20141298 Ver 1_401 Application_20141214

Corps Submittal Cover Sheet
Please provide the following info:
2 0 1 4 1 2 98
1. Project Name Mooresville Municipal Golf - -°-� —°-
2. Name of Property Owner /Applicant: Town of Mooresville, Mr. Erskine Smith
3. Name of Consultant /Agent: Wetland and Natural Resource Consultants (WNR)
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): Unknown (Circa 2006)
5. Site Address: 200 Golf Course Road, Mooresville, NC 28115
6. Subdivision Name: not applicable
7. City: Mooresville
8. County: Iredell
9. Lat: 35.576418 Long: - 80.835457 (Decimal Degrees Please )
10. Quadrangle Name: 7.5 Mooresville
11. Waterway: Reeds Creek
12. Watershed: Catawba
13. Requested Action:
❑✓ Nationwide Permit # 42
❑ General Permit # rF
El Jurisdictional Determination Request 2014 ;`0
❑ Pre - Application Request
DENR - VYA?�R F.'t.� _Ui•3t S
401 & DUFFER FIERNVT ING
The following information will be completed by Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name:
Keywords:

W
Wetland and Natural Resource
Consultants, Inc
December 15, 2014
WNR Project #S-G-1001
US Army Corps of Engineers
Asheville Regulatory Field Office
Attn: Ms. Tasha Alexander
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -5006
Re: Permit Request
Town of'Mooresville, Golf Course Renovation
Iredell County (Parcel ID: 2817337967000)
200 Golf Course Dr, Mooresville, Iredell County, NC
Tasha:
Wetland and Natural Resource Consultants, representing Town of Mooresville Golf Course, is
requesting issuance of a NWP 42 for the above referenced property for the purpose of course
renovations. The property is located at 200 Golf Course Dr. in Mooresville, Iredell County, NC.
The contact for this request is Mr. Erskine Smith and he can be reached at 704 - 663 -2539.
WNR completed a detailed delineation of the proposed project area in July 2014. WNR assessed
several jurisdictional,features on the site. JD Forms, Stream Quality Assessment Forms, Wetland
Data Forms and supporting maps and figures are enclosed for your reference.
The proposed activity for this project area will include removal of a pond (Site 5) that has been
determined to be non - Jurisdictional.
The enclosed documentation is provided for'your review:
1. Agent Authorization
2. Pre - Construction Notification
3. Permit Narrative
4. Impact Maps
5. Impact Table
6. Vicinity Map
Mooreswlle�0fce
3,158 Charlotte Hwy
Mooreswlle,.NC 28117

7. Directions
8. Tax Parcel Map
9. Aehal,Photograph Map
10. USGS Topographic Maps
11.,Approximate Waters of the US Map (Alternate Site Plan)
12.,Soil Survey Map
13. NWI Map
14. FEMA Flood Map
15. Stream Classification
16. Hydrologic Flow Pattern Map
17.,State Historic Preservation Office Database Map
18. NC Natural Heritage Program Database Table
19. Site Photographs
20. NC DWR Stream Identification Form
21. Corps Stream Quality Assessment,Sheets
22.,Wetland Data Form
23. Upland Data'Form
24. Corps JD Form
Please correspond if we need to provide any additional assistance or information necessary to
assist'you with your review and issuance of this permit request. Please feel free to,call with
any questions or comments.
Sincerely,
�A -4 dzi
Jennifer,L Robertson
Mooresville Office
3158 Charlotte Hwy
Mooresville, NC 28 11,7

Wetland and Natural Resource Consultants
170 Dew Drop Road'
Sparta, NC 28675
Department of the Army
Wilmington District, Corps of Engineers
,Attn: Scott McLendon, Chief Regulatory-Division
PO Box 1890
Wilmington, North Carolina, 28402 -1890
-and-
NC Division of Water Quality, Wetlands Unit
Attn•'Karen Higgins
2321 Crabtree Blvd.
Raleigh, North'Carolina, 27604 =2260
1, the current landowner of the property identified below, hereby' authorize Wetland and
Natural Resource. Consultants to act on my behalf regarding the,determi nation of
regulated limits of waters and wetlands and processing of permits to impact Wetlands
and Waters of the US,that are regulated by the Clean Water Act and the - Rivers and
Harbors Act. Federal and State - agents -are authorized`to be on said property when
accompanied by'Wetland and Natural Resource Consultants staff
Wetland and Natural Resource Consultants is authorized to provide supplemental
information,neededfor permit tprocessing at the request of the Army Corps,or NC DWQ.
Property Owner / Applicant: —OftL _ a�_ � Jf;� f �,)_c
Contact Name- 02-SY -\iC
Street Address / PO Box: 4 k_ :s S�
City, State, Zip Code-
Phone / Fax Number.
Project Name: Mo0aEn.4" l t Jl , &li F
Property Street Address: ZM 6 cia- CoIXZsG 9D
Owner / Applicant Signature:
Date.

CF W 9
Arf1
;2 y
Q <
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:
®Section 404 Permit E] Section 10 Permit
1b.
Specify Nationwide Permit (NWP) number: 42 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
1e.
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 1h
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:
Mooresville Golf Course
2b.
County:
Iredell
2c.
Nearest municipality / town:
Mooresville
2d.
Subdivision name:
not applicable
2e.
NCDOT only, T.I.P. or state
project no:
not applicable 0168 - WATER RE5oi 'Es
40� &
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Town of Mooresville
3b.
Deed Book and Page No.
27753 and 652
3c.
Responsible Party (for LLC if
applicable):
not applicable
3d.
Street address:
200 Golf Course Drive
3e.
City, state, zip:
Mooresville, NC, 28115
3f.
Telephone no.:
704 - 663 -2539
3g.
Fax no.:
3h.
Email address:
jyoung @ci.mooresville.nc.us
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other, specify
4b . Name
same as above
4c
Business name
(if applicable)
same as above
4d
Street address
same as above
4e
City, state, zip
same as above
0
Telephone no
same as above
4g
Fax no
4h
Email address
same as above
5.
Agerit/Consultant Information (if applicable)
5a
Name
Jennifer L Robertson
5b
Business name
(if applicable)'
Wetland and Natural'Resource Consultants
5c
Street address-
3,158 Charlotte Hwy
5d
City, state, iip
Mooresville, NC 28,117
5e
Telephone no
704 - 512 -1206
5f
Fax no
704- 663 -2927
5g
Emadraddress
Jennifer robertson @wetland- consultants _com
Page 2 of'10
PCN Form — Version 1 4 January 2009

B.
Project Information and Prior Project „History
1.
Property Identification
1a
Property identification no (tax PIN or parcel ID)
4656490902,4656488484,4656662889,4657-306442
lb
Site,coordinates (in decimal degrees)
F titude 035 576418 Longitude - 080 835457
1c
Property size
+/- 5 5 (project area) acres
2.
Surface Waters
2a
Name,of nearest body of water to proposed project
Reeds Creek
2b
Water,Quality °Classification of nearest,receiving water
C
2c
River basin
Catawba
3.
Project Description
3a
Describe the existing conditions -on the site and the general land use in the vicinity of'the project at the'time of this
application. The site is an existing golf'course Residential and commercial development surrounds the-project
3b
List the total, estimated, acreage of all existing wetlands on the property 0 81acres
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property 443 linear feet
3d
Explain the purpose of the proposed protect Update the 1,949 and 1977 course.designs for better play,and use�of space
3e
Describe the overall project in detail, including the type of equipment to be used Heavy earth moving equipment will be
used to "re -grade the area, fill in open water features, -and do final shaping for golf realignment
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 prior phases) in the °past?
® Yes ❑ No ❑ Unknown
Comments in process with the Corps
4b
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ preliminary ❑ Final
4c
If,yes, who delineated the jurisdictional areas?
Name (if known) Chris Huysman and Tamp Bandy
Agency /Consultant Company WNR
Other
4d
If yes, list the dates of the Corps jurisdictional' determinations or'State determinations and attach documentation
in process with the Corps
5.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past
® Yes ❑ No El Unknown
5b
If yes, explain in detail according to "help file” instructions
2006, JD Request
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
1a 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
Area of
number
Type of impact
Type of wetland
Forested
Corps (404, 10) or
impact
Permanent (P) or
(if known)`
DWQ (401, other)
(acres)
Temporary T
0 047
W1 P
Fill
Headwater Wetland
Yes /No
Corps
(Impact
'2)
0 006
W2 P
Fill
Headwater Wetland
Yes /No
Corps
(Impact
3)
033
W3 P
Fill
Floodplain Pool
Yes /No
Corps
(Impact
4)
0.11
W4 P
Fill
Headwater Wetland
Yes /No
Corps
(Impact
7)�
W5 -
Choose one
Choose one
Yes /No
-
W6 -
Choose one
Choose one
Yes /No
-
2g. Total wetland impacts:
0.493
2h Comments, no comments
3. Stream'Impacts
If there are perennial orintermittent 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
Impact
number -
(PER),or
(Corps - 404, 10
stream
length
Permanent (R) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet);
S1 P
Fill
UT Reeds Crk
PER
Corps
4
86
(Impact 6)
S2 -
Choose one
-
-
S3 -
Choose one
-
-
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose, one
-
-
3h Total stream and tributary impacts:
86
31 Comments
Page 4 of 10
PCN Form — Version 1 4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic,Ocean, orjany other open water of
the U S then `individually list all open water impacts below
4a
Open,water
impact number —
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c
Type of impact
4d
Waterbody
type
4e
Area of impact (acres)
01 P
Serpentine Pond (Impact 1)
Excavation
Pond
036
02 P
NJ Pond (Site 5)
Fill
Pond
4165
03 -
Choose one
Choose
04 -
Choose one
Choose
4f Total open water impacts:
036
4g Comments no comments
5. Pond or Lake Construction
If pond or lake construction proposed, then 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
Aesthetics
P2
Choose one
5f Total:
5g Comments This pond will replace an existing open water feature There will be a loss,of 0 36 acres,of open water area
5h Is a dam high hazard permit required?
❑ Yes '® No If yes, permit ID no no dam proposed
51 Expected pond surface area (acres)
1 57
5j Size of pond watershed (acres)
not applicable
5k Method of construction
excavate,existing pond into temp sed basin then final pond shaping
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 mite ation, 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
61 -
Yes /No
B2 -
Yes/-No
B3 -
Yes /No -
B4 -
Yes /No
B5 -
Yes /No
B6 -
Yes /No
6h Total buffer impacts:
61 Comments, no,comments
Page 5of10
PCN Form — Version 1 4 January 2009

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1'a Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
The stream and wetland impacts have been minimized or avoided- to the maximum extent possible
1b Specifically describe measuresAaken to,avoid or minimize the proposed impacts,,through construction techniques
Erosion control measures will be taken to stabilize all disturbed areas
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 ® 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
❑Payment to in fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a
Name of Mitigation Bank not applicable
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
Ea
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
not applicable
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
none
none
3 (2 for Catawba)
none
Zone,2
none
none
1 5
none
6f Total buffer mitigation required:
none
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)
not applicable
6h - Comments, no comments
Page 7 of 10
PCN Form — Version 1 4 January 2009

E.
Stormwater Management and Diffuse Flow Plan (required by D,WQ)
1.
Diffuse Flow Plan
1'a
Does the project include or is it adjacent to protected riparian buffers identified
within,one of the NC Riparian Buffer Protection Rules
❑ Yes ®'No
lb
If yes, then is a diffuse flow plan included? If no, explain why
❑ Yes ❑ No
2.
Stormwater Mana ement,Plan
2a
Whatlis the overall percent imperviousness of this project?
Less than 24% impervious %
2b
Does'this project require,a Stormwater Management Plan?
❑ Yes ® No
2c
IfIthis project DOES NOT require a,Stormwater ManagementPlari, explain why Less,than,24% impervious
2d
If this project DOES require a Stormwater Management Plan, then provide a,brief, narrative description of the plan-
2e
Who will be responsible'for the review of the Stormwater Management, Plan?
3.
Certified Local Government Stormwater Review
3a
In which local government's jurisdiction is this project?
-3b Which of the following locally - implemented stormwater management programs
apply (check all that apply)
❑ Phase II
❑ NSW
❑ USMP
❑ Water Supply Watershed
❑ Other
3c
Has the approved Stormwater Management-Plan with proof of approval been
attached?
❑ Yes ® No
4.
DWQ Stormwater Pro ram Review
4a
Which of'the following state - implemented stormwater management programs apply
(check all that apply)
❑ Coastal counties
❑ HQW
❑ ORW
❑ Session Law 2006 -246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ® No
5.
DWQ 401 Unit - Stormwater Review
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 8 of'10
PCN Form — Version 1 4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
® Yes ❑ No
use,of public (federal /state) land?
1b
If you answered "yes" to the above, does the projectrequire preparation of an
environmental document pursuant to the requirements,of the National,or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1,c
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ® No
letter )
Comments maintenance of an,existing facility
2.
Violations (DWQ Requirement)
2a
Is the site'm`violation of DWQ Wetland Rules (15A NC-AC: 2H 0500), Isolated
Wetland Rules, (1 5A.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
El 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
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
not applicable
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
5c If yes, indicate the USFWS Field Office you have contacted
-
5d What data sources did you use to determine whether your site would impact,Endangered Species or Designated Critical
Habitat?
NCDENR Natural Heritage Program Map Viewer and GIS Layer
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data,sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation,
❑ Yes 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,impacthistoric,or archeological resources?
NCH-PO GIS Service
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 the project will include removal of'an existing dam, any potential
upstream flooding will be alleviated by the removal of the dam
8c What source(s) did you use to make the floodplain determination? FEMA NFHL GIS layer
Jennifer L Robertson
, / /
December 15, 2014
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from'the,apphcant
is provided
Page 10 of 10
PCN Form — Version 14 January 2009

Mooresville Golf Narrative
December 15, 2014
History
The Town of Mooresville golf course opened in 1949, was designed by Donald Ross,
consisted of nine holes (the front nine), and was originally owned by Burlington
Industries. The mill constructed a nine hole golf course for their employees. The
back nine was designed'by Porter Gibson and opened'in 1977.
Project Purpose and Need
The purpose of the project is to refurbish and rehabilitate an existing golf course in
order to increase play and improve playa'bility. The, renovations involve installing
fairway drainage, new concrete cart paths, hybrid Bermuda grass, a new irrigation
system, a,pump house and transfer station,,and a new practice facility to the left of
the loth hole. All greens, bunkers, tees, and fairways will be reconstructed.
The project limits are confined by existing property boundaries and infrastructure,.
The recent acquisition of a parcel that contains the large, non - regulated ,pond (Site 5)
has allowed the golf course to be adjusted in a manner, to have a smaller foot print
which will reduce travel time and play time increasing opportunities for additional
play (rounds of golf). The designer, Kris Spence, recently revitalized another Donald
Ross public golf course,Carolina Golf Club in Charlotte. Before the renovation the
club was 90 members under capacity. After the renovations there was a waiting list.
Membership dues increased by over four -fold after the renovations.
The redesign applies to all eighteen holes but'impacts to open water, streams, and
wetlands exist only at four holes, (holes 1, 5, 9, and 1o). The new alignment
maximizes the use of existing fairways and cleared areas to achieve minimal impacts.
The plan also incorporates a driving range that is located as to avoid impacts to
streams or wetlands and minimize impacts to forested' areas. Through the design
process the designer has minimized impacts to the greatest extent practicable,.
An existing run -of- the -river dam will be removed as it is considered to be in poor
condition. The ten foot tall concrete structure will be removed by equipment
located on high ground and ,the remaining splash pad will'be used as a base for a
proposed bridge. The contemplated dismantling includes, using track -hoes with
hydraulic thumbs., The banks,of the channel will be stabilized with straw, coir
matting, and a native seed mix. This work is incidental to the golf renovations
meaning that the work on the course is not dependant on the dam removal. Rather,
the timing is such that it presents a potential cost savings.

Justification for Nationwide Permit
Wetland impacts total 0.493 acre; stream+impacts total ,86 linear feet, and open
water impacts total 0.36 acre. Wetland impacts have been minimized and kept under
the 0.50 threshold. Stream impacts have been minimized and kept under the Soo
linear foot threshold. A waiver of the, Nationwide Permit 0.5o acre impact threshold
is requested. This permit,request will'result in minimal adverse effects. The, o.36 acre
of open water impact creates greater than 0.5o acre of impact. 'The immediate
vicinity surrounding the serpentine pond (Impact 1) is�mowed, maintained grass so
there is not an existing,significant habitat for wildlife usage. There is no readily
available assessment method for determining the quality of open water.
While there will be a loss, of open water Lake Norman is within close proximity to the
project area and provides a very large open water habitat for ducks. The project will
not result in a compl'ete'loss of the open water habita't'to be impacted. Seven ponds
occur within,the golf course property. The pond proposed for impact (serpentine
pond) currently breeds bacterial growth due to the shape and stagnant nature of the
water. The water quality will improve once the pond is re- shaped. The magnitude of
open water loss is minimal relevant to the other six ponds on site and Lake Norman.
The serpentine pond has been assessed to serve no flood storage value -since it is
located at the same elevation at the gates ofthe dam on Reeds Creek.
Avoidance and Minimization
Previous site plans for course renovations required more impacts than is being
requested in the application package. Figure 6 (Wetland Sketch Map) shows a
previous grading plan that would; have been more beneficial for the project however
impacts have been minimized from this plan. This previous plan would have required
o.83 acre wetland impacts, 443 linear feet of,stream impacts, and 0.27 ,acne of open
water',impacts. While the open water impacts'increased in this request the stream
and wetland impacts decreased significantly. Wetland impacts decreased by almost
5o% and stream impacts decreased over five fold.
Impact Summaries
impact i Hole 1) - 036 acres Serpentine Pond (See Photograph )
The proposed work at impact area one will remove a serpentine pond and replace it
with a more aesthetically pleasing pond that serves as a play hazard. The serpentine
pond was constructed as a cooling system fora former Burlington Industries facility
located' in town. The feature is only,a couple, feet deep, and does not circulate,or turn
over; it is stagnant. This is a very low quality system that,will be replaced by an
aesthetically pleasing pond that will be maintained.
We are hereby requesting that the loss of 0.36 acres of low quality open water at this
impact location not be considered towards the, maximum thresholds under -the
Nationwide Permit Program. This request is due to the obviously man made
character of the pond and because it is assessed to be a greater threat,to water

quality than a well managed pond. The threats to water quality are from thermal
pollution,and,fecal coliform bacteria as geese and ducks,frequentuit. The
configuration of the pond is such that the uniform shallow depth and circuitous
design contribute to thermal imbalances that contribute to algal' and bacterial
blooms. The reshaped pond will be deeper than the existing pond which will allow
for cooler, cleaner water.
Impact one maintains the open water- - character that was previously at-this location
but confines the limits of open water so that the tees can be situated in a suitable
manner., The proposed pond will be approximately six feet deep at it deepest point
and pumps will be installed if needed. The new pond will have a cold water
discharge. The tees cannot be located further to the east, without presenting
conflicts with existing parking.
Impact'z (Hole - o.o 4 acres Forested Seep (See Photograph )
The proposed fill impacts �at area two are necessary to grade the site and establish
tees. These tees were•previously located over,some of the open water located to the
southeast of the feature. During the planning phase it was determined that impact
minimization could be achieved by filling this very small amount of wetlands instead
of the open waters. The wetland area has been ditched'in the past as there is a very
large spoil pile along the edge that parallels the - feature.
This fill allows for the site to balance better and allows for the erosion control plan to
work better. The grading allows for a temporary diversion that prevents potential
impacts from erosion.
The:slopes can not be re- configured in a way that results in less impact to regulated
waters.
Impact=; (Hole ) - o.006 acres Ve etatedL,Ditch (See Photograph 1
The proposed fill impacts at area three are necessary to grade the site and,establish a
bunker / hazard.
This fill allows for the site to balance better,and allows for the erosion control plan to
work better: The, grading allows for a temporary diversion that prevents potential
impacts from erosion.
Impact 4 (Hole s-)— o.3-3 acres Scrub -Shrub Wetland and Fairway (See-Photograph )
The proposed fill impacts at area four are'necessary to grade the site and re- establish
a fairway and a bunker. The impact-,,'is necessary because of site constraints,that
developed as part ofthe refurbishment and rehabilitation. Approximately one half of
this proposed impact is to existing,fairways that exhibit wetland' characteristics and
cleared areas adjacent to the existing fairway.

Hole 5 cannot be relocated to,impact less wetlands. Conflicts arise with hole six and
the separation distance between the holes would not be safe by the designer's
standards. The separation is necessary to limit the chances of a ball strike to other
players.
Site 5_(Holes 6, 7, and 8) — 4.65 acre,ODen Water Non - Jurisdictional Pond
This pond is another relic feature of the Burlington Industries Facility that was
located at this site. The water for the pond was pumped from Lake Norman and was
part of the process water'for the facility. The pumping mechanisms have'been
retired.
The acquisition of this parcel has allowed the course, to become�more compact,and
reduce play time.
Impact 6 (Hole 9) — 86 Linear Feet of Stream, J Ditch (See Photograph,---)
This perennial stream segment originates at the outlet of a six inch drain pipe. The
drain pipe will be extended so that the fairway can be graded. The water source is
likely a sub -drain system that is in the existing fairway.
The fairway can notbe shifted to the north without,creating potential conflicts with
the'tees at Hole 5. The design maintains,the natural spring,head that is located to the
south of the impacted reach.
Impact 7 (Hole lo) — o.11 acres Mowed Wetlands (See Photo g rah )
The proposed fill impacts ,at area seven are necessary to grade the site and establish
the fairway,. The impact is necessary because of site constraints that developed as
part of the refurbishment and rehabilitation. Prior to the redesign, the tees were
situated in a fashion that required play over the existing pond. This design involves
moving the tees,to the prior,landing area and utilizing the same green. The impacts
are needed due to the carry length and playability of the hole. The impact area is
currently a mowed and managed area with wetland characteristics.
The current design achieves a playable hole without piping the stream. Lengthening
the hole to avoid the impacts would require more grading and increase the likelihood
of sediment entering the pond. Shortening the hole to attempt to eliminate the
wetland impact would require some stream impacts. The current design avoids the
stream and impacts low quality wetlands.

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GO Sle Drive 3.5 miles, 6 min
Directions from 35.6026573,-80.8595752 to Golf Course Dr
O 35.6026573,-80.8595752
1. Head south on 1 -77 S
t 1.3 mi
2. Take exit 35 for Brawley School Road
M 0.3 mi
3. Turn left onto NC- 1100 /Brawley School Rd
1.1 mi
4. Continue onto W Wilson Ave
t 0.5 mi
5. Turn right onto W Lowrance Ave
~ 135 ft
6. Continue straight onto Golf Course Dr
t 0.4 mi
O Golf Course Dr
Mooresville, NC 28115
These directions are for planning purposes only. You may find that construction
projects, traffic, weather, or other events may cause conditions to differ from the map
results, and you should plan your route accordingly. You must obey all signs or notices
regarding your route.
Map data 02014 Google

Iredell
Printed November 07, 2014
,OCONNECTGIS
WES
NGSUNG See Below for Disclaimer
Streets
21
Interstate
v�L`^
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— Ramp
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— US Hwy
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— Private
W �j19�
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Parcels Hooks
Y
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City Limits
Lake Norman
D
Iredell Countyline
NC Counties
D
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Monument Ct
o,
n
R
S
OBJECTID
PIN
Owner Name
76726
4656490902.000
TOWN OF MOORESVILLE
Deed Book
Deed Page
Doc Type
594
312
WD
Deed Date
Tax Acres
Lot
19760916
98.09
Plat
Subdivision
Phase
Description
Township
NBH Code
HOWARD SR1117 GOLF
COURS E 03
03007
Assessed Value
Sales Year
Sales Price
3004700
1976
100000
Sale Is Improved
Actual Year Build
Number of Bedroom
I
1925
2
Number of Bath
Number of Half Bath
Actual Heated Area
2
0
2132
The maps prepared for this website are generated from recorded deeds, plats, and other
public records. Users of these maps are hereby notified that the information
provided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of an
of this information is at their own risk.
All maps on this site were prepared using a 10005 €"
Grid based upon the North Carolina State Plane Coordinate System from the
1983 North American Datum. The delinquent real property tax overlay is updated monthly. The
information presented is not intended to be used or relied upon as official
notice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.

CONNEOGIS IKEML CC
WEI NUSTING .-ttnrr .%AaK1
0
72348
Deed Book
2004
Deed Date
20090514
Plat
27 -7
Description
TOWN OF MOORESVILLE ANNEX
PB27 -7 -12
Sales Price
1000000
Number of Bedroom
al Heated Area
PIN
4657306442.000
Deed Page
1795
Tax Acres
16.19
Subdivision
TOWN OF MOORESVILLE
Township
03
Assessed Value
404750
Sale Is Improved
V
Number of Bath
Iredell
Printed November 07, 2014
See Below for Disclaimer
Streets
Interstate
Ramp
—US Hwy
— State Hwy
Main Road
Local Road
— Residential
Private
Inactive
Parcels Hooks
Parcels
City Limits
Lake Norman
Iredell Countyline
NC Counties
Owner Name
TOWN OF MOORESVILLE
Doc Type
WD
Lot
Phase
NBH Code
03007
Sales Year
2006
Actual Year Build
Number of Half Bath
he maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the informatio
rovided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of an
f this information is at their own risk All maps on this site were prepared using a 10004(" Grid based upon the North Carolina State Plane Coordinate System from th
983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as officia
otice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.

I&CONNEUGIS *IRIDUL S ]re d.I Printed November 07, 2014 WEB K05TfNG �wuu M1., See Below for Disclaimer
Streets
Interstate
— Ramp
US Hwy
State Hwy
Main Road
Local Road
Residential
Private
I na ctr,*
Parcels Hooks
Parcels
City Limits
Li
Lake Norman
Iredell Countyline
r;
NC Counties
❑
V
OBJECTID
PIN
Owner Name
65706
4656488484.000
TOWN OF MOORESVILLE
Deed Book
Deed Page
Doc Type
979
1596
WD
Deed Date
Tax Acres
Lot
19960410
42.15
Plat
Subdivision
Phase
14 -57
MOORESVILLE GOLF CLUB
Description
Township
NBH Code
MOORESVILLE GOLF CLUB PB14 -57
03
03006
Assessed Value
Sales Year
Sales Price
1931810
1996
0
Sale Is Improved
Actual Year Build
Number of Bedroom
V
Number of Bath
Number of Half Bath
Actual Heated Area
he maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the informatio
rovided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of an
A this information is at their own risk. All maps on this site were prepared using a 1000W1 Grid based upon the North Carolina State Plane Coordinate System from the
1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as officia
otice of tax liens. For additional information regarding delinquent taxes, contact the Iredell County Tax Collector's Office.

� ,h Iredell
VLV Printed November 07, 2014
WES HOSTNG onr � .
See Below for Disclaimer
Streets
Interstate
Ramp
US Hwy
State Hwy
Main Road
Local Road
— Residential
Private
Inactive
Parcels Hooks
Parcels
D
City Limits
L
Lake Norman
Iredell Countyline
L
J
NC Counties
F7
R'
owe%
S �
OBJECTID PIN Owner Name
71474 4656662889.000 TOWN OF MOORESVILLE
Deed Book Deed Page Doc Type
975 1596 WD
Deed Date Tax Acres Lot
19960401 41.68
Plat Subdivision Phase
Description Township NBH Code
MOORESVILLE GOLF COURSE 03 03006
Assessed Value Sales Year Sales Price
1312920 1996 0
Sale Is Improved Actual Year Build Number of Bedroom
V
Number of Bath Number of Half Bath Actual Heated Area
he maps prepared for this website are generated from recorded deeds, plats, and other public records. Users of these maps are hereby notified that the information
provided herein should be verified. Iredell County assumes no legal responsibilities for any of the information contained on this site. Users are advised that the use of an
of this information is at their own risk. All maps on this site were prepared using a 10005 €' Grid based upon the North Carolina State Plane Coordinate System from the
1983 North American Datum. The delinquent real property tax overlay is updated monthly. The information presented is not intended to be used or relied upon as official
notice of tax liens. For additional information reaardina delinauent taxes. contact the Iredell Countv Tax Collector's Office.

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Moorseville Golf Club
Table of Resources
TOWN OF MOORESVILLE GOLF CLUB, MOORESVILLE NORTH CAROLINA
sue BASE MAP FOR MASTER PLANNING
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Site Number
LAtitude
Longitude
Cowardin
Class
Estimated
Amount of
Aquatic
Resources
Class of
Aquatic
Resource
1
35.5790
80.8342
Wetland
0.58 ac
Non sec. 10
2
35.5783
80.8348
Wetland
0.05 ac
Non sec. 10
3
35.5766
80.9366
Deep H2O
0.15 ac
Non sec. 1
4
35.5767
80.8370
Wetland
0.05 ac
Non sec. 1
5
35.5757
80.8376
s1PW
3001f
Non sec.l
6
35.5736
80.8343
Dee H2O
0.15 ec
Non sec. 1
7
35.5732
80.8330
Wetland
0.15 ac
Non scc. 10
8
35.5732
80.8330
sRPW
143 if
Non sec. 10
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Soil Map—Iredell County, North Carolina
Map Unit Legend
11 91
lredell,CouhtyjN6rth' Caroh6i'(NC097)'
Rita
_-Z ame,.
�Acre�i ihrAOl
J�4i4e oi'Abl
Percent
x.
,
x,
ApB
Appling sandy loam, 2 to 6
6'8
22%
percent slopes
Ce132
Cecil sandy clay loam, 2 to 6
201
64%
'percent slopes, moderately
eroded
CeC2
Qecil,sandy clay'loam, 6 to 10
26 6
85%
percent slopes, moderately
eroded
CgC
Cecil-Urban,landcomplex, 2 to
62'8
201%
10 percent slopes
CgE
Cecil-Urban land complex, 10 to
193
62%
26 percent slopes
ChA
Chewacla loam, 0 to 2 percent
31 2
100%
slopes, frequently flooded
DAM
Dam
49
16%
DrB
Dorian fine sandy loam, 0 to 6
07
02%
percent slopes, rarely flooded
MaE4
Madison-Udorthents complex,
25
'0 8%
15 to 25 percent slopes,
gullied
MdB
Masada fine sandy loam, 2 to 6
92
29%
percent slopes
PaE
Pacolet sandy loam, 15 to 25
1 0
03%
percent slopes
PaF
Pacolet sandy loam, 25 to,45
180
6_7%
percent,slopes
PcI32
Pacolet sandy clay loam, 2 to 6
34
1 1%
percent slopes, moderately
eroded
PcC2
Pacolet sandy clay loam, 6 to 10•
182
58%
percent slopes, moderately
eroded
PcD2
Pacolet sandy clay loam, 10 to
386
123%
15 percent slopes,
moderately eroded
PcE2
Pacolet sandy clay loam, 15,to
321
10 2%'
26 percent slopes,
moderately eroded
UmF
Uf d6rthents-Urban land
73
23%
complex, 0 to,45 percent
slopes
W
Water
108
35%
Totals for Area ofInterest
313.2
100.0%
L)SDA Natural Resources Web Soil Survey 11/7/2014
W Conservation Service National Cooperative Soil Survey Page'3 of'3

. .........
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NC DENR - DIVISON OF WATER QUALITY 2B . 0300
.0308 CATAWBA RIVER BASIN
- r
Class
,Name of Stream Description Class Date Index No.
Burton Creek (Border Creek) From source to Lake Norman, WS -IV,CA 08/03/92 11 -302
Catawba River
Graham Creek From source to Lake Norman, WS- IV,B,CA 08/03/92 11 -103
Catawba River
Reeds Creek From source to a point 0 5 WS -IV,B 08/03/92 11- 104 -(1)
mile upstream of mouth
Reeds Creek
From a point 0, 5 mule
WS- IV, B,, CA
08/03/92
11- 104 -�(2 -)
09/01/74
upstream of mouth to Lake
McDowell
Creek
From U S Hwy
21 to a
Norman, Catawba River
08/03/92
11- 115 -(1 5)
Work Creek
From source to Lake °Norman,
WS- IV,B,CA
08/03/92
11 -105
Catawba River
mouth
Davidson Creek
From source to Lake Norman,
WS -IV;CA
08/03/92
11 -106
From source to
Catawba River
C
09/03/74
11- 115 -2 -(1)
Gambles Creek,(Cathey Creek)
From,source�to Lake.Norman,
WS -IV;CA
08/03/92
11 -107
11- 115 -2 -(2)
Catawba River
Creek
From source to
McDowell
Knox Creek
From source to Lake Norman,
WS- IV,B,CA
08/03/92
11 -108
Creek
Catawba River
Hager Creek
From source to Lake Norman,
WS- IV,B,CA
08/03/92
11 -109
Catawba River
Lucky Creek
From source to Lake Norman,
WS- IV,B,CA
08/03/92
11 -110
Catawba River
Ramsey Creek
From source to Lake Norman,
WS -IIV
08/03/92
11 -111
Catawba River
CATAWBA RIVER (Mountain
From Cowands,Ford Dam to
WS -IV,CA
08/03/92
11- (112)
Island Lake below elevation
Water Intake,at River Bend
648)
Steam Station
Johnson Creek
From source to a point 0.6
WS -IV
08/03/92
11- 113 -(1)
mile upstream of mouth
Johnson Creek
From a point 0 6•mile
WS -IV;CA
08/03/92
1-1= 113 -(2)'
- upstream of mouth to
Mountain Island Lake,
Catawba River
CATAWBA RIVER (Mountain From Water Intake at River WS- IV,B;CA 08/03/92 ll -(114)
Island Lake below elevation Bend Steam Station to
648) Mountain Island Dam (Town
of Mount Holly water supply
intake),
McDowell
Creek
From source to
U S Hwy 21
C
09/01/74
11- 115 -(1)
McDowell
Creek
From U S Hwy
21 to a
WS -IV
08/03/92
11- 115 -(1 5)
point 0;7 mile
upstream of
mouth
Caldwell
Station Creek
From source to
I -77
C
09/03/74
11- 115 -2 -(1)
Caldwell
Station,Creek
From I -37 to McDowell Creek
WS -IV
08/A3/92
11- 115 -2 -(2)
Torrence
Creek
From source to
McDowell
WS -IV
08/03/92
1 -1 -115 -4
Creek
Page 26 of 40 2013 -12 -09 10:46 19

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Mooresville Golf - Site Photographs
Serpentine pond at Hole #1
Serpentine pond at Hole #1
Serpentine pond at Hole #1
Reeds Creek looking downstream at dam
Reeds Creek looking upstream along Hole #1
Reeds Creek looking downstream at dam

Mooresville Golf - Site Photographs
Reeds Creek looking upstream at cart bridge
Reeds Creek active bank failures within
Serpentine pond at Hole #1 looking back
along Hole #1 sediment areas toward proposed tees

Mooresville Golf - Site Photographs
cart bridge cart bridge
Lobe pond #4
Lobe pond #3

Mooresville Golf - Site Photographs
lobe pond #1
Lobe pond #2
Reeds Creek just downstream of dam

Mooresville Golf - Site Photographs
Reeds Creek downstream of dam
Reeds Creek downstream of dam
Hole #10 green
I MIRI.,
Reeds Creek downstream of bridge below dam
Hole #10 green

Mooresville Golf - Site Photographs (continued)
Hole #10 green looking toward tees
Downstream of dam on Reeds Creek
Pond along new hole #5; to be avoided
Hole #10 JD stream above cart path culvert
New hole #4 looking toward proposed tees

AT!•' T%Wll iZf—rn TAon +;Gea +inn lPnrrn VPrcinn d_11
Date: .• `� .� 1, `Sv - -
l�
Project/Site fj��
Latitude: 3T, �� Z
Evaluator: f�.�
County: Q�(�,
Longitude:
Total Points:
stream Determination (circle one)
Other
Stream is at feast intermrttente'
Ephemeral Intermittent Perennial
e g Quad Name:
rf a 19 or erennral if 2:30*
2
3'
A Geomorphology (Subtotal = ,b
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
0
1
2
3'
3 In- channel structure ex raffle pool, step -pool,
rl le- oolse uence
0
Al 5
2
3
4 Particle size of stream substrate
0
1
2
3
5 Active/relict floodplain
0
1
2 )
3
6 Depositional'bars,or benches
0
,22 Fish
2
3
7 Recent,alluvial deposits
0
2
3
8 Headcuts
0
0
2
3
_
9 Grade control)
0
15
1
15
10 Natural valley
0
05
1
15
11 Second or greater order channel
No j0o
Yes = 3
"'artificial'ditches are not rated, see discussions in manual -
R L %irtrninnv rC shfr%+nl -_-'�Z _d5' 1
12 Presence of,Baseflow
0
1
2
3
13 Iron oxidizing bacteria
0
1
2
3
14 Leaf Utter
1
1
05
0
15 Sediment on plants ordebns
20 Macrobenthos (note diversity and abundance)
Al 5
1
16
16 Organic debris lines or piles
0
0 5
1
15
17 Sod -based evidence of high water table?
No 0
Yes = 3
P` Q lnrw I Q ..M f i - •ry 1
18 Fibrous roots in streambed
3
2
1
0
19 Rooted upland plants m streambed
3
2
0
20 Macrobenthos (note diversity and abundance)
0
1'
2 _
21 Aquatic Mollusks
1
2
3
,22 Fish
CO)
5
1
15
23 Crayfish
0
0
1
15
24 Amphibians
0
1
15
25 Algae
0
(0 5)
1
15
26 Wetland plants in streambed
FACW = 0 75, OBL = 1 5
Other 0
`perennial streams may also be identified using other methods Seep 35 of manual
-
Notes
Sketch��
�j
i7�S\
� r

USACE AID# DWQ #
Site # (indicate on attached map)
M -Oq�
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name7tZJO OF k`*NUQ2,k3�J'% & 2. Evaluator's name:
3. Date of evaluation: G ' W - 70 �'[ _ 4. Time of evaluation:
S. Name of stream: 6. River basin:_
7. Approximate drainage area: 4 g�5-A,,L 8. Stream order:
9. Length of reach evaluated: �^ 10. County:
11. Site coordinates (if known): �prreef�er in decimal degrees. 12. Subdivision name (if any)-
Latitude (ex. 34.872312): � -� 1 • 51 Zi t v Longitude (ex. - 77.55661 I ): r " ` I f:5 ��P (615
Method location determined (circle): GY Topo Sheet Oriho (Aerial) Photo /GIS Other 6 I Other
13. Location of reach under evalua (note nearby roads and landmarks and attach map identifying stream(s) location):
lsx�1--'> W7 t �X��i�s >OC,.-) PVJC�k
i
14. Proposed channel work (if any
15. Recent weather conditions:
16. Site conditions at time of
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 X (I -1V)
18. Is there a pond or take located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 00 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: % Residential _% Commercial _% Industrial _% Agricultural
% Forested _% Cleared / Logged 16b % Other ( C�10
t
22. Bankfull width: rZ 23. Bank height (from bed to top of bank): — Z
24. Channel slope down center of stream: f- Flat (0 to 2 %) _Gentle (2 to 4 %) _Moderate (4 to 10 %) _Steep ( >10 %)
25. Channel sinuosity: X 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): 20
l .
Evaluator's Signat re �— Date
This channel evalua 'on f m is intended to be used on y as a ide 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.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
Presence of flow / persistent pools in stream
0 _ 4
2
1
no flow or saturation = 0; strong flow = max points)
Evidence of past human alteration
_
0-5
0 —
C
2
extensive alteration = 0; no alteration = max points)
3
Riparian zone
—6
0 -4
5
'L
no buffer = 0; contiguous, wide buffer = max ints
Evidence of nutrient or chemical discharges
0 —
0-4
— 4
4
extensive discharges = 0; no discharges = max points)
Groundwater discharge
0--4
0 —
l
d
5
no discharge = 0; springs, see s, wetlands, etc. = max points)
Presence of adjacent floodplain
4
0-4
0 2
6
no floodplain = 0; extensive floodplain = max oints
Entrenchment / floodplain access
— 5
0— 4
0 2
a+
(deeply entrenched = 0; frequent floodin = max oints
1
Presence of adjacent wetlands
0 6
0-4
0—
8
no wetlands = 0; large adjacent wetlands = max points)
Channel sinuosity
—5
0-4
0-1
O
9
extensive channelization = 0; natural meander = max points)
10
Sediment input
0-4
0 4
t
extensive de osition= 0; tittle or no sediment =max oints
Size & diversity of channel bed substrate
0-4
0 —
11
fine, homogenous = 0; large, diverse sizes = max points)
X-5
Evidence of channel incision or widening
0-4
— 5
>
12
(deeply incised= 0; stable bed & banks= max points)
Presence of major bank failures
0-5
0
l3
severe erosion — 0; no erosion, stable banks = max points)
Q14
Root depth and density on banks
0 _
0-4
0 —
Z
N
(no visible roots = 0; dense roots throughout = max points)
.
Z
Impact by agriculture, livestock, or timber production
0 5
0-4
0 —
15
substantial im act =0; no evidence = max points)
Presence of riffle- pool/ripple -pool complexes
0 —
0-5
— 6
16
no riffles/ripples les or pools = 0; well-developed = max points)
E
Q
Habitat complexity
0 6
0-6
0—
17
(little or no habitat = 0; frequent, varied habitats = max points)
18
Canopy coverage over streambed
0 —
0-5
0 - 5
no shading vegetation = 0; continuous canopy = max points)
�7
�y
Substrate embeddedness
N*
0-4
0 4
19
(deeply embedded = 0; loose structure = max)
Presence of stream invertebrates (see page 4)
0 -4
0-5
0 5
20
no evidence = 0; common, numerous types = max p oints
Presence of amphibians
0 4
0-4
4
p
21
no evidence = 0; common, numerous types = max points)
22
Presence of fish
0 4
0-4
4
no evidence = 0; common, numerous es = max points)
Evidence of wildlife use
6
0-5
0
2
23
no evidence = 0; abundant evidence = max points)
Total Points Possible
1 100
100
TOTAL SCORE (also enter on first page) Z�1
* These characteristics are not assessed in coastal streams.

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site Mooresville Golf City /County _ Iredell Sampling Date 08114/2014
Applicant/Owner Mooresville State NC Sampling Point WL
Investigators) HUVSman Bandv Section, Township, Range Mooresville
Landform (hillslope, terrace, etc ) flat Local relief (concave, convex, none) Concave
Subregion (LRR oriMLRA) LRR P Lat , 35 5784 Long 80_8347
Slope (%)
Datum WGS 84
Soil Map Unit Name Chewacla NWI classification None
Are,climatic-/ hydrologic conditions on the,site typical foe'this time of year? Yes,�,No ❑ (If no, explain in Remarks )
Are Vegetation ='Soil ❑, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes 0 Noy❑
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 0 No ❑ Is the Sampled Area
Hydnc Soil Present? Yes ❑ No within a Wetland? Yes ❑ No
Wetland'Hydrology °Present? Yes No
Remarks
Wetland area adjacent to Reeds Creek Located between the,exlsting fairway and the top of bank
HYDROLOGY
Wetland Hydrology1ndicators:
Secondary Indicators (minimum of twoiregwred)
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 (B8)
❑✓ 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 (B2) ❑ Recent Iron Reduction in Tilled Soils (C6)
❑ Crayfish Burrows (C8)
❑ Dri t Deposits (B3) ❑ Thin Muck Surface,(C7)
❑ Saturation Visible on,Aenal 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'Agwtard (D3)
Water - Stained Leaves,(B9)
❑ Microtopographic Relief (D4)
F-1 Aquatic Fauna (B13)
❑ FAC- Neutral Test (D5)
Field Observations:
Surface'Water Present? Yes,❑ No ❑✓ Depth (inches)
'Water'Table Present? Yes = No ❑ Depth (inches) 8 -14 In
n
Saturation Present? Yes Q No ❑ Depth (inches) 8 -14 In
Wetland
Hydrology Present? Yes No
includes ca illa ,frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections),, if available
oRemarks
Saturated area Surface drainage and backwater from Reems Creek provide hydrology
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0

VEGETATION (Five Strata) = Usexscientific names of plants.
30
Absolute Dominant, Indicator
Tree Stratum (Plot size )
% Cover Species Status
1 Dfospyros virginiana
5 N FAC
2 Salix nigra
25 Y FACV
3
-
4
5
6
30.00 = Total Cover
50% of total cover
15.00 20 %,of,total cover 6
Sapling Stratum (Plot size 15' )
i Diospyros virginiana
5 Y FAC
2
3
4
'5
6
5 = Total Cover
50% of total cover
2.5 20 %'of total cover- 1
Shrub Stratum (Plot size 15 )
1 Anus serrulata
20 Y OBL_
2 Liaustum sinense
2 N FAC
3
4
5
6
,22' = Total Cover
50 %,of total cover,
11 20 %,of total cover 1
Herb Stratum (Plot�size 5_'
i Bdehmaria cylindrica 45
2 Impatiens capensis 15
3
4
5
6
7
6
9
10
11
Y F
V F
60 = Total Cover
50% of total cover 30 20% of total cover 1 2
'Woody Vine-Stratum (Plot size )
1
2
3
4
5
= Total Cover
50 %,of total cover 20% of'total�cover
Remarks (Include photo numbers here;or on a;separate sheet')
Sampling Point.
Dominance Test worksheet.
Number of Dominant Species
That Are OBL, FACW, or FAC 5 (A)
Total Number of Dominant
Species Across All Strata 5 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC 100 (A/B)
Total % Cover of Multiply by
OBL species x 1 =
FACW species x 2 =
FACespecies x 3 =
FACU species x 4-
UPL,species x 5 =
Column Totals (A) (B)
Prevalence Index = B/A =
Q✓ 1 - Rapid Test for Hydrophytic Vegetation
❑ 2 - Dominance Test is >50%
3 - Prevalence Index is <_3 0'
❑ 4 - Morphological,Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
El Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be,present, unless disturbed or problematic
Definitions of'Five Vegetation, Strata:
Tree — Woody °plants, excludmg,woody vines,
approximately 20 ft (6 m) or more in height and 3 in
(7 6 cm) or larger in diameter at breast height (DBH)
Sapling — Woody plants, excluding woody vines,
approximately 20 ft,(6 m) or more in height,andz less
than,3 in (7 6 cm) DBH'
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height
Herb — All herbaceous (non - woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody'vmes, less than approximately,3,
ft (1 m) in height
Woody vine — All woody vines, regardless of1height
Hydrophytic
Vegetation
Present') Yes FV_ I No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0

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 Loc Texture Remarks
no -7 c vo r", /O In�m
2 -10 10 YR 4 /4 1,00
14 -20 10 YR 5 /3 60 10 YR 5 /2 35 RM M clay
10 YR 6 /1 5
ntration, D =De letion, RM= Reduced Matrix, MS= Masked Sand Grains 2Location PL =Pore Limn ,,M =Matrx
Hydric Soil Indicators-
Indicators for Problematic Hydric So1Is3:
0 Histosoh(A1)
❑ Dark ^Surface (S7)
❑ 2 cmNuck (A10) (MLRA 147)
❑ Histic Epipedon (A2)
❑ Polyvalue Below Surface (S8)r(MLRA 147, 148)
❑ Coast Prairie Redox (A16)
❑ Black Histic (A3)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
AydrogerrSulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplain,Sods (F19)
❑ Stratified Layers (A5)
❑ Depleted'Matrix (F3)
(MLRA 136, 147)
❑ 2 cm Muck (At 0) (LRR N)
❑ Redox Dark Surface (F6)
❑ Very - Shallow Dark Surface (TF12)
r] Depleted Below Dark Surface (All)
❑ Depleted DarkiSurface (F7)
❑ Other (Explain in Remarks)
❑ Thick Dark Surface (Al 2)
❑ Redox Depressions (F8)
❑ Sandy Mucky Mineral (S1) (LRR N,
❑ Iron- Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
❑ Sandy Gleyed Matrix,(S4)
❑ Umbric Surface (F13) (MLRA 1'36, 122)
3Indicators 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
Type
Depth (inches)
marks Solls'mapped as Chewacla but more like Wehadkee
Hydric Sod Present) Yes Z No EL
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0

WETLAND DETERMINATION. DATA FORM — Eastern Mountains and Piedmont Region
Project/Site Mooresville Golf City /County Iredell sampling0ate 08 /14/2014
Applicant/Owner Clty,of,Mooresyille State NC Sampling Point high
Investigator(s) HUVSMan Ba'nd'V_ Section, Township, Range , Mooresville
Landform (hdlslope, terrace, etc) , terrace Local relief (concave, convex; none) , convex Slope ( %) 10
Subregiom(LRR,or MLRA)" LRR P Lat 35,576882 Long -80 83347 Datum WGS 84
'Soil,Map Unit,Name Cecil NWI classification None
Are climatic /`hydrolo iaconditions,on the site typical,for -this time,of year? Yes = No ❑ (if no, explain in Remarks )
Are Vegetation Sod ❑,'or,Hydrology significantly ,disturbed? AreF "Normal Circumstances" presents Yes No
Are Vegetation= Sod ❑,nor Hydrology ❑ naturally problematic? (If needed, explain any answersO Remarks )
SUMMARY OF FINDINGS — Attach site;maap,showing sampling point locations, transects, important features, etc.
,Hydrophytic Vegetation, Present? Yes, 0 No,FV 1 I Is the Sampled Area
,Hydric °Sod Presents Yes ❑ No__F-77 withm,a Wetland' Yes 0 No
`Wetland Hydrology Present? Yes,❑ No J�
"High ground near °the shop area
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 (1310)
❑ Saturation (A3) ❑ Oxidized;Rhizospheres on Living Roots (C3)
❑,Moss Trim Lines (616)
❑ Water Marks (61) ❑ Presence of Reduced Iron (C4)
❑ Dry- Season Water Table (C2)
❑ Sediment' Deposits (132) ❑ Recent Iron Reduction in Tilled Sods (C6)
❑ Crayfish Burrows (C8)
❑ Drift Deposits (133) ❑ Thin Muck Surface (C7)
❑ Saturation Visible on Aehal 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 (B7)
❑ Shallow Aquitard (D3)
❑ Water - Stained Leaves (139)
❑ Microtopographic Relief (D4)
r_1 Aquatic Fauna,(B13),
❑ FAC- Neutral Test (D5)
Field Observations:
Surface Water Present? Yes 0 No= Depth (inches)
Water Table Present? Yes ❑ No ❑ Depth (inches)
Foe
=
Saturation Present) Yes Q No= Depth (inches)
Wetland
Hydrology Present9 Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

VEGETATION (Five Strata) —Use scientific names of plants.
Sampling Point
30
Absolute
Dominant Indicator
Species?
Dominance Test worksheet
Tree Stratum (Plot size )
% Cover
Status
Number of Dominant Species
1 Acer rubrum
10
Y
FAC
That Are OBL, FACW, or FAC
4
(A)
2 Liquidambar stvraciflua
1'0
Y
FAC
3 Pinus taeda
5
N
FAC
Total Number of Dominant
Species,Across All Strata
11
(B)
4 rubra
110
Y
FACU
_Quercus
5 Carya glabra
10
Y
FACU
Percent of Dominant Species
That Are OBL, FACW, or FAC
36%
(A/g)
6
45.00
=Total Cover
Prevalence Index,worksheet:
50% of total cover
22.50 20% of
total cover
9
Total %Cover of
Multiply by
15
OBL species
x 1 =
Sapling Stratum (Plot size )
Corpus f/orida
10
Y
FACU
FACW species
x 2 =
,
2 ,Acer rubrum
10
Y
FAC
FAC species
x 3 =
3 ,duniperous vi rginiana
10
Y
FACU
FACU species
x 4 =
4 Linodendron- tulipfera
10
Y
FACU
UPL species
x 5 =
-
Column Totals
(A)
(B),
5
6
40 = Total Cover
50% of total cover 20 20% of total cover 8
Shrub Stratum (Plot size )
1
2
'3
4
5
6
= Total Cover
50% of total cover 20% of total cover
Herb Stratum (Plot -size 5 )
, Hexastylis anfolla 2 Y FAC
Prevalence Index = B/A =
Hydrophytic'Vegetation Indicators:
❑ 1 - Rapid Test,for Hydrophytic Vegetation
Q 2 - Dominance Test is >50%
3 - Prevalence'Index is <3 0'
❑ 4 - Morphological Adaptations' (Provide supporting
datajo Remarks or on a separate sheet)
Ej Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil,and,wetland hydrology must
be present, unlessfdisturbed or problematic
Definitions of Five Vegetation Strata:
Tree — Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more.in height'and 3 in
(7A6 cm) or larger in diameter at breast height (DBH)
2 Goodvera,repens 2 Y FACU Sapling — Woody °plants; excluding woody vines,
3 Mitchella repens 2 Y FACU approximately 20 ft (6 m) or more in height and less
4 than 3, in (7 &cm) DBH
5
6
7_
8
9
10
11
6 = Total Cover
50% of total cover, 3 20% of total cover 1.2
Woody Vine Stratum (Plot size )
1
2
3
4
5
Total Cover
50% of total cover 20 0/6;of total cover
(Include photo numbers here or on a separate sheet )
Shrub — Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6,m) in height
Herb — All herbaceous (non- woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height
Woody vine — All woody vines, regardless of height
Hydrophytic
Vegetation
Presents Yes n No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2 0

SOIL Sampling Point_
Profile Description: (Describe4o the depth needed to document the mdicator,or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color_ (moist) % Type Loc Texture Remarks
0 -6 5 YR 5 /8 sandy c
6 -20 2 5 YR 4 /8 Clay
'Type C= Concentration, D= Depletion, RM= Reduced Matrix, MS= Masked Sand Grains `Location PL =Pore Lining, M =Matrix
Hydric Soil Indicators:
Indicators for Problematic Hydric Sods3:
_❑ Fiistosol (A1)
❑ Dark Surface (S7)
❑ 2 cm,Muck (A10) (MLRA 147)
❑ Histic Epipedon (A2)
❑ Polyvalue Below Surface (S8) (MLRA 147, 148)
❑ Coast.Praine Redox (A16)
171, Black Histic (A3)
❑ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
❑ Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
❑ Piedmont Floodplam Sods (F19)
❑ Stratified Layers (A5)
❑ Depleted,Matrix (F3)
(MLRA 136, 147)
C]'2 cm Muck (A10) (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 (S,1) (LRR N,
❑ Iron - Manganese Masses (F12) (LRR N,
MLRA 14:7,148)
MLRA 136)
❑ Sandy Gleyed Matrix (S4)
❑ Umbric Surface (F1'3) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
❑ Sandy Redox (S5)
❑ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
❑ Stripped Matrix (S6)
❑Red Parent Material (1721) (MLRA 127, 147)
unless - disturbed or problematic
Type
Depth (inches)
marks
Hydric'Soil Present? Yes ❑ No Z
US Army Corps of Engineers Eastern Mountains and Piedmont — Version ,2 0

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 FORAPPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION: Mooresville Golf Course Site
State NG Cobnty/parish/boiough Iredell City Mooresville
Center coordinates of site (]at/long-in degiee decimal format) Lit 35 575129° N, Long -80 835984° W
Universal Transyerse,Mercator
Name of nearest waterbody Reeds Creek
Name of nearest Traditional Navigable Water (TNW) Into which the aquatic resource flows Catawba,River (Lake Norman)
Name of watershed or Hydrologic Unit Code (HUC) 030501011203
® Check if map /diagram of reN lew 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,foim
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Q Office (Desk) Determination 'Date
® Field Determination Date(s) 8/14/2014
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Are, o "navigablewaters of the U S " within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review,area [Required]
Q Waters subject to the ebb and flow of the tide
Waters are presently used, of 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 Are "waters of the U S " within Clean Water Act (CW,A) jurisdiction (as,defined'by 33 CFR part 328) m ,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): i
TNWs including territorial seas
Fj Wetlandseadjacent to TNWs
® ,Relatively permanent wateis' (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
Q Wetlands adjacent to non -RPWs that flow directly or`mdirectly into TNWs
® Impoundments of. jurisdictional waters
E Isolated (interstate or intrastate)•waters, imcludmg isolated wetlands
b. Identify (estimate) size of waters.of the U S. in the review area:
Non - wetland waters linear feet width (ft) and /or acres
Wetlands acres
c. Limits (boundaries) of jurisdiction based on 1987'Delineation Manual
Elevation of,established OHWM (if known)
2. Non - regulated waters /wetlands (check if applicable):'
i_t 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 sectionslin Section III below
z 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 ,atypically 3 months)
3 Supporting documentation is presented in Section III 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 resourceiis 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 IILB 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 RapanoAave been met.
The agencies'will assert jurisdiction over,non- navigable tributaries of TNWs where the tributaries are "relatively;permanent
waters" (RPWs), i.e. tnbutaries,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 hasryear -round
(perennial) flow, skip to Section III.D.2 If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip fto-Section IlLD.4.
A wetland that,is adjacent to,but that does not'directly abut an RPW requires a significantmexus evaluation. CorpsAistricts and
EPA regions will include in the record ant 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`io- determine if the
waterbody has,a significant nexus with a TNW If the`tributary has adjacent wetlands, the significant nexus evaluation must
considerthe tributary in combination smith 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, compleWSection 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 ionsite
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�c:k,List
Drainage area Pick List
Average annual rainfall inches
Average annual snowfall riches
(ii) Physical Characteristics*
(a) Relationship with TNW
❑ Tributary flows,directly into TNW
❑ Tributary flows through Pick-List °tributaries before,entermg TNW-
Project waters are Pick List river miles from TNW
Project waters are Pick'List river miles from RPW
Protect waters,are Pick,List;aetial (straight),m11 es-from TNW
Project waters,are Pick Last aerial (straight) miles from RPW
Project waters cross or serve aystate boundaries Explain-
Identify flow route to TNW'
Tributary stream ordei, if known
"Note,that the Instructional Guidebook contains additional irfonnation regarding swales, ditches, washes, and erosional features generally and in the and
West
5 Flow route can be descnbed'by identifying e g, nibutary 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 Pick List.
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
Presence of'run /riffle /pool complexes Explain
Tributary geometry Pick List
Tributary gradient (approximate average slope) %
(c) Flow
Tributary provides for Pick Last
Estimate ^average number of flow events in review area/year PicUList
Describe flow reerme
Other information on dutation and volume
Surface,flow is Pick List. Characteristics
Subsurface flow Fick List Eanlam findings
❑ Dye (oi other) test performed
Tributary has (check all that apply)
❑ Bed and banks
❑ OHWM6'(check all indicators that apply)
F-1 clear nattu al line impressed on the bank
❑ the,presence of litter and debris
❑ changes in the character of soil
❑ destruction of terrestrial vegetation
❑ shelving
❑ theipresence 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- stamme
❑ 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 ❑Q
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 discontinuity in the OHWM does not,necessanly sever jurisdiction (e g , where the stream temporarily flows underground, of -where
the OHWM has been removed by development or agricultural practices) Where there is,a break in the OHWM that is unrelated to,the waterbody's now
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)
❑ 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 i`s ,Pick List Explain
Surface flow is: Pick'List
Characteostics-
Subsurface flow Pick,List Explain findings
❑ Dye (oi other) test,perfoimed
(c) Wetland Adjacency Determination with Non -TNW
❑ Directly abutting
❑'Not directly abutting
❑ Discrete wetland hydiologic connection Explain
❑ Ecological connection Explain
❑ Separated by berm/barrier Explain
(d) Proximity (Relationship) to TNW
Project wetlands aie Pick List river mules from TNW
Project Waters are Pick List aerial (straight) miles from TNW
Flow is from Pick List
Estimate approximate location of wetland as within the _P,i k,List floodplam
(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 EVplam
❑ 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)lbemg considered in the cumulative analysis Eick,List
Approximately ( ) acres in total are being considered in the cumulative analysts

For each wetland, specify the following
Directiv abuts? (Y/N) Size (in acres) Directly,abuts9 (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 itselfand 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 >_dentified 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), have4liefcapacity 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 fishiand
other species, such -,as feeding, nesting, spawning, ovrearmg,young for species,that ampresent,m the TNW9
• Does the tributary, in combrp_ation 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 TNTW9
Note: the above list of con_ siderations,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 significantnexus,below, based on the tributary itself, then go to Section III D
2. Significant nexus findings for non -RPW and its adjacent wetlands, where.tbe 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 tributa ylin 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
R TNWs lmear'feet width (ft), Or, acres
M Wetlands adjacent to TNWs acres
2. RPWs that flow directly,or indirectly into TNWs.
Tributaries, of TNWs where tributari es 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

Provide estimates for jurisdictional waters in the review area (check all that apply)
❑ Tributary waters linear feet width (ft)
0 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, mdirectly'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 Provideirationale indicating that wetland is
directly abutting an RPW
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 forjutisdictional wetlatids,m the review area acres
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or,indirectly into TNWs.
0 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 ieview,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 arejunsdictional Data supporting this
conclusion is provided at Section III C
Provide estimates forjurisdtctional wetlands in the review, area acres
7. Impoundments,of„ lurisdictional,w3ters '
As a,general rule, the impoundment of a jurisdictional tributary remains jurisdictional
Q 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 watei 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)•10
M which are,or could�be used by`ihterstate or foreign,ttavelers for recreational or other purposes
R from ^which fish or shellfish are o> could be taken and,sold in interstate or foreign commerce
Q which are or could be used for mdustiial purposes by industries in interstate commerce
® Interstate isolated waters Explain
M Other factors Explain
Identify water body and summarize rationale supporting determination:
gSee Footnote #`3
9 To complete,the,analysis refer to the key in =Section IIl D 6 of the Instructional Guidebook
10,Prioetwasseiting or decimmg CWA jurisdiction, based solely on this category, Corps Districts wilbelevate 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)
0 Tributary waters linear feet width (ft)
Other non - wetland waters acres
Identify type(s) of waters
Wetlands acres
F. NON- JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
® If potentiaf 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
Review area included isolated waters with no substantial,nexus,to interstate (or foreign) commerce
❑ Prior to thcuJan 2001 Supreme Court decision in "SWARCC, "',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 forjurisdiction Explain
F1 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,(k e , presence of migratory birds, presence of endangered species, use of water for irrigated,agriculture), using best professional
judgment (check all that apply)
0 Non - wetland waters (i e ,ii�,eis, streams) linearfeet width (ft).
Lakes /ponds acres
R 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 frnding,is required for jurisdiction (check all that apply)
0 Non - wetland waters (i e ,ri,vers,.streams) linear,feet, width (ft)
El Lakes /,ponds acres
Other, non-wetl and waters acres List type,of aquatic resource
Q Wetlands acres
SECTION iV: DATA SOURCES
A. SUPPORTING DATA. Data reviewed'for JD (check all that apply - checked items shall be` included incase file;and, where checked
and requested, appropriately referen c e, sources below)
® Maps, plans, plots or ^plat submtted 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 feport
Q Data sheets,prepared by the Corps
Ji Corps nayigable waters' study
® U S Geological Survey Hydrologic Atlas
® USGS NHD data
❑ USGS S and 12 digit HUC maps
® U S Geological Survey map(s) Cite scale & quad name 7 5 Mooresville
USDA Natural Resources Conservation Service Soil Survey Citation Web Soil Survey
® National wetlands inventory map(s) Cite name N,WI wetland mappper
State/Local wetland inventor
'map(s)
® FEMA/FIRM neaps FEMA NFHL GIS overlay
100 -year Floodplam Elevation s (National Geodectic Vertical Datum,of 1929)
Photographs ® Aerial (Name & Date)
or ® Other (Name & Date)
Q Previous determination(s) File no and date of response letter
Applicable /supporting case law
® Applicable /supporting scientific literature
n -' Other information (please specify)
B. ADDITIONAL COMMENTS TO SUPPORT JD.