loc'
Texture _Remarks
0-6
10 YR 3 13
100
fine
6-12
10 YR 5 14
45
T5 YR 4 14 50
fine
10 YR 3 11 5 C
Clay
12-18
10 YR 5 13
80
10 YR 6 11 20 C
fine
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix. MS=Masked Sand Grains
Hydric Soil Indicators:
Histosol (Al)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (AS)
2 cm Muck (A10) (LRR N)
Depleted Beiow Hark Surface (A11)
Thick Dark Surface (At 2)
Sandy Mucky Mineral (51) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (SS)
Ictive Layer (if observed):
Type:
Depth (inches)
Remarks:
�Locati_on: PL=Pore Lining, M-Matrix,
Indicators for Problematic Hydric Soils':
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6;
_ Very Shallow Dark Surface (TF12)
Depleted Dark Surface (F7)
Other (Explain in Remarks)
Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122) 3lndicators of hydrophytic vegetation and
Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes No f
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0