20221490 Ver 1_P22044-SAW-2022-01159 DOHM USACE Notifcation of JD_20221026

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action ID: SAW-2022-01159 County: Polk U.S.G.S. Quad: Pea Ridge
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner/Applicant: Door of Hope Ministries / Attn.: David Stoltzfus
Address: 1710 Lynn Road
Columbus, NC 28722
Telephone Number: 864-804-9192
Email: [e-mail]
Size (acres): 169 Nearest Town: Mill Spring
Nearest Waterway: UTs Wheat Creek and Wheat Creek Coordinates: 35.29952,-82.08536
River Basin/HUC: Upper Broad (03050105)
Location description: The site is located on a tract of land (parcel numbers P104-3 and P104-36) north of Pea Ridge
Road, 0.9 miles south of the intersection of Pea Ridge Road and Buck Branch Road, near Mill Spring, Polk
County, North Carolina.
Indicate Which of the Following Apply:
A. Preliminary Determination
X There are waters, including wetlands, on the above described property, that maybe subject to Section 404 of the Clean
Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands, have been delineated, and the delineation has been verified by the Corps to be sufficiently
accurate and reliable. Therefore this preliminary jurisdiction determination may be used in the permit evaluation
process, including determining compensatory mitigation. For purposes of computation of impacts, compensatory
mitigation requirements, and other resource protection measures, a permit decision made on the basis of a preliminary JD
will treat all waters and wetlands that would be affected in any way by the permitted activity on the site as if they are
jurisdictional waters of the U.S. This preliminary determination is not an appealable action under the Regulatory
Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may request an approved JD,
which is an appealable action, by contacting the Corps district for further instruction.
_ There are wetlands on the above described property, that may be subject to Section 404 of the Clean Water Act
(CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). However, since the
waters, including wetlands, have not been properly delineated, this preliminary jurisdiction determination may not be
used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is merely
an effective presumption of CWA/RHA jurisdiction overall of the waters, including wetlands, at the project area,
which is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have
the waters of the U.S. on your property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the
Corps.
B. Approved Determination
There are Navigable Waters of the United States within the above described property subject to the permit requirements
of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act (CWA)(33
USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for a
period not to exceed five years from the date of this notification.
_ There are waters of the U.S., including wetlands, on 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.
_ We recommend you have the waters of the U.S. on your property delineated. As the Corps may not be able to
accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation
that can be verified by the Corps.
_ The waters of the U.S., including wetlands, on your project area have been delineated and the delineation has been
verified by the Corps. We strongly suggest you have this delineation surveyed. Upon completion, this survey should be

reviewed and verified by the Corps. Once verified, this survey will provide an accurate depiction of all areas subject to
CWA jurisdiction on your property which, provided there is no change in the law or our published regulations, may be
relied upon for a period not to exceed five years.
_ The waters of the U.S., including wetlands, have been delineated and surveyed and are accurately depicted on the
plat signed by the Corps Regulatory Official identified below on . Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of
this notification.
_ There are no waters of the U.S., to include wetlands, present on the above described project area which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our
published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification.
_ The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act
(CAMA). You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to
determine their requirements.
Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit
may constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material,
construction or placement of structures, or work within navigable waters of the United States without a Department of the
Army permit may constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If
you have any questions regarding this determination and/or the Corps regulatory program, please contact David Brown at
828-271-7980, ext. 4232 or [e-mail].
C. Basis for Determination:
See attached preliminary jurisdictional determination form.
D. Remarks:
The potential waters of the U.S. at this site were verified by the Corps during a site inspection on June 15, 2022, and are
as approximately depicted on the attached stream and wetland delineation map submitted by Quible & Associates, P.C.
E. Attention USDA Program Participants
The delineation included herein has been conducted to identify the location and extent of the aquatic resource boundaries
and/or the jurisdictional status of aquatic resources for purposes of the Clean Water Act for the particular site identified in
this request. This delineation and/or jurisdictional determination may not be valid for the Wetland Conservation Provisions of
the Food Security Act of 1985, as amended. If you or your tenant are USDA program participants, or anticipate participation
in USDA programs, you should discuss the applicability of a certified wetland determination with the local USDA service
center, prior to starting work.
F. Appeals Information for Approved Jurisdiction Determinations (as indicated in Section B. above)
If you object to this determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331.
Enclosed you will find a Notification of Appeal Process (NAP) fact sheet and Request for Appeal (RFA) form. If you
request to appeal this determination you must submit a completed RFA form to the following address:
US Army Corps of Engineers
South Atlantic Division
Attn: Mr. Philip A. Shannin
Administrative Appeal Review Officer
60 Forsyth Street SW, Floor M9
Atlanta, Georgia 30303-8803
OR
philip.a. shanningusace.army.mil

In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for
appeal under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP.
Should you decide to submit an RFA form, it must be received at the above address by, N/A (preliminary jurisdictional
determination).
It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this
correspondence.
Corps Regulatory Official:
g rY
David Brown
Issue Date of JD: June 21, 2022 Expiration Date: N/A preliminary jurisdictional determination
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 our Customer Satisfaction Survey, located online at https://regulatory.ops.usace.army.mil/customer-
service-survey/
Copy Furnished (by email):
Quible & Associates, P.C., Warren Eadus, [e-mail]

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL
Applicant: Door of Hope Ministries / Attn.: David
File Number: SAW-2022-01159
Date: June 21, 2022
Stoltzfus
Attached is:
See Section below
❑ INITIAL PROFFERED PERMIT Standard Permit or Letter ofpermission)
A
❑ PROFFERED PERMIT Standard Permit or Letter ofpermission)
B
❑ PERMIT DENIAL
C
❑ APPROVED JURISDICTIONAL DETERMINATION
D
® I PRELIMINARY JURISDICTIONAL DETERMINATION
E
SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision. Additional
information may be found at http://www.usace.armv.mil/Missions/CivilWorks/RegulatoryProgramandPermits.asi)x or Corps regulations
at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request that the
permit be modified accordingly. You must complete Section II of this form and return the form to the district engineer. Your
objections must be received by the district engineer within 60 days of the date of this notice, or you will forfeit your right to appeal
the permit in the future. Upon receipt of your letter, the district engineer will evaluate your objections and may: (a) modify the
permit to address all of your concerns, (b) modify the permit to address some of your objections, or (c) not modify the permit
having determined that the permit should be issued as previously written. After evaluating your objections, the district engineer
will send you a proffered permit for your reconsideration, as indicated in Section B below.
B: PROFFERED PERMIT: You may accept or appeal the permit
• ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your signature
on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all rights to appeal the
permit, including its terms and conditions, and approved jurisdictional determinations associated with the permit.
• APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein, you
may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of this form
and sending the form to the division engineer. This form must be received by the division engineer within 60 days of the date of
this notice.
C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division engineer
within 60 days of the date of this notice.
D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new information.
• ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the date of
this notice means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
• APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers Administrative
Appeal Process by completing Section II of this form and sending the form to the division engineer. This form must be received by
the division engineer within 60 days of the date of this notice.
E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the preliminary JD.
The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed), by contacting the Corps
district for further instruction. Also you may provide new information for further consideration by the Corps to reevaluate the JD.

SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)
ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the record
of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to clarify the
administrative record. Neither the appellant nor the Corps may add new information or analyses to the record. However, you may
provide additional information to clarify the location of information that is already in the administrative record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the
If you only have questions regarding the appeal process you may also
appeal process you may contact:
contact:
District Engineer, Wilmington Regulatory Division,
Mr. Philip Shannin, Administrative Appeal Review Officer
Attn: David Brown
CESAD-PDO
69 Darlington Avenue
U.S. Army Corps of Engineers, South Atlantic Division
Wilmington, North Carolina 28403
60 Forsyth Street, Room 1OM15
Atlanta, Georgia 30303-8801
828-271-7980, ext. 4232
[e-mail].
Phone: [phone]
Email: [e-mail]
RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government consultants,
to conduct investigations of the project site during the course of the appeal process. You will be provided a 15 day notice of any site
investigation, and will have the opportunity to participate in all site investigations.
Date:
Telephone number:
Signature of appellant or agent.
For appeals on Initial Proffered Permits send this form to:
District Engineer, Wilmington Regulatory Division, Attn: David Brown, 69 Darlington Avenue, Wilmington, North
Carolina 28403
For Permit denials, Proffered Permits and approved Jurisdictional Determinations send this form to:
Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin,
Administrative Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 1OM15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (JD) FORM
U.S. Army Corps of Engineers
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JD: June 21, 2022
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARYJD:
Door of Hope Ministries / Attn.: David Stoltzfus
1710 Lynn Road
Columbus, NC 28722
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
CESAW-RG-A, SAW-2022-01159, Door of Hope Ministries Pea Ridge Road Property
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
The site is located on a tract of land (parcel numbers P104-3 and P104-36) north of Pea Ridge Road, 0.9 miles south
of the intersection of Pea Ridge Road and Buck Branch Road, near Mill Spring, Polk County, North Carolina.
State: NC County/parish/borough: Polk City: Mill Spring
Center coordinates of site (lat/long in degree decimal format): 35.29952,-82.08536
Universal Transverse Mercator: N/A
Name ofnearest waterbody: UTs Wheat Creek and Wheat Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
'Office (Desk) Determination. Date: June 21, 2022
FieldDetermination. Date(s): June 15, 2022
Use the table below to document aquatic resources and/or aquatic resources at different sites
TABLE OF AQUATIC RESOURCES INREVIEWAREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION
Centered Coordinates
Estimated Amount of
Geographic
Site Number
(decimal degrees)
Aquatic Resource in
Type of Aquatic
Authority to Which
Review Area
Resources
Aquatic Resource
Latitude Longitude
(linear feet or acre)
"May Be" Subject
WA
35.2983
-82.0841
0.044 ac
Wetlands
Section 404
UT 1
(UT Wheat
35.2968
-82.0842
2,084 ac
Non -wetland Waters
Section 404
Creek)
UT 2
(UT Wheat
35.3026
-82.0822
997 if
Non -wetland Waters
Section 404
Creek)
UT
(UT Wheat
35.3038
-82.0837
85 if
Non -wetland Waters
Section 404
Creek)
UT 4
(UT Wheat
35.3031
-82.0839
33 if
Non -wetland Waters
Section 404
Creek)
6

UT 5
(UT Wheat
35.3077
-82.0859
551 if
Non -wetland Waters
Section 404
Creek)
UT 6
(UT Wheat
35.3068
-82.0844
1,3301f
Non -wetland Waters
Section 404
Creek)
UT 7
(UT Wheat
35.3076
-82.0867
31 if
Non -wetland Waters
Section 404
Creek)
UT 8
(UT Wheat
35.3071
-82.0807
843 if
Non -wetland Waters
Section 404
Creek)
UT 9
(UT Wheat
35.3008
-82.0865
690 if
Non -wetland Waters
Section 404
Creek)
UT 10
(UT Wheat
35.2986
-82.0846
90 if
Non -wetland Waters
Section 404
Creek)
Wheat Creek
35.3018
-82.0836
1,791 if
Non -wetland Waters
Section 404
1. The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review
area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an
approved JD (AJD) for that review area based on an informed decision after having discussed the
various types of JDs and their characteristics and circumstances when they may be appropriate.
In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General
Permit (NWT) or other general permit verification requiring "pre- construction notification" (PCN),
or requests verification for a non -reporting NWP or other general permit, and the permit applicant
has not requested an AJD for the activity, the permit applicant is hereby made aware that: (1) the
permit applicant has elected to seek a permit authorization based on a PJD, which does not make
an official determination of jurisdictional aquatic resources; (2) the applicant has the option to
request an AJD before accepting the terms and conditions of the permit authorization, and that
basing a permit authorization on an AJD could possibly result in less compensatory mitigation
being required or different special conditions; (3) the applicant has the right to request an individual
permit rather than accepting the terms and conditions of the NWP or other general permit
authorization; (4) the applicant can accept a permit authorization and thereby agree to comply with
all the terms and conditions of that permit, including whatever mitigation requirements the Corps
has determined to be necessary; (5) undertaking any activity in reliance upon the subject permit
authorization without requesting an AJD constitutes the applicant's acceptance of the use of the
PJD; (6) accepting a permit authorization (e.g., signing a proffered individual permit) or
undertaking any activity in reliance on any form of Corps permit authorization based on a PJD
constitutes agreement that all aquatic resources in the review area affected in any way by that
activity will be treated as jurisdictional, and waives any challenge to such jurisdiction in any
administrative or judicial compliance or enforcement action, or in any administrative appeal or in
any Federal court; and (7) whether the applicant elects to use either an AJD or a PJD, the JD will
be processed as soon as practicable. Further, an AJD, a proffered individual permit (and all terms
and conditions contained therein), or individual permit denial can be administratively appealed
pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it becomes appropriate to
make an official determination whether geographic jurisdiction exists over aquatic resources in the
review area, or to provide an official delineation of jurisdictional aquatic resources in the review

area, the Corps will provide an AJD to accomplish that result, as soon as is practicable. This PJD
finds that there "may be"waters of the U.S. and/or that there "may be" navigable waters of the U.S.
on the subject review area, and identifies all aquatic features in the review area that could be
affected by the proposed activity, based on the following information:
SUPPORTING DATA
Data reviewed for preliminary JD (check all that apply) - Checked items should be included in subject file.
Appropriately reference sources below where indicated for all checked items:
Maps, plans, plots or plat submitted by or on behalf of preliminary JD requester: Quible & Associates, P.C.
Data sheets prepared/submitted by or on behalf of preliminary JD requester. Quible & Associates, P.C.
® Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rational:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey (USGS) Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® USGS map(s). Cite scale & quad name: Pea Ridge
® Natural Resources Conservation Service (MRCS) Soil Survey.
Citation: Polk County, NC
❑ National wetlands inventory (NWI) map(s). Cite name:
❑ State/Local wetland inventory map(s):
Federal Emergency Management Agency (FEMA) / Flood Insurance Rate Map (FIRM) maps:
100-year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
Photographs: ® Aerial (Name & Date): Google Earth Pro — Sep. 2021, Apr. 2019, Oct. 2015, Oct. 2010, Nov. 2013,
Jun. 2008, Mar. 1998, and Mar. 1993
® Other (Name & Date): SAW Regulatory Viewers — USGS Hydrography Dataset and LIDAR DEM, Hillshade
and Slope
Previous determination(s). File no. and date of response letter:
Applicable/supporting scientific literature:
Other information (please specify): The site contains wetlands as determined by the 1987 Corps of Engineers Wetland
Delineation Manual and the Regional Supplement to the Corps of Engineers Wetlands Delineation Manual. Eastern
Mountain and Piedmont Region (Version 2.0).
The streams on the property are UTs Wheat Creek and Wheat Creek. All streams exhibit physical ordinary high
water mark (OHWM) indicators including, break in slope; developed bed and bank; changes in sediment texture and
soil character; natural line impressed on the bank; shelving; absence of vegetation; leaf litter washed away; sediment
deposition and sorting; water staining; presence of debris; and scour. Presence of fish and other aquatic life was
observed. Some of the streams are depicted as solid blue lines on the USGS 7.5 minute quadrangle map Pea Ridge and
the most current Natural Resource Conservation Service Soil Survey for Polk County. The UTs Wheat Creek flow
into Wheat Creek, which flows into the Green River, a traditional navigable water.
IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the Corps and
should not be relied upon for later jurisdictional determinations.
David Brown, June 21, 2022
Signature and date of Regulatory
staff member completing
preliminary JD
In File with submitted JD Request
Quible & Associates, P.C.
(signed and dated request preliminary JD per agent
authorization)
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the established time
frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an action.

■aE
ml
UT7-1
-31 LF
Jai
STREAM UT6 l
FLA65 UT6-1 THROL6H � \
Ur6
-69; -1,390 LF - l
FLA65 VT5-1 TH
U7597,- -551 LF
UT6-I THRIX
-6-615 -843
57REAM UT4
FLA65 UT4-1 THROLI5H
UT4-7; -33 LF 1
STREAM Uri
FLA65 U73-1 THROL
UT3-10, -65 LF
`
7
y
20'OLLVERT ' STREAM UT2
EXISTING FLA65 UT2-1 THRO
UT2-61; -997 LF
r
MEAT OREEK
FLA65 HC-1 THROL61
Yl'0-95,- -1,79/ LF
f
10' CULVERT I
STREAM UT4
r' EX15TMA5 I
FLA65 UT9-1 THROLISH
UT9-6.5; -690 LF
1
1
l
20'GULVERr
EXI5TIN6 `
5TREAM UTIO ^'�
FLA65 UT10-17HROV6H WETLAND Wl
VTIO-10; -qO LF FLA65 Wl-1 THROUGH
WI-12,/2 SF
I
SITE
LAT:
LONG.
EST AMOUNT
TYPE
.LRlS.
UTI
35.2966
-81.0342
2604 LF
NON
hETLAND WATER
404
Ur2
353016
-62.0622
997 LF
NON
AETLAND WATER
404
UT3
35.3059
-62.0637
65 LF
NON
AFTLAND WATER
404
UT4
35.3031
-B.2.0153q
33 LF
NON
HETLAND HATER
404
AFTLANDr
UT7
353075
-62.0667
3/ LF
NON HETLAND HATER
404
Ur
71
-620607
643 LF
NON AFTLAND HATER
404
UT9
35.3006
-32.0963
690 LF
NON hETLAND WATER
404
UTIO
352966
-82.0646
90 LF
NON l^ETLAND HATER
404
AI3530/6
-62.OB36
/ 79/ LF
'ON hd`TLAND HATER
1404
WAl
352963
-62.054/
1 1,9/2 SF
I HtH AND
I404
1 STREAM UTI
FLA65 077-1 THROLGH
UTI-163; -2,064 LF
'PARCEL, AERIAL & LIDAR DATA SHOWN,
BASED ON COUNTY GIS DATA.
PROJECT
COPYRIGHT ©2022
QUIHLE & ASSOCIATES, P.C.
2M MA RME ROAD
THIS MAP IS NOT A
NC License#: C-0208
P22044
THIS DOCUMENT IS THE PROPERTY OF
OTBAT & ASSOCIATES, D P.C. T I
ALTERATION OF THIS DOCUMENT IS
CERTIFIED SURVEY
AND HAS NOT BEEN
7
ulbl� st"Cr 1959
DOOR OF HOPE ARMSTRY
DRAWN BY
PROHIBITED.
y
REVIEWED BY A
& Associates, P.C.
WDE
IF THIS DOCUMENT IS NOT SIGNED AND
SEALED BY A LICENSED PROFESSIONAL
THEN THIS DOCUMENT SHALL BE
pRe04
169 �V'�`y�
LOCAL GOVERNMENT
AGENCY FOR
ENGINEERING** * CONSULTING * PLANNING
ENVIRONMENTAL SCIENCES * SURVEYING"
CHECKED BY
WHITE OAK TOWNSHIP POLK COUNTY
WDE
CONSIDERED PENT ND S NOT A
CERTIFIED DOCUMENT AND SHALL NOT
HE USED FOR CONSTRUCTION,
NORTH CAROLINA
COMPLIANCE WITH
ANY APPLICABLE
Nc.�suR orrice
Sb6fi Carafoke Hwy, Powellx PoI , NC 2]96fi
Phone: (252) 491-eta]
0 400 600
DATE
RECORDATION. SALES OR LAND
LAND DEVELOPMENT
90 Church 81.. 81e. 0, Black Mountain, NC 28711
06,115,12022
CONVEYANCES, UNLESS OTHERWISE
NOTED.
GRAPHIC SCALE IN FEET 1 "=400'
REGULATIONS.
Pnane: (628) 357-sI 9
Pd,nr M,0-0quibl, om