20221759 Ver 1_ePCN Application_20221213

DWR
Division of Water Resources
Initial Review
Pre -Construction Notification (PCN) Form
For Nationwide Permits and Regional General Permits
(along with corresponding Water Quality Certifications)
April 13, 2022 Ver 4.3
Has this project met the requirements for acceptance in to the review process?*
Yes
No
Is this project a public transportation project?*
Yes No
Change only if needed.
Pre -Filing Meeting Date Request was submitted on:
10/25/2022
BIMS # Assigned* Version#*
20221759 1
Is a payment required for this project?*
No payment required
Fee received
Fee needed - send electronic notification
Reviewing Office*
Winston-Salem Regional Office - (336) 776-
9800
Information for Initial Review
What amout is owed?*
$240.00
$570.00
Select Project Reviewer*
Sue Homewood:eads\slhomewood:[e-mail]
la. Name of project:
Magnolia Village
la. Who is the Primary Contact?*
Bernice Ingram Earnhardt
1 b. Primary Contact Email: * lc. Primary Contact Phone: *
[e-mail] [phone]
Date Submitted
12/13/2022
Nearest Body of Water
UT to Muddy Creek
Basin
Cape Fear
Water Classification
WS-IV
Site Coordinates
Latitude:
35.8947637
A. Processing Information
Longitude:
-79.9648232
County (or Counties) where the project is located:
Randolph
Is this a NCDMS Project
Yes No
Is this project a public transportation project?*
Yes No

la. Type(s) of approval sought from the Corps:
Section 404 Permit (wetlands, streams and waters, Clean Water Act)
Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act)
Has this PCN previously been submitted?*
Yes
No
1 b. What type(s) of permit(s) do you wish to seek authorization?
Nationwide Permit (NWP)
Regional General Permit (RGP)
Standard (IP)
lc. Has the NWP or GP number been verified by the Corps?
Yes No
Nationwide Permit (NWP) Number: 29 - Residential Developments
NWP Numbers (for multiple NWPS):
ld. Type(s) of approval sought from the DWR:
401 Water Quality Certification - Regular
Non-404 Jurisdictional General Permit
Individual 401 Water Quality Certification
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
For the record only for Corps Permit:
1f. Is this an after -the -fact permit application?*
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
lg. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
Yes No
1 h. Is the project located in any of NC's twenty coastal counties?
Yes No
1j. Is the project located in a designated trout watershed?
Yes No
B. Applicant Information
ld. Who is applying for the permit?
Owner Applicant (other than owner)
le. Is there an Agent/Consultant for this project?*
Yes No
2. Owner Information
2a. Name(s) on recorded deed:
Bernice Ingram Earnhardt
2b. Deed book and page no.:
002686/01745
2c. Contact Person:
2d. Address
Street Address
PO Box 717
Address Line 2
City
Southmont
Postal /Zip Code
27351
401 Water Quality Certification - Express
Riparian Buffer Authorization
State / Province / Region
NC
Country
USA
Yes No
Yes No

2e. Telephone Number:
[phone]
2f. Fax Number:
2g. Email Address: *
[e-mail]
4. Agent/Consultant (if applicable)
4a. Name:
Philip May
4b. Business Name:
Inver Environmental Consulting, LLC
4c. Address
Street Address
105 West 4th St
Address Line 2
Suite 700
City
Winston-Salem
Postal / Zip Code
27101
4d. Telephone Number:
[phone]
4f. Email Address: *
[e-mail]
C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(if appropriate)
1c. Nearest municipality / town:
Archdale
2. Project Identification
2a. Property Identification Number:
7718422000
2c. Project Address
Street Address
4602 Archdale Road
Address Line 2
City
Trinity
Postal / Zip Code
27370
3. Surface Waters
State / Province / Region
NC
Country
USA
4e. Fax Number:
3a. Name of the nearest body of water to proposed project: *
UT to Muddy Creek
3b. Water Resources Classification of nearest receiving water: *
WS-IV
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12-digit HUC in which the project is located.
030300030106
4. Project Description and History
2b. Property size:
6.64
State / Province / Region
NC
Country
USA
4a. 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 comprised of old field and mixed hardwood forest. Surrounding land use includes residential, undeveloped and commercial/industrial.

4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past? *
Yes No Unknown
4f. List the total estimated acreage of all existing wetlands on the property:
0.11
4g. List the total estimated linear feet of all existing streams on the property:
428
4h. Explain the purpose of the proposed project:*
The proposed project would involve the construction of 27 town homes along an extension of Elaine Street in Archdale, NC (see attached Site Plan). This would provide affordable housing
for the growing Triad region in proximity to 1-85 and the City of Archdale.
4i. Describe the overall project in detail, including indirect impacts and the type of equipment to be used: *
Construction would involve land clearing and establishment of sediment and erosion control measures, followed by installation of utilities including sewer and water, and grading and
paving of the proposed roads, including an extension of Elaine St and Southern Magnolia Lane. The 27 town home units would then be constructed. Upon completion of construction
S&EC measures would be removed from stabilized areas and stormwater measures would be completed. Standard construction equipment is anticipated to be used.
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
Yes
Comments:
No
Delineated on 3/4/22 (APT Score 11). Requesting concurrence with issuance of NWP (see attached
data forms).
5b. If the Corps made a jurisdictional determination, what type of determination was made?*
Preliminary Approved Not Verified Unknown N/A
Corps AID Number:
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known):
Agency/Consultant Company:
Other:
6. Future Project Plans
6a. Is this a phased project?*
Phil May
Inver Environmental Consulting, LLC
Yes No
Unknown
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
D. Proposed Impacts Inventory
1. Impacts Summary
la. Where are the impacts associated with your project? (check all that apply):
Wetlands
Open Waters
2. Wetland Impacts
Streams -tributaries
Pond Construction
Buffers
2a. Site #* (')
2a1 Reason (')
2b. Impact type* (')
2c. Type of W.*
2d. W. name
2e. Forested*
2f. Type of Jurisdicition*
(,)
2g. Impact
area*
1
Road Crossing
P
Headwater Forest
WB
Yes
Both
0.001
(acres)
2
Grading
P
Headwater Forest
WA
Yes
Both
0.001
(acres)
2
Clearing
T
Headwater Forest
WA
Yes
Both
0.015
(acres)
2g. Total Temporary Wetland Impact
0.015
2g. Total Wetland Impact
0.017
2g. Total Permanent Wetland Impact
0.002

21. Comments:
See Figures 5a and 5b for details. Total permanent wetland impacts are 441 square feet at Site 1, and 27 square feet at Site 2. Temporary wetland
impacts at Site 2 are 639 square feet, and proposed to remove scrub vegetation and provide required supplemental planting for City property buffers.
3. Stream Impacts
3a. Reason for impact (?)
3b.Impact type*
3c. Type of impact*
3d. S. name*
3e. Stream Type*
(?)
3f. Type of
Jurisdiction*
3g. S. width
3h. Impact
length*
S1
Road Crossing
Permanent
Culvert
SA
Perennial
Both
4
Average (feet)
110
(linear feet)
S2
Riprap stabilization
Permanent
Bank Stabilization
SA
Perennial
Both
4
Average (feet)
30
(linear feet)
S3
Construction Access
Temporary
Dewatering
SA
Perennial
Both
4
Average (feet)
21
(linear feet)
3i. Total jurisdictional ditch impact in square feet:
0
3i. Total permanent stream impacts:
140
3i. Total stream and ditch impacts:
161
3i. Total temporary stream impacts:
21
3j. Comments:
Stabilization (S2) is proposed as permanent, no loss impact as it will be placed at bed elevation. Temporary impact is for construction access and
dewatering on the inlet end of the proposed culvert.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
Site design has minimized impacts to one stream crossing of stream SA which bisects the property. The larger wetland (WA) on the north side of the
property, and associated intermittent stream have been avoided for the most part except for minor encroachment in the wetland (27 square feet) to tie in
grading of a required screening berm, and clearing of nuisance vegetation to allow access for supplemental buffer planting required by the City as shown
in the attached plans. Current vegetation is scrub and primarily sweetgum saplings and blackberry at the edge of the existing sewer line and road
corridor.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Installation of S&EC measures as depicted in the attached plans is proposed to capture runoff during construction. Control measures and buffers of 50
to 100 feet are being implemented to address stormwater management. Copies of issued permits will be provided to the contractor and any questions
resolved prior to construction.
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 this project DOES NOT require Compensatory Mitigation, explain why:
Impacts proposed are below thresholds that typically require mitigation.
F. Stormwater Management and Diffuse Flow Plan (required by DWR) u
1. Diffuse Flow Plan
la. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
Yes No
What type of SCM are you providing?
Level Spreader
Vegetated Conveyance (lower SHWT)
Wetland Swale (higher SHWT)
Other SCM that removes minimum 30% nitrogen
Proposed project will not create concentrated stormwater flow through the buffer
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? *
Yes No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
Yes No

2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater program?
Yes No
N/A - project disturbs < 1 acre
2d. Which of the following stormwater management program(s) apply:
Local Government State
Local Government Stormwater Programs
Phase II NSW USMP Water Supply
Please identify which local government stormwater program you are using.
Archdale
Comments:
Stormwater and riparian buffer impacts are being coordinated via state delegated authority through the City of Archdale.
G. Supplementary Information
1. Environmental Documentation
la. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land? *
Yes No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?*
Yes No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?*
Yes No
3b. If you answered "no," provide a short narrative description.
This is a small townhome development in a relatively suburban area which does not provide additional connections to adjacent properties or increased
sewer or water capacity.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
Yes No N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated at a
treatment plant, list the capacity available at that plant.
Sewer will connect to the existing outfall that runs along the UT to Muddy Creek on site. The City of Archdale has approved the sewer connection and
has adequate capacity.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
Yes No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
Yes No
5d. Is another Federal agency involved?*
Yes
5e. Is this a DOT project located within Division's 1-8?
Yes No
No Unknown
5f. Will you cut any trees in order to conduct the work in waters of the U.S.?
Yes No
5g. Does this project involve bridge maintenance or removal?
Yes No
5h. Does this project involve the construction/installation of a wind turbine(s)?*
Yes No
5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
Yes No

5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS IPaC database (informal report attached). Only species listed is Schweinitz's sunflower. Surveys were performed in October 2022 and none
were observed.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
Yes No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? *
NOAA Fisheries Essential Fish Habitat Mapper
https://www.habitat. noaa.gov/apps/efhmapper/
Accessed 11/13/22
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 status?*
Yes No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC SHPO hpoweb database.
https://nc.maps.arcgis.com/apps/webappviewer
Accessed 11/13/22
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain?*
Yes No
8c. What source(s) did you use to make the floodplain determination?*
NC Flood Risk Information System
https://fris.nc.gov/fris
Accessed 11/13/22
Miscellaneous
Please use the space below to attach all required documentation or any additional information you feel is helpful for application review. Documents should be combined into one file when
possible, with a Cover Letter, Table of Contents, and a Cover Sheet for each Section preferred.
Click the upload button or drag and drop files here to attach document
MagnoliaVillage_PCN_Attachments.pdf 28.09MB
File must be PDF or KMZ
Comments
Buffer impacts were not included in this application as Randleman buffers are being reviewed and approved by the City under state delegated authority.
See attachment file for:
- Fig 1: Vicinity Map
- Fig 2: USGS National Map
- Fig 3: NRCS Soil Survey
- Fig 4: Aerial Photo
- Fig 5a & 5b: Impact Maps
- IPaC report
- Delineation APT Report
- Wetland & Stream Data Forms
- Engineering Drawings (last sheet added to include culvert plan & profile)
Signature
By checking the box and signing below, I certify that:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete to the best of my knowledge and belief'; and
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401 certification request within the applicable reasonable period of time.
• I have given true, accurate, and complete information on this form;
I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
I intend to electronically sign and submit the PCN form.
Full Name:
Philip May
Signature
Date
12/13/2022

Inver Environmental Consulting, LLC www_inverenv.com
105 W 4`{' St, Suite 700, Winston-Salem NC 27101 [phone]/[phone]
"er
RIGHT OF ENTRY & AGENT AUTHORIZATION
To Whom it May Concern:
This letter is documentation that Inver Environmental Consulting, LLC has authority granted by Bernice
Earnhardt to act as their authorized representative in communication with federal and state agencies as
it related to Clean Water Act jurisdiction, including submission of jurisdictional determination requests
and permit applications, for the following properties:
Property Information:
Project Name: Magnolia Village
Address: 4602 Archdale Road, Trinity NC 27370 -
Owner: Bernice Earnhardt
PIN: 7718422000
Size: 6.64 acres
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon
the property herein described for the purpose of conducting on -site investigations and issuing a
determination associated with Waters of the U.S. subject to Federal jurisdiction under Section 404 of
the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899.
Signature:
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Date: . -- --� `��

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Randolph County NC
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IPaC: Explore Location resources
https://ipac.ecosphere.fws.-ov/location/PRSPF5TZB REDS G Q5 QSX5J...
IPaC
IPaC resource list
U.S. Fish & Wildlife Service
This report is an automatically generated list of species and other resources such as
critical habitat (collectively referred to as trust resources) under the U.S. Fish and Wildlife
Service's (USFWS) jurisdiction that are known or expected to be on or near the project
area referenced below. The list may also include trust resources that occur outside of the
project area, but that could potentially be directly or indirectly affected by activities in the
project area. However, determining the likelihood and extent of effects a project may have
on trust resources typically requires gathering additional site -specific (e.g.,
vegetation/species surveys) and project -specific (e.g., magnitude and timing of proposed
activities) information.
Below is a summary of the project information you provided and contact information for
the USFWS office(s) with jurisdiction in the defined project area. Please read the
introduction to each section that follows (Endangered Species, Migratory Birds, USFWS
Facilities, and NWI Wetlands) for additional information applicable to the trust resources
addressed in that section.
Location
Randolph County, North Carolina
Local office
Raleigh Ecological Services Field Office
t. [phone]
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Iij [phone]
https: //ipac.ecosphere. fws.gov/location/PRSPF5TZBRED5 GQ5 QSX5J...
IMAWIII►[91G1B7ll001S9.
Post Office Box 33726
Raleigh, NC 27636-3726
PHYSICAL ADDRESS
551 Pylon Drive, Suite F
Raleigh, NC 27606-1487
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Endangered species
The primary information used to generate this list is the known or expected range of each
species. Additional areas of influence (AOI) for species are also considered. An AOI
includes areas outside of the species range if the species could be indirectly affected by
activities in that area (e.g., placing a dam upstream of a fish population even if that fish
does not occur at the dam site, may indirectly impact the species by reducing or
eliminating water flow downstream). Because species can move, and site conditions can
change, the species on this list are not guaranteed to be found on or near the project
area. To fully determine any potential effects to species, additional site -specific and
project -specific information is often required.
Section 7 of the Endangered Species Act requires Federal agencies to "request of the
Secretary information whether any species which is listed or proposed to be listed may be
present in the area of such proposed action" for any project that is conducted, permitted,
funded, or licensed by any Federal agency. A letter from the local office and a species list
which fulfills this requirement can only be obtained by requesting an official species list
from either the Regulatory Review section in IPaC (see directions below) or from the local
field office directly.
For project evaluations that require USFWS concurrence/review, please return to the IPaC
website and request an official species list by doing the following:
1. Draw the project location and click CONTINUE.
2. Click DEFINE PROJECT.
3. Log in (if directed to do so).
4. Provide a name and description for your project.
5. Click REQUEST SPECIES LIST.
Listed speciesi and their critical habitats are managed by the Ecological Services Program
of the U.S. Fish and Wildlife Service (USFWS) and the fisheries division of the National
Oceanic and Atmospheric Administration (NOAA Fisheries).
Species and critical habitats under the sole responsibility of NOAA Fisheries are not shown
on this list. Please contact NOAA Fisheries for species under theirjurisdiction.
1. Species listed under the Endangered Species Act are threatened or endangered; IPaC
also shows species that are candidates, or proposed, for listing. See the listing status
page for more information. IPaC only shows species that are regulated by USFWS (see
FAQ).
2. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
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office of the National Oceanic and Atmospheric Administration within the Department
of Commerce.
The following species are potentially affected by activities in this location:
Insects
NAME
Monarch Butterfly Danaus plexippus
Wherever found
No critical habitat has been designated for this species
https://ecos.fws.gov/ecp/species/9743
Flowering Plants
NAME
Schweinitz's Sunflower Helianthus schweinitzii
Wherever found
No critical habitat has been designated for this species.
https://ecos.fws.gov/ecp/species/3849
Critical habitats
STATUS
Candidate
114111110-3r��
Endangered
Potential effects to critical habitat(s) in this location must be analyzed along with the
endangered species themselves.
There are no critical habitats at this location.
V%Vllh�
Migratory birds
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden
Eagle Protection Acts.
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and
consider implementing appropriate conservation measures, as described below.
1. The Migratory Birds Treaty Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
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Additional information can be found using the following links:
Birds of Conservation Concern https://www.fws.gov/program/migratory-birds/species
• Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library_
/collections/avoiding-and-minimizing-incidental-take-migratory-birds
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files
/documents/nationwide-standard-conservation-measures.pdf
Migratory bird information is not available at this time
Tell me more about conservation measures I can implement to avoid or minimize impacts to
migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize impacts to all
birds at any location year round. Implementation of these measures is particularly important when
birds are most likely to occur in the project area. When birds may be breeding in the area, identifying
the locations of any active nests and avoiding their destruction is a very helpful impact minimization
measure. To see when birds are most likely to occur and be breeding in your project area, view the
Probability of Presence Summary. Additional measures or permits may be advisable depending on the
type of activity you are conducting and the type of infrastructure or bird species present on your project
site.
What does IPaC use to generate the list of migratory birds that potentially occur in my specified
location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern (BCC). and other
species that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian Knowledge
Network (AKN). The AKIN data is based on a growing collection of survey_, banding, and citizen science
datasets and is queried and filtered to return a list of those birds reported as occurring in the 10km grid
cell(s) which your project intersects, and that have been identified as warranting special attention
because they are a BCC species in that area, an eagle (Eagle Act requirements may apply), or a species
that has a particular vulnerability to offshore activities or development.
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your project
area. It is not representative of all birds that may occur in your project area. To get a list of all birds
potentially present in your project area, please visit the Rapid Avian Information Locator (RAIL) Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?
The probability of presence graphs associated with your migratory bird list are based on data provided
by the Avian Knowledge Network (AKN). This data is derived from a growing collection of survey,
banding, and citizen science datasets.
Probability of presence data is continuously being updated as new and better information becomes
5 of 9 11/13/2022, 3:55 PM

INC: Explore Location resources
https://ipac.ecosphere.fws.gov/location/PRSPF5TZB RED5GQ5QSX5J...
available. To learn more about how the probability of presence graphs are produced and how to
interpret them, go the Probability of Presence Summary and then click on the "Tell me about these
graphs" link.
How do I know if a bird is breeding, wintering or migrating in my area?
To see what part of a particular bird's range your project area falls within (i.e. breeding, wintering,
migrating or year-round), you may query your location using the RAIL Tool and look at the range maps
provided for birds in your area at the bottom of the profiles provided for each bird in your results. If a
bird on your migratory bird species list has a breeding season associated with it, if that bird does occur
in your project area, there may be nests present at some point within the timeframe specified. If
"Breeds elsewhere" is indicated, then the bird likely does not breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern throughout
their range anywhere within the USA (including Hawaii, the Pacific Islands, Puerto Rico, and the
Virgin Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation Regions (BCRs)
in the continental USA; and
3. "Non -BCC - Vulnerable" birds are not BCC species in your project area, but appear on your list either
because of the Eagle Act requirements (for eagles) or (for non -eagles) potential susceptibilities in
offshore areas from certain types of development or activities (e.g. offshore energy development or
longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made, in
particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC species of
rangewide concern. For more information on conservation measures you can implement to help avoid
and minimize migratory bird impacts and requirements for eagles, please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species and
groups of bird species within your project area off the Atlantic Coast, please visit the Northeast Ocean
Data Portal. The Portal also offers data and information about other taxa besides birds that may be
helpful to you in your project review. Alternately, you may download the bird model results files
underlying the portal maps through the NOAA NCCOS Integrative Statistical Modeling and Predictive
Mapping of Marine Bird Distributions and Abundance on the Atlantic Outer Continental Shelf project
webpage.
Bird tracking data can also provide additional details about occurrence and habitat use throughout the
year, including migration. Models relying on survey data may not include this information. For
additional information on marine bird tracking data, see the Diving Bird Study_ and the nanotag studies
or contact Caleb Spiegel or Pam Loring.
What if I have eagles on my list?
6 of 9 11/13/2022, 3:55 PM

INC: Explore Location resources
https://ipac.ecosphere.fws.gov/location/PRSPF5TZB RED5GQ5QSX5J...
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of birds of
priority concern. To learn more about how your list is generated, and see options for identifying what
other birds may be in your project area, please see the FAQ "What does IPaC use to generate the
migratory birds potentially occurring in my specified location". Please be aware this report provides the
"probability of presence" of birds within the 10 km grid cell(s) that overlap your project; not your exact
project footprint. On the graphs provided, please also look carefully at the survey effort (indicated by
the black vertical bar) and for the existence of the "no data" indicator (a red horizontal bar). A high
survey effort is the key component. If the survey effort is high, then the probability of presence score
can be viewed as more dependable. In contrast, a low survey effort bar or no data bar means a lack of
data and, therefore, a lack of certainty about presence of the species. This list is not perfect; it is simply
a starting point for identifying what birds of concern have the potential to be in your project area, when
they might be there, and if they might be breeding (which means nests might be present). The list helps
you know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities, should
presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell me about
conservation measures I can implement to avoid or minimize impacts to migratory birds" at the bottom
of your migratory bird trust resources page.
Coastal Barrier Resources System
Projects within the John H. Chafee Coastal Barrier Resources System (CBRS) may be
subject to the restrictions on Federal expenditures and financial assistance and the
consultation requirements of the Coastal Barrier Resources Act (CBRA) (16 U.S.C. 3501 et
seq.). For more information, please contact the local Ecological Services Field Office or visit
the CBRA Consultations website. The CBRA website provides tools such as a flow chart to
help determine whether consultation is required and a template to facilitate the
consultation process.
There are no known coastal barriers at this location.
Data limitations
The CBRS boundaries used in IPaC are representations of the controlling boundaries, which are
depicted on the official CBRS maps. The boundaries depicted in this layer are not to be considered
authoritative for in/out determinations close to a CBRS boundary (i.e., within the "CBRS Buffer Zone"
that appears as a hatched area on either side of the boundary). For projects that are very close to a
CBRS boundary but do not clearly intersect a unit, you may contact the Service for an official
determination by following the instructions here: https://www.fws.gov/service/coastal-barrier-
resources-system-property-documentation
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Data exclusions
CBRS units extend seaward out to either the 20- or 30-foot bathymetric contour (depending on the
location of the unit). The true seaward extent of the units is not shown in the CBRS data, therefore
projects in the offshore areas of units (e.g., dredging, breakwaters, offshore wind energy or oil and gas
projects) may be subject to CBRA even if they do not intersect the CBRS data. For additional
information, please contact [e-mail].
Facilities
National Wildlife Refuge lands
Any activity proposed on lands managed by the National Wildlife Refuge system must
undergo a 'Compatibility Determination' conducted by the Refuge. Please contact the
individual Refuges to discuss any questions or concerns.
There are no refuge lands at this location.
Fish hatcheries
There are no fish hatcheries at this location.
Wetlands in the National Wetlands
Inventory (NWI)
Impacts to NWI wetlands and other aquatic habitats may be subject to regulation under
Section 404 of the Clean Water Act, or other State/Federal statutes.
For more information please contact the Regulatory Program of the local U.S. Army Corps
of Engineers District.
Please note that the NWI data being shown may be out of date. We are currently working
to update our NWI data set. We recommend you verify these results with a site visit to
determine the actual extent of wetlands on site.
This location overlaps the following wetlands:
8 of 9 11/13/2022, 3:55 PM

INC: Explore Location resources https://ipac.ecosphere.fws.gov/location/PRSPF5TZBRED5GQ5QSX5J...
RIVERINE
Riverine
A full description for each wetland code can be found at the National Wetlands Inventory_
website
NOTE: This initial screening does not replace an on -site delineation to determine whether
wetlands occur. Additional information on the NWI data is provided below.
Data limitations
The Service's objective of mapping wetlands and deepwater habitats is to produce reconnaissance level
information on the location, type and size of these resources. The maps are prepared from the analysis
of high altitude imagery. Wetlands are identified based on vegetation, visible hydrology and geography.
A margin of error is inherent in the use of imagery; thus, detailed on -the -ground inspection of any
particular site may result in revision of the wetland boundaries or classification established through
image analysis.
The accuracy of image interpretation depends on the quality of the imagery, the experience of the
image analysts, the amount and quality of the collateral data and the amount of ground truth
verification work conducted. Metadata should be consulted to determine the date of the source
imagery used and any mapping problems.
Wetlands or other mapped features may have changed since the date of the imagery or field work.
There may be occasional differences in polygon boundaries or classifications between the information
depicted on the map and the actual conditions on site.
Data exclusions
Certain wetland habitats are excluded from the National mapping program because of the limitations of
aerial imagery as the primary data source used to detect wetlands. These habitats include seagrasses or
submerged aquatic vegetation that are found in the intertidal and subtidal zones of estuaries and
nearshore coastal waters. Some deepwater reef communities (coral or tuberficid worm reefs) have also
been excluded from the inventory. These habitats, because of their depth, go undetected by aerial
imagery.
Data precautions
Federal, state, and local regulatory agencies with jurisdiction over wetlands may define and describe
wetlands in a different manner than that used in this inventory. There is no attempt, in either the
design or products of this inventory, to define the limits of proprietary jurisdiction of any Federal, state,
or local government or to establish the geographical scope of the regulatory programs of government
agencies. Persons intending to engage in activities involving modifications within or adjacent to wetland
areas should seek the advice of appropriate Federal, state, or local agencies concerning specified
agency regulatory programs and proprietary jurisdictions that may affect such activities.
9 of 9 11/13/2022, 3:55 PM

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NC DWQ Stream Identification Form Version 4.11
Date: 3/4/22
Project/Site: Magnolia Village
Latitude: 35.895460
Evaluator: P May
County: Randolph
Longitude: _79 964611
Total Points:
Stream is least intermittent 19.5
Stream Determination (circle one)
Other SB
at
if >_ 19 or perennial if >_ 30"
Ephemeral Inter06ittent Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = 5.5 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1 X
2
3
2. Sinuosity of channel along thalweg
0
1 )C
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1 X
2
3
4. Particle size of stream substrate
0
1 X
2
3
5. Active/relict floodplain
0 X
1
2
3
6. Depositional bars or benches
0
1 X
2
3
7. Recent alluvial deposits
0 X
1
2
3
8. Headcuts
0 X
1
2
3
9. Grade control
0 X
0.5
1
1.5
10. Natural valley
0
0.5 X
1
1.5
11. Second or greater order channel
No = 0 X
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = 7.5 )
12. Presence of Baseflow
0
1 )C
2
3
13. Iron oxidizing bacteria
0
1
2 X
3
14. Leaf litter
1.5
1 X
0.5
0
15. Sediment on plants or debris
0 X
0.5
1
1.5
16. Organic debris lines or piles
0
0.5 X
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3 X
C. Biology (Subtotal = __"
18. Fibrous roots in streambed
3
2
)C
1
0
19. Rooted upland plants in streambed
3
X
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
X
2
3
21. Aquatic Mollusks
0
X
1
2
3
22. Fish
0
X
0.5
1
1.5
23. Crayfish
0
0.5
X
1
1.5
24. Amphibians
0
X
0.5
1
1.5
25. Algae
0
X
0.5
1
1
1 1.5
26. Wetland plants in streambed
FACW =
0.75; OBL =
1.5 Other = 0 X
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
1 crayfish, numerous amphipods
Sketch:

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: Magnolia Village city/county: Randolph County Sampling Date: 2022-12-12
Applicant/Owner: State: North Carolina Sampling Point: WA- Wet
Investigator(s): Phil May Section, Township, Range:
Landform (hillslope, terrace, etc.): Other Local relief (concave, convex, none): None Slope (%): 0-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.895001 Long:-79.966557 Datum: WGS84
Soil Map Unit Name: Wynott-Enon corn leX, 8 to 15 percent slopes NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes ✓ No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ✓ No
Is the Sampled Area
Hydric Soil Present? Yes ✓ No within a Wetland? Yes ✓ No
Wetland Hydrology Present? Yes ✓ No
Remarks:
Sweetgum stand at edge of sewer corridor.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
r Drainage Patterns (1310)
r Saturation (A3)
r Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (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)
r Water -Stained Leaves (139)
✓ Microtopographic Relief (D4)
Aquatic Fauna (1313)
_ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes ✓ No
Depth (inches): 11
Saturation Present? Yes ✓ No
Depth (inches): 6
Wetland Hydrology Present? Yes ✓ No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology in winter/wet season,
but also noted during initial visit in
March 2022.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA - Wet
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size:
30 )
% Cover
Species?
Status
Number of Dominant Species
1. Lipuidambar styraciflua
80
Y
FAC
That Are OBL, FACW, or FAC: 3 (A)
2.
Total Number of Dominant
3•
Species Across All Strata: 4 (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 75.00 (A/B)
6.
Prevalence Index worksheet:
7
80.0
= Total Cover
Total % Cover of: Multiply by:
50% of total cover:
40.0 20% of
total cover:
16.0
OBL species 0.00 x 1 = 0.00
Sapling/Shrub Stratum (Plot size:
15
)
FACW species 0.00 x 2 = 0.00
1. Lipuidambar styraciflua
30
Y
FAC
FAC species 140.00 x 3 = 420.00
2
FACU species 10.00 x 4 = 40.00
3
UPL species 0.00 x 5 = 0.00
4
Column Totals: 150.00 (A) 460.00 (B)
5.
Prevalence Index = B/A = 3.07
6.
Hydrophytic Vegetation Indicators:
7.
1 - Rapid Test for Hydrophytic Vegetation
8.
2 -Dominance Test is >50%
9.
3 - Prevalence Index is :53.0'
30.0
= Total Cover
_
4 -Morphological Adaptations (Provide supporting
50% of total cover:
15.0 20% of
total cover:
6.0
-
5
data in Remarks or on a separate sheet)
Herb Stratum (Plot size:
)
Problematic Hydrophytic Vegetation' (Explain)
1. Microstegium vimineum
30
Y
FAC
-
2.
'Indicators of hydric soil and wetland hydrology must
3•
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
6
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9•
than 3 in. DBH and greater than or equal to 3.28 ft (1
10.
m) tall.
11.
Herb - All herbaceous (non -woody) plants, regardless
30.0
= Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover:
15.0 20% of
total cover:
6.0
30
Woody vine -All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size:
)
height.
1. Lonicera japonica
10
Y
FACU
2.
3.
4.
Hydrophytic
5.
Vegetation
10.0
= Total Cover
Present? Yes ✓ No
50% of total cover:
5.0 20% of
total cover:
2.0
Remarks: (Include photo numbers here or on a separate sheet.)
Limited herb/vine layer due to season. Sweetgum stand reflecting prior disturbance for sewer
construction possibly.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: WA -Wet
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
0-5 10YR 3/3 100
CL
5-12 10YR 5/1 60
10YR 5/6 40 C M/PL
CL
Type: C=Concentration, D=Depletion, RM=Reduced
Matrix, MS=Masked Sand Grains. 2Location:
PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain 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 (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 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 (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes ✓ No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:
Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):
Subregion (LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
Water -Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
_ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
Depth (inches):
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point:
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover Species? Status
Number of Dominant Species
1.
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7
= Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: )
FACW species x 2 =
1
FAC species x 3 =
2
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
_ 2 - Dominance Test is >50%
9.
_ 3 - Prevalence Index is <-3.0'
= Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
20% of total cover:
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: )
_ Problematic Hydrophytic Vegetation' (Explain)
1
2.
'Indicators of hydric soil and wetland hydrology must
3•
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
6.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than or equal to 3.28 ft (1
10.
m) tall.
11.
Herb - All herbaceous (non -woody) plants, regardless
= Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover:
20% of total cover:
Woody vine - All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: )
height.
1.
2.
3.
4.
Hydrophytic
5.
Vegetation
= Total Cover
Present? Yes No
50% of total cover:
20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point:
to the death needed to document the indicator or
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
Hydric Soil Indicators:
Histosol (Al)
_ Histic Epipedon (A2)
Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al 2)
Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
Sandy Redox(S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
2Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Sc
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
_ Depleted Dark Surface (F7)
_ Other (Explain in Remarks)
_ Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122) 3Indicators of hydrophytic vegetation and
Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: City/County: Sampling Date:
Applicant/Owner: State: Sampling Point:
Investigator(s): Section, Township, Range:
Landform (hillslope, terrace, etc.): Local relief (concave, convex, none): Slope (%):
Subregion (LRR or MLRA): Lat: Long: Datum:
Soil Map Unit Name: NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No
Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (Al)
_ True Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
_ Drainage Patterns (1310)
_ Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Moss Trim Lines (1316)
Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Crayfish Burrows (C8)
Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_ Shallow Aquitard (D3)
Water -Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
_ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
Depth (inches):
Water Table Present? Yes No
Depth (inches):
Saturation Present? Yes No
Depth (inches):
Wetland Hydrology Present? Yes No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point:
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover Species? Status
Number of Dominant Species
1.
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: (A/B)
6.
Prevalence Index worksheet:
7
= Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: )
FACW species x 2 =
1
FAC species x 3 =
2
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
_ 2 - Dominance Test is >50%
9.
_ 3 - Prevalence Index is <-3.0'
= Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
20% of total cover:
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: )
_ Problematic Hydrophytic Vegetation' (Explain)
1
2.
'Indicators of hydric soil and wetland hydrology must
3•
be present, unless disturbed or problematic.
4.
Definitions of Four Vegetation Strata:
5.
6.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
7.
height.
8.
Sapling/Shrub - Woody plants, excluding vines, less
9.
than 3 in. DBH and greater than or equal to 3.28 ft (1
10.
m) tall.
11.
Herb - All herbaceous (non -woody) plants, regardless
= Total Cover
of size, and woody plants less than 3.28 ft tall.
50% of total cover:
20% of total cover:
Woody vine - All woody vines greater than 3.28 ft in
Woody Vine Stratum (Plot size: )
height.
1.
2.
3.
4.
Hydrophytic
5.
Vegetation
= Total Cover
Present? Yes No
50% of total cover:
20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point:
to the death needed to document the indicator or
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc Texture Remarks
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
Hydric Soil Indicators:
Histosol (Al)
_ Histic Epipedon (A2)
Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al 2)
Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
Sandy Redox(S5)
_ Stripped Matrix (S6)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
2Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric Sc
Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
_ Depleted Dark Surface (F7)
_ Other (Explain in Remarks)
_ Redox Depressions (F8)
Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 136, 122) 3Indicators of hydrophytic vegetation and
Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

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