20230333 Ver 1_Riparian Buffer Authorization_20230303

Staff Review Form
Environmental Quality
Updated September 4, 2020
Staff Review
Does this application have all the attachments needed to accept it into the review process? *
Yes No
ID#*
20230333
Version* 1
Is this project a public transportation project? *
Yes
No
Reviewer List: * Zachary Thomas:[e-mail]
Select Reviewing Office: *
Raleigh Regional Office - [phone]
Does this project require a request for payment to be sent? *
Yes
No

Project Submittal Form
Please note: fields marked with a red asterisk * below are required. You will not be able to submit the form until all
mandatory questions are answered.
Project Type: *
For the Record Only (Courtesy Copy)
New Project
Modification/New Project with Existing ID
More Information Response
Other Agency Comments
Pre -Application Submittal
Re-Issuance\Renewal Request
Stream or Buffer Appeal
Pre -Filing Meeting Date Request was submitted on:
3/3/2023
Project Contact Information
Name: Jennifer Burdette
Who is submitting the information?
Email Address: burdette©nrconsultnc.com
Project Information
Project Name: 1413 Forestville Rd Site
Is this a public transportation project?
Yes
No
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
Yes No Unknown
Is this project connected with ARPA funding?
Yes No
County (ies)
Wake
Please upload all files that need to be submited.
Click the upload button or drag and drop files here to attach document
1413 Forestville Road Buffer Authorization.pdf 8.93MB
Only pdf or kmz files are accepted.
Describe the attachments or
comments:
I've attached a buffer authorization for a deemed allowable activity for the record only. We anticipate the Town
of Wake Forest will want confirmation from DWR that the activity is deemed allowable.
Sign and Submit
By checking the box and signing box below, I certify that:

• I, the project proponent, hereby certifies that all information contained herein is true, accurate, and complete to the
best of my knowledge and belief.
• I, 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 agree that submission of this online 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 online form.
Signature:
cO.r.' t Oltderro
Submittal Date: 3/3/2023
Is filled in automatically.

State of North Carolina
�1
DWR
Department of Environmental Quality
Division of Water Resources Division of Water Resources
15A NCAC 02B .0233 (8)(b), .0243 (8)(b), .0250 (11)(b), .0259 (8)(b), .0267 (11)(c), .0607 (e)(2) - Buffer Authorization
FORM: BA 10-2013
Riparian Buffer Authorization Form
A.
Applicant Information
1.
Project Information
la. Name of project:
1413 Forestville Road
1 b. County:
Wake
1 c. Nearest municipality:
Wake Forest
1 d. Subdivision name:
N/A
1 e. Is the project located in any of North Carolina's twenty coastal counties?
If yes, answer 1 f below.
❑ Yes ® No
1 f. Is the project located within a NC Division of Coastal Management Area of
Environmental Concern (AEC)?
❑ Yes ® No
2.
Owner Information
2a. Name on Recorded Deed:
Maria Milagros Collado-Ramirez & Augusto Apolinar Ramirez
2b. Deed Book and Page No.
018620/00624
2c. Map Book and Page No.
(include a copy of the
recorded map that indicates
when the lot was created):
1986/1192
)N,
2d. Responsible Party
(for Corporations):
2e. Street address:
1413 Forestville Road
2f. City, state, zip:
Wake Forest, NC, 27587
2g. Telephone no.:
516-330-0147
2h. Fax no.:
2i. Email address:
[e-mail]
3.
Applicant Information (if different from owner)
3a. Applicant is:
® Agent ❑ Other, specify:
3b. Name:
Robert Hernandez
3c. Business name
(if applicable):
3d. Street address:
4819 Emperor Boulevard
3e. City, state, zip:
Durham, NC, 27703
3f. Telephone no.:
919-584-5052
3g. Fax no.:
3h. Email address:
[e-mail]
4.
Agent/Consultant Information (if applicable)
4a. Name:
Jennifer Burdette
4b. Business name
if applicable):
Natural Resource Consultants, LLC
4c. Street address:
308 W. Millbrook Road, Ste. D #200
4d. City, state, zip:
Raleigh, NC 27609
4e. Telephone no.:
919-422-3605
4f. Fax no.:
N/A
4g. Email address:
[e-mail]
FORM: BA 10-2013
Page 1 of 5

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
1749657720
1 b. Site coordinates (in decimal degrees):
Latitude: 35.934738 Longitude:-78.505074
1c. Property size:
5.23 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Sanford Creek
2b. Water Quality Classification of nearest receiving water:
C; NSW
2c. River basin:
Neuse (030202010702)
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 project parcel currently contains a vacant home and a gravel driveway that provides access to the site. There is a
section of an existing pond on the property that drains offsite via an unnamed tributary to Sanford Creek (Class C;
NSW). A portion of the preexisting driveway that parallels the onsite pond is subject to the riparian buffer rules for the
Neuse River Basin. Future development at the site will include the construction of a new house, driveway extension,
garage, and swimming pool. Proposed infrastructure associated with the homesite includes a well, the installation of a
1,500-gallon septic and pump tank, a septic drainfield, and a connecting supply line. A site plan and impact map are
attached. Land use within the immediate vicinity of the project is primarily residential.
3b. Attach an 8'/2 x 11 excerpt from the most recent version of the USGS topographic map indicating the location
of the site
3c. Attach an 8'/2 x 11 excerpt from the most recent version of the published County NRCS Soil Survey Map
depicting the project site
3d. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
0
3e. Explain the purpose of the proposed project:
The purpose of the proposed project is to install a connecting supply line to support a new drip distribution
septic system on the subject property. The supply line will be buried within the roadbed of an existing gravel
driveway and along the driveway margin, which is subject to riparian buffer rules for the Neuse River Basin.
3f. Describe the overall project in detail, including the type of equipment to be used:
A portion of the proposed 4-inch supply line will be buried 36 inches within the existing gravel driveway and
along the driveway margin through the riparian buffer. The buffer crossing is perpendicular. Equipment typical
for earthmoving, excavation, and utility installation will be utilized to complete the project. Erosion controls and
best management practices will be utilized to prevent impacts to downstream water quality from the project.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
® Yes ❑ No ❑ Unknown
the Corps or State been requested or obtained for this
Comments:
property/ project(including all priorphases) in thepast?
4b. If yes, who delineated the jurisdictional areas?
Agency/ Consultant Company: NRC
Name (if known): Alec Pierzga
Other:
4c. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach
documentation.
No surface waters or wetlands were observed within the proposed construction corridor. An upland data form
and supporting hoto ra hs are attached to support the delineation.
5. Project History
5a. Have permits or certifications been requested or obtained
❑ Yes ® No ❑ Unknown
for this project(including all priorphases) in thepast?
5b. If yes, explain and detail according to "help file" instructions.
The road through the buffer was constructed some time before 1988.
FORM: BA 10-2013 Page 2 of 5

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
C. Proposed Impacts Inventory
1. Buffer Impacts
1a. Project is in which protected basin?
® Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Randleman ❑ Jordan ❑ Goose Creek
1 b. Individually list all buffer impacts below. If any impacts require mitigation, then you MUST fill out Section D of
this form.
Buffer impact
number —
Permanent (P)
or Temporary
T
Reason for
impact
Type of impact
(exempt, allowable,
allowable w/
mitigation)
Stream name
Buffer
mitigation
required?
Zone 1
impact
(sq ft)
Zone 2
impact
(sq ft)
B1 ® P ❑ T
Utility
Installation
Allowable
Pond 1
❑ Yes ® No
1,325
1,015
B2 ❑ P ❑ T
❑ Yes ❑ No
B3 ❑ P ❑ T
❑ Yes ❑ No
B4 ❑ P ❑ T
❑ Yes ❑ No
B5 ❑ P ❑ T
❑ Yes ❑ No
B6 ❑ P ❑ T
❑ Yes ❑ No
Total buffer impacts
1c. Comments: Perpendicular utility buffer crossing within a 20' utility corridor.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Supply line installation will occur within the roadbed of an existing gravel driveway and along the driveway
margin. The existing driveway is subject to buffer regulations for the Neuse River Basin, however, there are
no impacts to streams, wetlands, or open waters associated with the project. The supply line will be installed
perpendicularly within the buffer. The proposed utility corridor is 20 feet wide. Due to parcel boundary
constraints, the proposed utility alignment is the only feasible installation option that minimizes impacts to the
buffer and open water onsite.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction
techniques.
Erosion and sedimentation controls and best management practices will be utilized throughout the project to
protect downstream water quality. Coordination with the Town of Wake Forest Sediment and Erosion Control
program will occur to secure appropriate permitting for the entirety of the homesite development. Equipment
will be operated from high ground and will not encroach upon the open water onsite.
FORM: BA 10-2013 Page 3 of 5

2. Buffer Mitigation
2a.
Will the project result in an impact within a protected riparian buffer that
requires buffer mitigation?
❑ Yes ® No
2b.
If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation and
calculate the amount of mitigation required in the table below.
Zone
Reason for impact
Total impact
(square feet
Multiplier
Required mitigation
(square feet
Zone 1
3 (2 for Catawba)
Zone 2
1.5
Total buffer mitigation required:
2c.
If buffer mitigation is required, is payment to a mitigation bank or NC DMS
proposed?
❑ Yes ❑ No
2d.
If yes, attach the acceptance letter from the mitigation bank or NC DMS.
2e.
If no, then discuss what type of mitigation is proposed.
2f.
Comments:
E. Diffuse Flow Plan
All buffer impacts and high ground impacts require diffuse flow or other form of
❑ Diffuse flow
stormwater treatment. Include a plan that fully documents how diffuse flow will be
® Other BMP — The
maintained. If a Level Spreader is proposed, attach a Level Spreader Supplement Form.
project will not
If due to site constraints, a BMP other than a level spreader is proposed, please provide a
contribute to
plan for stormwater treatment as outlined in Chapter 8 of the NC Stormwater BMP
Manual and attach a BMP Supplement Form.
concentrated
flow within the
/10
buffer.
F. Supplementary Information
1. Environmental Documentation
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public federal/state land?
1 b. If you answered "yes" to the above, does the project require preparation of an
❑ Yes ❑ No
environmental document pursuant to the requirements of the National or State (North
Carolina) Environmental Policy Act NEPA/SEPA ?
1 c. If you answered "yes" to the above, has the document been finalized by the State
❑ Yes ❑ No
Clearing House? (If so, attach a copy of the NEPA or SEPA final approval letter.)
Comments:
2. Violations
2a. Is the site in violation of DWR Wetland Rules (15A NCAC 02H .0500), Isolated
❑ Yes ® No
Wetland Rules (15A NCAC 02H .1300), DWR Surface Water or Wetland Standards,
or Riparian Buffer Rules 15A NCAC 02B .0200 ?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
FORM: BA 10-2013
Page 4 of 5

Jennifer Burdette
Applicant/Agent's Printed Name
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Send 3 complete sets of this form and accompanying documents to the following: N/
For government transportation projects sent by
First Class Mail via the US Postal Service:
NC DWR, Transportation Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For all other projects sent by First Class Mail via
the US Postal Service
Karen Higgins
NCDWR — 401 & Buffer Permitting Branch
1617 Mail Service Center
Raleigh, NC 27699 - 1617
For government transportation projects se
delivery service (UPS, FedEx, etc.):
OR NC DWR, Transportation Permitting Unit
512 N. Salisbury Street
Raleigh, NC 27604
For all other projects sent by delivery service
(UPS, FedEx, etc.):
Karen Higgins
OR NCDWR — 401 & Buffer Permitting Branch
512 N. Salisbury Street
Raleigh, NC 27604
"Zoo
0
FORM: BA 10-2013 Page 5 of 5

HP - - -
ECM
NIP
PKN
0
LEGEND
Lines Surveyed
Lines Not Surveyed
Existing Iron Pipe
Control Corner
Existing Concreti •Monument
New Iron Pipe r
- - P K NOil
- Double Mesidi.n Distinct,
Right of way
- Deed Book
Concrete Monuniint
- Existing Lightwood Stake
NORTH C.4RO,INA
-FRANKLIN COUNTY
1, , i JAME5 0. , MU RPkY ,certify that this plat was drawn
under ' my ` iuperv/sion from (an actual survey made under my supervislonl (I ad -
that the ratio of
prec/slon as calculated by lat/tuda and departures is l/ 10,000 * that
'the bfoundei(es not surveyed are shown es broken lines plotted from Information
found In Book 'Pert 'that this plat was prepared in accordance with
G. S. 47.30 as amended. Witness my original signature, registration number and seal
this 18 ictiiKof .SUNS ,A.D., 19B6%.
PE. 4884 R•L.6. L-2253
Registration Number
! ..(ouNry
l , a ;Winery'. Public of the County and State a'uresaid , certily that
.1.11:ZI?l'%d registered land surveyor, personally appeared
be(ure e mthis day and arcknuwledged the execution of the foregoing instrument.
• Wit(tdu my hand and ut(icidl stamp or seal, this --1E' , day of J.IZ.iF
9$6 ,
9e424eUd_X__
Notary Public
11,
My Commission expires 10 2$- ge
% f
,
t00.40•44��
'NORTH CA flOL INA
ee, q COl/NTY
I
f.tT.ARY
iG
A
The foregoing certificate'of /✓• ���d�'�/tr�L�/ Notary Public,
` is certified to be
or�rect. This was presented for registration and recor ed
in�lP/at Book
�-Z P ' pagef" This 1 at
a ,r'1s/� ° M.
KENIVETIi.C. WILKINS
Register of Deeds
Recorded in Book of Maps
PARCEL # 2
.04.6.1 AC e TOTAL
--0.021 "AC. 6R 2049 R
-0140 4,-NET`.
< coo' R/W
01381)
'NOW,TOR LL FORMERLY
L. S. . MARSHALL
DEED BK. ' I2fo3, R 621
TRACT #
4.041 AC. TOTAL`
0.ZI5 AC. 5R 2049 R/W_
3.832 AC..NET
33 34' �`0/A 201.00'
PARCEL' #• -I-
1.07rc� AC. TOTAL
(140 1)- 0.138 AC. 5R 2049 R/!N o
0:938_AC. NET , oo N'
ci DAVID B. ,.t �QA L, ALFORD:o
tz)N I -DEED BOOK 3014, PAGE 325cJ w
Nail PARCELS" I AND .2 ARE o
TO BE COMBINED TO
CREATE . TRACT ;'' I
s 88'-451-�00"W --- 234.34'
OS Fs�RCiEL2....... _
34.4 NIP • 2.00.00'.
5 88 = 45 - 00' W
j' t 5 ea"-02.:- 15" W
WAKE COUNTY CERTIFICATION ,I
I herebycertify "that this record plat has..
been found to comply with the SubdivisionOrd
finance of Wake County', North _Carolina and'
that this plat' -has been approved for recording
q in the office Of the: Register of Deeds'of Wake
County. •-
Date !' 9417etiroF
Et. INDICR'RaC Esy
254.47' .. i .
- 284.51'
REVISIONS
-TRACT 4* 4 _CRE-ATED
6-18-86 ;mw
FENCE
POSTS
LOT 1 , DENE..HtLL ' 'SUBDIVISION
BOOK OF MAPS_ 1982, _P...__7..72..
.RECOMBINATION-MAPITF.OR
TOWNSH/� _. WA KEG ._ FQREST ._.:.I.._
ESP
98.6fc'
5 89t35 =33"W.
klbie'.`T141'3 YRQP€RTY 1S NOT IN. A FLOOD
I4AZARD AP`E,4 AS -DETERMINED BY FEMA
RVE
ESw
P. E.:4884
YOUN6raYILLE ; ..N 1Cr;a:
3=IO=9(o
SURVEYED
OR/AWN,
CCIS!ECKED_; CLOSURE.,
Q.O.M.
:M i
RPHY
L "5_51.=2058
F/£L D BOOK
3l P18-20
WAW/NG NO. I::

Project Name: 1413 Forestville Road
Project Manager: Jennifer Burdette
Property Owner Certification Information
Parcel Information
Street Address:
City, State:
County:
Parcel Index Number(s) (PIN)
1413 Forestville Road
Wake Forest, NC, 27587
Wake
1749657720
Property Owner Information
Name: Maria Milagros Collado-Ramirez & Augusto Apoear Ra
Title (if applicable):
Mailing Address: 1413 Forestville Road
Wake Forest, NC 27587
Telephone Number: 516-330-0147
Electronic Mail Address: [e-mail]
Property Access Certification
By signing below, I authorize representatives of the
(Corps) to enter upon the property herein describ4
if necessary, and issuing a jurisdictional deter ' ti
and/or Section 10 of the Rivers and Harbo ct
owner of record of the property identifie
record of the property.
Print Name
Capacity: ® Owner th ed Agent
v
Project Number:
TningtQQQ t, U.S. Army Corps of Engineers
Curs
purpose of conducting on -site investigation,
toSection 404 of the Clean Water Act
e Undersigned, am either a duly authorized
ring as the duly authorized agent of the owner of

iZNatufal Resource
onsultants
All Blanks to be Filled in by the Applicant
FIELDS WITH * ARE REQUIRED
AGENT AUTHORIZATION FORM
Project Area PIN(s):
1749657720
Name:
Robert Hernandez
Address:
4819 Emperor Boulevard, Durham, NC 27703
Phone:
919-584-5052
Email:
[e-mail]
Project Name:
1413 Forestville Road
Project Number:
23006
Project Manager:
Jennifer Burdette
r
US Army Corps of Engineers NC Division of es
Raleigh Regulatory Field Office 401 & B m g Branch
3331 Heritage Trade Drive, Suite 105 512 N. lisbury e
Wake Forest, NC 27587 Raleigh C 2760
Re: Clean Water Act & Riparian Buffer Related Consulting a Permiting
To Whom It May Concern: , ,
I hereby designate and authorize Natural Resource
verification of wetland delineations and process4
on my behalf as my agent in obtaining
ons for the project listed above.
I, the undersigned, responsible party for the ica tTiorize representatives of the Wilmington
District, U.S. Army Corps of Engineers (Corps) an Division of Water Resources to enter upon the property
herein described for the purpose of co cting on- investigation and issuing a determination associated
with Waters of the U.S. subject to F. ral ' isdiction under Section 404 of the Clean Water Act/Section 10 of
the Rivers and Harbors Act of 18,99 Wags of State and/or Riparian Buffer Rules.
professional courtesy reasons, is valid only for government
ianied by Natural Resource Consultants' staff.
308 W Millbrook Road, Ste D #200, Raleigh, NC 27609 / 919.422. 3605

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1 S; 7.5 MINUTE, QUAD, WAKE FOREST, NORTH CAROLINA; 2019
T: 35.935027, LONG:-78.505114
J. roject area is approximately six acres in size.
0 1,000 2,000
FIGURE 1. USGS TOPOGRAPHIC MAP Feet
1413 FORESTVILLE ROAD 1 inch = 2,000 feet
Natural Resource WAKE FOREST, WAKE COUNTY, NC VERSION: 1
DATE: 2/15/2023
Consultants JOB NO: 23006
DRAWN BY: Alec
C:\Users\NRC\NRC Server\Projects\23006 1413 Forestville Rd\GIS\23006-Forestville-Fig 1 USGS.mxd, 2/15/2023 5:13:57 PM, Alec

Map Unit Hydric Soil
Symbol Map Unit Name Rating all'
RgC Rawlings -Rion complex, 6to 10 percent slopes No r
RgD Rawlings -Rion complex, 10to 15 percent slopes No •.� �j
W lWater N/A
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Legend
roject Area
► Soil Map Unit 1 Orthoimagery
NOTES:
Web Soil Survey SSURGO Spatial Data: Wake County (Version 13, May 31, 2020)
0 75 150
FIGURE 2A. NRCS WEB SOIL SURVEY Feet
1413 FORESTVILLE ROAD 1 inch = 150 feet
Natural Resource WAKE FOREST, WAKE COUNTY, NC VERSION: 1
DATE: 2/16/2023
Consultants JOB NO: 23006
DRAWN BY: Alec
C:\Users\NRC\NRC Server\Projects\23006 1413 Forestville Rd\GIS\23006-Forestville-Fiq 2A Web SS.mxd, 2/16/2023 10:54:53 AM, Alec

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Project Area
NOTES:
1. NRCS; SOIL SURVEY SHEET 15, WAKE COUNTY, NC (1970)
0 660 1,320
FIGURE 2B. BUFFER SUBJECTIVITY SOIL SURVEY Feet
1413 FORESTVILLE ROAD 1 inch = 1,320 feet
Natural Resource WAKE FOREST, WAKE COUNTY, NC VERSION: 1
DATE: 2/15/2023
Consultants JOB NO: 23006
DRAWN BY: Alec
C:\Users\NRC\NRC Server\Projects\23006 1413 Forestville Rd\GIS\23006-Forestville-Fiq 2B Buffer SS.mxd, 2/15/2023 5:34:04 PM, Alec

LEGEND
F-1 Project Area
L7 construction Corridor
E-1 Neuse Riparian Buffers
F-1 Ponds
Existing Gravel Drive
Proposed Sanitary Sewer Connection
2-ft Contours
Proposed Buffer Impacts
Zone 1 Impacts - 1,325 SF
Zone 2 Impacts - 1,015 SF
Natural Resou
Consultants
FIGURE 3. PROPOSED IMPACTS INVENTORY MAP
1413 FORESTVILLE ROAD
WAKE FOREST, WAKE COUNTY, NC
NA �Ppppl
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p, NC. Center for Geographi I forma M MnqAnaIysis, 'C 91 B d
0 37.5 75
N onoo:::30001[= Feet
1 inch = 75 feet
VERSION: 1
DATE: 3/3/2023
JOB NO: 23006
DRAWN BY: Alec

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region Requirement Control Symbol EXEMPT.•
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: 1413 Forestville Road City/County: Wake Forest/Wake Sampling Date: 2/24/23
Applicant/Owner: Robert Hernandez State: NC Sampling Point: DP1 - up
Investigator(s): A. Pierzga (NRC) Section, Township, Range: N/A
Landform (hillside, terrace, etc.): draw Local relief (concave, convex, none): concave Slope (%): 10/15
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.934702 Long:-78.505217 Datum: NAD83
Soil Map Unit Name: RgD - Rawlings -Rion complex, 10 to 15 percent slopes NWI classification: N/A
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X 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 X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes X 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 (B14)
X 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)
X 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 (87)
_Shallow Aquitard (D3)
—Water-Stained Leaves (B9)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP1 - up
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' )
% Cover Species?
Status
Dominance Test worksheet:
1. Liquidambarstyraciflua
15 Yes
FAC
Number of Dominant Species
2. Acerrubrum
5 Yes
FAC
That Are OBL, FACW, or FAC: 3 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 3 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
20 =Total Cover
Total % Cover of: Multiply by:
50% of total cover:
10 20% of total cover:
4
OBL species 0 x 1 = 0
Saplinq/Shrub Stratum (Plot size: 15,
)
FACW species 0 x 2 = 0
1. Pinus taeda
10 Yes
FAC
FAC species 30 x 3 = 90
2.
FACU species 0 x 4 = 0
3.
UPL species 0 x 5 = 0
4.
Column Totals: 30 (A) 90 (B)
5.
Prevalence Index = B/A = 3.00
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is <_3.0'
10 =Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
5 20% of total cover:
2
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' )
-Problematic Hydrophytic Vegetation' (Explain)
1.
FACU
'Indicators of hydric soil and wetland hydrology must be
2.
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub -Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb -All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
20% of total cover:
height.
Woody Vine Stratum (Plot size: 15' )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP1 - up
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' Loc2
Texture
Remarks
0-4
5YR 6/1
100
Loamy/Clayey
Clay loam
4-12
5YR 6/1
60
5YR 4/6 40
Loamy/Clayey
Clay loam
12-16
5YR 4/6
70
5YR 6/1 30
Loamy/Clayey
Clay loam
'Type: C=Concentration, D=Depletion,
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
—Hydrogen Sulfide (A4)
_Stratified Layers (A5)
2 cm Muck (A10) (LRR N)
_Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al2)
_Sandy Mucky Mineral (S1)
_Sandy Gleyed Matrix (S4)
_Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
RM=Reduced Matrix, MS=Masked Sand Grains.
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Loamy Mucky Mineral (F1) (MLRA 136)
—Loamy Gleyed Matrix (F2)
—Depleted Matrix (F3)
_ Redox Dark Surface (F6)
—Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
_2 cm Muck (A10) (MLRA 147)
_Coast Prairie Redox (A16)
(MLRA 147, 148)
_Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
_Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes No X
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

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