20141086 Ver 1_More Info Received_20141126

November 26, 2014
To US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: David Shaeffer
3331 Heritage Trade Dr , Suite 105
Wake Forest, NC 27587
From Sean Clark
SEPI Engineering & Construction
1025 Wade Avenue
Raleigh, NC 27605
FNOV 2 6 214
N C Division of Water Resources
401 and Buffer Permitting Unit
Attn: Cherri Smith
512 N Salisbury Street
Raleigh, NC 27604
Re Response to On -Hold Application - DWR # 14 -1086,
Pinebrook Hills Subdivision 401/404, Buffer Compliance Application
Raleigh, NC
SEPI Project # EN14 039 00
The purpose of this letter and the attachments is to provide the response to the letter from Mr
Danny Smith of the Raleigh Regional office of the North Carolina Division of Water Resources
(DWR) dated November 13, 2014 and the email received from Mr David Shaeffer of the US Army
Corps of Engineers (USACE) dated November 12, 2014 Both correspondences in essence
requested that a detailed delineation of wetlands and streams on the site be completed The
stream evaluation and delineation was conducted previously by another consultant SEPI
completed a detailed wetland delineation of the site on November 11, 2014 and the results are
included within this submittal The delineated wetlands are shown on the attached site plans and
the supplemental information (data forms, etc ) required providing the USACE with necessary
data to provide preliminary Jurisdictional determination is also attached
As a result of the delineation, portions of the site plan were altered in order to avoid impacts,
however some impacts to wetlands were unavoidable do to road and utility placement Newly
requested impacts total 0 023 acre Temporary wetland impacts of 0 009 acre will result from a
sewer line installation and Permanent wetland impacts of 0 014 acre will result from the
installation of a residential road crossing required to connect the two portions of the site divided
by the Jurisdictional stream drainage The attached PCN form includes these newly identified
impacts as well as those requested in the previous submittal As such please replace the previous
PCN form and impact maps with those supplied in this submittal
If you have any questions, please call me at (919) 573 -9931
Sincerely,
SEPI Engineering & Construction
�J �r
Pfrr
Sean Clark
Environmental Division Manager
Attachments
(Revised) Pre - construction Notification (PCN) Application Form
(Revised) Overall Impact Map /Impact Map Details (7 sheets)
Preliminary Jurisdictional Determination Request
Wetland Data Forms

'otW A
T �9pG
J y
o r
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
la
Type(s) of approval sought from the Corps
TED Section 404 Permit ❑ Section 10 Permit
1 b Specify Nationwide Permit (NWP) number 29 or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1d
Type(s) of approval sought from the DWQ (check all that apply)
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
❑ Yes
® No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below
❑ Yes
® No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a
Name of project
Pinebrook Hills Subdivision
2b
County
Wake
2c
Nearest municipality / town
Raleigh
2d
Subdivision name
Pinebrook Hills Subdivision
2e
NCDOT only, T I P or state
project no
N/A
3.
Owner Information
3a
Name(s) on Recorded Deed
George Ray and Jean S Cheely
3b
Deed Book and Page No
Bk 005927/ pg00187 and bk 014565/pg 00965
3c
Responsible Party (for LLC if
applicable)
N/A
3d
Street address
2601 Southwinds Run
3e
City, state, zip
Apex, NC 27502 -6514
3f
Telephone no
919 787 -1129
3g
Fax no
N/A
3h
Email address
N/A
Page 1 of 10
PCN Form — Version 1 4 January 2009

4.
Applicant Information (if- different from owner)
4a
Applicant is
❑ Agent ® Other, specify Developer
4b
Name
4c
Business name
(if applicable)
Ashton Raleigh Residential, LLC
4d
Street address
5711 Six Forks Road, #300
4e
City, state, zip
Raleigh, NC 27607
4f
Telephone no
(919) 232 -0039
4g
Fax no
N/A
4h
Email address
S.
Agent/Consultant Information (if applicable)
5a
Name
Sean Clark
5b
Business name
(if applicable)
SEPI Engineering & Construction
5c
Street address
1025 Wade Ave
5d
City, state, zip
Raleigh, NC 27606
5e
Telephone no
919 - 573 -9931
5f
Fax no
919 - 789 -9591
5g
Email address
sclark @sepiengineering com
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a Property identification no (tax PIN or parcel ID)
0787165213 (large) 0787165765 (small)
1b Site coordinates (in decimal degrees)
Latitude 35 8834 Longitude -78 7247
1c Property size
26 4 acres (combined)
2. Surface Waters
2a Name of nearest body of water to proposed project
UT to Turkey Creek
2b Water Quality Classification of nearest receiving water
C, NSW
2c River basin
Neuse
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 currently forested and is located in western Wake County, North Carolina The site contains a single residence
and is surrounded by existing residential communities The elevation of the site ranges from approximately 358 feet
above mean sea level (msl) in the eastern portion of the property to an elevation of approximately 440 msl in the western
portion of the property
3b List the total estimated acreage of all existing wetlands on the property less than 0 50 acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 980 linear feet
3d Explain the purpose of the proposed project
The purpose of the project is to provide additional housing to meet the demand for single - family homes in the area
3e Describe the overall project in detail, including the type of equipment to be used
The project is a single - family residential development that proposes 57 home lots The project will include the
construction of stormwater devices, roads, and other utilities needed to support such a project Heavy equipment typically
used for residential construction projects will be utilized, e g excavators, back hoes, etc
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
® Yes ❑ No ❑ Unknown
Corps or State been requested or obtained for this property /
Comments
project (including all prior phases) in the past?
4b If the Corps made the jurisdictional determination, what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company Central Carolina Soil
Name (if known) Jason Hall (Central Carolina Soil
Consulting, LLC — streams
Consulting) completed the stream determinations
SEPI - wetlands
SEPI staff just recently delineated the wetlands on site
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation The NC
DWR (DWQ at the time) reviewed the streams onsite and issued a buffer and I/P letter (NBRRO #13 -112) on May 22,
2013 SEPI delineated the jurisdictional wetlands on the site and is requesting a preliminary jurisdictional determination
with this submittal
5. Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ❑ No ® Unknown
this project (including all prior phases) in the past?
5b If yes, explain in detail according to "help file" instructions
6. Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes, explain
Page 3 of 10
PCN Form — Version 1 4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
la Which sections were completed below for your project (check all that apply)
® Wetlands ® Streams —tributaries ® Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number
Type of impact
Type of wetland
Forested
Corps (404, 10) or
Area of impact
Permanent (P) or
(if known)
DWQ (401, other)
(acres)
Temporary T
Impact 1
Permanent
Seep
No
Corps
0 014
Impact 2
Temporary
Seep
No
Corps
0 009
2g. Total wetland impacts
0 023
2h Comments No wetland impacts are proposed for this project
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average stream
Impact
number
(PER) or
width
length
Permanent (P) or
intermitte
(feet)
(linear
Temporary (T)
nt (INT)?
feet)
Impact 1 (P)
Culvert / road
UT to Turkey
PER
Corps
285
149
X -ing
Creek
Impact 2 (T)
Sanitary sewer
UT to Turkey
Creek
PER
Corps
254
33
3h Total stream and tributary impacts
182
31 Comments
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 indivii ually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of
impact number —
waterbody
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
(if applicable)
Temporary T
01 Choose one
Choose One
Choose
4f. Total open water impacts
0
4g Comments There are no proposed impacts to open waters
Page 4 of 10
PCN Form — Version 1 4 January 2009

5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or
(acres)
number
purpose of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
Choose One
P2
Choose One
5f. Total
0
0
0
0
0
0
0
5g Comments There are no proposed ponds or lakes within jurisdictional areas on the project
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form
6a.Project is in which protected basin?
® Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer mitigation required?
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
(square feet)
(square feet)
Temporary T
impact
Impact 1 (P)
Road
UT to Turkey
No
8521
5712
crossing
Creek
Impact 2 (T)
Sewer
UT to Turkey
No
2276
1570
crossing
Creek
Stormw
UT to Turkey
Impact 3 (T)
ater
Creek
No
1090
662
outlet
Stormw
UT to Turkey
Impact 4 (T)
ater
Creek
No
1072
653
outlet
6h Total buffer impacts
12959
8597
61 Comments All proposed buffer impacts are considered "Allowable" within the table of uses
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
The applicant requested a detailed delineation of streams and wetlands within the proposed project boundaries prior to
preparing the site plan in order to insure the limitation of impacts to the natural environment Following the delineation the
proposed grading was adjusted to minimize impacts to jurisdictional features and riparian buffers Complete avoidance of
streams and wetlands was not practicable because the stream system on the project site bisects the property Additional
areas in addition to the riparian buffers were left as open space along the drainage providing additional buffering of the
jurisdictional areas Road and utility crossing were oriented to provide as close to perpendicular crossings as possible to
further minimize impacts
1b
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Stream banks within the temporary impact area of the utility installation will be stabilized immediately after the installation
and the buffer areas will be seeded Road slopes will be seeded and stabilized once construction of the road crossing has
occurred Construction activities within the buffered and jurisdictional areas will be completed within the proposed
footprint of the road and /or utility to avoid and minimize any unnecessary impacts Tree protection fencing will be placed
along the perimeter of wetlands that are in the vicinity of planned grading
2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a
Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b
If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c
If yes, which mitigation option will be used for this
❑ payment to in -lieu fee program
project'?
❑ Permittee Responsible Mitigation
3
Complete if Using a Mitigation Bank
3a
Name of Mitigation Bank
Type Choose one
Quantity
Type Choose one
Quantity
3b
Credits Purchased (attach receipt and letter)
Type Choose one
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
Page 6 of 10

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
6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ® No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c
Reason for impact
6d
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund)
6h Comments
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a
Does the project include or is it adjacent to protected riparian buffers identified
® Yes ❑ 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
Comments
2.
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
31 %
2b
Does this project 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 on the site will be directed to 2 Stormwater Management Extended Detention Wetlands These devices have
been designed to meet current standards and will be approved by the City of Raleigh
(designated authority) Preliminary
approval has been obtained however the final approval from the City requires the issuance of the conditional Buffer
compliance and 401/404 permit
2e
Who will be responsible for the review of the Stormwater Management Plans
City of Raleigh
3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
Raleigh
® 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
❑Yes ®No
attached?
5.
DWQ 401 Unit Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes ® No
use of public (federal /state) land?
lb If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
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 A Programmatic Categorical Exclusion has been prepared for this
document
2. Violations (DWQ Requirement)
2a Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b Is this an after - the -fact permit application?
❑ Yes ® No
2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
We have reviewed the "DRAFT Internal Policy, Cumulative Impacts and the 401 Water Quality Certification and Isolated
Wetland Programs" document prepared by NC Division of Water Quality on April 10, 2004, version 2 1 The proposed
development does not meet any of the "growth stimulating" criteria The project will be located in the already heavily
developed city of Raleigh and will have no transportation impacts
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
The project will tie into existing City of Raleigh sanitary sewer lines
Page 9 of 10
PCN Form — Version 1 3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
5c If yes, indicate the USFWS Field Office you have contacted
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
A query of NC Natural Heritage Elemental Occurrences database (October 2013) was made and it was found that there are
no elemental occurrence of federally listed species within two miles of the project
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The proposed project takes place in Wake County which is not near any coastal or tidal habitat that would support EFH
(i a salt marshes, oyster reefs, etc )
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?
http / /gis ncdcr gov /hpoweb/ "Records check at the State Historic Preservation Office or the Office of State Archeology
were not performed Utilizing the HPOWEB GIS mapping service, a 2 -mile radius search of the project center yielded no
records on or immediately adjacent to the subject property Several sites were within the 2 -mile radius however the
project should have no adverse affect
8. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA - designated 100 -year floodplain?
❑ Yes ® No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? http / /floodmaps nc gov /fmis /Map aspx ?FIPS =183
Sean Clark
11/26/2014
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided
Page 10 of 10

~f
rsa
Ftfl •r � ?:
z�
C
r
a e.
r
t
F`
y\
w
l,! J
Z
ui
w
W
lit
�J
M
dl
FY
z
Q
0
U p
N
r
I .
'I
LU
CD
l�
V
Q—
W
O
w
-j -j
z z z
O v v
cy
ry
Q w �
O w 0- CL
Lu -I
< 0 0
CL Q W CL
�
C/
_z
— N m It
Q
d
LU
w
3
Q
w
Q
0
QN
<z
�N
� I I
Z N
o-
Lu
uz
Qo
II
� N
II
�U-
wm
z
QN LW
0 z
Ix
1-I- -I
Q
LL I �
I
1 --1- -I
V
Q
w
O � �
�z Q
d-
Q w
w w q] N
z Q
S) Q
F- F--
O
w I T- Q�S)
��ww =uQ
Ul Q Q Q �/ W
I Q } Q
�O Q w
NOOT= >
r- rr - rrrr
w W w W W w w
0 0 0 0 0 0 0
—Nmd' u»r
W j2°S
a a a^ a
Q
W ?
ry ry
®
wh
NTr�"�z
z
O
N
.e
"}
N
N
W
W
N
N
N
N
p
Q
z
�r�Q0 In
N
N
W QQ
O0.
z O
N
N
� Or
Q
l�
v
z
r
r
r
r
L
O
w
O
w
O
W
O
QQ
m�rd
d
CLO
w
w
w
w
z
z
r
z
m
m
m
m
�
C/
_z
— N m It
Q
d
LU
w
3
Q
w
Q
0
QN
<z
�N
� I I
Z N
o-
Lu
uz
Qo
II
� N
II
�U-
wm
z
QN LW
0 z
Ix
1-I- -I
Q
LL I �
I
1 --1- -I
V
Q
w
O � �
�z Q
d-
Q w
w w q] N
z Q
S) Q
F- F--
O
w I T- Q�S)
��ww =uQ
Ul Q Q Q �/ W
I Q } Q
�O Q w
NOOT= >
r- rr - rrrr
w W w W W w w
0 0 0 0 0 0 0
—Nmd' u»r
J J J J
r -np
i] ryr ry
O
J
z�
O�
J � <
U
OL
N QyJ
Z w +
� W
J F"'
M
bl�
X
tu
V
F-
O
Nw
V 1
O
LU
m
LLJ
L O
D� z
(:paN ACT
J f Q
a�
OJT
des "O���iONO
W U�
� W
Za
F� o
C7 �
z N 00
W U
\zooU
Q' p C5
W WN�
�WH�>
Q�
uo O
Z Q
00 CA
►>�W�a
H
a"Oa
aU
� cn
DO
t W
H W o
M
W
a
r'
Q
LLI
DL
LIJ
LLJ
b
Z
IZLI Zi J ° (i 2O�
Q W < W :z 'D
LL w < ¢ J z z � Z IK to
° < Z
z < QOw N
IL <
O IJJ J O j Wu-1 IJ W ° J Z
o :E Z I- q: Q W oUo
NQ~ Wz zpW m SOW W
° ><
< K O�i QzJQ J ' } O zx D Q pQJ w v Y
x IT Q¢U 0 o Q o TWn- IL
w Q JU fir- z Fp QQQ Qz
><
IL 'Dgozwz<a ~ooZ o�Z
ptta—inpIIzyyII < Q-
N�o m <L�wZJInQ -1 Zzk'�Q z
a Q� °WWw��aoWWXo
¢aaQm o
z o J�J of
<Qd °�zZ °�W WQQ«< �a�mUU11 o N
N�0ZZQwV <QOWQQ?3 QuzQn.. O
=02RD QO�QWNZwOz -tv i J�K<f z <
t-z0
<—H Z< NSZJ� <N �zUl Z N O
FJ �z0¢IJ��J� w0. WZppNON zpJ
a2�z�< wZCO O�nwK- �zvw <LLJ
d760N~ JJZ QI- w�npna��n<Jt_QJ��gJ1
w4QO� U(NVQ'tn LwL ��QJJZ z_J z_<Q�zS
> OKu�zf tn ~Z Z �WQ_<j �H0.�WNO
Lu
ZWQI JJ WF ig Cl WO lo o =o�Q��,,°XJ9� W<
44U- 1- 0.LL-�0! FN-Z 4-S i J <Nto F-Z<F0. W
_Nfn V tnO r v O_N m V to O r
C)
0
N
z
ccs o
ct
� � N
1-LI O
O ^
O�
o
w
k
O `"
Cn Lr)
L
O
v �
m
v 1
�t-
O
N
w
m
O
v
0
W
I-
Q
Q
Q
z
0
W j2°S
a a a^ a
Q
W ?
ry ry
®
wh
NTr�"�z
z
O
N
I.dZ N °— IYl
-tl100
=-
V H
�r�Q0 In
WLf) r
W QQ
O0.
z O
� Or
Q
U
N
K
LL < O
7
O �7
0. N m
a
w
O I
IIL
L..
L
�L Z
� q
O H F W
J J J J
r -np
i] ryr ry
O
J
z�
O�
J � <
U
OL
N QyJ
Z w +
� W
J F"'
M
bl�
X
tu
V
F-
O
Nw
V 1
O
LU
m
LLJ
L O
D� z
(:paN ACT
J f Q
a�
OJT
des "O���iONO
W U�
� W
Za
F� o
C7 �
z N 00
W U
\zooU
Q' p C5
W WN�
�WH�>
Q�
uo O
Z Q
00 CA
►>�W�a
H
a"Oa
aU
� cn
DO
t W
H W o
M
W
a
r'
Q
LLI
DL
LIJ
LLJ
b
Z
IZLI Zi J ° (i 2O�
Q W < W :z 'D
LL w < ¢ J z z � Z IK to
° < Z
z < QOw N
IL <
O IJJ J O j Wu-1 IJ W ° J Z
o :E Z I- q: Q W oUo
NQ~ Wz zpW m SOW W
° ><
< K O�i QzJQ J ' } O zx D Q pQJ w v Y
x IT Q¢U 0 o Q o TWn- IL
w Q JU fir- z Fp QQQ Qz
><
IL 'Dgozwz<a ~ooZ o�Z
ptta—inpIIzyyII < Q-
N�o m <L�wZJInQ -1 Zzk'�Q z
a Q� °WWw��aoWWXo
¢aaQm o
z o J�J of
<Qd °�zZ °�W WQQ«< �a�mUU11 o N
N�0ZZQwV <QOWQQ?3 QuzQn.. O
=02RD QO�QWNZwOz -tv i J�K<f z <
t-z0
<—H Z< NSZJ� <N �zUl Z N O
FJ �z0¢IJ��J� w0. WZppNON zpJ
a2�z�< wZCO O�nwK- �zvw <LLJ
d760N~ JJZ QI- w�npna��n<Jt_QJ��gJ1
w4QO� U(NVQ'tn LwL ��QJJZ z_J z_<Q�zS
> OKu�zf tn ~Z Z �WQ_<j �H0.�WNO
Lu
ZWQI JJ WF ig Cl WO lo o =o�Q��,,°XJ9� W<
44U- 1- 0.LL-�0! FN-Z 4-S i J <Nto F-Z<F0. W
_Nfn V tnO r v O_N m V to O r
C)
0
N
z
ccs o
ct
� � N
1-LI O
O ^
O�
o
w
k
O `"
Cn Lr)
L
O
v �
m
v 1
�t-
O
N
w
m
O
v
0
W
I-
Q
Q
Q
z
0

I
Q351 OZ 1 an-ZU/616m3 OM190616 —U 609LZ xv -ratol �s.+a
�o a -E06
E
1�f ? �/O9* � �a s r xva uisxoo asn axv i
fl NMb14 G7I H N=!1G3N I d 100010 saaamm a / sxoaanxns /
��'fx3Q1532 3d NOlHSV 117 11SIHX3 1OddW Z3flO17O .arI sai�aossV MaA�a`LS
� :u .in8 ONV QNVI M
N 'H93 d1 NOIl d�O� 3 = 1 Q O 2b
u
F d W
Ll
lu
s
0
Q W w °N� N 1
w
O
w
—
g
blow
CN
/ 1N53 1*010 91yAr'u 11 'I LU
- - - - - s - - -- I III �
}� i \ \ N ♦♦ e 1 \ I A
w u W � p B I I III
r, LXO,R�N wQ Ill zQ ,
lu
n4m� w I 1z , / �� 'V ✓, � � � 1 I I I I °{ �I Ili ' W
//
O 1 ii ��' \ \\ r \ If Id
m tbp /��' '' /./
te
-- - -- - -J I / /' I / ♦\ �� ' i .
�-
I
L- - - - - -- / / �, -
' I
I L - - - -- = I II I
I / \
/ m �, I ------- ' I I
/ r- - - - - -- I L- - - - - -J I I
owl I I
Iq
P 11 1 �P m r
m
11 m I l l i \1 r' \ \\\
�' p �`\ J I � (14
' - - -- I �I
�
ax 'Pow,
I I I I I I
I yITS& N6? °H1 oPa Ss I l(1 I I -- I 1
\ a
amav JI � \ ! � °uG �mav� 1 d�o I I I � L—
I � Of
I / L- - - -
P�
r/
V I— I I l ry 11 11 1 I
, L- - - - - -- I
` o
)� /` _ 1 ;�r ,--- - - - - --
)� I� C� W-/ - // �` � � �
l �
Z4
V ' - � 1
if
i I I
T LL
W■fin
v

7��' IV I1N3 41532i e6 wC 1
GIIIH aNDis au z(, �sumvI / su aNmv'Jd sixvi �uism0: asnaM VPI
9 NdTQ � d aN
-VI/81/1 I 0��93NI l s O3rOTd ®
H913Vb NOIHSV 1ND-17 IIGIHX3 i)'ddWl �l'dQ -D 'S [IvID®SSV -O NaAVdD`ISm`I j
ON 'H91g-Id?1 NOIlV90-1 �..G.4.4n9 ONV ONVIAM
Nl�iON —
�- L---- ------ - - - - -j
t -
� I1�.
t
. t i
r
�t fC
I it Skn
i Q
i�® � � 10,
I 1�
1
r
N
v � �
z w LO —
O O
v N N
Ll ° 11 11 u
W ® ® O
0
I
O
L(1
W
—I
l�
l�
Q
r—
a_
V
n
L
t�-
v Y
1
I �
i
,L
1
b ,
1 ♦`
0
I
O
L(1
W
—I
l�
l�
Q
r—
a_
V
n
L
t�-
v Y

100 010—GIOE 113�fflo"�Ici ERZT-ML/616-A ODMISLI616-M 609LZ-DM ql.,. Vol c4ms..aa-*-DO H - COSE
�g NMV�:iifl G71H NOO'N93NIc4 -)�' -' MaMDNH / SUOA9AWnS / SHaNDISHU HJVDSCIRVI / SUaMN'Vld S'KVJ"MSNOO aSr' CE M
IN�111) VIOE'i 'il-G90-1-90 Divn -
0-1-1'1VUNAO1G9N H912-Mli NO-LHSV i1G1HX:1 iDVcIR omj'sajLvioossV 29 NaAV-d3'1sm-dd
�
9WHOID-W-el NO11VDG-1 aai,.ine ONIV ONIVIGM I 09=..1
Hi�ION
OL :z ry
U-1 ss)
wz z
W- U-1
i-- LL -I
OL
OL
LLI
z
z LI-1
OL-
LO
z
Z-
<
Y-tu
z
ty-
HA- —:Z-
K Z
Q -<
LU
��_, O ` , I
ju tu
N 7-X N
w fn 'T
OL :z ry
U-1 ss)
wz z
W- U-1
i-- LL -I
•
N
[LI
CIZ
CD B-/
C) tY `fit
<
\2) iq
z
<N
U1
A
N
U 2_ N
_,
U-1
LU
4 L*11
tu X
tu tu
:z
tu tu <
z -Z
,
luju I--
AIL 1 to
X Lu 114
A LWK
I
Inl
I
LU
< uj
-T-
OL
OL
LLI
z
z LI-1
OL-
LO
N
•
N
[LI
CIZ
CD B-/
C) tY `fit
<
\2) iq
z
<N
U1
A
N
U 2_ N
_,
U-1
LU
4 L*11
tu X
tu tu
:z
tu tu <
z -Z
,
luju I--
AIL 1 to
X Lu 114
A LWK
I
Inl
I
LU
< uj
-T-

�vevlI 'a�sl/� gag °Jg N�a
G-nlH NOON93NIcl
loo :179'oz!w
8Bt0Jal ®3/� vxe� UZIZBL /616 -9 OOEO -19L /616 --U 6WLZ'Jt1��1�7E>O[�PlSy^}k[ ja -ECEE
MaWONH SNOaaA -dM SURKDISHaaJVDSaNV'l SHaNNV'Ia SJXV- tMSNOJASnaNV"
J„ �- mj.tGalGMi 1 )IM" NOMW -M3I ►�
lielHxa IWCiHl
�loz'I �goloo 31'do
•�j�Ij`S�.I,�I�OSS� 1�I�A�'2I�`1,SM -dd
9N FIGIT 1 `NOI -LV90 ( x(19 (3NV 04VIiaM
91 N
LU
-�
�z
c
mmmm
NNNN
N (V tV (V
Q Ja
LU
v V V U
z
N N N N
O
O
�InNN
z
O N N N
i
OL
z
'N ;I t—��,
u�
kn
�m
LL
�
gzm
g
Y:b
UL
\\\�
N
uj
i pp
LL
lu
LU
I
maim S
9 f "ki =M
Q
Q z o-
MM

Jurisdictional Determination Request
US Rimy corps
of Engineers.
wlmngton Distnd
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on -line at: http• / /www saw usace.army.mil /Missions /Re u� latoryPermitProgram aspx , by
telephoning: 910 -251 -4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE
US Army Corps of Engineers
151 Patton Avenue. Room 208
Asheville, North Carolina 28801 -5006
General Number (828) 271 -7980
Fax Number (828) 281 -8120
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number (919) 554 -4884
Fax Number (919) 562 -0421
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number (910) 251 -4610
Fax Number (252) 975 -1399
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number 910 - 251 -4633
Fax Number (910) 251 -4025
Version. December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E and F.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must be
signed by the current property owner to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization /notification for JD
requests associated with North Carolina Department of Transportation (NCDOT) projects will be
conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program participants, or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: 7520 Pinecrest Rd
City, State: Raleigh, NC
County: Wake
Directions: From US70W turn right onto Pinecrest Road Travel approximately 0 5 miles
and turn right on Tanglewild Drive Property is on the left
Parcel Index Number(s) (PIN): 0787 -16 -5213, 0787 -16 -5765
B. REQUESTOR INFORMATION
Name: Sean Clark
Mailing Address: 1025 Wade Avenue, Raleigh, Nc 27605
Telephone Number: [phone]
Electronic Mail Addresst: sclark @sepiengineering com
Select one:
❑ I am the current property owner.
❑✓ 1 am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address
3:
George Ray & Jean S Cheely
7520 Pinecrest Rd
Raleigh, NC 27609
❑✓ Proof of Ownership Attached (e.g. a copy of Deed, County GIS /Parcel /Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version. December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of record of the property /properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on -site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal Jurisdiction
under Section 404 of the Clean Water Act and /or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print)
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
Date
F7I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property /project area for the presence or
absence of WoUS5 and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation
❑ I am requesting that the Corps delineate the boundaries of all WoUS on a property /project
area and provide an approved JD (this may or may not include a survey plat).
F] I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property /project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT /USACE protocols, skip to Part E
5 Waters of the United States
Version- December 2013 Page 4

Jurisdictional Determination Request
F. ALL REQUESTS
❑✓ Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation
✓❑ Size of Property or Project Area 26 4
acres
Iy l I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
7 Completed and signed Preliminary Jurisdictional Determination Form
Project Coordinates: 35 882369 Latitude -78 724503 Longitude
Maps (no larger than 11 xl 7) with Project Boundary Overlay:
❑✓ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
✓❑ USGS Topographic Map
❑✓ Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form From Regulatory Guidance Letter No 08 -02, dated June 26, 2008
Version- December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable) 7
Wetlands:
❑✓ Wetland Data Sheets
Tributaries:
❑ USACE Assessment Forms
Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑✓ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and /or tributary assessment reaches
• Locations of photo stations
• Approximate acreage /linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Latitude
Longitude
Maps (no larger than 11 xl 7) with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum. streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at
http / /www usace army md/ Missions/ CivilWorks/ ResulatoryProsramandPermits /reg supp aspx
Wetland and Stream Assessment Methodologies can be found at
http / /portal ncdenr ors /c /document library /get file ?uuid= 76f3c58b -dab8- 4960- ba43- 45b7faf06f4c &groupld =38364 and,
http / /www saw usace army md/ Portals /59 /docs /regulatory /publicnotices /2013 /NCSAM Draft User Manual 130318 pdf
S Delineation information must include, at minimum, one wetland data sheet for each wetland /community type
Version. December 2013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
❑ Wetland Data Sheets
E'
0
Upland Data Sheets
Landscape Photos, if taken
Tributaries.
USACE Assessment Forms
❑ Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and /or tributary assessment reaches
• Locations of photo stations
• Approximate acreage /linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
❑ Approved Jurisdictional Determination Forrn(s) (also known as "Rapanos
Form(s) ")
Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland /community type
Version. December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard -
copy submittals include at least one original Plat (to scale) that is no larger than 1 l "x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 1 1 "x17', may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e -mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
❑ Must be sealed and signed by a licensed professional land surveyor
F1Must be to scale (all maps must include both a graphic scale and a verbal scale)
❑ Must be legible
❑ Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings /metes
and bounds /GPS coordinates of all surveyed delineation points
❑ Must clearly depict surveyed property or project boundaries
❑ Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
❑ When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric system
Version. December 2013 Page 8

Jurisdictional Determination Request
When tributaries are depicted•
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
all depicted WoUS (wetland polygons and tributary lines) must intersect or tie -to
surveyed project /property boundaries
F1Must include the location of wetland data points and /or tributary assessment
reaches
❑ Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands ", "non -
jurisdictional waters "). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version. December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
❑ When the entire actual Jurisdictional Boundary is depicted
include the following Corps Certification language
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5) years from
this date The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual "
Regulatory Official
Title
Date:
USACE Action ID No
❑ When uplands may be present within a depicted Jurisdictional Boundary:
include the following Corps Certification language:
"This certifies that this copy of this plat Identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official.
Title
Date
USACE Action ID No.:
Version December 2013 Page 10

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

CI M11%I I Kl�tr'2L Nl I I1 %
AG FNT A117HO RIZATIO N FORM
All Blanks to Be Filled in By the Current Landowner or IMuuicipal,Offcial
Name. G R Cheely and Jean S Cheely
Address: 2601 Southwlnds Run _
Apex, NC 27502
Phone: [phone]
Project Name/Description: Pinebrook HMIs SEPI Project 4 vEN14.038
Date: 10-4 -2014
The Department of the Army
US Army CorpsofEllgineers, WilmInb on District
P.O. Box 1890
Wilmington, NC 28402
Attn: _ David Sbaeffer _
Field Office: Raleigh
Re- Wet landsan d Stream s Related Consult in a and Permitting
To Whom It Mav Concern.
I, The current landowner or municipal official, hereby designate and authorize SEP] Engineering
Group. Inc to actin my behalf as my agent in the processmgofpermltapplical :ions „to furnish
upon request supplemental information in support of applications, etc ,from this day forwlyd.
The—/(” Ti, _dayof 2.)) 4
This not;ficationsupersedesan} previous correspondencecor ,,cerningthe agent forthisproject.
Notice: Ibis authorization, for liability and professional courtesy reasons, is valid only for
governmentofficials to enter the,propertywhen accompanied by SEPI staff. You should
call SEPItoarrangea prior to visiting the site. /!) i,
Ci l7(�G �' �II�GGy
-S t:4JV S BY •
BY- � <,LE�.y
Print Name oN andowner'Sor Municipal SignaturcofLandwmnel. l. lunicipal
Official'sName
1025 WADE AVENUE• RAI.EIGII,NC 27605 • I EL 919 789 9977• rAX 919 789 9591 • SEPI ENGINEERING CQtiI

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site Pinebrook Hills City /County Wake County Sampling Date 2014 -11 -11
Applicant/Owner Ashton Woods Homes State NC Sampling Point Pond -UL
Investigator(s) S Clark, K Hamlin Section, Township, Range Leesville
Landform (hillslope, terrace, etc) Pond Local relief (concave, convex, none) concave Slope ( %) 0 5
Subregion (LRR or MLRA) MLRA 136 Lat 35 882724 Long -78 723665 Datum NAD83
Soil Map Unit Name Water NWI classification L2UB2
Are climatic / hydrologic conditions on the site typical for this time of year? Yes 1r 1_ No F-1— (If no, explain in Remarks )
Are Vegetation=, Soil _F, or Hydrology 7 significantly disturbed? Are "Normal Circumstances" present? Yes No El
Are Vegetation El , Soil El or Hydrology D_ 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 P11 No'_ Is the Sampled Area
Hydric Sod Present? Yes �_ No� within a Wetland? Yes _❑_ No _ ❑✓ _
Wetland Hydrology Present? Yes 7,/ No El
HYDROLOGY
US Army Corps of Engineers Eastern Mountains and Piedmont –Version 2 0
Wetland Hydrology Indicators
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required check all that apply)
❑✓ Surface Soil Cracks (136)
❑ Surface Water (Al)
❑ True Aquatic Plants (1314)
❑ Sparsely Vegetated Concave Surface (138)
High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
❑ Drainage Patterns (610)
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)
Drift Deposits (133)
Recent Iron Reduction in Tilled Soils (C6)
❑ Thin Muck Surface
❑_ Crayfish Burrows (C8)
❑
(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 (B9)
❑ Microtopographic Relief (D4)
Aquatic Fauna (1313)
❑✓ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present?
Yes No R� Depth (inches)
Water Table Present?
Yes ❑ No= Depth (inches)
Saturation Present?
Yes F� No EVE Depth (inches)
Wetland Hydrology Present? Yes _Z_ No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont –Version 2 0

VEGETATION (Five Strata) — Use scientific names of plants.
Sampling Point Pond -UL
Absolute Dominant Indicator
Dominance Test worksheet
Tree Stratum (Plot size 50' )
% Cover Species? Status
Number of Dominant Species
1
That Are OBL, FACW, or FAC (A)
1
2
Total Number of Dominant
1
Species Across All Strata (B)
3
4
Percent of Dominant Species
100
5
That Are OBL, FACW, or FAC (A/B)
6
Prevalence Index worksheet
= Total Cover
Total % Cover of Multiply by
50% of total cover
20% of total cover
OBL species x 1 =
Sapling Stratum (Plot size 50' )
FACW species 3 x2=6
1
FAC species 90 x 3 = 270
2
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals 93 (A) 276 (B)
5
Prevalence Index = B/A = 2 9
6
= Total Cover
Hydrophytic Vegetation Indicators.
❑ 1 - Rapid Test for Hydrophytic Vegetation
50% of total cover
20% of total cover
❑✓ 2 - Dominance Test is >50%
Shrub Stratum (Plot size 50'
F/� 3 - Prevalence Index is <_3 0'
1
4 - Morphological Adaptations' (Provide supporting
2
data in Remarks or on a separate sheet)
3
❑ Problematic Hydrophytic Vegetation' (Explain)
4
5
Indicators of hydric soil and wetland hydrology must
6
be present, unless disturbed or problematic
= Total Cover
Definitions of Five Vegetation Strata
50% of total cover
20% of total cover
Tree — Woody plants, excluding woody vines,
Herb Stratum (Plot size 30' )
FAC
approximately 20 ft (6 m) or more in height and 3 in
(7 6 cm) or larger in diameter at breast height (DBH)
1 Polygonum ramosissimum
90 Y
2 Cyperus esculentus
3 N FACW
Sapling —Woody plants, excluding woody vines,
2 N NI
approximately 20 ft (6 m) or more in height and less
3 Panicum sp
than 3 in (7 6 cm) DBH
4
Shrub — Woody plants, excluding woody vines,
5
approximately 3 to 20 ft (1 to 6 m) in height
6
Herb —All herbaceous (non - woody) plants, including
7
herbaceous vines, regardless of size, and woody
8
plants, except woody vines, less than approximately 3
9
ft (1 m) in height
10
Woody vine — All woody vines, regardless of height
11
= Total Cover
50% of total cover
20% of total cover
Woody Vine Stratum (Plot size 30' )
1
2
3
4
5
Hydrophytic
= Total Cover
Vegetation
Yes �_ No
50% of total cover
20% of total cover
Present? _a_
Remarks (Include photo numbers here or on a separate sheet)
US Army Corps of Engineers Eastern Mountains and Piedmont —Version 2 0

SOIL Sampling Point Pond -UL
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth
Matrix
Redox Features
❑
Dark Surface (S7)
(inches)
Color (moist) %
Color (moist) % Type
Loc
Texture Remarks
0 -4
10YR 412 98
10YR 5/8 2 C
PL
sandy loam
4 -7
10YR 6/3 95
10YR 518 5 C
PL
sandy loam
7 -10+
10YR 6/4 90
10YR 5/8 10 C
PL
sandy loam
1TVpe C= Concentration, D =De letion, RM= Reduced Matrix, MS= Masked Sand Grains 2Location PL =Pore Lining, M= Matrix
Indicators for Problematic Hydric Soils'.
Hydric Sod Indicators-
❑ 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)
❑
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 (All)
❑
Depleted Dark Surface (177)
❑ 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)
❑ Sandy Gleyed Matrix (S4)
MLRA 136)
❑ Umbric Surface (F13) (MLRA 136, 122)
'Indicators of hydrophytic vegetation and
❑ Sandy Redox (S5)
❑ Piedmont Floodplain Soils (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 –El— No ❑
US Army Corps of Engineers Eastern Mountains and Piedmont –Version 2 0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site Pinebrook Hills City /County Wake County Sampling Date 2014 -11 -11
Applicant/Owner Ashton Woods Homes State NC Sampling Point Pond -WL
investigator(s) S Clark, K Hamlin Section, Township, Range Leesville
Landform (hdlslope, terrace, etc ) Pond Local relief (concave, convex, none) concave Slope ( %) 0 5
Subregion (LRR or MLRA) MLRA 136 Lat 35 882767 Long -78 723606 Datum NAD83
Soil Map Unit Name Water NWI classification L2UB2
Are climatic / hydrologic conditions on the site typical for this time of year? Yes _— No F_ (If no, explain in Remarks)
Are Vegetation =, Soil �_, or Hydrology F_ significantly disturbed? Are "Normal Circumstances" present? Yes FZ� No
Are Vegetation D Soil �_, or Hydrology _0 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 R17 — No R_ Is the Sampled Area
Hydric Soil Present? Yes �_ No= within a Wetland? Yes �✓ No F
_
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 Sod Cracks (136)
❑✓ Surface Water (Al)
❑ True Aquatic Plants (1314)
❑ Sparsely Vegetated Concave Surface (138)
✓ High Water Table (A2)
❑ Hydrogen Sulfide Odor (Cl)
® Drainage Patterns (B10)
✓ Saturation (A3)
❑ Oxidized Rhizospheres on Living Roots (C3)
❑ Moss Trim Lines (1316)
Water Marks (131)
Presence of Reduced Iron (C4)
❑ Dry- Season Water Table (C2)
Sediment Deposits (132)
Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
Drift Deposits (133)
Thin Muck Surface (C7)
❑ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (64)
❑ Other (Explain in Remarks)
❑ Stunted or Stressed Plants (D1)
Iron Deposits (135)
❑ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
❑ Shallow Aquitard (D3)
Water - Stained Leaves (139)
❑ Microtopographic Relief (D4)
Aquatic Fauna (1313)
❑ FAC- Neutral Test (D5)
Field Observations
Surface Water Present? Yes
No,_❑_ Depth (inches) 0
Water Table Present? Yes ✓❑
No F� Depth (inches) 0
Saturation Present? Yes 271
No El Depth (inches) 0
Wetland Hydrology Present? Yes 0_ 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

\ /Gr CTA -rinKI 1=4— Crrn +a) _ I Ica cciantific names of plants.
Sampling Point Pond -WL
Remarks (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont –Version 2 0
Absolute Dominant Indicator
Dominance Test worksheet
Tree Stratum (Plot size 50'
) % Cover Species? Status
Number of Dominant Species
That Are OBL, FACW, or FAC (A)
1
2
Total Number of Dominant
3
Species Across All Strata (B)
4
Percent of Dominant Species
5
That Are OBL, FACW, or FAC (A/B)
6
Prevalence Index worksheet.
= Total Cover
Total %Cover of Multiply by
50% of total cover 20% of total cover
OBL species x 1 =
Sapling Stratum (Plot size 50'
)
FACW species x 2 =
1
FAC species x 3 =
2
FACU species x4=
3
UPL species x 5 =
4
Column Totals (A) (B)
5
Prevalence Index = B/A =
6
= Total Cover
Hydrophytic Vegetation Indicators
❑ 1 - Rapid Test for Hydrophytic Vegetation
50% of total cover 20% of total cover
❑ 2 - Dominance Test is >50%
Shrub Stratum (Plot size 50'
❑ 3 - Prevalence Index is <_3 0'
1
4 - Morphological Adaptations' (Provide supporting
2
data in Remarks or on a separate sheet)
3
❑ Problematic Hydrophytic Vegetation' (Explain)
4
5
Indicators of hydric soil and wetland hydrology must
6
be present, unless disturbed or problematic
= Total Cover
Definitions of Five Vegetation Strata
50% of total cover 20% of total cover
Tree – Woody plants, excluding woody vines,
Herb Stratum (Plot size 30'
)
approximately 20 ft (6 m) or more in height and 3 in
95 Y NI
(7 6 cm) or larger in diameter at breast height (DBH)
1 Panicum sp
2 Typha latifolia
2 N OBL
Sapling – Woody plants, excluding woody vines,
2 N FAC
approximately 20 ft (6 m) or more in height and less
3 Polygonum ramosissimum
than 3 in (7 6 cm) DBH
4
Shrub – Woody plants, excluding woody vines,
5
approximately 3 to 20 ft (1 to 6 m) in height
6
Herb –All herbaceous (non - woody) plants, including
7
herbaceous vines, regardless of size, and woody
8
plants, except woody vines, less than approximately 3
9
ft (1 m) in height
10
Woody vine – All woody vines, regardless of height
11
= Total Cover
50% of total cover 20% of total cover
Woody Vine Stratum (Plot size
30' )
1
2
3
4
5
Hydrophytic
= Total Cover
Vegetation
Yes �_ No-12-
50% of total cover 20% of total cover
Present?
Remarks (Include photo numbers here or on a separate sheet )
US Army Corps of Engineers Eastern Mountains and Piedmont –Version 2 0

SOIL Sampling Point Pond -WL
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 Loc Texture Remarks
0 -8 10YR 5/2 60 10YR 6/6 30 C PL sandy loam '
Gley1 2 5 /10GY 10
8 -12+ Gley1 2 5 /5GY 100 sandy loam
'Type C= Concentration, D= Depletion, I
Hydric Soil Indicators,
❑ Histosol(Al)
❑ Histic Epipedon (A2)
❑ Black Histic (A3)
❑ Hydrogen Sulfide (A4)
❑ Stratified Layers (A5)
❑ 2 cm Muck (A10) (LRR N)
❑ Depleted Below Dark Surface (A11)
❑ Thick Dark Surface (Al2)
❑ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
❑ Sandy Gleyed Matrix (S4)
❑ Sandy Redox (S5)
❑ Stripped Matrix (S6)
Restrictive Layer (if observed)
Type
Depth (inches)
= Reduced 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 Soi
®
Dark Surface (S7)
❑ 2 cm Muck (A10) (MLRA 147)
❑
Polyvalue Below Surface (S8) (MLRA 147, 148)
❑ Coast Prairie Redox (A16)
❑
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑
Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain Soils (F19)
❑✓
❑
Depleted Matrix (F3)
Redox Dark Surface (F6)
(MLRA 136, 147)
❑ 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