20211806 Ver 1_JD REQUEST with attachments lot 663_20211210

urisdictional Determination Reauest
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.aimy.mil/Missions/Re ul�atoiyPermitProi4ram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: End of Cherry Drive
City, State: Chapel Hill, NC
County: Chatham
Parcel Index Number(s) (PIN): 9786
B. REQUESTOR INFORMATION
Name: Kevin C Martin
Mailing Address: 8412 Falls of Neuse Rd., Ste. 104
Raleigh, NC 27615
Telephone Number: 919-270-7941
Electronic Mail Address: [e-mail]
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultanti
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Christopher Ehrenfeld
Mailing Address: 50051 Governors Dr. A
Telephone Number:
Electronic Mail Address
Chapel Hill, NC 27517
919-260-1005
[e-mail]
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

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

Jurisdictional Determination Request
F. JURISDICTIONAL DETERNIINATION (JD) TYPE (Select One)
0 I am requesting that the Corps provide a preliminM JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓� Size of Property or Review Area 2.59 acres.
❑✓ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
35.843672
Longitude:-79.055530
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 1 Ix 17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. hM2://www.saw.usace.4rmy.mil/Missions/Regulatoly-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
F4Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDS• please complete an Approved Jurisdictional Determination Form'.
Vicinity Map
Aerial Photograph
F4 USGS Topographic Map
0 Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
❑ NC Division of Water Resources Stream Identification Forms
hJ Other Assessment Forms
' www.saw.usace.4rmy.mil/Portals/59/docs/regulatory/readocs/JD/RGL 08-02_App A Prelim _JD_Form fillable.pdf
8 Please see hM2://www.saw.usace.4M.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federaljurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Environmental Consultants,
8412 Falls of Neuse Rnad, Suite 104, Raleigh, NC 27615 - Prone: (919) W-5900 ■ Fax: [phone]
sandec.coin
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: Lot 663 Governors Club
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attu: Lyle Phillips Field Office:
Raleigh
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) and Soil & Environmental Consultants, PA (S&EC) staff, as my agent, 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. This
document also authorizes S&EC, as my agent, to act on my behalf and take all actions
necessary for the processing, issuance and acceptance of a permit or certification and any and
all associated standard and special conditions. This notification supersedes any previous
correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for
government officials to enter the property when accompanied by S&EC staff. You should cal
S&EC to arrange a site meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN):
Site Address:
City, County, State: C.►AA_J. InCLV-eJ CO . , j-1 C
PROPERTY OWNER INFORMATION (mailing address email and hone
Mailing Address:
Erna i1: 0^v-is & 1Qoldy-,c.Corn Phone: Itic4 --2r(P0-1()DS
Property Owner Name (please print)
l l j 2.2 C 2.0 21
Date
Property Owner Signature
We hereby certify the above information submitted in this application is true and accurate to

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Kevin Martin- s412 Falls of Neuse Road, ste. 104, Raleigh NC 27615
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Chatham City: Chapel Hill
Center coordinates of site (lat/long in degree decimal format):
Lat.:35.843672 Long.:-79.055530
Universal Transverse Mercator: NAD 83
Name of nearest waterbody: Cub Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
S 1
35.8437868
-79.05585479
3821f
non -wetland waters
Section 404

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

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
■❑ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:Figure 3 - Avenza Map 11/15/21
0 Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
■❑ U.S. Geological Survey map(s). Cite scale & quad name:
USGS National Map 1" = 2000'
❑ Natural Resources Conservation Service Soil Survey. Citation: Chatham County soil survey sheet 5
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
■❑ Photographs: ■❑ Aerial (Name & Date): NC One Map 2017
or ■❑ Other (Name & Date): UL1, Steram Pt 1 & Steram Pt 3. 11/17/21
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

IProject Number: 15057.W1 I Map Title:
Project Manager:
KM
Scale:
1 if = 2000'
0
USGS The National Map: National Boundaries Dataset, 3DEP Elevation
Program, Geographic Names Information System, National Hydrography
Dataset, National Land Cover Database, National Structures Dataset, and
National Transportation Dataset; USGS Global Ecosystems; U.S. Census
Bureau TIGER/Line data; USFS Road Data; Natural Earth Data; U.S.
Department of State Humanitarian Information Unit; and NOAA National
Centers for Environmental Information, U.S. Coastal Relief Model. Data
refreshed June, 2020.
Figure 1 - USGS Map
Lot 663 Governors Club
Chatham County, NC
N
0 2,000 4,000
Feet
Soil & Etivironmeiital C.o=nsultants,
8412 Falk 4 N—Rwd kku I(ARaingR NC 2%L5• P6mr(919) 346-3W-F—(919]1
Date:
11 /15/2021
Source:
USGS National Map

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7 NC C'nter for Geographic Infor' "t" ON &Analysis
Project Number: Map Title: N
15057.W1 0 600 1,200
Project Manager: Figure 2- Soil Survey Map I i i i I i i i I
KM Lot 663 Governors Club Feet
Scale: Chatham County, NC
1 �� = 600� • Soil & Etivironmeiital Consultants, PA
Date: Source: Chatham County
8413 Falk d'lcua• Rued Suur IOi. RaingR NC 17615 • Ph— (919) SMr5900• Fu:[919]8M.916
11 /15/2021 Soil Survey Sheet No. 5

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: Governor's Club Lot 663 City/County: Chatham Sampling Date: 11/17/21
Applicant/Owner: Christopher Ehrenfeld State: NC Sampling Point: UL1
Investigator(s): K Martin Section, Township, Range:
Landform (hillside, terrace, etc.): Headslope Local relief (concave, convex, none): Concave Slope (%): 8
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.843672 Long:-79.055530 Datum:
Soil Map Unit Name: WdE NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes x No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (Cl)
_ Drainage Patterns (B10)
—Saturation (A3) -Oxidized
Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1316)
—Water Marks (131) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_ Drift Deposits (133) _Thin
Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
—Iron Deposits (135)
—Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
x Depth (inches):
Water Table Present? Yes No
x Depth (inches):
Saturation Present? Yes No
x Depth (inches):
Wetland
Hydrology Present? Yes No X
(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 (Four Strata) - Use scientific names of plants.
Sampling Point: UL1
Tree Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
50% of total cover:
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
50% of total cover: _
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
50% of total cover: _
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
Absolute Dominant Indicatc
% Cover Species? Status
_=Total Cover
20% of total cover:
_ =Total Cover
20% of total cover:
_=Total Cover
20% of total cover:
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: (A/B)
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
_2 - Dominance Test is >50%
_ 3 - Prevalence Index is <_3.01
4 - Morphological Adaptations' (Provide supporting
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.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers
Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: UL1
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' )
% Cover Species?
Status
Dominance Test worksheet:
1.
Acerrubrum
15 Yes
FAC
Number of Dominant Species
2.
Liquidambarstyraciflua
15 Yes
FAC
That Are OBL, FACW, or FAC: 5 (A)
3.
Quercus alba
15 Yes
FACU
Total Number of Dominant
4.
Species Across All Strata: 6 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 83.3% (A/B)
45 =Total Cover
Prevalence Index worksheet:
50% of total cover:
23 20% of total cover:
9
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: 15' )
OBL species 0 x 1 = 0
1.
Quercus alba
2 No
FACU
FACW species 0 x 2 = 0
2.
Acerrubrum
15 Yes
FAC
FAC species 65 x 3 = 195
3.
Liquidambarstyraciflua
15 Yes
FAC
FACU species 27 x 4 = 108
4.
Fagus grandifolia
5 No
FACU
UPL species 0 x 5 = 0
5.
Carya glabra
5 No
FACU
Column Totals: 92 (A) 303 (B)
6.
Prevalence Index = B/A = 3.29
42 =Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover:
21 20% of total cover:
9
_ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: )
X 2 - Dominance Test is >50%
1.
3 - Prevalence Index is <_3.01
2.
_
4 - Morphological Adaptations' (Provide supporting
3
data in Remarks or on a separate sheet)
4.
-Problematic Hydrophytic Vegetation' (Explain)
5.
'Indicators of hydric soil and wetland hydrology must be
6.
present, unless disturbed or problematic.
Definitions of Five Vegetation Strata:
=Total Cover
50% of total cover:
20% of total cover:
Tree - Woody plants, excluding woody vines,
Herb Stratum (Plot size: 30' )
approximately 20 ft (6 m) or more in height and 3 in.
1.
Microstegium vimineum
5 Yes
FAC
(7.6 cm) or larger in diameter at breast height (DBH).
2.
Sapling - Woody plants, excluding woody vines,
3.
approximately 20 ft (6 m) or more in height and less
4
than 3 in. (7.6 cm) DBH.
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
9
plants, except woody vines, less than approximately
3 ft (1 m) in height.
10.
11.
Woody Vine - All woody vines, regardless of height.
5 =Total Cover
50% of total cover:
3 20% of total cover:
1
Woody Vine Stratum (Plot size:
)
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: UL1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc2 Texture
0-8 10Y R 3/3 100
8-13 2.5Y 5/4 100
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators.
Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
—Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11;
_Thick Dark Surface (Al2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
RM=Reduced Matrix, MS=Masked Sand Grains
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
—Loamy Gleyed Matrix (F2)
—Depleted Matrix (F3)
_ Redox Dark Surface (F6)
—Depleted Dark Surface (F7)
_ Redox Depressions(F8)
_Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
Remarks
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soil
2 cm Muck (A10) (MLRA 147)
_Coast Prairie Redox (A16)
(MLRA 147, 148)
—Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

_ - f
j
f/ / /� _ '_ .�_► fir- ` �.
J/ �Is�r

NC t)Wn Strum identification Fnrm Version 4-11 Frorm 2,
Data: j l 1 "-� r Z l
Project/Site: C7""o�6 V 3 h
Latitude-,? S. 2 y� Q
Longitude: _0 � S
Evaluator:
County: (�4r f. M
Total Points:
Stream Determination (circle one)
Other
Stream is at least Wermittent Z . 5
Ephemeral Intermittent Perennial
e.g- Quad Name:
it a 19 arpefflfwal re 2 30'
A. Geomorphology Subtotal =
Absent
Weak
Moderate
Strong
1' Cormnurty of channel bed and bark
0
1
3
2. Sinuosity of channel atorg tna,weg
0
1
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequerice
0
0
2
3
4. Particle size of stream substrate
0
1
2
_SO
5 Acbvelrelictfloodplain
1
2
3
6 Depos6wal bars or benches
1
2
3
7. Recent alluvial deposits
0
i
2
3
8. Headcuts
0
1
2
9. Grade control
0
0.5
1
15
10. Natural valley
0
0.5
1
11. Second or greater order channel
No
Yes = 3
a� u«+ai ���usa ow awn �nwv, w o . ��..•w..,.q.
A H%jdrnloav fSubtotal = 3-5'
]
12. Presence of Baseflow
0
D:/
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf Itlter
1 5
0
0.5
0
15. Sediment on plants or debris
05
1
15
16. Organic debris lines or pries
0
0.5
1
1
17. Soil -based evidence of high water table?
No tD
Yes = 3
C_ Biology (Subtotal = h 1
18. Fibrous roots In strearnbed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
05
1
1.5
23 Crayfish
0.5
1
1.5
24. Amphibians
0,5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants In stmambed _ FACW_ = 0 75: OBL =1.5 Outer
'perennial strean s nhey also fie IdenDled uaft o0wr inetrl0ds. Swap. 35 of nauwal
Notes: - S �.%� iJ C L t '♦r'ltiAti /i/h'f` �A .
Sketch:
or

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
r_ 7
\L UW htream Identification form Version 4.11 r "' '"' _`
% +ver nivi3 C t' k>
Date: (r i� l Z 1 I'rojectlSite: Lakitude:3jr, gi3 6 l L
Evaluator: County: Cc,'fkok., Longitude:--? S.d 5"js85,
Total Points: �. r Stream Determinaon c tiircle one) Other
Stream rs at feast intermittent 7 Ephemeral ntermittent Perennial e g Quad Name:
it z 19 or perenniat of a 30'
A. Geomorphology t _kjbtotai_-_1_q_j
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and r,enk
0
1
2
3
2. Sinuosity of channel along thalweg _
3. In -channel structure: ex. riffle -pool, step -pool.
ripple -pool sequence
0
1
0
3
0
Cl)
2
3
4. Particle size of steam substrate _ _
S. Active/relict floodolain
0
1
2
3
1
2
3
_ _
6. Depositional bars or benches
ED
1
2
3
7. Recent alluvial deposits
0
0
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.
10. Natural valley
0
0.5
1
i
11. 5econd ar greater order channel
No 0
Yes = 3
R Hvrirnlnnv (Subtotal y3• 5" y V 1
12. Presence of Baseflow
0
U
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
COD
0.5
1
1
16. Organic debris lines or piles
0
0.5
1
1.5
17_ Soil -based evidence of high water table?
Na D
Yes = 3
C. Bioloav (Subtotal = S )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
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
G
0.5
1 1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
ff
0.5
1
1.5
26. Wetland 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: •c., d 4-r-
10-
.+,E 2 P^ (a-&. Fd~c.L
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