20150017 Ver 1_More Info Received_20150126

/s-- to 0/ �
Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone
sandec com
To US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn JAMES LASTINGER
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
From Bob Zarzecki
Soil & Environmental Consultants, P A
Re SHOPPES AT HERITAGE VILLAGE
Wake Forest, Wake County, NC
REVISLD -- Januar) 26, 2015
S &EC Project # 12355 W6
N C Division of Water Resources
401 & Buffer Permitting Unit
Attn Karen Higgins
Archdale Building — 91h Floor
512 North Salisbury Street,
Raleigh, NC 27604
Q RE 9, P=� [�
JAN 2 6 ?015 If
DENR Ek- RESOur S
An�
On behalf of the applicant, Columbia Heritage, LLC, please find attached a complete application and supplemental
information requesting written concurrence from the U S Army Corps of Engineers (USACE) and the N C Division of
Water Resources (DWR) that the activities proposed below may proceed under Nationwide Permit 39 and General
Water Quality Certification 3890 As well as, requesting written concurrence from the DWR that the activities may
proceed under the Neuse Buffer Rule (15A NCAC 02B 0233) and the Isolated Wetlands & Non -404 Rules (15A
NCAC 02H 1300) / IWGP100000 Please contact meat (919) 846 -5900 if you have any questions or require additional
information This application replaces the application dated January 6, 2015.
PROJECT SUMMARY
Project Name
SHOPPES AT HERITAGE VILLAGE
Project Tye
Retail Shopping Center / Commercial
Owner / Applicant
Franklin Village, LLC / Columbia Heritage, LLC
County
Wake
Nearest Town
Wake Forest
Waterbody Name
Smith Creek
Index Number
27- 33 -(2)
Class
C, NSW
USGS Cataloging Unit
NEUSE 03020201
IMPACT SUMMARY
Stream Impact (acres)
0
Wetland Impact (acres)
0 04 ac
Open Water Impact (acres)
0
Total Impact to Waters of the U S (acres)
0 04 ac
Total Stream impact (linear feet)
0
Zone 1 Buffer Impact - "Allowable" (sf) — Road Crossing
3,530 sf
Zone 2 Buffer Impact — "Allowable" (so — Road Crossing
3,460 sf
Zone 2 Buffer Impact — "Exempt' (sf) — Fill Slopes / Grading- Revegetation
8,110 sf
Isolated Wetland Impacts (acres)
0 31 ac
Attachments Complete PCN Application & Supplemental Information
DWR Application Fee $240 00 (previously provided)

O�O� W ATF9QG
y r
o c
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 4 January 2009
Page 1 of 10
PCN Form — Version 1 4 January 2009
Pre - Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
la
Type(s) of approval sought from the Corps
Q Section 404 Permit ❑ Section 10 Permit
lb Specify Nationwide Permit (NWP) number 39 or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
❑X 401 Water Quality Certification — Regular ❑X Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express Q Riparian Buffer Authorization
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification
❑ Yes ❑X No
For the record only for Corps Permit
❑ Yes ❑X No
1f
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program
❑X Yes ❑ No
1g
Is the project located in any of NC's twenty coastal counties If yes, answer 1 h
below
❑ Yes ❑X No
1 h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes X❑ No
2.
Project Information
2a
Name of project
SHOPPES at HERITAGE VILLAGE
2b
County
Wake
2c
Nearest municipality / town
Wake Forest
2d
Subdivision name
n/a
2e
NCDOT only, T I P or state project no
n/a
3.
Owner Information
3a
Name(s) on Recorded Deed
Franklin Village, LLC
3b
Deed Book and Page No
B8462/P420, B15800/P58, B14960/P1371
3c
Responsible Party (for LLC if
applicable)
Andrew L Ammons
3d
Street address
10405 Ligon Mill Road, Suite #G
3e
City, state, zip
Wake Forest, NC 27587
3f
Telephone no
919 - 562 -1322
3g
Fax no
` fax agent
3h
Email address
aammons @ammonsdg corn
Page 1 of 10
PCN Form — Version 1 4 January 2009

4.
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑X Other, specify developer /contract purchaser
4b
Name
Daniel S O'Neill
4c
Business name
(if applicable)
Columbia Heritage, LLC
4d
Street address
1355 Terrell Mill Road, Building 1478, Suite 200
4e
City, state, zip
Marietta, GA 30067
4f
Telephone no
678 -460 -3120
4g
Fax no
770 - 953 -4306
4h
Email address
404 - 408 -6589
5.
Agent/Consultant Information (if applicable)
5a
Name
Bob Zarzecki
5b
Business name
(if applicable)
Soil & Environmental Consultants, PA (S &EC)
5c
Street address
8412 Falls of Neuse Road, Suite 104
5d
City, state, zip
Raleigh, NC 27615
5e
Telephone no
919 - 846 -5900 (office) 919 - 256 -4517 (direct)
5f
Fax no
919- 846 -9467
5g
Email address
bzarzecki @sandec corn
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a
Property Identification no (tax PIN or parcel ID)
174959552/1749598301 /1749690660
1 b
Site coordinates (in decimal degrees)
I Latitude 35 9444 Longitude -78 5078
1 c
Property size
1926 acres
2.
Surface Waters
2a
Name of nearest body of water to proposed project
Smith Creek (Stream Index No 27- 33 -(2))
2b
Water Quality Classification of nearest receiving water
C, NSW
2c
River basin
Neuse (03020201)
3.
Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The site is currently vacant woodland with a drained pond Forestville Road used to traverse the site but was realigned to the east of the property
The pre - existing road bed and some pavement remain on the property Heritage Elementary, Middle & High schools are to the west and south The
remaining adjacent properties include residential and commercial /retail The NPDES stormwater pond is not located on the property
3b
List the total estimated acreage of all existing wetlands on the property 0 5
3c
List the total estimated linear feet of all existing streams (Intermittent and perennial) on the property 750
3d Explain the purpose of the proposed project
The purpose is to construct a retail shopping center consistent with the current zoning and land use assigned to the property
3e Describe the overall project in detail, including the type of equipment to be used
Retail shopping center (grocery store, retail shops, restaurants, bank, etc ), parking and access drives Typical heavy equipment will be used
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?
0 Yes ❑ No ❑ Unknown
Comments
4b
If the Corps made the jurisdictional determination, what type
of determination was made?
10 Preliminary Q Final
4c
If yes, who delineated the jurisdictional areas?
Name (If known) James Lastinger / Steven Ball & David Gainey
Agency /Consultant Company
Other USACE / S &EC
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
DWQ #07 -0208 (2/5/2007), NBRRO#14 -282 (9/2/2014), Existing Transportation Facility on -site determination with Chem Smith (DWR) on 9/26/2014,
SAW- 2012 -01650 (PIN 1749595552), Field verification site meeting with James Lastinger (USAGE) on 7/23/2014 (northern properties),
5.
Project History
5a
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes ❑X No ❑ Unknown
5b
If yes, explain in detail according to "help file" instructions
6.
Future Project Plans
6a
Is this a phased project?
Q Yes ❑ No
6b If yes, explain
A portion of the property (southwest corner) has been set assigned for a potential future apartment complex
No additional impacts to streams, wetlands or buffers are anticipated
Page 3 of 10
PCN Form — Version 14 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
la Which sections were completed below for your project (check all that apply)
0 Wetlands ❑ Streams —tributaries Q Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland Impacts proposed on the site, then complete this question for each wetland area Impacted
2a
Wetland Impact
number
Permanent (P) or
Temporary T
2b
Type of Impact
2c
Type of wetland
2d
Forested
2e
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f
Area of
Impact
(acres)
W1 P
Fill
Isolated HW Wetland (drained pond)
Yes (partial)
DWQ
031
W2 P
Fill
Headwater Wetland (HW)
Yes
Corps
004
W3
Choose one
Choose one
Yes /No
W4
Choose one
Choose one
Yes /No
W5
Choose one
Choose one
Yes /No
W6
Choose one
Choose one
Yes /No
2g Total Wetland Impacts:
035
2h Comments
W1 is a drained pond bottom determined to be isolated/non-jurisdictional (SAW- 2012 - 01650) W2 is a relic wetland channel A bypass pipe has been
proposed to bypass existing offsite stormwater entering the property from Foundation Drive and maintain hydrology to the retained wetland and stream
All newly generated stormwater runoff from the project will be routed to the BMP devices for treatment prior to discharge
3. Stream Impacts
If there are perennial or Intermittent stream Impacts (Including temporary Impacts) proposed on the site, then complete this
question for all stream sites Impacted
3a
Stream Impact
number
Permanent (P) or
Temporary (T)
3b
Type of Impact
3c
Stream name
3d
Perennial (PER) or
Intermittent (INT)?
3e
Type of
jurisdiction
3f
Average
stream
width
(feet)
3g
Impact
length
(linear
feet)
S1
Choose one
S2
Choose one
S3
Choose one
S4
Choose one
S5
Choose one
S6
Choose one
3h Total stream and tributary impacts
0
31 Comments
Page 4 of 10
PCN Form — Version 14 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then indivi ually 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
Choose one
Choose
O2
Choose one
Choose
03
Choose one
Choose
04
Choose one
Choose
4f Total open water impacts
0
4g Comments
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below
5a
Pond ID number
5b
Proposed use or
purpose of pond
5c
Wetland Impacts (acres)
5d
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f Total:
5g Comments
5h Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
5) Size of pond watershed (acres)
5k Method of construction
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form
6a. Project is in which protected basin?
❑X Neuse ❑ Tar - Pamlico ❑ Catawba ❑ Randleman ❑ Other
6b
Buffer Impact
number —
Permanent (P) or
Temporary T
6c
Reason for impact
6d
Stream name
6e
Buffer
mitigation
required?
6f
Zone 1
impact
(square
feet )
6g
Zone 2
impact
(square
feet
B1 T
Grading & Re- vegetation
UT to Smith Creek
No
0
2,550
B2 T
Grading & Re- vegetation
UT to Smith Creek
No
0
1,200
B3 T
Grading & Re- vegetation
UT to Smith Creek
No
0
4,000
B4 T
Grading & Re- vegetation
UT to Smith Creek
No
0
300
B5 T
Grading & Re- vegetation
UT to Smith Creek
No
0
60
B6 & B7 = P
Road Crossing
UT to Smith Creek
No
3,530
3,460
6h Total Buffer Impacts:
3,530
11,570
61 Comments 131, 132, B3, 134 & 135 are all "exempt' uses as grading and vegetation w/n Zone 2 only B6 & 67 are both associated with the access
drive which is centered on an existing entrance drive (old Forestville Road)
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
S &EC was hired by the current owner to delineate all wetlands, streams and buffers and obtain agency verifications The site plan was developed to
avoid all stream impacts, and minimize buffer impacts by utilizing an existing entrance drive location Wetland impacts were determined unavoidable
to provide the necessary outlet/outparcels for a viable project The wetland impacts are primarily to those within a drained pond bottom and relic
wetland channel, away from streams and buffers "W1" impact is to a non- junsdictional /isolated wetland /drained pond
lb Specifically describe measures taken to avoid or minimize the proposed Impacts through construction techniques
The limits of disturbance will be located in the field with temporary tree protection fencing A land disturbance /erosion control plan will be obtain from
the Town of Wake Forest, along with a post - construction stormwater management plan to include the Crystal Stream devices
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a Does the project require Compensatory Mitigation for
Impacts to Waters of the U S or Waters of the State?
❑ Yes ❑X No
2b If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank Pancho Stream & Wetland Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type Riparian wetland
Type Choose one
Type Choose one
Quantity 0 7
Quantity
Quantity
Non-jurisd is Iona Visolated wetlancl impacts & jurisdictional wetland impacts are below mi iga ion thresholds
3c Comments
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from In -lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation, stream temperature
Choose one
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - riparian wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form — Version 1 4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ❑X No
buffer mitigation?
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
6c
6d
6e
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
0
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)
All buffer impacts are either "exempt' or "allowable" The buffer impacts around the entrance drive from Rogers Road are less than
6h Comments 150 feet and 1/3 acre associated with the crossing This was accomplished by means of siting the crossing over the existing
entrance drive, the pipe does not need to be extended and as such new stream impacts are not required, but buffer impacts will be
necessary to obtain the required shoulders
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a Does the protect include or is it adjacent to protected riparian buffers Identified
Yes ❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b If yes, then is a diffuse flow plan included? If no, explain why
A diffuse flow plan is not included because the only new stormwater discharge pipe has been designed to
Yes No
flow to a dissipater located at the edge of the floodplain The non - erosive flow path from this dissipater
❑ ❑X
travels across non - jurisdictional floodplain, then jurisdictional wetlands, prior to entering the buffer and
stream
2. Stormwater Management Plan
2a What is the overall percent Imperviousness of this project?
80
2b Does this project require a Stormwater Management Plan?
❑X Yes ❑ No
2c If this project DOES NOT require a Stormwater Management Plan, explain why
2d If this protect DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
The conceptual stormwater management plan (SMP) proposed for the project was presented to DWR in a pre - application meeting held on December
8, 2014 The plan includes the use of two Crystal Stream stormwater treatment devices that discharge to the floodplain well beyond any stream
buffers The Town of Wake Forest, a DWR Certified Local Goverment, has conceptually approved the SMP and will review and approve the final SMP
for the project A bypass pipe has been proposed to bypass existing offsite stormwater entering the property from Foundation Drive and maintain
hydrology to the retained wetland and stream All newly generated stormwater runoff from the project will be routed to the BMP devices for treatment
prior to discharge
2e Who will be responsible for the review of the Stormwater Management Plans
Town of Wake Forest
3. Certified Local Government Stormwater Review
3a In which local government's jurisdiction is this project?
Town of Wake Forest, NC
❑X Phase II
❑x NSW
3b Which of the following locally - implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
4. DWQ Stormwater Program Review -
❑Coastal counties
❑HQW
4a Which of the following state - implemented stormwater management programs apply
❑ORW
(check all that apply)
❑Session Law 2006 -246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached
5. DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form —Version 1 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 ❑X No
use of public (federal /state) land?
lb
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA /SEPA)?
1c
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter)
Comments
2.
Violations (DWQ Requirement)
2a
Is the site In violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after - the -fact permit application?
❑Yes ❑X No
2c
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3.
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future Impacts) result in
❑Yes ❑X No
additional development, which could Impact nearby downstream water quality?
3b
If you answered "yes" to the above, submit a qualitative or quantitative cumulative Impact analysis in accordance with the
most recent DWQ policy If you answered "no," provide a short narrative description
The project involves a retail shopping center consistent with adjacent shopping centers and surrounding uses This is essentially an in -fill project in
that it's completely surrounded by developed properties As such, it is not anticipated to result in any cumulative impacts
4.
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
DENR that
The
project will utilize the Town of Wake Forest / City of Raleigh sanitary sewer system The Town, City and will ensure adequate capacity
exists
Page 9 of 10
PCN Form —Version 1 4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ❑X No
habitat
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
Impacts?
5c If yes, indicate the USFWS Field Office you have contacted
-
5d What data sources did you use to determine whether your site would Impact Endangered Species or Designated Critical
Habitat?
NHP database and GIS data
6. Essential Fish Habitat (Corps Requirement)
6a WIII this project occur In or near an area designated as essential fish habitat?
❑ Yes Q No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA -EFH Mapper - The project is located in the piedmont of NC outside of any EFH areas
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 Q No
status (e g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO -HPO website (attached)
8. Flood Zone Designation (Corps Requirement)
8a WIII this project occur In a FEMA- designated 100 -year floodplain?
❑ Yes X❑ No
8b If yes, explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination?
NC FLOOD /FEMA website - The Town of Wake Forest does not allow any development in the floodplain
Bob ' Digitally signed by Bob Zarzecki
DN cn =Bob Zarzecki, o ="O"-' PA,
ou= Wetlands Department,
S &EC, PA
email =bzarzecki @sandec com,
Zarzecki �
Revised 1/26/2015
Bob Zarzecki
is
Date 2015 01 26135440 - 05'00'
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature Is valid only If an authorization
letter from the applicant Is provided
Page 10 of 10

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Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phon (919) 846 -5900 • Fox (919) 846 -9467
+andec com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description. Shoppes at Heritage Village S &EC Project #12355
Date: December 2014
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: James LastinQer Field Office. Raleigh Regulatory Field Office
1, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Sod &
Environmental Consultants, PA (S &EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on -site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and /or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S &EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions.This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S &EC staff. You should call S &EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN)-
Site Address:
City, County, State:
174959552/1749598301 /1749690660
0/916/0 Forestville Road
Wake Forest, Wake Count NC
PROPERTY OWNER INFORMATION.
Name- Franklin Village, LLC (Attn: Andrew L. Ammons)
Address: 10405 Ligon Mill Road, Suite #G, Wake Forest, NC 27587
Phone No (919) 562 -1322 Fax No: ( ) Mobile No.: ( )
Email aammons(a,ammonsdg com
Date
Owner Signature
We hereby certify the above information submitted in this application is true and accurate to
the best of our know /edge.

Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, lbileigh, NC. 27615 • Phone [phone]
sandec com
APPLICANT CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description- Shoppes at Heritage Village S &EC Project #12355
Date: December 2014
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn• James Lastmger Field Office- Raleigh Re ugulatory Field Office
I, the undersigned, a duly authorized contract purchaser /applicant of the property/properties identified
herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and
Soil & Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein
described for the purpose of conducting on -site investigations and issuing a determination associated
with Waters of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and /or
Section 10 of the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to
act on my behalf and take all actions necessary for the processing, issuance and acceptance of a permit
or certification and any and all associated standard and special conditions. This notification supersedes
any previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S &EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION.
Parcel Index Number(s) (PIN):
Site Address:
City, County, State.
174959552/1749598301 /1749690660
0/916/0 Forestville Road
Wake Forest, Wake County, NC
_Dpw1et S 0-M&1Z'L_ 12 - 12 -/y
77:O7 lease print) Date
Property Owner Signature
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.
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FILE cart
U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id SAW- 2012 -01650 County Wake U S G S Quad NC -WAKE FOREST
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner: Franklin Village, LLC Agent: Soil and Environmental Consultants, PA
Andrew Ammons Steven Ball
Address: P.O Box 1615 Address. 11010 Raven Ridge Road
Wake Forest, NC, 27588 Raleigh, NC, 27614
Property description
Size (acres) 14 Nearest Town Wake Forest
Nearest Waterway Smith Creek River Basin Neuse
USGS HUC 03020201 Cooidinates Latitude- 35 9455 Longitude- - 78.5081
Location description The property is located adjacent to Roger Rd and Forestville Rd., in the Town of Wake
Forest Wake County North Carolina, and is identified by PIN 1749595552.
Indicate Which of the Following Apply:
A. Preliminary Determination
_ Based on preliminary information, there may be wetlands on the above described property We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction To be considered final, a
jurisdictional determination must be verified by the Corps This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process( Reference 33 CFR Part 331) 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
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 and Section 404 of the Clean Water Act Unless there is a change in the law or
our published regulations, this determination may be relied upon for a period not to exceed five years from the date of this
notification
_ There are waters of the U S including wetlands on the above described property 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 strongly suggest you have the wetlands on your property delineated Due to the size of your property and/or our
present workload, the Corps may not be able to accomplish this wetland delineation in a timely manner For a more timely
delineation, you may wish to obtain a consultant To be considered final, any delineation must be venfied 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
X There are no waters of the U S , to include wetlands, present on the above described property 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
Page 1 of 2

_ 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 (252) 808 -2808 to
determine their requirements
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311) If you have any questions regarding this
determination and/or the Corps regulatory program, please contact James Lastinger at 919- 554 -4884
x32 /James C Lastinger(ii)usace armY.mil
C. Basis For Determination
Stream Channel and wetlands were determined to be isolated and therefore not subiect to permitting requirements of
Section 404 of the Clean Water Act.
D. Remarks
E. Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps' Clean Water Act Jurisdiction for the
particular site identified in this request The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985 If you or your tenant are USDA Program participants, or anticipate participation
in USDA programs, you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service, prior to starting work
F. Appeals Information (This information applies only to approved ,jurisdictional determinations as indicated in
B above)
This correspondence constitutes an approved Junsdictional determination for the above described site 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 Jason Steele, Review Officer
60 Forsyth Street SW, Room 1OM15
Atlanta, Georgia 30303 -8801
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 3315, 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 February 20, 2012
* *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
Date December 20, 2012 Expiration Date December 20, 2017
Copy furnished

PIN 1749595552
PIN.1749595552
Real Estate ID: 0252645
Map Name: 1749 02
Owner: FRANKLIN VILLAGE LLC
Mailing Address 1: PO BOX 1615
Mailing Address 2: WAKE FOREST NC 27588-
1615
Deed Book: 008462
Deed Page: 00420
Deed Date: 11/18/1999
Deeded Acreage: 14.22
Assessed Building Value: $0
Assessed Land Value: $1,486,615
Total Assessed Value: $1,486,615
Billing Class: Business
Property Description: TR2 FRANKLIN VILLAGE
LLC BM 1999 -02330
Heated Area: 0
Site Address: 0 FORESTVILLE RD
City: WAKE FOREST
Township: Wake Forest
Year Built: 0
Total Sale Price: $0
Land Class: VACANT
Old Parcel Number: 232 -00000 -0000
A
125 250 500 Feet
1 inch = 250 feet
Disclaimer
Maps makes every effort to produce and publish
the most current and accurate information possible.
However, the maps are produced for information purposes,
and are NOT surveys No warranties, expressed or implied,
are provided for the data therein, its use, or its interpretation.

A �
NNCCDEWR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 2, 2014
S &EC
Stephen Ball
8412 Falls of the Neuse Suite 104
Raleigh, NC 27615
John E Skvarla, III
Secretary
Subject: Surface Water Determination
NBRRO# 14 -282
Wake County
Determination Type
Buffer Cali
Isolated or EIP Call
® Neuse (15A NCAC 2B 0233)
Start@
❑ Tar - Pamlico (15A NCAC 2B 0259)
❑ Ephemeral /Intermittent/Perennial Determination
❑ Jordan (15A NCAC 2B 0267)
❑ Isolated Wetland Determination
Project Name Heritage Tract N
Location/Directions Property is located at the SE corner of Davis and Forestville Rd in Wake
Forest, NC
Subject Stream UT to Sanford Creek
Determination Date: August 8, 2014 Staff: James Graham
Feature/Flag
Not
Subject
E/1/P*
Start@
Stop@
Soil
USGS
Subject
To
Survey
Topo
To
Buffers
Buffers
A
X
P
Below the offsite
X
X
SW pond
B
X
P
X
C
X
P
At the breach in the
X
X
and dam
D (Pond)
X
Not present
X
X
-niiir - rpnemeraiutnteimittenvrerenniat
Explanation The feature(s) listed above has or have been located on the Soil Survey of Wake County, North
Carolina or the most recent copy of the USGS Topographic map at a 1 24,000 scale Each feature that i ,ghecked
Nc i thCarolina
North Carolina Division of Water Resources 1628 Mail Service Center Raleigh, NC 27699 -1628 Phone [phone]
Internet www ncwaterauality org Location 3800 Barrett Drive Raleigh, NC 27609 Fax [phone]
An Equal Opportunity /Affirmative Action Employer — 50% Recycled /10% Post Consumer Paper

Heniage Tract N
Wake County,
September 2, 2014
Page,2 of 2
other, streams located on your property that d'o -not show up ondthe maps referenced above4but, still may be
considered jurisdictional according to the US' Army Corps of Engineers and/or to the.Drvjsion' of Water Resources
(DWR)
This on -site determination.shall expire five (5) years from, the date of this letter. Landowners or affected par[ies,that
dispute a determination madeby the DWR or Delegated Local Authority may request a - determination by the
Director. An appeal request must be made, within sixty (60) days ►of date of this letter or from the date the affected
party (including downstream�and/or adjacent owners) is notified of this letter. A request for a determination by,the
Director shall be referred to the Director,m writing c/o Karen Higgins,,D"'WeBSCaPe Unit; 1650 Mail, Service
Center,, Raleigh, NC 27699.
'This determination'is final,and binding unless, as detailed above, you ask fora hearing or appeal within sixty (60)
days.
The °owner /future owners should notify the Division of Water Resources (including any other Local, State, and
Federal Agencies),of this decision concerning any future correspondences regarding the sublect,property (stated,
above). This project may require a Section, 404 /401, - Permit for the proposed activity. Any inquiries should be
directed to the Division of Water Resources - (Central Office) at (919)- 807 -6300, and the US Army Corp,of Engineers
(Raleigh Regulatory Field Office) at,(919) -554 -4884.
Ifyou have•quesnonseregardm&this detennmation,.please feel free to contact,James,Graham at (919).791 -4256
_ t
RegdelciN ly,
X11 6,� G
Danny Smith, uperviso
Water4Quality `Section
Raleigh Regional Office
cc RRO%SWP File Copy

NCDWR JRG 08082014
Feature B Perennial
Subject to Buffers
Feature C Perennial
Subject to Buffers
fir-10
Feature A Perennial
Subject to Buffers
A
Pc nd Not Present
Not Subject to Buffers
.o,
I!AtIO

O�O� W AT �RQG
Mr Steven Ball
S &EC, P,A
11010 Raven Ridge Road
Raleigh, NC 27614
Michael F Easley, Govemor
William G Ross Jr, Secretary
North Carolina Department of Environment and Natural Resources
February 5, 2007
Subject Property. Heritage High School
Wake Forest, Wake County, NC
On -Site Neuse River Basin Buffer Determination
Dear Mr Ball.
Alan W Klimek, P E Drre0or
Division of Water Quality
DWQ Project # 07 -0208
Wake County
Page 1 of 2
F ` F
s
6
F ,
On February 2, 2007, at your request, Ian McMillan of the DWQ conducted an on -site
determination to review a stream feature located on the subject property for applicability to the
Neuse River basin buffer rules The stream feature is labeled as "247' on the attached map
initialed by Ian McMillan on February 2, 2007
The Division of Water Quality (DWQ) has determined that the stream feature labeled as
11247" on the attached map is subject to the-Neuse River basin buffer rules. The owner (or
future owners) should notify the DWQ (and other relevant agencies) of this decision in any
future correspondences concerning this property This on -site determination shall expire five (5)
years from the date of this letter.
Landowners or affected parties that dispute a determination made by the DWQ or Delegated
Local Authority that a surface water exists and that it is subject to the buffer rule may request a
determination by the Director. A request for a determination by the Director shall be referred to
the Director in writing c/o Cyndi Karoly, DWQ, 401 Oversight /Express Review Permitting Unit,
2321 Crabtree Blvd, Suite 250, Raleigh, NC 27604 -2260 Individuals that dispute a
determination by the DWQ or Delegated Local Authority that "exempts" surface water from the
buffer rule may ask for an adjudicatory hearing You must act within 60 days of the date that
you receive this letter. Applicants are hereby notified that the 60 -day statutory appeal time does
not start until the affected party (including downstream and adjacent landowners) is notified of
this decision. DWQ recommends that the applicant conduct this notification in order to be
certain that third party appeals are made in a timely manner To ask for a hearing, send a written
petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
NnnehCaro ma atura���
401 Oversight/Express Review Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699 -1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone [phone] / Fax [phone]
Internet hltp / /h2o enr state nc us /ncwetlands
An Equal Opportunity/Affirmative Action Employer- 50% Recycled /10% Post Consumer Paper

S &EC, P A
Page 2 of 2 t
February 5, 2007
Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699 -6714 This
determination is final and binding unless you ask for a hearing within 60 days
This letter only addresses the applicability to the buffer rules and does not approve any activity
within the buffers Nor does this letter approve any activity within Waters of the United States
or Waters of the State If you have any additional questions or require a ional information
please call Amy Chapman at (919) 715 -6823 /'
Sincerely, �'-J dd
',Cyndi Karoly,
401 Oversight /Express Review Permitting Unit
CBK/Um
Enclosures. Wake County Soil Survey Map
Wake Forest USGS Quadrangle, Wake County, NC
cc. Mike Horan, DWQ Raleigh Regional Office
File Copy
Central Files
Filename 070208HeritageHlghSchool (wake)DET

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Project No. Figure 1 - 1:24K USGS
4716.W1 Topographic Quadrangle
Project Mgr.: Heritage High School Soil & Environmental Consultants, PA
JP LS3P Associates Ltd 11010 Raven Ridge Rd.• Raleigh, NC 27614
(919) 846 -5900 • [phone]
Scale: Wake County, NC Web Page: www.SandEC.com
1" = 2,000'
11108106 Wake Forest Quadrangle

st
�-
.8
w ` =
..�' .�,�, v - a.:,:•.;d � � ; ,� � �` ,� Ili. .. =
r. a
Fham
L�%

Possible Upland Break in Channel
Starts Neuse River,
Buffer \\ J\ \ \
-Per Meeting with NCDW
on Feb 2, 2007
� I 1
9and
237
232
227
f i
211 TT210CL

WL. -Opt
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site
Applicant/Owner
Investigator(s) �(?
City /County r 4 WOK Sampling Date -
State Sampling Point 3 Of
Section, Township, Range
Landform (hillslope, terrace, etc)
Local relief (concave, convex none)
Slope ( %)
Subregion (LRR or MLRA) Lat
check all that apply)
Long W, I 3 �'f
Datum N4C A
Sod Map Unit Name
ZC Sparsely Vegetated Concave Surface (138)
NWI classification
_ Hydrogen Sulfide Odor (Cl)
Are climatic ( hydrologic conditions on the site typical for
this time of year? Yes
No (If no, explain in Remarks)
_ Moss Trim Lines (B16)
Are Vegetation . Sod or Hydrology
significantly disturbed?
Are "Normal Circumstances" present?
Yes X No
Are Vegetation . Soli . or Hydrology
naturally problematic?
(If needed, explain any answers In Remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, Important features, etc
Hydrophytic Vegetation Present? Yes No Is the Sampled Area
Hydric Sod Present? Yes No within a Wetland? Yes -.2L No
Wetland Hydrology Present? Yes No
Remarks
HYDROLOGY
Wetlend Hydrology Indicators-
Seconder Indicators (minimum of two required)
Pnmary Indicators (minimum of one Is required
check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (A1)
_ True Aquatic Plants (B14)
ZC 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 (B16)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry-Season Water Table (C2)
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
ZC Crayfish Burrows (CB)
_ Drift Deposits (B3)
_ Thin Muck Surface (0)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
Water - Stained Leaves (139)
_ Microtopographic Relief (134)
_ Aquatic Fauna (1313)
— FAC- Neutral Test (135)
Field observations-
Surface Water Present? Yes No
X Depth (Inches)
Water Table Present? Yes No
Depth (inches)
Saturation Present? Yes X/ No
Depth (inches)'_
Wetland Hydrology Present? Yes -Z No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous Inspections) if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

VEGETATION (Five Strata) - Use scientific names of plants.
Tree Stratum (Plot size ) % Cover Species? Status
1
2
3
4
5
6
= Total Cover
50% of total cover 20% of total cover
Sapling Stratum (Plot size I
1 Art( ruilri)a.
2
3
4
5
6
= Total Cover
50% of total cover 20% of total cover
ShrL/(jb Stratum (Plot size 1
1 WCK foktiM
2 Sall.r dicta _
3
4
5
6
= Total Cover
Wz OPI
Sampling Point, 5 8'�
Test
Number of Dominant Species *�
That Are OBL, FACW or FAC �5_ (A)
Total Number of Dominant
Species Across All Strata (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC v (A/B)
Total % Cover of.
Multiply by
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 -
UPL species
x 5 =
Column Totals
(A) (B)
Prevalence Index = BIA -
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index Is 93 0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydnc soil and wetland hydrology must
be present. unless disturbed or problematic
50% of total cover 20% of total cover
Tree -Woody plants, excluding woody vines,
Herb Stratum (Plot size ) approximately 20 ft (6 m) or more in height and 3 in
1 A&'6 mrno 41r11'6116 r. a b I _VAC Q 6 cm) or larger in diameter at breast height (DBH)
2 Aif (0SV*W,j Jiwlinkutm To _ y Sapling - Woody plants excluding woody vines,
3 �rl Am W,} UJ_i,a _ _acid approximately 20 It (6 m) or more in height and less
4 than 3 in (7 6 cm) DBH
5
6
7
8
9
10
11
= Total Cover
50% of total cover 20% of total cover
Woody Vine Stratum (Plot size )
2 T
3
4
5
= Total Cover
50% of total cover 20% of total cover
rs here or on a separate
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 it (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
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

SOIL
Wt, DP!
Sampling Point S 01'wg
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix
Redox Features
finches) Color (moist)
Color (moist) % Tvce Loci
Texture Remarks
o -I 1411
'Type C= Concemrauon, D =De letlon, RM= Reduced Matrix MS= Masked Sand Grains
`Location PL =Pore Lining, M= Matrix,
Hydric Soli Indicators
Indicators for Problematic Hydric Sods
_ Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147,
148) _ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (1719)
_ Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (176)
_ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
_ Other (Explain in Remarks)
_ Thick Dark Surface (Al2)
Redox Depressions (F8)
_ Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
— Sandy Gleyed Matrix (S4)
_ Umbrtc Surface (F13) (MLRA 136, 122)
3Indicators of hydrophybc vegetation and
_ Sandy Redox (S5)
_ Piedmont Fioodplain Sods (1719) (MLRA 148) wetland hydrology must be present,
— Stripped Matrix (S6)
_ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic
Restrictive Layer Of observed)
Type
Depth
(inches)
Hydric Soil Present? Yes )� No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

Project/Site _
Applicant/Owner
be- W
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
City /County
U)Ao r&-F,1 lWak= Sampling Date /i ►
State Sampling Point fiJ of FZ
Investigator(s) _ U, U Section, Township, Range:
Landform (hillslope, terrace, etc) Local relief (concave, convex, none) Slope ( %)
Subregion (LRR or MLRA) Lat �, 50`75 D I Long 32 1439ig Datum Al AV ,
Soil Map Una Name NWI classification
Are climatic / hydrologic conditions on the site typical for this time of year? Yes k' No (If no, explain in Remarks )
Are Vegetation . Sod or Hydrology significantly disturbed? Are 'Normal Circumstances" present? Yes X11, No
Are Vegetation Sal . 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.
Hydrophylic Vegetation Present? Yes x No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No x
Wetland Hydrology Present? Yes No _
HYDROLOGY
Wetland Hydrology Indicators
m of two r
Primarof Indicators (minimum of one is reouired
check all that apRy)
_ Surface Sod Cracks (B6)
_ Surface Water (Al)
_ True Aquatic Plants (B14)
_ Sparsely Vegetated Concave Surface (BB)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Drainage Patterns (B10)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (0)
,_ Moss Trim Lines (B16)
_ Water Marks (B1)
_ Presence of Reduced Iron (C4)
_ Dry- Season Water Table (C2)
_ Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
_ Drift Deposits (B3)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial imagery (C9)
_ Algal Mat or Crust (64)
_ Other (Explain In Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (65)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (87)
_ Shallow Aquitard (D3)
_ Water - Stained Leaves (B9)
_ Microtopographic Relief (D4)
_, Aquatic Fauna (B13)
_ FAC•Neutral Test (D5)
Field Observations
Surface Water Present? Yes No
Depth (inches)
4
Water Table Present? Yes No
Saturation Present? Yes No
Depth (inches) -
z
Depth (inches)
Wetland Hydrology
Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge monitoring well, aerial photos, previous inspections), if available
Remarks -
i
(
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

VEGETATION (Five Strata) — Use scientific names of plants.
Tree Stratum (Plot size ) % Cover Soecies7
2 6!u L4 Aiga 1 PAC
3
4
5
6
= Total Cover
50% of total cover 20% of total cover
Sapling Stratum (Plot size t
1
2
3
4
5
6
= Total Cover
50% of total cover 20% of total cover
Shrub Stratum (Plot size t
2 �L
l
3
4
5
6
= Total Cover
Up On
Sampling Point;_
Number of Dominant Species
That Are OBL, FACW, or FAC - (A)
Total Number of Dominant
Species Across All Strata (B)
Percent of Dominant Species ��'�)
That Are OBL, FACW, or FAC l�!t1_ (A/B)
Total % Cover of
Multiply by
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals
(A) (B)
Prevalence Index = B/A =
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index Is s3.0'
_ 4 - Morphological Adaptations' (Provide supporting
data In Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydnc sod and wetland hydrology must
be present, unless disturbed or problematic
size
Herb Stratum Plot
50% of total cover 20% of total cover
Tree -Woody plants excluding woody vines,
( ) 1, approximately 20 It (6 m) or more in height and 3 in
1 MM�jlM ylini imei.rri y (7 6 cm) or larger in diameter at breast height (DBH)
2 T
3
4
5
6
7
8
9
10
11
= Total Cover
50% of total cover 20% of total cover
Woody Vine Stratum (Plot size )
1 Lan�iota areMMtlU � rAL
2 i
3
4
5
= Total Cover
50% of total cover 20% of total cover
photo numbers here or on a separate sheet)
Sapling - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and 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 vines, less than approximately 3
ft (1 m) in height
Woody vine - All woody vines, regardless of height
Hydrophytic
Vegetation
Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

Up oPd
SOIL Sampling Point al of bd2-
Profile Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix
Redox Features
—Loci
finches) Color moi
Color fmoistl _ % Tvoe� Texture Remarks
SU-
'Tvpe C= Concerrtrauon, D =De letion RM =Reduced Matrix, MS-Masked Sand Grams 21-ocation
PL =Pore Lining, M =Matnx
Hydric Soil Indicators.
Indicators for Problematic Hydric Soils
_ Histosol (Al)
_ Dark Surface (S7)
— 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
_ Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Hydrogen Suffide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
_ Other (Explain In Remarks)
_ Thick Dark Surface (Al2)
_ Redox Depressions (F8)
_, Sandy Mucky Mineral (S1) (LRR N,
_ Iron - Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
'Indicators of hydrophytic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
_ Stripped Matrix (S6)
_ Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic
Type
Depth (inches)
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

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