20140253 Ver 1_401 Application_20140314

2 0 1 4 0 2 5 3
US Army Corps of Engineers
Asheville Regulatory Field Office
Attn: William Elliott
151 Patton Avenue, Room 208
Asheville, NC 28801 -5006
Dear Mr. Elliott and Ms. Higgins:
PO Box 832
Mooresville, NC 28115
March 14, 2014
Project #14 -1011
NC DWR
401 & Buffer Permitting Unit
Attn: Karen Higgins
512 North Salisbury Street
Raleigh, NC 27604
ZA IF
We request the use of Nationwide Permit 39 for proposed impacts to jurisdictional —�--
streams for construction of the proposed Concrescere project in Kannapolis, NC. The
project is located at the intersection of Mooresville Road (Hwy 3) and Davidson Road in
Cabarrus County (35.4871132,- 80.7634187). Approximate project boundaries are shown
on the attached USGS Topo Quad vicinity map, soil survey and wetland delineation
survey. As proposed the project will involve construction of a corporate headquarters,
warehouse facility, and associated infrastructure for Wayne Brothers, Inc. Requested
impacts are associated with Phase 1 of the project. No other impacts to jurisdictional
features are expected beyond the initial phase. Phase 1 involves construction of 60,000sf
corporate headquarters, 24,000sf warehouse along with associated parking and
improvements on approximately 10 acres of the project.
Specifically we request 1491f of permanent stream impact associated with a road
crossing as well as 301f of temporary stream impact for utilities. Temporary impacts are
requested for septic /sewer force main crossings. Temporary fill will be removed and
stream channel restored to original conditions following completion of construction.
Streams proposed for impact were initially field reviewed by the USACE in 2006
(Amanda Jones - Action ID 200630776).
This permit request follows a prior Nationwide Permit 39 approval issued in 2008
(Action ID: SAW- 2008 - 2367). The prior request was approved for 1491f of impact to
permanent streams for road crossings and 65 1f of temporary stream impact for utilities.

Prior approved impacts were never completed due to economic conditions. In 2012
approval for storm water management plans were received from NC DWR (see attached).
PROJECT SUMMARY
Project Naive
Concrescere
Project Type
Commercial / Retail
Owner / Applicant
Concresere One, LLC / Coddle Creek, LLC
County
Cabarrus
Nearest Town
Kannapolis
Waterbody Name
Rocky River
Basin / Sub -basin
Yadkin
Index Number
03040105
Class
C
IMPACT SUMMARY
Stream Impact (acres):
179
Wetland Impact (acres):
0
Open Water Impact (acres):
0
Total Impact to Waters of the U.S. (acres):
0.012
Total Stream Impact (linear feet):
179
Attachments:
Pre - construction Notification (PCN) Application Form
Agent Authorization(s)
USGS Vicinity Map
Cabarrus County Soil Survey
Impact Maps /Site Plans
USACE Stream Forms
NC DWR Stream Forms
Wetland Data Forms
Wetland Survey
Rapanos forms
2008 Wetland JD & Nationwide Permit 39 approval
Stormwater Permit No. SW3121102 approval letter
401 permit fee (NC DWR)
Juridictional Determination Request ( USACE) with Vicinity Map and Aerial Photo
Please call if you have questions or comments regarding the information provided.
Sincerely,
Wendell Overb
NC Licensed Soil Scientist
NC Registered Forester

la
• �I�
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
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.
❑ Yes ❑X No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes ❑X No
1h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
Concresere - Wayne Brothers Corporate Headquarters/Warehouse Project
2b.
County:
Cabarrus
2c.
Nearest municipality / town:
Kannapolis
2d.
Subdivision name:
n/a
2e.
NCDOT only, T.I.P. or state project no: I
n/a
3.
Owner Information R 1 7 2014
3a.
Name(s) on Recorded Deed:
Coddle Creek, LLC
3b.
Deed Book and Page No.
DB 10127 PG 0114
3c.
Responsible Party (for LLC if
applicable):
Keith Wayne
3d.
Street address:
195 Ervin Woods Drive
3e. City, state, zip:
Kannapolis, NC 28081
3f.
Telephone no.:
704 361 -1887
3g.
Fax no.:
3h.
Email address:
keithw @waynebrothers.com
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑X Other, specify: Applicant is owner as previously listed
4b.
Name:
Keith Wayne
4c.
Business name
(if applicable):
Coddle Creek, LLC
4d. Street address:
195 Ervin Woods Drive
4e. City, state, zip:
Kannapolis, NC 28081
4f.
Telephone no.:
704 361 -1887
4g.
Fax no.:
4h.
Email address:
keithw @waynebrothers.com
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Wendell Overby
5b.
Business name
(if applicable):
Soil & Forestry Services of the Carolinas, PA
5c.
Street address:
PO Box 832
5d.
City, state, zip:
Mooresville, NC 28115
5e.
Telephone no.:
704 239 -2001
5f.
Fax no.:
5g.
Email address:
wendelloverby @gmail.com
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
4673561326000 /46735687230000 /46734773880000
1 b.
Site coordinates (in decimal degrees):
I Latitude: 35.4858 Longitude: - 80.7632
1c.
Property size:
75 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Rocky River
2b.
Water Quality Classification of nearest receiving water:
C
2c.
River basin:
Yadkin
3.
Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
The site is primarily undeveloped wooded property. Formerly 2 homes existed along Sudbury Road, one along Odell A field exists at the intersection
of Sudbury and Odell School Road Temporary trailers formerly existed on an old ballfield at intersection of Hwy 3 and Davidson Road. General land
use in the vicinity of the project is primarily residential. A gas station is located across Davidson Road from the property Others nearby uses are ag
3b.
List the total estimated acreage of all existing wetlands on the property: 0.228
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 2,660
3d. Explain the purpose of the proposed project:
Construction of commercial facility - warehouse and headquarters for Wayne Brothers, Inc (concrete manufacturer)
3e. Describe the overall project in detail, including the type of equipment to be used:
Project involves construction of proposed roads and infrastructure for proposed corporate headquarters and warehouse Pans, backhoes, heavy equip
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all riot phases) in the past?
0 Yes ❑ No ❑ Unknown
Comments: SAW- 2008 -2367
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑X Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): Wendell Overby
Agency /Consultant Company: S &EC
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Original jd approved 8/22/2008.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
X❑Yes ❑ No ❑Unknown
5b. If yes, explain in detail according to "help file" instructions.
NW39 permit approved 8/22/08 (Action ID SAW- 2008 -2367) for 149 If of permanent impact, 65 linear feet of temporary impact.
6.
Future Project Plans
6a.
Is this a phased project?
❑X Yes ❑ No
6b. If yes, explain.
More development will occur however those plans are not known at this time No future impacts to Waters of US planned.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
❑ 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 -
Choose one
Choose one
Yes /No
-
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
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
Culvert
UT Rocky River
PER
Corps
3
149
S2 T
Excavation
UT Rocky River
PER
Corps
3
30
S3 -
Choose one
-
S4 -
Choose one
-
-
S5 -
Choose one
-
S6 -
Choose one
-
3h. Total stream and tributary impacts
179
3i. Comments:
Proposed permanent impacts total less than 1501f.
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 indiv dually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
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
0
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:
0
0
0
0
0
0
0
5g. Comments: No pond or lake construction proposed
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 vou 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:
0
0
6i. Comments: No impacts to protected riparian buffers
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.
Proposed buildings and road designed to avoid stream and wetland impacts A detailed delineation was requested prior to site planning in an effort to
reduce impacts to jurisdictional areas Streams are not crossed multiple times and there are no proposed wetland impacts Further, no impacts
associated with stormwater facilities and no filling in floodway or 100 -year floodplain. Project drains to'C' waters
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Road crossing designed with retaining walls to lessen stream impacts Remaining impacts temporary and will follow conditions to re- establish bed/
bank Proposed Parkway moved uphill of streams to avoid impacts.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ❑X No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El 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: Choose one
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.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non - riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 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 ® 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:
o
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
1a.
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?
oho
2b.
Does this p ro'ect require a Stormwater Management Plan?
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:
Stormwater
permit no. SW3121102 approval letter attached Plan involves construction of one (1) sand filter serving a drainage area of 5.17 acres for
168,576sf
of of impervious surface.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
NC DWR
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
❑ Phase II
❑ NSW
3b.
Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑Yes ❑ No
attached?
4. DWQ Stormwater Program Review
[]Coastal counties
❑HQW
4a.
Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006 -246
❑Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
X❑ Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑X Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
X❑ Yes ❑ No
Page 8of10
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
letter.)
❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B.0200)?
2b. Is this an after - the -fact permit application?
El Yes No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑Yes 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.
This project does not meet the criteria of private projects that can clearly result in cumulative impacts The proposed development is relatively small in
nature. We anticipate that DWR will advise us if a qualitative or quantitative impact analysis is required.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non- discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Warehouse facility to be served by onsite wastewater system Septic system design has been approved by Cabarrus Health Alliance.
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 ❑X No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X 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?
The NCNHP virtual workroom was used to search for elemental occurrences of state and federally protected species in the vicinity of the project. No
occurrences identified within 2 miles of the project boundary.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
No essential fish habitat located at project site. http / /www.habitat noaa gov /protection /efh /habitatmapper html
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ❑ No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Via HPOWEB GIs SERVICE. No cultural occurrences (structures) on subject property
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA- designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Cabarrus County GIs and county floodplain map
Wendell Overby
03 -14 -2014
Applicant/Agent's Printed Name
Date
Applicant/Agent' Signature
(Agent's signature is valid ly if an authorization
letter from the appli 'ant is provided
Page 10 of 10

PO Box 832
Mooresville, NC 28115
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
NAME OF PROJECT: Concresere -Wayne Brothers Headquarters- Kannapolis
LOT NO. PLAN NO. PARCEL ID: 46735613260000
STREETADDRESS: 10900 SvA bL-,V R�.� Dn L/;d to n , k/C 28036
Property Owner: Concresere One, LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
Wendell Overby, of Soil & Forestry Services of the Carolinas, PA (704) 239 -2001
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
I q5 Woo eir Dr,vQ
go, nn ago A/C ZBO -8l
Telephone: 7aq- 939•-7010
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
Authorized Signature
Date:
Authorized Signature
Date:

PO Box 832
Mooresville, NC 28115
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
NAME OF PROJECT: Concresere -Wayne Brothers Headquarters - Kannapolis
LOT NO. PLAN NO. PARCEL ID: 46735687230000
STREET ADDRESS: 0900 SvA b, vT QJ, lD. � my ik -o✓\, NC 2 ,3030
Property Owner: Coddle Creek, LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
Wendell Overby, of Soil & Forestry Services of the Carolinas, PA (704) 239 -2001
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
l0/5 *E-vin Inlood.s or"Ve
KanvI a po j;s NC 2808(
Telepho
Dq- yea -7010
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
Authorized Signal re
r-
Date:
Authorized Signature
Date:

PO Box 832
Mooresville, NC 28115
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
NAME OF PROJECT: Concresere -Wayne Brothers Headquarters- Kannapolis
LOT N0. PLAN NO. PARCEL ID: 46734773880000
STREET ADDRESS: 10989 Mooresville Road Davidson NC 28036
Property Owner: Highway 3 Associates 1, LLC
The undersigned, registered property owners of the above noted property, do hereby authorize
Wendell Overby, of Soil & Forestry Services of the Carolinas, PA (704) 239 -2001
to act on my behalf and take all actions necessary for the processing, issuance and acceptance
of this permit or certification and any and all standard and special conditions attached.
Property Owners Address (if different than property above):
Telephone:
• �� 1�
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge. �,jr�k,� 3 Uao-- l c( G
el-
Authorized Signature A (ft horized Signature
Date: _._..___ Date: 312 -%/4-

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USACE AID# DWQ # Site# (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide thefol lowing information for the stream reach under assessment:
1. A ppl i cant's name covo w; cock. t,u. 2. Evaluator's name. u.,6w* ('w o,/ er" y
3. Dateof evauation: 2✓27�IY 4. Time of evaluation: 11' 9
5. Name of stream: "'f Rur i(N e i SOX
7. Approxi mate drai nage area 2 f k C,
9. Length of reach evaluated: 100 '
11. Ste coordinates (if known): prefer indecimd degrees
6. Ri ver basin: YAK+,+
8. Stream order: Z+i C
10. County:+�R «� s
12. Subdivision name(if any): /J/A
Latitude (ex. 34.872312): 35. y55357 Longitude (ec.- 77.556611): -0- -1(2 36-7
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Otheo Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streem(s) location)
C006A.0 rres 010 61"A-y"s tj or !u0AUAN Uao, 01 -2 -7
14. Proposed channel work (if any): N/a
15. Recent weather conditions ¢kw + s -40 w
16. Site conditions at time of visit: 6AAo+ -c wowv, Sfto"&0 5601^- -"1 / ca ori.,.+ cuvtr+v�- sz�,vczvn.6T t�J7�7
17. Identify any special waterway classif ications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed ([-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 1t)l f yes, estimate the water surface area
19. Does channel appear on USGS quad map? YES 10
21. Estimated watershed land use: M % Residential
% Forested
22. Bankfull width: 3
24. Channel slope down center of stream: _Flat (0 to 2 %)
20. Does channel appear on USDA Soil Survey? YES 40
_ %Commercial _ %Industrial 1S % Agricultural
_% Cleared / Logged _% Other
23. Bank height (from bed to top of bank): Z
✓ Gentle (2 to 4 %)
25. Channel sinuosity: Straight _Occasional bends ✓ Frequent meander
_Moderate (4 to 10%) _Steep ( >10%)
_Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored usi ng the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (eg., the stream flows from a pasture
into a forest), the stream may be divided into smaller readies that display more continuity, and a separateform used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 54 Comments
Evaluator's Signature I/" Date 217-7 /_ J!/
This channel evaluation form is in ded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by t United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation r at i o or requirement. Form subject to change- version 0603. To Comment, pl ease cal 1 919- 876 -8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET x-r
* These characteristics are not assessed in coastal streams.

USACE AID# —� DWQ # Site # _ (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: CavldtO C4e&14- `Z-e- 2. Evaluator's name: l yb,»6u UvZ`rt l3�l
3. Date of evaluation: 3' 1HAV 4. Time of evaluation: g ��
5. Name of stream: UT R r tk,t R i vep- 6. River basin: y K
7. Approximate drainage area: —25- A­ S. Stream order:
9. Length of reach evaluated: /O° " 10. County:x/Lr/f
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): , f
Latitude (ex. 34.872312): 96- y66A6ST_ _ _ Longitude (ex. - 77.556611): - eA 76Z S7?
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo o Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
r-zn,CS 27- _1lq
14. Proposed channel work (if any): /J /.4
15. Recent weather conditions: Y
16. Site conditions at time of visit: 517E P/R 6- / d 1, Of /wS7,17,1
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters J Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 40 If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES && 20. Does channel appear on USDA Soil Survey? YES �0
21. Estimated watershed land use: 3`) % Residential _% Commercial _% Industrial _% Agricultural
70 % Forested _% Cleared / Logged _% Other (
22. Bankfull width: z 23. Bank height (from bed to top of bank): 2,
24. Channel slope down center of stream: _Flat (0 to 2 %) 'Gentle (2 to 4 %) _Moderate (4 to 10 %) _Steep ( >10%)
25. Channel sinuosity: Straight _Occasional bends 'Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): �j Comments:
Evaluator's Signature �-- (, / Date S-12-- /44
This channel evaluation form is inohded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

r14-6 3b
STREAM QUALITY ASSESSMENT WORKSHEET

USACE AID# DWQ # Site # (indicate on attached map)
M STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: C° nnr r C"Le c I.LG 2. Evaluator's name:
3. Date of evaluation: 4. Time of evaluation: 9°
5. Name of stream: U -r KOCX w P I u 69
7. Approximate drainage area: —15-4-c
9. Length of reach evaluated: 7.5'
11. Site coordinates (if known): prefer in decimal degrees.
6. River basin: y►'MK�
S. Stream order:
10. County: C.3.trcrzut
12. Subdivision name (if any): 1"14
Latitude (ex. 34.872312): 35, #6(057 _ ._ - - - -- - -_ - Longitude (ex. - 77.ss66ii):._ -40 76y ZZ3
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Other Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
s- ne&zi, B a-1 rye-71,",..
14. Proposed channel work (if any): 'J f q
15. Recent weather conditions: A4, "Y I.
16. Site conditions at time of visit: 31"7C tfti6�e i'r &7' p ~0 *'X --tY
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -M
18. Is there a pond or lake located upstream of the evaluation point? YES 40) If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES ($Z� 20. Does channel appear on USDA Soil Survey? YES 4D
21. Estimated watershed land use: -% % Residential _% Commercial _% Industrial _% Agricultural
70% Forested _% Cleared / Logged _% Other
22. Bankfull width: 2' 23. Bank height (from bed to top of bank): • S
24. Channel slope down center of stream: Flat (0 to 2 %) _Gentle (2 to 4 %) 'Moderate (4 to 10%) _Steep ( >10 %)
25. Channel sinuosity: Straight Occasional bends Frequent meander _Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature w d, Date J-12--11V
This channel evaluation form is intend to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the Unit J States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

USACEAID #�- DWQ# Site# (� indicate on attached map)
M STREAM QUAL I TY ASSESSM ENT WORK SH EET
Provide thefollowing information for the stream reach under assessment:
1. Appl i cant's names c:v Q o W GPI (A-- f- 2. Evaluator's name W • o-1ft4 V
3. Dateof evaluation: 2/77/14 4. Time of evaluation: 11.4*
5. Nameof stream: LL-1 Rjutw ` 6. River basin: ` Aov —
7. Approximate drainage aea 8. Stream order: 1
9. Length of reach evaluated: ^� 50 10. County: Ct#AAA f
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): NCR
Latitude (w.34.s72312): s5.w18(osfe Longitude (m. 77.556611): — So -74s57
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
WfrZk--.►o syr&VO4 runzt. tom- 114
14. Proposed c hanriel work (if any):
N Ia
15. Recent weether conditions t2.lre.+H0 urLA. sr Q%1J
16. Site conditions at time of visit: woca" , ug ft ts-WogQpW
17. Identify any special waterway dassifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
,Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed _(I -IV)
18. 1s there a pond orIakeIocated upstream of the eval Lid ion poi nt? YES ®If yes, esti mate the water stirfacearea
19. Does charnel wear on USGS quad map? YES tp 20. Does channel appear on USDA Soil Survey? YES Vp
21. Estimated watershed laid use: _% Residential _% Commercial _% Industrial _ %Agricultural
!0b % Forested !% Cleared / Logged _% Other ( )
22. Bankfull width: 2 23. Bank height (from bed to top of bank): 2
24. Channel slope down center of stream: _Flat (0 to 2%) ✓ Gentle (2 to 4%) _Moderate (4 to 10%) _Steep ( >10%)
25. Channel sinuosity: Straight !�Occadonel bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate eooregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the sane ecoregion. Assign points
to each characteristic within the rare shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the strewn reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total soore assigned to a strewn reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): S1,5' Comments
Evaluator's Signature IA.,, Date �-/?74/y
This channel evaluation form is int ded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

IOC. ' Ij2
STREAM QUALITY ASSESSMENT WORKSHEET
# These characteristics are not assessed in coastal streams.

USACE AID# DWO # Site# (indiceteon attached map) I
.... ._ ...... ___.._.__.-._R
,q
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for thestream reach under assessment:
1. Applicant's rove: you+ Gtr` tk 2. Evaluator's rmw Y
3. Dateof evaluation: Z-1271PI 4. Timed evaluation: Nabr+
5. Nameof stream: u7 Rocw,l 9.wa* 6. River basin:
7. Approximate drainage area 34 8. Stream order:
9. Length of reach evaluated: ^' 1S" 10. County: CA-a&&" r
11. Site coordinates (if known): prefer in decimal degrees 12. Subdivision name (if any): P /A
Latitude (ex. 34.872312): 30.4$544 Longitude (ac -77.556611): -'80,16Z&4
Method location determined (cirde): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other CO Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying streams) location):
W FTL+h0p SvK-vt 4 & 4ct Z &o - Z&r'l
14. Proposed channel work (if any): P'09- ?-&Ao Yt. y*J
15. Recent weather conditions CLMN, cov.b, __srlo-d
16. Siteconditionsat timeof visit: 6na40&.16 (wyll o Pto� Of !60* J6U,4&'Q,A co #P^44.
17. Identify any special waterway classificationsknown: _Section 10 _Tidal Waters ^Essential Fisheries Habitat
,Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed _(I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, esti mete the water surface area
19. Does charnel appear on USGS quad map? YES dZ 20. Does channel pea- on USDA Soil Survey? YES
21. Estimated watershed land use. _% Residential _% Commercial _% Industrial ZS % Agricultural
75 % Forested �% Cleared / Logged _% Other ( )
22. BenkfulI width: 3 23. Bank height (from bed to top of bank): z
24. Channel slope down center of stream: ,Flat (0 to 2°A) ✓ Gentle (2 to 4 %) _Moderate (4 to 10°x6) _Steep ( >10%)
25. Channel sinuosity: -Straight '/ Occasional bends Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same eooregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under revieN (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separateform used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments
Evaluator's Signature ty ` Date 2� V
This channel evaluation form is in ded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change- version 06/03. To Comment, pleasecall 919 - 876 -8441 x 26.

A f.- 2`+7
STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: C,oOour C¢661L4 t. 2. Evaluator's name: L,0C -0CnA- o'v"X*y
3. Date of evaluation: Z-1 Z4 114 4. Time of evaluation:
5. Name of stream: Ul RuGW4 R(UER 6. River basin: yfCotq.i
7. Approximate drainage area: 10
9. Length of reach evaluated: "' 1 od
11. Site coordinates (if known): prefer in decimal degrees.
8. Stream order: !
10. County: CAO.4 P-A-4AJ
12. Subdivision name (if any): N 14
Latitude (ex. 34.872312): 35. N6i_lu�f _ _ _ Longitude (ex. - 77.556611): 60. 7te Z%b
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Othe<�jD Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
U/61C4FVWo M"s 2.0F0- 2n0
14. Proposed channel work (if any): 0 /1'
15. Recent weather conditions: 1Zn n.>, Cvt�b 54c>%a
16. Site conditions at time of visit: 601-0. w t b y
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (f�P" If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 10;�
21. Estimated watershed land use: _% Residential
�K% Forested
22. Bankfull width: Z
24. Channel slope down center of stream: _Flat (0 to 2 %)
25. Channel sinuosity: Straight ✓Occasional bends
20. Does channel appear on USDA Soil Survey? YES 10
_% Commercial _% Industrial 15' % Agricultural
_% Cleared / Logged _% Other ( )
23. Bank height (from bed to top of bank): 3
'-/Gentle (2 to 4 %) _Moderate (4 to 10 %) _Steep ( >10 %)
_Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): -27. S Comments:
Evaluator's Signature W CA Date 2/Z7 &
This channel evaluation form is i ended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919- 876 -8441 x 26.

200-Ato
STREAM QUALITY ASSESSMENT WORKSHEET
# Those characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: Ga-coua Gtse+�K �t,c,c 2. Evaluator's name:
w&P -40ov- o ong�
3. Date of evaluation: 2-1Z7//Y 4. Time of evaluation: t Pl-
5. Name of stream: ct-t (GOC*,At tt.tvVYL.
7. Approximate drainage area: S A G
9. Length of reach evaluated: S° e
11. Site coordinates (if known): prefer in decimal degrees.
6. River basin: Y�iw
8. Stream order:
10. County: 4-41a,"S
12. Subdivision name (if any): H %R
Latitude (ex. 34.872312): Longitude (ex. - 77.556611): - $0.7 6-"13
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo /GIS Other Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Fi-A65 Son- 363
14. Proposed channel work (if any): N /A-
15. Recent weather conditions: IZ K GO La .5 0,J ow
16. Site conditions at time of visit: Coin, U Na t slu
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed (I -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES (� If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 10�
21. Estimated watershed land use: _% Residential
SD % Forested
20. Does channel appear on USDA Soil Survey? YES
_% Commercial _% Industrial 60 % Agricultural
% Cleared / Logged _% Other ( )
22. Bankfull width: Z 23. Bank height (from bed to top of bank): l
24. Channel slope down center of stream: _Flat (0 to 2 %) _Gentle (2 to 4 %) '/Moderate (4 to 10 %) _Steep ( >10 %)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature &- Date 2/z7l<l/
This channel evaluation form is inte ed to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the finited States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919 - 876 -8441 x 26.

r-L,xs
STREAM QUALITY ASSESSMENT WORKSHEET 3cO - 363
* These characteristics are not assessed in coastal streams.

f_'t63 0I- 27
NC DWQ Stream Identification Form Version 4.11
Date: Z7
Project/Site: Cc}.C,56�"
Latitude: �5,y(vlC1
Evaluator, 6 U&yz6�
County: (_4,e t zrL vS-
Longitude: •- 0, '16ZT7e
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
Ephemeral Intermittent erennia
e.g. Quad Name: uS
if > 19 or perennial if z 30'
I
0
A. Geomorphology (Subtotal = I bL5 )
Absent
Weak
Moderate
Strong
1 a. Continuity Of Channel bed and bank
0
1
2
Q
2. Sinuosity of channel along thalweg
0
1
2
0
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
d
2
3
4. Particle size of stream substrate
0
m
2
3
5. Active /relict floodplain
0
Yes :0
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0
2
3
8. Headcuts
U
1
2
3
9. Grade control
0
a
1 1
1.5
10. Natural valley
0
0.5
® 1
1.5
11. Second or greater order channel
No = 0
Yes =0
a artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = 10
12. Presence of Baseflow
0
1
2
1
13. Iron oxidizing bacteria
0
1
T
3
14. Leaf litter
1.5
1
0
0
15. Sediment on plants or debris
0
1 0
1
1.5
16. Organic debris fines or piles
0
1 0.5
Q
1.5
17. Soil -based evidence of high water table?
No = 0
Yes :0
C. Biology Subtotal = 8 )
18. Fibrous roots in streambed
3
(2)2
1
0
19. Rooted upland plants in streambed
®
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
U
1.5
25. Algae
0
1' 1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Other
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: frui P_-c 9 tct S teem- E56b
Sketch:

FAA 37
NC DWO Stream Identification Form Version 4.11
Date:
Project(Site: ec waz.6s(_zaV
Latitude: 36.4E362,655'
Evaluator: 0-)6­06-U, OV& 4►31
County: 0464,,.5
Longitude: _IF0.764S- 77
Total Points:
Stream Determination (circle one)
Other
Stream is at least fermittent 30 5
l
Ephemeral Intermittent erennia
e.g. Quad Name: Co P-P61- S
Z if Z 30
if 79 or perennial
2
0
A. Geomorphology Subtotal = �
Absent
Weak
Moderate
Strong
1 a. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
0
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
1
G
3
4. Particle size of stream substrate
0
©
2
3
5. Active /relict floodplain
®
1
2
3
6. Depositional bars or benches
0
1
1
3
7. Recent alluvial deposits
0
(35
2
3
8. Headcuts
0
1
2
Q
9. Grade control
0
®
1
1.5
10. Natural valley
0
0.5
m
1.5
11. Second or greater order channel
No
Yes = 3
" artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal=
12. Presence of Baseflow
0
1
(2
3
13. Iron oxidizing bacteria
0
0
2
3
14. Leaf litter
1.5
1
2
0
15. Sediment on plants or debris
0
(
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes - 3
C_ Bioloav (Subtotal= SS 1
18. Fibrous roots in streambed
3
2
©
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
0
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
1
1.5
25. Algae
0
1 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:
Sketch:

N&ty& " 53
NC DWO Stream Identification Form Version 4.11 SEAM �Z 9
Date: 3 -0_14
ProjectlSite:
Latitude: 35_,yb457
Evaluator: dvetz3
County: gyp„ �p
Longitude: - So. '76q 221
Total Points:
Stream Determination (circle one)
Other
SNOW us
Stream is at least intermittent ' q S
Ephemeral 141rmi Perennial
e.g. Quad Name:
if 2:19 or perennial if ;t 30*
2
3
A. Geomorphology (Subtotal= g
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
®
2
3
2. Sinuosity of channel atongthalweg
0
0
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool se uence
G
1
2
3
4. Particle size of stream substrate
0
O
2
3
5. Active/relict floodplain
a
1
2
3
6. Depositional bars or benches
0
m
2
3
7. Recent alluvial deposits
0
m
2
3
8. Headcuts
0
1
0
3
9. Grade control
1
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No =0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdroloov (Subtotal = 7 1
12. Presence of Baseflow
0
G5
2
3
13. Iron oxidizing bacteria
0
®
2
3
14. Leaf litter
1.5
1
0.5
1
15. Sediment on plants or debris
0
0
1
1.5
16. Organic debris lines or piles
0
0.5
1
0
17. Soil -based evidence of high water table?
No = 0
Yes =0
C. Bioloav (Subtotal = 45 )
18. Fibrous roots in streambed
3
2
1
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
0.5
1
1.5
23. Crayfish
0
0)
1
1.5
24. Amphibians
0
1
1.5
25. Algae
0
0.
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:
Sketch:

t-_LA 6S 106- 1 ly
NC DWQ Stream Identification Form Version 4.11
Date: ,21271/`f
Project/Site: 5 -rte", /CZ) - + t4
t CUrjC&C- Sc2L•r
Latitude:
35. #dr4 1 C I
Evaluator: t�V�ngi
County: C461f -A'%vt
Longitude:__ &) 767,178
Total Points:
Stream Determination (circle one)
Other Cc "UiWS
Stream is at least intermittent _7
Ephemeral Intermittent nnia
e.g. Quad Name:
if z 19 or perennial if z 30'
2
3
A. Geomorphology Subtotal = I )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
®
3
2. Sinuosity of channel along thalweg
0
®
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
Q
2
3
4. Particle size of stream substrate
0
©
2
3
5. Active /relict floodplain
0
C15
2
3
6. Depositional bars or benches
0
15
2
3
7. Recent alluvial deposits
0
1
Q
3
8. Headcuts
0
1
®
3
9. Grade control
0
1.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No =®
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal = 7
12. Presence of Baseflow
0
0
2
3
13. Iron oxidizing bacteria
0
V
2
3
14. Leaf litter
1.5
1
U
0
15. Sediment on plants or debris
0
3
1 1
1.5
16. Organic debris lines or piles
0
0.5
CD
1.5
17. Soil -based evidence of high water table?
No = 0
Yes =Q
C. Bioloqv (Subtotal = q•2S )
18. Fibrous roots in streambed
3
m
1
0
19. Rooted upland plants in streambed
®
2
1
0
20. Macrobenthos (note diversity and abundance)
0
®
2
3
21. Aquatic Mollusks
®
1
2
3
22. Fish
®
0.5
1
1.5
23. Crayfish
0
0
1
1.5
24. Amphibians
0
0.5
®
1.5
25. Algae
0
0.5
Q
1.5
26. Wetland plants in streambed
FACW = 00,
OBL = 1.5 Other = 0
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: - 'rt'scce e p„o PH; i3i Ws
Sketch:

NC DWO Stream Identification Form Version 4.11
Date: 2��7��1/
�� arm
Project/Site: CL cn�sEr
Latitude: 35,1g1ol6t'
Evaluator. 'Oi/L -t.a'f
County: e-A 61+M'Z yr
Longitude: 7&Z 1,78
Total Points:
Stream Determination (circle one)
Other C&e.metkUs
Stream is at least intermittent 7
Ephemeral ermitt Perennial
e.g. Quad Name:
if;? 19 or perennial if Z 30" °
2
3
A. Geomorphology Subtotal = 9 )
Absent
Weak
Moderate
Strong
1a. Continuity of bhehnel bed and bank
0
Gr
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
3
2
3
4. Particle size of stream substrate
0
®
2
3
5. Active /relict floodplain
No = 0
1
2
3
6. Depositional bars or benches
0
(D
2
3
7. Recent alluvial deposits
0
0
2
3
B. Headcuts
0
1
(D
3
9. Grade control
0
1.5
1
1.5
10. Natural valley
0
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
1.5
11. Second or greater order channel
No =®
Yes = 3
a artificial ditches are not rated; see discussions in manual
R_ Hvdroloov (Subtotal = -7 1
12. Presence of Baseflow
0
2
2
3
13. Iron oxidizing bacteria
0
®
2
3
14. Leaf litter
1.5
1
0
0
15. Sediment on plants or debris
0
3
1
1.5
16. Organic debris lines or piles
0
0.5
1Q
1.5
17. Soil -based evidence of high water table?
No = 0
Yes
C_ Rioloav (Subtotal = 5.75 1
18. Fibrous roots in streambed
3
2
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
®
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
1
1.5
25. Algae
®
0.5
1
1.5
26. Wetland plants in streambed
FACW = 60; OBL = 1.5
Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date:
Project/Site: s
Cc.+1� rrFSCr� -•
Latitude: 35.496161
Evaluator. B
O e%�12
County: ��22us
Longitude: -iv 167-9.7?
Total Points:
Stream Determination (circle one)
Other
Stream is at least intermittent
�� 75'
Ephemeral Intermittent erennia
e.g. Quad Name: CriltnJ.6 Lf vs
if Z 19 or perennial if z 30`
m
3
A. Geomorphology (Subtotal = ) %2
Absent
Weak
Moderate
Strong
1a. Cantirluity bf dh9nh6l bed and bank
0
1
Q
3
2. Sinuosity of channel along thalweg
0
1
m
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
GD
2
3
4. Particle size of stream substrate
0
1
©
3
5. Active /relict floodplain
a
1
2
3
6. Depositional bars or benches
0
m
2
3
7. Recent alluvial deposits
0
®
2
3
8. Headcuts
0
FACW = 00 OBL = 1.5 Other = 0
2
3
9. Grade control
0
0.5
0
1.5
10. Natural valley
0
0.5
©
1.5
11. Second or greater order channel
No
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 9 )
12. Presence of Baseflow
0
1
1
3
13. Iron oxidizing bacteria
0
0
2
3
14. Leaf litter
1.5
1
0
0
15. Sediment on plants or debris
0
0)
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes =®
C. Biolow (Subtotal = cUIS )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
a
2
1
0
20. Macrobenthos (note diversity and abundance)
0
T
2
3
21. Aquatic Mollusks
0
CD
2
3
22. Fish
Q
0.5
1
1.5
23. Crayfish
0
40
1
1.5
24. Amphibians
0
0.5
m
1.5
25. Algae
0
0
1
1.5
26. Wetland plants in streambed
FACW = 00 OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: AMPH'614Ns pR6S641
Sketch:

NC DWO Stream Identification Form Version 4.11
Date: r
Project/Site: 300 3c� r
Latitude: 35.496161
EValuator. 6V6Z6y
County: CAS *x12U -
Longitude: - B0,7e`L I:178
Total Points:
Stream Determination (circle one)
Other Cv,zN6lius'
Stream is at least intermittent
Ephemeral i en Perennial
e.g. Quad Name:
if z 19 or perennial if Z 30•
2
3
A. Geomorphology (Subtotal=_ 3._6 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
C9
2
3
2. Sinuosity of channel along thalweg
0
0
2
3
3. In- channel structure: ex. riffle -pool, step -pool,
ripple-pool sequence
0
©
2
3
4. Particle size of stream substrate
0
1
®
3
5. Active /relict floodplain
®
1
2
3
6. Depositional bars or benches
®
1
2
3
7. Recent alluvial deposits
®
1
2
3
8. Headcuts
0
1
®
3
9. Grade control
0
0.5
m
1.5
10. Natural valley
0
•perennial streams may also be identified using other methods. See p. 35 of manual.
1
1.5
11. Second or greater order channel
No =0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B_ Hvdmioav (Subtotal = 4,5 )
12. Presence of Baseflow
0
1
0
3
13. Iron oxidizing bacteria
Q
1
2
3
14. Leaf litter
1.5
©
0.5
0
15. Sediment on plants or debris
0
3
1
1.5
16. Organic debris lines or piles
0
0.5
m
1.5
17. Soil -based evidence of high water table?
No =CP
Yes = 3
C_ Rioloov (Subtotal = G )
18. Fibrous roots in streambed
3
a
1
0
19. Rooted upland plants in streambed
Q
2
1
0
20. Macrobenthos (note diversity and abundance)
®
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
1
1.5
24. Amphibians
0
1
1.5
25. Algae
6i
0.5 1
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:
Sketch:

1
,r
WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: Cori CtL6$t=. City /County: J'4#y-- AP0WC -/en& -4 A-'S Sampling Date: ZIZ��r'1
Applicant/Owner: C M1>L0 C44&9, o MG ",e— State: Sampling Point: W Z �04
Investigator(s): W 61 0ftf• QPU i51t &'t Section, Township, Range:
Landform (hillslope, terrace, etc.): TERA4%c C Local relief (concave, convex, none): 6A-f Slope ( %): p
Subregion (LRR or MLRA): M(-Ra 134, Lat: 3 f • y'9 y S l Long: —16o. 76 3 o T Datum: N Ao b3
Sal Map Unit Name: i++G- htAP IGIs`ir" 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 _yo' No
Wetland Hydrology Present? Yes ✓ No
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_ Surface Soil Cracks (B6)
_ Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (B8)
7.�►gh 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 (B2)
Recent Iron Reduction in Tilled Soils (C6)
Crayfish Burrows (C8)
_
_✓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 (D1)
_ Iron Deposits (85)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (B7)
_ Shallow Aquitard (D3)
Water- Stained Leaves (89)
_ Microtopographic Relief (D4)
_
_ Aquatic Fauna (813)
✓ FAC- Neutral Test (135)
Field Observations:
Surface Water Present? Yes
No I/ Depth (inches):
Water Table Present? Yes
No V7 Depth (inches):
Saturation Present? Yes ✓
No it Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), If available:
P* W- 0(,-1 lMwt-iij o 14
ZO'VG
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
/
Sampling Point: VV L 14
5.
6.
7.
8.
9.
10.
) T. 95 =
Herb Stratum (Plot size: ) Total Cover
1.M1cW-&6I0M Jvlei /Nf✓M 70 Y FAC_
2.
3.
4.
5.
Prevalence Index = B/A =
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is s3.0'
_ 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:
6. Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
7 more in diameter at breast height (DBH), regardless of
height.
8.
9.
10.
11.
12.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 It (1
m) tall.
Herb -All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.281t tall.
= Total Cover
Woody Vine Stratum (Plot size: ISM ) Woody vine - All woody vines greater than 3.28 It in
1. L04IL0a4 4APo•+1GA SO Y ilk height.
2.
3.
4.
Hydrophytic
5. Vegetation
6. Present? Yes ✓ No
= Total Cover
Remarks:
or on a
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 )
% Cover Species? Status
Number of Dominant Species
1. u LWWj &W4- iCA-w A
ZO
Y_ _ 04
That Are OBL, FACW, or FAC: s
(A)
2.
Total Number of Dominant
3.
Species Across All Strata: 's
(B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC:
(A/B)
6.
Prevalence index worksheet:
7
Total % Cover of: Multiply by:
8
is
=Total Cover
OBL species x 1 =
Sapling/Shrub Stratum (Plot size:
FACW species x2=
1. A WJ U S S t-4 #A t,1•-lA
50
�_ WW
FAC species x 3 =
2. L 1G V5 -(Ro.v% S r -bnlSO
ZS'
i rAa
FACU species x4=
3. AG6R- RNbaovr �
IS
N MFG
UPL species x 5 =
4.jV1NIP6KAA1 VI-61001I?wk
5
n ,if)
Column Totals: (A)
(B)
5.
6.
7.
8.
9.
10.
) T. 95 =
Herb Stratum (Plot size: ) Total Cover
1.M1cW-&6I0M Jvlei /Nf✓M 70 Y FAC_
2.
3.
4.
5.
Prevalence Index = B/A =
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is s3.0'
_ 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:
6. Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
7 more in diameter at breast height (DBH), regardless of
height.
8.
9.
10.
11.
12.
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 It (1
m) tall.
Herb -All herbaceous (non - woody) plants, regardless
of size, and woody plants less than 3.281t tall.
= Total Cover
Woody Vine Stratum (Plot size: ISM ) Woody vine - All woody vines greater than 3.28 It in
1. L04IL0a4 4APo•+1GA SO Y ilk height.
2.
3.
4.
Hydrophytic
5. Vegetation
6. Present? Yes ✓ No
= Total Cover
Remarks:
or on a
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
/
Sampling Point: A
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) % Tvoe' Loc2 Texture Remarks
(9-1, 101 R 3 17- id42 cL
(r' Iq 1 SYP 51Z '?a— 1, SYA-14 20 C PL G`
zsY III to b M
'Tvoe: C= Concentration. D--Depletion. RM= Reduced Matrix. MS=Masked Sand Grains. 2Location: PL =Pore Lining, M= Matrix.
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (Al 0) (LRR N)
_ Depleted Below Dark Surface (Al 1)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (Si) (LRR N,
MLRA 147,146)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Type:
Depth (inches):
US Army Corps of Engineers
_ Dark Surface (S7)
_ Polyvalue Below Surface (SS) (MLRA 147,148)
_ Thin Dark Surface (S9) (MLRA 147,148)
_ Loamy Gleyed Matrix (F2)
✓Depleted Matrix (F3)
_ Redox Dark Surface (F6)
Depleted Dark Surface (F7)
_ Redox Depressions (FS)
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136,122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
_ Red Parent Material (F21) (MLRA 127,147)
Indicators for Problematic Hydric Sc
_ 2 om Muck (Al 0) (MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147,148)
_ Piedmont Floodplain Soils (F19)
(MLRA 136,147)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No
Eastern Mountains and Piedmont— Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: C410C2E S ERZ City /County: K"13 R"Pd45 /Cf *61L4AJV Sampling Date: A/t7 //4
Applicanvowner. COIDOW C 44*14,"C- Cywc'"t" O . LL•L State: N(G Samping Point: 1AJ&141i4b J3
Investigator(s): W EN DELi► OV E>z8K Section, Township, Range:
Landform (hillslope, terrace, etc.): FLo ri-A IA Local relief (concave, convex, none): C6r4CAVE Slope ( %): Q
Subregion (LRR or MLRA): M1.40, 134 Lat: - 66.045,451 Long: -50 .7(6557 Datum: nn+o 83
Soil Map Unit Name: W"4 0 um 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 yL 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 v No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetiand Hydrology Indicators:
Secondary Indicators (minimum of two required)
Pdlqary Indicators (minimum of one is re u're • 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 (C1)
_ Drainage Patterns (810)
_
Saturation (A3) _
Oxidized Rhizospheres on Living Roots (C3)-
_ Moss Trim Lines (816)
_ Water Marks (131) _
Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
Sediment Deposits (132) _
Recent Iron Reduction in Tilled Soils (06)
_ Crayfish Burrows (C8)
_ Drift Deposits (133) _
Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (84) _
Other (Explain in Remarks)
— Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
— Geomorphic Position (132)
Inundation Visible on Aerial imagery (137)
_ Shallow Aqu'rlard (D3)
_
_ ✓Water- Stained Leaves (B9)
_ Microtopographic Relief (D4)
_ Aquatic Fauna (813)
✓ FAC- 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 hinge)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
PdwQ ��cLrrO'A1�or► ►�+ toot,
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: So' ) % Cover Species? Status
1, Ll4VIOAM TSAR s-r j ItAGi FbvA '50 X_ tic
2. L 1 R r o04-w P Ao+4 Tu i.I t2 I ff-iLA Tip F4C
3. ArC(L Ayiitur A Zd frAG
4. clLMuS Am6aicANA IS _ 4 j`AGW
5.
6.
7.
8.
q6 = Total Cover
Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
(5. = Total Cover
Herb Stratum (Plot size: )
1, P0LVS'IIGNuM ArCVA5-VCj4o10FS I'S %( rAC
2.1%lcag$1E644- ulw+rMSVM 26' Y _ ►c
Sampling Point: W� 13
Number of Dominant Species
(V
That Are OBL, FACW, or FAC:
(A)
Total Number of Dominant
G
Species Across All Strata:
(B)
Percent of Dominant Species
That Are OBL, FACW, or FAC:
too (A/B)
Prevalence Index worksheet:
Total % Cover of Multiply by:
OBL species x 1 =
FACW species x2=
7
FAC species x 3 =
more in diameter at breast height (DBH), regardless of
FACU species x4=
UPL species x5=
8.
Column Totals: (A)
(B)
Prevalence Index = B/A =
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is X50%
_ 3 - Prevalence Index is 53.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (E=xplain)
3
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5
6_
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
7
more in diameter at breast height (DBH), regardless of
height.
8.
9
Sapling /Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
10
m) tall.
11.
Herb -All herbaceous (non - woody) plants, regardless
12.
of size, and woody plants less than 3.28 ft tall.
� S
yo =Total Cover
Woody Vine Stratum (Plot size:
)
Woody vine - All woody vines greater than 3.28 it in
1. Lori 6 (6 A.A �A flo rJ I GA
_L_ %( FhC
height.
2.
3.
4.
5 Hydrophytic
Vegetation
6. Present? Yes No
10 = Total Cover
or on a
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: V/ L\b
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' Locz
Texture Remarks
0- I it 10YR't /z 9,P
10 Y x qA, Zo G A
�-
'T e: C =Concentration D--Depletion, RM= Reduced Matrix MS--Masked Sand Grains.
2Location: PL =Pore Lining, M= Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (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 Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147,148)
(MLRA 147,148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Solis (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 (A11)
T 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) (LRR N,
MLRA 147,148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136,122)
3Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
_ Piedmont Floodplain Solis (F19) (MLRA 148) wetland hydrology must be present,
_ Stripped Matrix (S6)
_ Red Parent Material (F21) (MLRA 127,147) unless disturbed or problematic.
Restrictive Layer (if observed):
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: COA+cfzcseeta City /County: 9Aw #-1A'POUj Sampling Date: ZI �71N
Applicant(Owner: C OOLt3 C &O - L,t,C. State: Sampling Point: (ML,
Investigator(s): 1A)• 0 yef4Y Section, Township, Range:
Landform (hillslope, terrace, etc.): FOW SLO0 Local relief (concave, convex, none): Slope ( %): G
Subregion (LRR or ML RA): IALP- i I'b(4 Lat: 35.46451 Long: - 80•'%630-7 Datum: NI'D 83
Soil Map Unit Name: WC "*0041 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 V-11 No
Wetland Hydrology Present? Yes �— No
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 (B14)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
_ 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 (63)
_ 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 (B5)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (133)
_ Water- Stained Leaves (139)
Microtopographic Relief (D4)
_ Aquatic Fauna (1313)
✓FAC- 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 (Four Strata) - Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30 ) % Cover Species? Status
1. ¢A6nS 61&4rpi FOL14 LO y r4cd
2. uc.»vi rtr- W44 -14- i5 Y A.ew
4.
5.
7.
8.
35 =Total Cover
Saolino /Shrub Stratum (Plot size: 30 ` )
1. ALerNs SCYt&nLo"A w rt Vj
2. Ac6a R%)b&V- 10 F&C
3.
4.
5.
7.
8.
9.
10.
Herb Stratum (Plot size: Is`
1. PoLVs -71C4V- AC40571C4olvv"
2. EV0 Fly wOus AwAc-rt•Icmlus
3.
4.
5.
7.
8.
10.
11.
12.
ea = Total Cover
20 Y �r�c
FAC
Sampling Point: WL C
Dominance Test worksheet:
Total % Cover of:
Number of Dominant Species
OBL species
That Are OBL, FACW, or FAC:
(A)
Total Number of Dominant
7
Species Across All Strata:
(B)
Percent of Dominant Species
�5
That Are OBL, FACW, or FAC:
(A/B)
Prevalence Index worksheet:
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 s3.01
_ 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.
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.
25 = Total Cover
Woody Vine Stratum (Plot size: ) Woody vine - All woody vines greater than 3.28 ft in
1. SwNlt,rtk �U'tvNrll('6l /A IS Y FAC height.
2.
3.
5 Hydrophytic
Vegetation
6 Present? Yes v/ No
15 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Description: (Describe to the depth needed to document the indicator or
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type, Locz
I oy n V7 YD T SY Iz y%b 20 C PL
(L
Hydric Soil Indicators:
Sampling Point:
Texture Remarks
5�u
RM= Reduced Matrix, MS= Masked Sand Grains. 2Location: PL =Pore Lining, M= Matrix.
Indicators for Problematic Hydric
_ 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 (St) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type:
Depth (inches):
_ Dark Surface (S7)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Thin Dark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
_ Red Parent Material (F21) (MLRA 127,147)
_ 2 cm Muck (A10) (MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147,148)
_ Piedmont Floodplain Soils (F19)
(MLRA 136,147)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
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: CcWC126SER.E City /County: k0W-yfVUS,/ Ce44A(Lj1yf Sampling Date: ZIZV14
i
Applicant/Owner: C-V90 W C:BC -Csk- L4-C- / co f"'G"*_SC -GIs' ok) 6, 11 11C State: Sampling Point:
Investigator(s): W6-OC 4, UV6 -"'( Section, Township, Range:
Lan dform (hillslope, terrace, etc.): H(LL StoPE Local relief (concave, convex, none): CO3*J V x Slope
Subregion (LRR or MLRA): ►nG,11114 1'S(o Lat: -3S • N 5501 Long: — W.7(o5 2Z. Datum: N r} p 83
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes V/ No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ✓ No Is the Sampled Area
Hydric Soil Present? Yes -- No within a Wetland? Yes ✓ No
Wetland Hydrology Present? Yes ✓ No
Remarks:
HYDROLOGY
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 (A1)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
✓ Hydrogen Sulfide Odor (Cl)
— Drainage Pattems (1310)
_✓ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (616)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
Dry- Season Water Table (C2)
_ Sediment Deposits (62)
_ Recent Iron Reduction in Tilled Soils (C6)
✓ Crayfish Burrows (C8)
_ Drift Deposits (B3)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (64)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron Deposits (B5)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (67)
-- Shallow Aquitard (D3)
_✓ Water - Stained Leaves (139)
✓ Microtopographic Relief (D4)
Aquatic Fauna (613)
v FAC- Neutral Test (135)
Field Observations:
Surface Water Present? Yes ✓ No
I Depth (inches):
Water Table Present? Yes ✓ No
Depth (inches):
Saturation Present? Yes ✓ No
V Depth (inches):
Wetland Hydrology Present? Y_ e_s No,
_
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Prttow ac�.r,..c-�. -r�.n- w
X004
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont— Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: .500 ) % Cover Species? Status
1. WAA0DC„ pgv*j 1"IPiFERIt 60 Y F*6
2.L outoA- r+Oem� 6'(1i(LAtI FA L#A 3o Y P*c
3.
4.
5.
6.
7.
Sapling /Shrub Stratum (Plot size: 1 s�
1. ACER VLV b1%V m
2. JuNIPCAIO vl"ffr1e"4
3.
4.
5.
6.
7.
8.
90 = Total Cover
Y FAC -
2 N rAcA
3 Z =Total Cover
Herb Stratum (Plot size: 1,34 )
1. C4"Y sue. to N FAC.V0
2. fA4CjWS'(E( -4yhA V1rA1n1IVM y0 Y rAG
3, P00iSlI cH ufr Acrto(-A 0µ0t 09S �5 Y FAQ
4.
5.
6.
7.
10
11.
12.
Woody Vine Stratum (Plot size: ) Total Cover
1. I..o f✓IGk"KA -%F+ v ncA 15 Y 'FAC.
2. S M I t,fR'tt tZA1'I V NO FV I.4 A 5 Y 1 AG
3.
5.
6.
20 = Total Cover
rks: (Include photo numbers here or on a separate sheet.)
Sampling Point: U'L- D
Number of Dominant Species 7
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: !O0 (AB)
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x2=
FAC species
x 3 =
FACU species
x4=
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is s3.0'
_ 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.
Sopfing /Shrub - WQQdy plsnts; 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 It tall.
Woody vine - All woody vines greater than 3.28 It in
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: WL ID
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 Remarks
04 lol(t.+ /7_ loo
S ;CJ.
6' Iq (oYRW /z *0
loYlz 31'{ zo G M
SCV
'Type: C= Concentration, D =De letion RM=
Reduced Matrix MS= Masked Sand Grains.
2Location: PL =Pore Lining, M= Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
_ Histosol (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 Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147,148)
(MLRA 147,148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Str2tified L'ayer's (A5)
_✓ Depleted Mattik (F3)
(MLRA 136,147)
_ 2 cm Muck (All 0) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark Surface (A11)
_ 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) (LRR N,
MLRA 147,148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 1413) wetland hydrology must be present,
_ Stripped Matrix (S6)
_ Red Parent Material (F21) (MLRA 127,147) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
V/
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 / d
Project/Site: C:n N C,t2,"C –" City/County: V-49 iN A POUS IC 4MA4" Sampling Date:
Applicant/Owner: Cowl Lf.G State: Al C. Sampling Point: Q R',rt^'0
Investigator(s): W frwQO'w wGn sy Section, Township, Range:
Landform (hillslope, terrace, etc.): UF&4t++0-- Lot -6 M.- %Q0V Local relief (concave, convex, none): C6 *J V& Y- Slope ( %): /o
Subregion (LRR or MLRA): M44 l34 Lat: 0.146 3707 Long — 8c .74 Zo'iq Datum: j i
Soil Map Unit Name: CE-C44, S4V%►-Jl t►v+M+v� 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
Wetland Hydrology Present? Yes No
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 (C1)
_ Drainage Patterns (810)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (62)
_ 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 (613)
_ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
Saturation Present? Yes No
Depth (inches):
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 (Four Strata) - Use scientific names of plants.
Herb Stratum (Plot size: )
1.
2.
5.
6.
7.
10.
11.
12.
f!b = Total Cover
Woody Vine Stratum (Plot size: )
1. 1- oprtckr4fi, Jhr0.11[Irr ZS Y FrL
2.
3.
4.
6.
71g` = Total Cover
photo numbers here or on a separate
Sampling Point:
Dominance Test worksheet:
Absolute
Dominant Indicator
Tree Stratum (Plot size: )
% Cover
Species? Status
1. Pie-" -TMWA.
?d
Y -Ac'
2_0 1'&h ,mA )ti -%,A
Percent of Dominant Species
X5=
3.
(A/B)
4.
5.
6.
7.
8.
o°
= Total Cover
Sapling /Shrub Stratum (Plot size: 3G 1
1. AU-100A449 V19-i9iwie"JA
2.-L4 tdur S1`fam t 1 Fl.UOr
f`T
'Y Fft
3.17
4.
5.
6.
7.
8.
9.
10.
49'
= Total Cover
Herb Stratum (Plot size: )
1.
2.
5.
6.
7.
10.
11.
12.
f!b = Total Cover
Woody Vine Stratum (Plot size: )
1. 1- oprtckr4fi, Jhr0.11[Irr ZS Y FrL
2.
3.
4.
6.
71g` = Total Cover
photo numbers here or on a separate
Sampling Point:
Dominance Test worksheet:
Multiply by:
Number of Dominant Species
x1 =
That Are OBL, FACW, or FAC:
(A)
Total Number of Dominant
6
Species Across All Strata:
(B)
Percent of Dominant Species
X5=
That Are OBL, FACW, or FAC:
(A/B)
Total % Cover of
Multiply by:
OBL species
x1 =
FACW species
x2=
FAC species
x 3 =
FACU species
x 4 =
UPL species
X5=
Column Totals:
(A) (B)
Prevalence Index = B/A =
1 - Rapid Test for Hydrophytic Vegetation
_ ✓2 - - Dominance Test is >50%
_ 3 - Prevalence Index is s3.0'
_ 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.
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 It in
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

4 ' r
SOIL
Sampling Point:
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc2 Texture Remarks
9-5, letz- V-s lo's 5t,
5- It lox y1l? 9AW sct_
0- ZC'+ 2.fY1L14 /g too G
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147,148)
_ Sandy Gleyed Matra (S4)
_ Sandy Redox (S5)
_ Stripped Matrix (S6)
Type:
Depth (inches):
educed Matrix, MS= Masked Sand Grains. 2Location: PL =Pore Lining, M= Matrix.
_ Redox Depressions (F8)
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136,122) 3Indicators 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 �-
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0
Indicators for Problematic Hydric Sc
_ Dark Surface (S7)
_ 2 cm Muck (All 0) (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) 3Indicators 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 �-
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

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APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION: Concresere: Tributaries A,C,D, Wetlands A -D
State:NC County /parish/borough: Cabarrus City: Kannapolis
Center coordinates of site (lat/long in degree decimal format): Lat. 35.4861610S, Long. - 80.762978° r.
Universal Transverse Mercator:
Name of nearest waterbody: Rocky River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Rocky River
Name of watershed or Hydrologic Unit Code (HUC): 03040105
Check if map /diagram of review area and/or potential jurisdictional areas is /are available upon request.
Check if other sites (e.g., offsite mitigation sites, disposal sites, etc... ) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
f Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There �fc�T� 9 "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There l "waters of the US." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): '
TNWs, including territorial seas
p Wetlands adjacent to TNWs
Relatively permanent watersz (RPWs) that flow directly or indirectly into TNWs
Non -RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
[� Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non - wetland waters: 2167 linear feet: 3 width (ft) and/or 0.15 acres.
Wetlands: 0.22 acres.
c. Limits (boundaries) of jurisdiction based on: 1$Sfi►ca'"` "nor
Elevation of established OHWM (if known):
2. Non - regulated waters /wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
1 Boxes checked below shall be supported by completing the appropriate sections in Section Ill below.
2 For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year -round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
3 Supporting documentation is presented in Section HLF

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent ":
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non - navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year -round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year -round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non -TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: P
Drainage area: � , MO
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through' Wr .a tributaries before entering TNW.
Project waters are river miles from TNW.
Project waters are ,`�
•�I �t river miles from RPW.
Project waters are ..iK B f aerial (straight) miles from TNW.
Project waters are irC aerial (straight) miles from RPW.
Project waters cross or sery e as state boundaries. Explain:
Identify flow route to TNW5:
Tributary stream order, if known:
Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

(b) General Tributary Characteristics (check all that apply):
Tributary is: ❑ Natural
❑ Artificial (man- made). Explain:
❑ Manipulated (man- altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: 0100.
Primary tributary substrate composition (check all that apply):
❑ Silts ❑ Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type//o cover:
❑ Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks). Explain:
Presence of run/riffle /pool complexes. Explain:
Tributary geometry: �c )fist
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for:
Estimate average number of flow events in review area/year: ki st
Describe flow regime:
Other information on duration and volume:
Surface flow is: , : "i Characteristics:
Subsurface flow: fl s�. Explain findings:
❑ Dye (or other) test performed:
Tributary has (check all that apply):
❑ Bed and banks
❑ OHWM6 (check all indicators that apply):
F1 clear, natural line impressed on the bank
❑ the presence of litter and debris
❑ changes in the character of soil
❑ destruction of terrestrial vegetation
❑ shelving
❑ the presence of wrack line
❑ vegetation matted down, bent, or absent
❑ sediment sorting
❑ leaf litter disturbed or washed away
❑ scour
❑ sediment deposition
❑ multiple observed or predicted flow events
❑ water staining
❑ abrupt change in plant community
❑ other (list):
❑ Discontinuous OHWM.7 Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
EJ High Tide Line indicated by:. ❑'"°
Mean High Water Mark indicated by:
❑ oil or scum line along shore objects
❑ survey to available datum;
❑ fine shell or debris deposits (foreshore)
❑ physical markings;
❑ physical markings /characteristics
❑ vegetation lines /changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored,
oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
6A natural or man -made discontinwty in the OHWM does not necessarily sever,jutisdiction (e.g., where the strmM t- 'h7P0J2Z fJ ` /p�{S (((�d (�/
the. OHWM has been removed by development or agricultural practices). where there is a break to the Q erg` ouRd or where
Q9 (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of HW Mat is anrdated to
m,d. above and the waterwy s now
below the break.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor. Characteristics (type, average width):
❑ Wetland fringe. Characteristics:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally - sensitive species. Explain findings:
❑ Aquatic /wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non -TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non -TNW:
Flow is: il:is. Explain:
Surface flow is: MI" a try
Characteristics:
Subsurface flow: &RA. Explain findings:
❑ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non -TNW:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain:
❑ Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are 5EI ist river miles from TNW.
Project waters are e� , 'ist aerial (straight) miles from TNW.
Flow is from: i"
Estimate approximate location of wetland as within the f'►,,;i- s floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width):
❑ Vegetation type /percent cover. Explain:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally - sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: k-Mu t
Approximately ( ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non -RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non -RPW and its adjacent wetlands, where the non -RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III.D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.
RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year -round are jurisdictional. Provide data and rationale indicating that
tributary is perennial: Presence of flow on multiple visits.Hydric soil, no plants in bed, presence of amphibians.
Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally:

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non - wetland waters: acres.
Identify type(s) of waters:
3. Non -RPWss that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non - wetland waters: acres.
Identify type(s) of waters:
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year - round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW: Presence of flow on multiple visits.Hydric soil, no plants in bed, presence of amphibians.
No uplands or manmade ditch, pipe, etc separate wetladns from RPW's.
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section II1.13 and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
Impoundments of jurisdictional waters.'
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from "waters of the U.S.," or
Demonstrate that water meets the criteria for one of the categories presented above (1 -6), or
:05 Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA- STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):"
which are or could be used by interstate or foreign travelers for recreational or other purposes.
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
which are or could be used for industrial purposes by industries in interstate commerce.
Interstate isolated waters. Explain:
Other factors. Explain:
sSee Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
0 Tributary waters: linear feet width (ft).
Q Other non - wetland waters: acres.
Identify type(s) of waters:
[] Wetlands: acres.
NON - JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
Q If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
Q Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
Non - wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes /ponds: acres.
El Other non - wetland waters: acres. List type of aquatic resource:
:2 Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
Q Non - wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes /ponds: acres.
j Other non - wetland waters: acres. List type of aquatic resource:
t Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets /delineation report.
❑ Office does not concur with data sheets /delineation report.
Q Data sheets prepared by the Corps:
Corps navigable waters' study:
U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name:
USDA Natural Resources Conservation Service Soil Survey. Citation:
National wetlands inventory map(s). Cite name:
;r State/Local wetland inventory map(s):
FEMA/FIRM maps:
100 -year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
Photographs: ® Aerial (Name & Date):
or ❑ Other (Name & Date):
Previous determination(s). File no. and date of response letter: LAW. 2ot76 - 23C'7
Applicable/supporting case law:
Applicable /supporting scientific literature:
Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION: Concresere: Tributaries B,E,F
State:NC County /parish/borough: Cabarrus City: Kannapolis
Center coordinates of site (lat/long in degree decimal format): Lat. 35.4861610 N, Long. - 80.762978° ,_Vg.
Universal Transverse Mercator:
Name of nearest waterbody: Rocky River
Name of nearest Traditional Navigable Water (TNW) Into which the aquatic resource flows: Rocky River
Name of watershed or Hydrologic Unit Code (HUC): 03040105
Check if map /diagram of review area and/or potential jurisdictional areas is /are available upon request.
M Check if other sites (e.g., offsite mitigation sites, disposal sites, etc... ) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office, (Desk) Determination. Date:
Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
ft Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There P_-Z "waters ofthe U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): t
TNWs, including territorial seas
Wetlands adjacent to TNWs
Relatively permanent waters' (RPWs) that flow directly or indirectly into TNWs
Non -RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non - wetland waters: 493 linear feet: 2.2 width (ft) and/or 0.025 acres.
Wetlands: 0 acres.
c. Limits (boundaries) of jurisdiction based on: 1'$OIh,Ytae
Elevation of established OHWM (if known):
1. Non- regulated waters /wetlands (check if applicable):'
MI Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
1 Boxes checked below shall be supported by completing the appropriate sections in Section III below.
I For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year -round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
3 Supporting documentation is presented in Section HI.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent":
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non - navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year -round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year -round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non -TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size:
Drainage area: —25 �'
Average annual rainfall: 45 inches
Average annual snowfall: 1 inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
® Tributary flows through I tributaries before entering TNW.
Project waters are river miles from TNW.
Project waters azer t ss� river miles from RPW.
Project waters are 2 aerial (straight) miles from TNW.
Project waters aze �orlc} aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNW5: Unnamed tributary to UT to Rocky River.
Tributary stream order, if known: 1.
"Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW

(b) General Tributary Characteristics (check all that apply):
Tributary is: ® Natural
❑ Artificial (man- made). Explain:
❑ Manipulated (man- altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: 3 feet
Average depth: .25 feet
Average side slopes:�ica
Primary tributary substrate composition (check all that apply):
® Silts ® Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type /% cover:
❑ Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain: relatively stable banks.
Presence of run/riffle /pool complexes. Explain: weak riffle pool complexes.
Tributary geometry: WfiffiNam
Tributary gradient (approximate average slope): 4 -8 %
(c) Flow:
Tributary provides for: ter, oiter
Estimate average numbf flow events in review area/year: M I1�l
Describe flow regime:
Other information on duration and volume:
Surface flow is: ?ise ;e - Characteristics:
Subsurface flow:. Explain fmdings:
❑ Dye (or other) test performed:
Tributary has (check all that apply):
® Bed and banks
❑ OHWM6 (check all indicators that apply):
❑ clear, natural line impressed on the bank
®
the presence of litter and debris
® changes in the character of soil
❑
destruction of terrestrial vegetation
❑ shelving
®
the presence of wrack line
® vegetation matted down, bent, or absent
❑
sediment sorting
® leaf litter disturbed or washed away
®
scour
❑ sediment deposition
❑
multiple observed or predicted flow events
❑ water staining
❑
abrupt change in plant community
❑ other (list):
❑ Discontinuous OHWM.7 Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
High Tide Line indicated by: U Mean High Water Mark indicated by:
❑ oil or scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings /characteristics ❑ vegetation lines /changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain: water clear to discolored, forested watershed.
Identify specific pollutants, if known: No known pollutants.
6A natural or man -made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g, where the stream temporarily flows underground, or where
the OHWM has been removed by development or agncultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g, flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid

(iv) Biological Characteristics. Channel supports (check all that apply):
® Riparian corridor. Characteristics (type, average width): 30 +$ mixed pine hardwood forest.
❑ Wetland fringe. Characteristics:
® Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally - sensitive species. Explain findings:
® Aquatic /wildlife diversity. Explain findings: amphibian life cycle.
2. Characteristics of wetlands adjacent to non -TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non -TNW:
Flow is: Explain:
Surface flow is: M
Characteristics:
Subsurface flow: fist. Explain findings:
❑ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non -TNW:
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain:
❑ Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are : c st r river miles from TNW.
1
Project waters are Pie "M aerial (straight) miles from TNW.
Flow is from: —URIM
Estimate approximate location of wetland as within the F floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width):
❑ Vegetation type /percent cover. Explain:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally- sensitive species. Explain findings:
❑ Aquatic /wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: #16M �t
Approximately ( ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non -RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non -RPW and its adjacent wetlands, where the non -RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III. D:
Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III. D:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.
RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year -round are jurisdictional. Provide data and rationale indicating that
tributary is perennial:
Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally: Presence of flow on multiple occassions,continous bed/bank,sinuousity,no rooted plants, wrack lines.

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non - wetland waters: acres.
Identify type(s) of waters:
3. Non -RPWss that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non - wetland waters: acres.
Identify type(s) of waters:
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
El Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year - round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
b Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
i Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
6. Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
Impoundments of jurisdictional waters?
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from "waters of the U.S.," or
Demonstrate that water meets the criteria for one of the categories presented above (1 -6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA- STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) :ro
{� which are or could be used by interstate or foreign travelers for recreational or other purposes.
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
which are or could be used for industrial purposes by industries in interstate commerce.
Interstate isolated waters. Explain:
Other factors. Explain:
Identify water body and summarize rationale supporting determination:
sSee Footnote # 3
9 To complete the analysis refer to the key m Section III.D.6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Q Other non - wetland waters: acres.
Identify type(s) of waters:
Wetlands: acres.
F. NON - JURISDICTIONAL WATERS, INCLUDING WETLANDS-(CHECK ALL THAT APPLY):
If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
Q Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
[] Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
01 Non - wetland waters (i.e., rivers, streams): linear feet width (ft).
{t. Lakes /ponds: acres.
ED Other non - wetland waters: acres. List type of aquatic resource:
ED Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
E3 Non - wetland waters (i.e., rivers, streams): linear feet, width (ft).
Q Lakes /ponds: acres.
Other non - wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets /delineation report.
❑ Office does not concur with data sheets /delineation report.
Data sheets prepared by the Corps:
?D Corps navigable waters' study:
U.S. Geological Survey Hydrologic Atlas.
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name:
USDA Natural Resources Conservation Service Soil Survey. Citation:
National wetlands inventory map(s). Cite name:
State/Local wetland inventory map(s):
[] FEMA/FIRM maps:
i. 100 -year Flood lain Elevation is: (National Geodectic Vertical Datum of 1929)
Photographs: Aerial (Name & Date):
or ❑ Other (Name & Date):
Previous determination(s). File no. and date of response letter: SAW-2008 -23 67 8/22/2008.
Applicable /supporting case law:
Applicable /supporting scientific literature:
:i Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:

U.S. ARMY CORPS OF ENGINEERS COPY
WILNUNGTON DISTRICT
Action ID. SAW - 2008-2367 County: Cabarrus USGS Quad: Cornelius
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Property Owner / Authorized Agent: Coddle Creek, LLC, Attn: Mr. Keith Wayne
Address: 195 Ervin Woods Drive
Kannapolis, NC 28081
Telephone No.: 704 -938 -8400
Size and location of property (water body, road name /number, town, etc.): Approximate 75 -acre commercial/retail
development site (The Concrescere) at the intersection of Mooresville Road and Davidson Road adiacent to
unnamed tributaries of the Rocky River west of Kannapolis.
Description of projects area and activity: Pipe and fll 149 linear feet of perennial and intermittent stream channel to
construct 2 road crossings at the proposed Concrescere development. Approximately 65 linear feet of stream
channel will be temporarily impacted by sewer line installation. No wetlands will be impacted. SPECIAL
CONDITION: All temporary fill will be removed and stream channels restored to original conditions following
completion of construction.
Applicable Law: X Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: Regional General Permit Number:
Nationwide Permit Number: 39
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the attached
conditions and your submitted plans. Any violation of the attached conditions or deviation from your submitted plans may subject the
permittee to a stop work order, a restoration order and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified,
suspended or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or
modified, this verification will remain valid until the expiration date identified below, provided it complies with all requirements of
the modified nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the
activity would no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are
under construction) or are under contract to commence in reliance upon the nationwide permit, will remain: authorized provided the
activity is completed within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case -by -case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Quality (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA),
prior to beginning work you must contact the N.C. Division of Coastal Management.
This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal,
State or local approvaWpermits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory
program, please contact Steven Lund at telephone [phone].
Corps Regulatory Official: Steven Lund Date: August 22, 2008
Expiration Date of Verification: August 22, 2010
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 attached customer Satisfaction Survey or visit hgp: / /www. saw. usace .army.mil8nTLANDS /in4ex.html to
complete the survey online.

Determination of Jurisdiction. py
❑ Based on preliminary information, there appear to be waters of the US including wetlands within the above described project area.
This preliminary determination is not an appealable action under the Regulatory Program Administrative Appeal Process
( Reference 33 CFR Part 331).
❑ There are Navigable Waters of the United States within the above described project area 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.
X There are waters of the US and/or wetlands within the above described project area 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.
❑ The jurisdictional areas within the above described project area have been identified under a previous action. Please reference
jurisdictional determination issued . Action ID
Basis of Jurisdictional Determination: Streams are intermittent and perennial (RPWs) flowing to Rocky River, a traditionally
navigable water (TNW).
Appeals Information (This information applies only to approved jurisdictional determinations:)
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 Notification of Appeal Process
(NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you must submit a completed RFA
form to the following address:
District Engineer, Wilmington Regulatory Division
Attn: Steven W. Lund, Project Manager
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
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 District 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 date below.
* *It is not necessary to submit an RFA form to the District Office if you do not object to the determination in this correspondence. **
Corps Regulatory Official: Steven Lund
Date: August 22, 2008
SURVEY PLATS, FIELD SKETCH, WETLAND DELINEATION FORMS, PROJECT PLANS, ETC., MUST BE
ATTACHED TO THE FILE COPY OF THIS FORM, IF REQUIRED OR AVAILABLE.
Copy Furnished: Mr. Wendell Overby, S &EC, PA, 248 LePhillip Court, Concord, NC 28025

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Keith Wayne
Coddle Creek, LLC
195 Ervin Woods Dr.
Kannapolis, NC 28081
Division of Water Quality
Charles Wakild, P. E.
Director
December 31, 2012
Subject: Stormwater Permit No. SW3121102
Wayne Brothers Corporate Headquarters Warehouse Project
High Density Commercial Sand Filter
Cabarrus County
Dear Mr. Wayne:
Dee Freeman
Secretary
The Stormwater Permitting Unit received a complete Stormwater Management Permit Application for the
subject project on December 27, 2012 after requesting additional information on November 29, 2012. Staff
review of the plans and specifications has determined that the project, as proposed, will comply with the
Stormwater Regulations set forth in Title 15A NCAC 2H.1000 and Session Law 2006 -246. We are forwarding
Permit No. SW3121102, dated December 31, 2012, for the construction, operation and maintenance of the
subject project and the stormwater BMPs.
This permit shall be effective from the date of issuance until December 31, 2020 and shall be subject to the
conditions and limitations as specified therein, and does not supersede any other agency permit that may be
required. Please pay special attention to the conditions listed in this permit regarding the Operation and
Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes of ownership,
transferring the permit, and renewing the permit. Failure to establish an adequate system for operation and
maintenance of the stormwater management system, to record deed restrictions, to follow the procedures for
transfer of the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH).
The written petition must conform to Chapter 150B of the North Carolina General Statutes. Per NCGS 143 -
215(e) the petition must be filed with the OAH within thirty (30) days of receipt of this permit. You should
contact the OAH with all questions regarding the filing fee (if a filing fee is required) and /or the details of the
filing process at 6714 Mail Service Center, Raleigh, NC 27699 -6714, or via telephone at 919 - 431 -3000, or visit
their website at www.NCOAH.com. Unless such demands are made this permit shall be final and binding.
This project will be kept on file at the Mooresville Regional Office. If you have any questions, or need additional
information concerning this matter, please contact Robert Patterson at (919) 807 -6375; or
robert.patterson @ncdenr.gov.
Sincerely,
Original signed by Robert D. Patterson
for Charles Wakild, P.E., Director
Wetlands and Stormwater Branch
1617 Mail Service Center, Raleigh, North Carolina 27699 -1617
Location 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone. [phone] FAX: [phone]
Internet. www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
cc: SW3121102 File
ec: Christopher N. Isaacs, PE - The Isaacs Group, PC
Michael Parker - Mooresville Regional Office
NolthCarolina
Awarallb,