20230354 Ver 1_City of Greensboro_Knox_BethelChurch_PJD_Package_03022022_20230303

Three Oaks Engineering, Inc.
324 Blackwell Street, Suite 1200
Durham, NC 27701
[phone]
March 2, 2022
U.S. Army Corps of Engineers
Raleigh Regulatory Field Office
ATTN: David Bailey
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
SUBJECT: Preliminary Jurisdictional Determination (PJD) Package for Proposed City of
Greensboro Water Line Improvements from SR 2752 (Bethel Church Road) at Peeden Drive
to SR 2814 (Knox Road) at US 70 (Burlington Road) in McLeansville and Gibsonville,
Guilford County, North Carolina.
Mr. Bailey:
Three Oaks Engineering, Inc. (Three Oaks) recently completed potential jurisdictional waters delineations
along SR 2752 (Bethel Church Road) and SR 2814 (Knox Road) in McLeansville and Gibsonville, North
Carolina. The project study area begins at the Bethel Church Road/Peeden Drive intersection and ends at
the Knox Road/U.S. 70 (Burlington Road) intersection (Figure 1). The site is approximately 16.87 acres in
size and, due to the nature of the proposed work, the study area largely stays within North Carolina
Department of Transportation (NCDOT) right-of-way. Below and attached are a brief description of the
project, figures depicting all features, and appropriate forms.
Three Oaks staff members Nathan Howell (MS, PWS) and Trevor Hall conducted a field assessment of the
project site on November 4, 2021. During this site visit, three potential jurisdictional wetlands and three
potential jurisdictional streams were identified within the study area (Tables 1-2; Figures 2-4). All features
are located within the Cape Fear River Basin (United States Geological Survey [USGS] Hydrologic Unit
Code [HUC] 03030002).
North Carolina Division of Water Resources (NCDWR) Stream Identification Forms and North Carolina
Stream Assessment Method (NCSAM) Forms were not completed since both jurisdictionality, and potential
mitigation ratios were not in question for any of the streams. United States Army Corps of Engineers
(USACE) Wetland Determination Forms (wetland and upland) are included that represent each potential
wetland. North Carolina Wetland Assessment Method (NCWAM) Forms were completed for potential
wetlands possessing characteristics conducive to them receiving lower functional rating and/or mitigation
values (Appendix B). Also included are a USACE ORM Data Entry Form; USACE Jurisdictional Request
Form; USACE PJD Form; Agent Authorization Form; and a USACE Waters Upload worksheet (Appendix
C).
Three Oaks Engineering threeaaksengineering.com

--------------------------------------------
------------------------
Please see the following PJD Package:
Table 1. Potential jurisdictional streams in the study area
Stream
NCDWR
Best Usage
NCSAM
On Topo
Name
Map ID
Index
Classification
Classification
Ratings
or Soil
Length
Number
Survey?
Unnamed
Tributary
(UT) to Rock
SI
16-19-3.5-(1)
WS-IV; NSW
Perennial
*
Both
18
Creek
UT to Rock
Creek
S2
16-19-3.5-(1)
WS-IV; NSW
Perennial
*
Both
17
UT to Rock
Creek
S3
16-19-3.5-(1)
WS-IV; NSW
Perennial
*
Both
4
Total
39
1— Streams exhibiting characteristics conducive to them receiving medium to high functional rating values did not have a NCSAM form
completed for them and are represented by an asterisk (*).
Table 2. Potential jurisdictional wetlands in the study area
Map
NCWAM
NCWAM Rating
Hydrologic
Area
ID
Classification
Classification
W 1
Nontidal Freshwater
Low
Riparian
< 0.01
Marsh
W2
Nontidal Freshwater
Low
Riparian
< 0.01
Marsh
W3
Floodplain Pool
Low
Riparian
0.02
Total
0.02
If you have any questions, require additional information, or would like to schedule a site visit, please
contact me at [phone] or by email at nathan.howellgthreeoaksen ing eering com. Three Oaks is the
authorized agent for this project and is submitting this request on behalf of the City of Greensboro. This is
a request for concurrence with our assessment. We appreciate your assistance on this project.
Sincerely,
flecn//on .Ily siggn dby�:M
/lYd�sc
Nathan Howell - MS, PWS
Environmental Scientist
Three Oaks Engineering, Inc.
Cc: NCDWR Winston-Salem Regional Office
Shane Messer, City of Greensboro, Water Resources Department
Three Oaks Engineering threeoaksengineering.com

0
Appendix A
Figures
Three Oaks Engineering threeoaksengineering.com

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Scale:
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Job No.:
20-622
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Checked By:
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Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
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Job No.:
20-622
Drawn By:
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Sheet 7 of 10

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Water Main
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Map
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Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I I I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
Sheet 8 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 15 30 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
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NCCGIA, NC911 Board Sheet 9 of 10
Date:
November 2021
Scale:
0 50 100 Ft
I I I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
3
Sheet 10 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 1 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 2 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 3 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 4 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 5 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 6 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 7 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
NDH
JSM
Figure
4
Sheet 8 of 10

5�p\, EERI*,
Prepared For:
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
20-622
Drawn By:
Checked By:
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JSM
Figure
4
Sheet 9 of 10

5�p\, EERI*,
Prepared For:
L%on
GRI=ENSBORO
Knox
and
Bethel Church
Roads
Water Main
Installation
Potential
Jurisdictional
Features
Map
LiDAR over Aerial
Guilford County
North Carolina
Date:
November 2021
Scale: 0 50 100 Ft
I i I
Job No.:
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Figure
4
Sheet 10 of 10

0
Appendix B
Wetland Data Forms
Three Oaks Engineering threeoaksengineering.com

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: 20-622 Gibsonville Water Line City/County: Gibsonville/Guilford Sampling Date: 11/04/2021
Applicant/Owner: City of Greensboro State: NC Sampling Point: W1
Investigator(s): Nathan Howell)&)Trevor Hall Section, Township, Range: McLeansville
Landform (hillslope, terrace, etc): Pond fringe Local relief (concave, convex, none): Concave Slope (%): 1
Subregion (LRR or MLRA): MLRA 136 of LRR-P Lat: 36.08908241 Long:-79.63747691 Datum: NAD 83
Soil Map Unit Name: Enon fine sandy loam, 6 to 10 percent slopes NWI classification: PEM
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation X Soil X or Hydrology X significantly disturbed? Are "Normal Circumstances" present? Yes _
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site man showing samnlino noint locations. transacts. important features- etc.
No X
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes X No
Is the Sampled Area
Wetland Hydrology Present? Yes X No
within a Wetland? Yes X No
Remarks:
Stream enters livestock pond in cattle pasture.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one required: check all that apply)
Secondary Indicators (minimum of two required)
X Surface Water (At)
_ True Aquatic Plants (B14)
_ Surface Soil Cracks (66)
X High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Sparsely Vegetated Concave Surface (138)
X Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
X Drainage Patterns (1310)
_ Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Moss Trim Lines (1316)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Dry -Season Water Table (C2)
_ Drift Deposits (133)
_ Thin Muck Surface (C7)
X Crayfish Burrows (C8)
_ Algal Mat or Crust (64)
_ Other (Explain in Remarks)
X Saturation Visible on Aerial Imagery (C9)
_ Iron Deposits (65)
Stunted or Stressed Plants (D1)
Inundation Visible on Aerial Imagery (137)
X Geomorphic Position (D2)
— Water -Stained Leaves (69)
_ Shallow Aquitard (D3)
— Aquatic Fauna (613)
_ Microtopographic Relief (D4)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 2-3
Water Table Present? Yes X No
Depth (inches): 0
Saturation Present? Yes X No
Depth (inches): 0
Wetland Hydrology
Present? Yes X 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

Vt"t IAI IUN (tour zwata) - use SCIeniffic names of plants.
Tree Stratum (Plot size: 30ft radius )
1. Absent
2.
3.
4.
5.
6.
7.
50% of total cover: 0
Sapling/Shrub Stratum (Plot size: 15ft radius )
1. Absent
2.
3.
4.
5.
6.
7.
8.
9.
Absolute Dominant Indicator
% Cover Species? Status
0 = Total Cover
20% of total cover: 0
50% of total cover: 0
Herb Stratum (Plot size: 5ft radius )
1. Juncus effusus / Common bog rush, Soft or lamp rush
0 = Total Cover
20% of total cover: 0
75 Yes FACW
2. Cyperus/Flatsedge
20 Yes NI
3.
4.
5.
6.
7.
8.
9.
10.
11.
95 = Total Cover
50% of total cover: 47 20% of total cover: 19
Woody Vine Stratum (Plot size: 30ft radius )
1. Absent
2.
3.
4.
5.
0 = Total Cover
50% of total cover: 0 20% of total cover: 0
Remarks: (Include photo numbers here or on a separate sheet.)
oampiing roinu vv i
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across All Strata: 2 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 50.0 (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species 0 x 1 = 0
FACW species 75 x 2 = 150
FAC species 0 x 3 = 0
FACU species 0 x 4 = 0
UPL species 20 x 5 = 100
Column Totals: 95 (A) 250 (B)
Prevalence Index = B/A = 2.63
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
X 3 - Prevalence Index <_3.0'
_ 4 - Morphological Adaptations' (Provide supporting
Problematic Hydrophytic Vegetation' (Explain )
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1 m)
tall.
Herb - All herbaceous (non -woody) plants, regardless of
size, and woody plants less than 3.28 ft tall.
Woody vines - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: W1
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
0-12 10YR 4/1 85 7.5YR 5/4 15 C M Clay Loam
'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 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 Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
X 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)
_ Iron -Manganese Masses (F12)
(LRR N, MLRA 147,148)
(LRR N, 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.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site:
20-622 Gibsonville Water Line
City/County: Gibsonville/Guilford
Sampling Date: 11/04/2021
Applicant/Owner:
City of Greensboro
State:
NC Sampling Point: W2
Investigator(s):
Nathan Howell)&)Trevor Hall
Section, Township, Range:
Gibsonville
Landform (hillslope, terrace,
etc): Depression
Local relief (concave, convex, none):
Concave Slope (%): 5
Subregion (LRR or MLRA):
MLRA136 of LRR-P Lat:
36.09056524 Long:
-79.62258623 Datum: NAD 83
Soil Map Unit Name:
Enon fine sandy loam, 6 to 10 percent slopes NWI
classification: PEM
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation X Soil X or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes _
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site man showing samnlino noint locations. transacts. important features- etc.
No X
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes X No
Is the Sampled Area
Wetland Hydrology Present? Yes X No
within a Wetland? Yes X No
Remarks:
Roadside depression maintained within cow pasture
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one required: check all that apply)
Secondary Indicators (minimum of two required)
X Surface Water (At)
_ True Aquatic Plants (B14)
_ Surface Soil Cracks (66)
X High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Sparsely Vegetated Concave Surface (138)
X Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
X Drainage Patterns (1310)
_ Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Moss Trim Lines (1316)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Dry -Season Water Table (C2)
_ Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Crayfish Burrows (C8)
_ Algal Mat or Crust (64)
_ Other (Explain in Remarks)
X Saturation Visible on Aerial Imagery (C9)
_ Iron Deposits (65)
_ Stunted or Stressed Plants (D1)
_ Inundation Visible on Aerial Imagery (137)
_ Geomorphic Position (D2)
_ Water -Stained Leaves (139)
_ Shallow Aquitard (D3)
_ Aquatic Fauna (B13)
_ Microtopographic Relief (D4)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 1
Water Table Present? Yes X No
Depth (inches): 0
Saturation Present? Yes X No
Depth (inches): 0
Wetland Hydrology
Present? Yes X 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

VtUt IAI IVIV ti-our Jtrata) - use scienLiric names of plants.
Tree Stratum (Plot size: 30ft radius )
1. Absent
2.
3.
4.
5.
6.
7.
50% of total cover: 0
Sapling/Shrub Stratum (Plot size: 15ft radius )
1 Absent
2.
3.
4.
5.
6.
7.
8.
9.
50% of total cover: 0
Herb Stratum (Plot size: 5ft radius )
1. Juncus effusus / Common bog rush, Soft or lamp rush
2. Cyperus / Flatsedge
3. Ludwigia / Primrose -willow
4. Polygonum sagittatum / Arrowleaf tearthumb
5.
6.
7.
8.
9.
10.
11.
50% of total cover: 42
Woody Vine Stratum (Plot size: 30ft radius )
1. Absent
2.
3.
4.
5.
50% of total cover: 0
Remarks: (Include photo numbers here or on a separate sheet.)
Absolute Dominant Indicator
% Cover Species? Status
0 = Total Cover
20% of total cover: 0
0 = Total Cover
20% of total cover:
0
30 Yes
FACW
20 Yes
NI
20 Yes
NI
15 No
OBL
85 = Total Cover
20% of total cover:
0 = Total Cover
20% of total cover:
17
0
aampung voim: VVZ
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across All Strata: 1 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100.0 (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species 15 x 1 = 15
FACW species 30 x 2 = 60
FAC species 0 x 3 = 0
FACU species 0 x 4 = 0
UPL species 40 x 5 = 200
Column Totals: 85 (A) 275 (B)
Prevalence Index = B/A = 3.24
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index <_3.0'
_ 4 - Morphological Adaptations' (Provide supporting
Problematic Hydrophytic Vegetation' (Explain )
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1 m)
tall.
Herb - All herbaceous (non -woody) plants, regardless of
size, and woody plants less than 3.28 ft tall.
Woody vines - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: W2
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
0-12 10YR 4/1 85 7.5YR 5/4 15 C M Clay Loam
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 21-ocation: PL=Pore Lining, M=Matrix.
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 Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
X 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)
_ Iron -Manganese Masses (F12)
(LRR N, MLRA 147,148)
(LRR N, 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.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site:
20-622 Gibsonville Water Line
City/County: Gibsonville/Guilford
Sampling Date: 11/04/2021
Applicant/Owner:
City of Greensboro
State:
NC Sampling Point: W3
Investigator(s):
Nathan Howell)&)Trevor Hall
Section, Township, Range:
Gibsonville
Landform (hillslope, terrace,
etc): Depression
Local relief (concave, convex, none):
Concave Slope (%): 5
Subregion (LRR or MLRA):
MLRA 136 of LRR-P Lat:
36.09068602 Long:
-79.62087312 Datum: NAD 83
Soil Map Unit Name:
Wehadkee loam, 0 to 2 percent slopes, frequently flooded NWI
classification: PSS
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation X Soil X or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes _
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site man showing samnlino noint locations. transacts. important features- etc.
No X
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes X No
Is the Sampled Area
Wetland Hydrology Present? Yes X No
within a Wetland? Yes X No
Remarks:
Roadside depression with recent mowing.
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one required: check all that apply)
Secondary Indicators (minimum of two required)
_ Surface Water (At)
_ True Aquatic Plants (B14)
_ Surface Soil Cracks (66)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
_ Sparsely Vegetated Concave Surface (138)
X Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
_ Drainage Patterns (1310)
_ Water Marks (131)
_ Presence of Reduced Iron (C4)
_ Moss Trim Lines (1316)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Dry -Season Water Table (C2)
_ Drift Deposits (133)
_ Thin Muck Surface (C7)
_ Crayfish Burrows (C8)
_ Algal Mat or Crust (64)
_ Other (Explain in Remarks)
_ Saturation Visible on Aerial Imagery (C9)
_ Iron Deposits (65)
_ Stunted or Stressed Plants (D1)
_ Inundation Visible on Aerial Imagery (137)
X Geomorphic Position (D2)
X Water -Stained Leaves (139)
_ Shallow Aquitard (D3)
_ Aquatic Fauna (B13)
_ Microtopographic Relief (D4)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes X No
Depth (inches): 12
Wetland Hydrology
Present? Yes X 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

VtUt IAI IVIV ti-our Jtrata) - use SCIentITIC names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: 30ft radius ) % Cover Species? Status
1. Absent
2.
3.
4.
5.
6.
7.
0 = Total Cover
50% of total cover: 0 20% of total cover: 0
Sapling/Shrub Stratum (Plot size: 15ft radius )
1. Acer rubrum / Red maple 15 Yes FAC
2. Liquidambarstyraciflua / Sweetgum 15 Yes FAC
3. Quercus phellos / Willow oak 15 Yes FAC
4.
5.
6.
7.
8.
9.
50% of total cover: 22
Herb Stratum (Plot size: 5ft radius )
1. Juncus effusus / Common bog rush, Soft or lamp rush
45 = Total Cover
20% of total cover: 9
30 Yes FACW
2. Cyperus / Flatsedge
30 Yes NI
3.
4.
5.
6.
7.
8.
9.
10.
11.
60 = Total Cover
50% of total cover: 30 20% of total cover: 12
Woody Vine Stratum (Plot size: 30ft radius )
1. Lonicera japonica / Japanese honeysuckle 5 Yes FACU
2.
3.
4.
5.
5 = Total Cover
50% of total cover: 2 20% of total cover: 1
Remarks: (Include photo numbers here or on a separate sheet.)
aampung voim: vvs
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 4 (A)
Total Number of Dominant
Species Across All Strata: 6 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 66.7 (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species 0 x 1 = 0
FACW species 30 x 2 = 60
FAC species 45 x 3 = 135
FACU species 5 x 4 = 20
UPL species 30 x 5 = 150
Column Totals: 110 (A) 365 (B)
Prevalence Index = B/A = 3.32
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index <_3.0'
_ 4 - Morphological Adaptations' (Provide supporting
Problematic Hydrophytic Vegetation' (Explain )
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Definitions of Four Vegetation Strata
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1 m)
tall.
Herb - All herbaceous (non -woody) plants, regardless of
size, and woody plants less than 3.28 ft tall.
Woody vines - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: W3
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
0-12 10YR 4/2 80 7.5YR 5/4 20 C M Clay Loam
'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 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 Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
_ Stratified Layers (A5)
X 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)
_ Iron -Manganese Masses (F12)
(LRR N, MLRA 147,148)
(LRR N, 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.
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soil Present? Yes X No
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

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: Proposed Walter Line Improvements (Knox and Bethel Church Roads) City/County: Guilford Sampling Date: 11/4/2021
Applicant/Owner: City of Greensboro State: NC Sampling Point: W1-3 Up
Investigator(s): Nathan Howell Section, Township, Range: McLeansville
Landform (hillside, terrace, etc.): Roadway Embankment Local relief (concave, convex, none): Convex Slope (%): 15
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.089121 Long:-79.637476 Datum: NAD 83
Soil Map Unit Name: Enon fine sandy loam, 6-10% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation X Soil X , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes No X
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 X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
This upland plot is located just upslope from Wetland W 1, on the Bethel Church Road embankment. The upland plots for wetlands W2 and W3 are
also located on roadway embankments and possess similar characteristics; therefore, they are also represented by this form.
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 (68)
_ 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 (64) —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 (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches): 0
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: W1-3 Up
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 1 (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: 33.3% (A/B
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15' radius
)
FACW species x 2 =
1. Absent
FAC species x 3 =
2.
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (E
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 :53.0'
=Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
20% of total cover:
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Dactylis glomerata
20 Yes
FACU
'Indicators of hydric soil and wetland hydrology must I
2. Rubus pensilvanicus
20 Yes
FAC
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4•
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
40 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
20 20% of total cover:
8
height.
Woody Vine Stratum (Plot size: 30' radius )
1. Lonicera japonica
20 Yes
FACU
2.
3.
4.
5.
Hydrophytic
20 =Total Cover
Vegetation
50% of total cover:
10 20% of total cover:
4
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL Sampling Point: W1-3 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
0-12 10YR 5/6 100 Loamy/Clayey
'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 (A1)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(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)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
_Sandy Mucky Mineral (S1)
_Iron -Manganese Masses (F12) (LRR N,
_Other (Explain in Remarks)
—Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes No X
ENG FORM 6116-4-SG, JUL 2018 Eastern Mountains and Piedmont — Version 2.0

NC WAM FIELD ASSESSMENT FORM
Accompanies user rvianuai version om
USACE AID #
NCDWR#
Project Name
Knox & Bethel Church Rd Water
Date of Evaluation
11/4/2021
Line Improvements
Applicant/Owner Name
City of Greensboro
Wetland Site Name
W1
Wetland Type
Non -Tidal Freshwater Marsh
Assessor Name/Organization
Nathan Howell - Three Oaks
Eng.
Level III Ecoregion
Piedmont
Nearest Named Water Body
Rock Creek
River Basin
Cape Fear
USGS 8-Digit Catalogue Unit
03030002
County
Guilford
NCDWR Region
Raleigh
❑ Yes ® No
Precipitation within 48 hrs?
Latitude/Longitude (deci-degrees)
36.089057,-79.637509
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations - Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
® NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? N Yes U No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ®A Water storage capacity and duration are not altered.
®B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
❑D ❑D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
❑C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure - assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
❑B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ❑A Soil ribbon < 1 inch
❑B Soil ribbon >- 1 inch
4c. ❑A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland - opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub). Examples
of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
®A ®A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use - opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment area (5M),
and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
❑A ❑A ❑A > 10% impervious surfaces
❑B ❑B ❑B Confined animal operations (or other local, concentrated source of pollutants
❑C ❑C ❑C >- 20% coverage of pasture
❑D ❑D ❑D >- 20% coverage of agricultural land (regularly plowed land)
❑E ❑E ❑E >- 20% coverage of maintained grass/herb
❑F ❑F ❑F >- 20% coverage of clear-cut land
❑G ❑G ❑G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer- assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
®Yes ❑No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
❑A >- 50 feet
❑B From 30 to < 50 feet
❑C From 15 to < 30 feet
®D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
®<- 15-feet wide ❑> 15-feet wide ❑ Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
®Yes ❑No
7e. Is stream or other open water sheltered or exposed?
®Sheltered - adjacent open water with width < 2500 feet and no regular boat traffic.
❑Exposed - adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area - wetland type/wetland complex condition metric (evaluate WT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column for riverine wetlands only. Select the average width for the wetland type at the assessment area (WT) and
the wetland complex at the assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
❑A ❑A >_ 100 feet
❑B ❑B From 80 to < 100 feet
❑C ❑C From 50 to < 80 feet
❑D ❑D From 40 to < 50 feet
❑E ❑E From 30 to < 40 feet
❑F ❑F From 15 to < 30 feet
®G ❑G From 5 to < 15 feet
❑H ❑H < 5 feet

9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
❑A Evidence of short -duration inundation (< 7 consecutive days)
®B Evidence of saturation, without evidence of inundation
❑C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
❑A Sediment deposition is not excessive, but at approximately natural levels.
❑B Sediment deposition is excessive, but not overwhelming the wetland.
❑C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT
WC
FW (if applicable)
❑A
❑A
❑A
>_ 500 acres
❑B
❑B
❑B
From 100 to < 500 acres
❑C
❑C
❑C
From 50 to < 100 acres
❑D
❑D
❑D
From 25 to < 50 acres
❑E
❑E
❑E
From 10 to < 25 acres
❑F
❑F
❑F
From 5 to < 10 acres
❑G
❑G
❑G
From 1 to < 5 acres
❑H
®H
❑H
From 0.5 to < 1 acre
❑I
❑l
❑1
From 0.1 to < 0.5 acre
❑J
❑J
❑J
From 0.01 to < 0.1 acre
®K
❑K
❑K
< 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
❑A Pocosin is the full extent (>_ 90%) of its natural landscape size.
❑B Pocosin type is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility line
corridors the width of a four -lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
®A
❑A
>_ 500 acres
❑B
❑B
From 100 to < 500 acres
❑C
❑C
From 50 to < 100 acres
❑D
❑D
From 10 to < 50 acres
❑E
❑E
< 10 acres
❑F
❑F
Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
®Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
❑ B 1 to 4
❑C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
❑B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
®A Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
❑B Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑C Vegetation is dominated by exotic species (> 50 % cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
®A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
o ❑A ❑A Canopy closed, or nearly closed, with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
U ❑C ❑C Canopy sparse or absent
>,
o ❑A
❑A
Dense mid-story/sapling layer
❑B
❑B
Moderate density mid-story/sapling layer
❑C
❑C
Mid-story/sapling layer sparse or absent
❑A
❑A
Dense shrub layer
1= ❑B
❑B
Moderate density shrub layer
U) ❑C
❑C
Shrub layer sparse or absent
.0 ❑A
❑A
Dense herb layer
_ ❑B
❑B
Moderate density herb layer
❑C
❑C
Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
❑B Not
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
❑C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
❑B Not
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ®D
611
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
®A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
❑C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
This form represents Wetland W1, which is located between a roadside culvert outlet and the head of a farm pond. This wetland receives periodic
maintencance & disturbance in the forms of mowing and grazing. Wetland W2 is also a roadside nontidal freshwater marsh that exhibits similar
characterisitcs; therefore, it is also represented by this form.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name W1 Date of Assessment 11/4/2021
Nathan Howell - Three
Wetland Type Non -Tidal Freshwater Marsh Assessor Name/Organization Oaks Eng
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) YES
Wetland is intensively managed (Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) YES
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) YES
Assessment area is on a coastal island (Y/N) NO
Sub -function Ratina Summa
Function Sub -function Metrics Rating
Hydrology Surface Storage and Retention Condition NA
Sub -surface Storage and
Retention Condition NA
Water Quality Pathogen Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Particulate Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Soluble Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Physical Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Habitat Physical Structure
Condition
LOW
Landscape Patch Structure
Condition
MEDIUM
Vegetation Composition
Condition
HIGH
Function Ratina Summa
Function
Metrics
Rating
Hydrology
Condition
LOW
Water Quality
Condition
LOW
Condition/Opportunity
Opportunity Presence (Y/N)
Habitat
Condition
LOW
Overall Wetland Rating LOW

NC WAM FIELD ASSESSMENT FORM
Accompanies user rvianuai version om
USACE AID #
NCDWR#
Project Name
Knox & Bethel Church Rd Water
Date of Evaluation
11/4/2021
Line Improvements
Applicant/Owner Name
City of Greensboro
Wetland Site Name
W3
Wetland Type
Floodplain Pool
Assessor Name/Organization
Nathan Howell - Three Oaks
Eng.
Level III Ecoregion
Piedmont
Nearest Named Water Body
Rock Creek
River Basin
Cape Fear
USGS 8-Digit Catalogue Unit
03030002
County
Guilford
NCDWR Region
Raleigh
❑ Yes ® No
Precipitation within 48 hrs?
Latitude/Longitude (deci-degrees)
36.090729,-79.620943
Evidence of stressors affecting the assessment area (may not be within the assessment area)
Please circle and/or make note on the last page if evidence of stressors is apparent. Consider departure from reference, if appropriate, in
recent past (for instance, within 10 years). Noteworthy stressors include, but are not limited to the following.
• Hydrological modifications (examples: ditches, dams, beaver dams, dikes, berms, ponds, etc.)
• Surface and sub -surface discharges into the wetland (examples: discharges containing obvious pollutants, presence of nearby septic
tanks, underground storage tanks (USTs), hog lagoons, etc.)
• Signs of vegetation stress (examples: vegetation mortality, insect damage, disease, storm damage, salt intrusion, etc.)
• Habitat/plant community alteration (examples: mowing, clear -cutting, exotics, etc.)
Is the assessment area intensively managed? ® Yes ❑ No
Regulatory Considerations - Were regulatory considerations evaluated? ®Yes ❑No If Yes, check all that apply to the assessment area.
❑ Anadromous fish
❑ Federally protected species or State endangered or threatened species
❑ NCDWR riparian buffer rule in effect
❑ Abuts a Primary Nursery Area (PNA)
❑ Publicly owned property
❑ N.C. Division of Coastal Management Area of Environmental Concern (AEC) (including buffer)
❑ Abuts a stream with a NCDWQ classification of SA or supplemental classifications of HQW, ORW, or Trout
❑ Designated NCNHP reference community
❑ Abuts a 303(d)-listed stream or a tributary to a 303(d)-listed stream
What type of natural stream is associated with the wetland, if any? (check all that apply)
❑ Blackwater
® Brownwater
❑ Tidal (if tidal, check one of the following boxes) ❑ Lunar ❑ Wind ❑ Both
Is the assessment area on a coastal island? ❑ Yes ® No
Is the assessment area's surface water storage capacity or duration substantially altered by beaver? ❑ Yes ® No
Does the assessment area experience overbank flooding during normal rainfall conditions? Ll Yes Z No
Ground Surface Condition/Vegetation Condition — assessment area condition metric
Check a box in each column. Consider alteration to the ground surface (GS) in the assessment area and vegetation structure (VS) in the
assessment area. Compare to reference wetland if applicable (see User Manual). If a reference is not applicable, then rate the assessment
area based on evidence an effect.
GS VS
❑A ❑A Not severely altered
®B ®B Severely altered over a majority of the assessment area (ground surface alteration examples: vehicle tracks, excessive
sedimentation, fire -plow lanes, skidder tracks, bedding, fill, soil compaction, obvious pollutants) (vegetation structure
alteration examples: mechanical disturbance, herbicides, salt intrusion [where appropriate], exotic species, grazing, less
diversity [if appropriate], hydrologic alteration)
2. Surface and Sub -Surface Storage Capacity and Duration — assessment area condition metric
Check a box in each column. Consider surface storage capacity and duration (Surf) and sub -surface storage capacity and duration (Sub).
Consider both increase and decrease in hydrology. A ditch <_ 1 foot deep is considered to affect surface water only, while a ditch > 1 foot
deep is expected to affect both surface and sub -surface water. Consider tidal flooding regime, if applicable.
Surf Sub
❑A ®A Water storage capacity and duration are not altered.
®B ❑B Water storage capacity or duration are altered, but not substantially (typically, not sufficient to change vegetation).
❑C ❑C Water storage capacity or duration are substantially altered (typically, alteration sufficient to result in vegetation change)
(examples: draining, flooding, soil compaction, filling, excessive sedimentation, underground utility lines).
3. Water Storage/Surface Relief — assessment area/wetland type condition metric (skip for all marshes)
Check a box in each column. Select the appropriate storage for the assessment area (AA) and the wetland type (WT).
AA WT
3a. ❑A ❑A Majority of wetland with depressions able to pond water > 1 deep
❑B ❑B Majority of wetland with depressions able to pond water 6 inches to 1 foot deep
❑C ❑C Majority of wetland with depressions able to pond water 3 to 6 inches deep
®D ®D Depressions able to pond water < 3 inches deep
3b. ❑A Evidence that maximum depth of inundation is greater than 2 feet
❑B Evidence that maximum depth of inundation is between 1 and 2 feet
®C Evidence that maximum depth of inundation is less than 1 foot

4. Soil Texture/Structure - assessment area condition metric (skip for all marshes)
Check a box from each of the three soil property groups below. Dig soil profile in the dominant assessment area landscape feature.
Make soil observations within the top 12 inches. Use most recent National Technical Committee for Hydric Soils guidance for regional
indicators.
4a. ❑A Sandy soil
®B Loamy or clayey soils exhibiting redoximorphic features (concentrations, depletions, or rhizospheres)
❑C Loamy or clayey soils not exhibiting redoximorphic features
❑D Loamy or clayey gleyed soil
❑E Histosol or histic epipedon
4b. ®A Soil ribbon < 1 inch
❑B Soil ribbon >- 1 inch
4c. ®A No peat or muck presence
❑B A peat or muck presence
5. Discharge into Wetland - opportunity metric
Check a box in each column. Consider surface pollutants or discharges (Surf) and sub -surface pollutants or discharges (Sub). Examples
of sub -surface discharges include presence of nearby septic tank, underground storage tank (UST), etc.
Surf Sub
®A ®A Little or no evidence of pollutants or discharges entering the assessment area
❑B ❑B Noticeable evidence of pollutants or discharges entering the wetland and stressing, but not overwhelming the
treatment capacity of the assessment area
❑C ❑C Noticeable evidence of pollutants or discharges (pathogen, particulate, or soluble) entering the assessment area and
potentially overwhelming the treatment capacity of the wetland (water discoloration, dead vegetation, excessive
sedimentation, odor)
6. Land Use - opportunity metric (skip for non -riparian wetlands)
Check all that apply (at least one box in each column). Evaluation involves a GIS effort with field adjustment. Consider sources draining
to assessment area within entire upstream watershed (WS), within 5 miles and within the watershed draining to the assessment area (5M),
and within 2 miles and within the watershed draining to the assessment area (2M).
WS 5M 2M
❑A ❑A ❑A > 10% impervious surfaces
❑B ❑B ❑B Confined animal operations (or other local, concentrated source of pollutants
❑C ❑C ❑C >- 20% coverage of pasture
®D ®D ®D >- 20% coverage of agricultural land (regularly plowed land)
❑E ❑E ❑E >- 20% coverage of maintained grass/herb
❑F ❑F ❑F >- 20% coverage of clear-cut land
❑G ❑G ❑G Little or no opportunity to improve water quality. Lack of opportunity may result from little or no disturbance in
the watershed or hydrologic alterations that prevent drainage and/or overbank flow from affecting the
assessment area.
7. Wetland Acting as Vegetated Buffer- assessment area/wetland complex condition metric (skip for non -riparian wetlands)
7a. Is assessment area within 50 feet of a tributary or other open water?
❑Yes ®No If Yes, continue to 7b. If No, skip to Metric 8.
Wetland buffer need only be present on one side of the water body. Make buffer judgment based on the average width of wetland.
Record a note if a portion of the buffer has been removed or disturbed.
7b. How much of the first 50 feet from the bank is wetland? (Wetland buffer need only be present on one side of the .water body. Make
buffer judgment based on the average width of wetland. Record a note if a portion of the buffer has been removed or disturbed.)
❑A >- 50 feet
❑B From 30 to < 50 feet
❑C From 15 to < 30 feet
❑D From 5 to < 15 feet
❑E < 5 feet or buffer bypassed by ditches
7c. Tributary width. If the tributary is anastomosed, combine widths of channels/braids for a total width.
❑<- 15-feet wide ❑> 15-feet wide ❑ Other open water (no tributary present)
7d. Do roots of assessment area vegetation extend into the bank of the tributary/open water?
[-]Yes ❑No
7e. Is stream or other open water sheltered or exposed?
❑Sheltered - adjacent open water with width < 2500 feet and no regular boat traffic.
❑Exposed - adjacent open water with width >_ 2500 feet or regular boat traffic.
8. Wetland Width at the Assessment Area - wetland type/wetland complex condition metric (evaluate WT for all marshes and
Estuarine Woody Wetland only; evaluate WC for Bottomland Hardwood Forest, Headwater Forest, and Riverine Swamp Forest
only)
Check a box in each column for riverine wetlands only. Select the average width for the wetland type at the assessment area (WT) and
the wetland complex at the assessment area (WC). See User Manual for WT and WC boundaries.
WT WC
❑A ❑A >_ 100 feet
❑B ❑B From 80 to < 100 feet
❑C ❑C From 50 to < 80 feet
❑D ❑D From 40 to < 50 feet
❑E ❑E From 30 to < 40 feet
❑F ❑F From 15 to < 30 feet
❑G ®G From 5 to < 15 feet
❑H ❑H < 5 feet

9. Inundation Duration — assessment area condition metric (skip for non -riparian wetlands)
Answer for assessment area dominant landform.
®A Evidence of short -duration inundation (< 7 consecutive days)
❑B Evidence of saturation, without evidence of inundation
❑C Evidence of long -duration inundation or very long -duration inundation (7 to 30 consecutive days or more)
10. Indicators of Deposition — assessment area condition metric (skip for non -riparian wetlands and all marshes)
Consider recent deposition only (no plant growth since deposition).
®A Sediment deposition is not excessive, but at approximately natural levels.
❑B Sediment deposition is excessive, but not overwhelming the wetland.
❑C Sediment deposition is excessive and is overwhelming the wetland.
11. Wetland Size — wetland type/wetland complex condition metric
Check a box in each column. Involves a GIS effort with field adjustment. This metric evaluates three aspects of the wetland area: the
size of the wetland type (WT), the size of the wetland complex (WC), and the size of the forested wetland (FW) (if applicable, see User
Manual). See the User Manual for boundaries of these evaluation areas. If assessment area is clear-cut, select "K" for the FW column.
WT
WC
FW (if applicable)
❑A
❑A
❑A
>_ 500 acres
❑B
❑B
❑B
From 100 to < 500 acres
❑C
❑C
❑C
From 50 to < 100 acres
❑D
❑D
❑D
From 25 to < 50 acres
❑E
❑E
❑E
From 10 to < 25 acres
OF
OF
❑F
From 5 to < 10 acres
❑G
❑G
❑G
From 1 to < 5 acres
❑H
❑H
❑H
From 0.5 to < 1 acre
❑I
❑I
❑1
From 0.1 to < 0.5 acre
®J
®J
®J
From 0.01 to < 0.1 acre
❑K
❑K
❑K
< 0.01 acre or assessment area is clear-cut
12. Wetland Intactness — wetland type condition metric (evaluate for Pocosins only)
❑A Pocosin is the full extent (>_ 90%) of its natural landscape size.
❑B Pocosin type is < 90% of the full extent of its natural landscape size.
13. Connectivity to Other Natural Areas — landscape condition metric
13a. Check appropriate box(es) (a box may be checked in each column). Involves a GIS effort with field adjustment. This metric
evaluates whether the wetland is well connected (Well) and/or loosely connected (Loosely) to the landscape patch, the contiguous
naturally vegetated area and open water (if appropriate). Boundaries are formed by four -lane roads, regularly maintained utility line
corridors the width of a four -lane road or wider, urban landscapes, maintained fields (pasture and agriculture), or open water > 300
feet wide.
Well Loosely
❑A
❑A
>_ 500 acres
❑B
❑B
From 100 to < 500 acres
❑C
❑C
From 50 to < 100 acres
❑D
❑D
From 10 to < 50 acres
®E
❑E
< 10 acres
OF
OF
Wetland type has a poor or no connection to other natural habitats
13b. Evaluate for marshes only.
❑Yes ❑No Wetland type has a surface hydrology connection to open waters/stream or tidal wetlands.
14. Edge Effect — wetland type condition metric (skip for all marshes and Estuarine Woody Wetland)
May involve a GIS effort with field adjustment. Estimate distance from wetland type boundary to artificial edges. Artificial edges include
non -forested areas >_ 40 feet wide such as fields, development, roads, regularly maintained utility line corridors, and clear -cuts. Consider
the eight main points of the compass. Artificial edge occurs within 150 feet in how many directions? If the assessment area is clear cut,
select option "C."
❑A 0
❑ B 1 to 4
®C 5to8
15. Vegetative Composition — assessment area condition metric (skip for all marshes and Pine Flat)
❑A Vegetation is close to reference condition in species present and their proportions. Lower strata composed of appropriate
species, with exotic plants absent or sparse within the assessment area.
®B Vegetation is different from reference condition in species diversity or proportions, but still largely composed of native species
characteristic of the wetland type. This may include communities of weedy native species that develop after clearcutting or clearing.
It also includes communities with exotics present, but not dominant, over a large portion of the expected strata.
❑C Vegetation severely altered from reference in composition, or expected species are unnaturally absent (planted stands of non -
characteristic species or at least one stratum inappropriately composed of a single species), or exotic species are dominant in at
least one stratum.
16. Vegetative Diversity — assessment area condition metric (evaluate for Non -tidal Freshwater Marsh only)
❑A Vegetation diversity is high and is composed primarily of native species (< 10% cover of exotics).
❑B Vegetation diversity is low or has > 10% to 50% cover of exotics.
❑C Vegetation is dominated by exotic species (> 50 % cover of exotics).

17. Vegetative Structure — assessment area/wetland type condition metric
17a. Is vegetation present?
®Yes ❑No If Yes, continue to 17b. If No, skip to Metric 18.
17b. Evaluate percent coverage of assessment area vegetation for all marshes only. Skip to 17c for non -marsh wetlands.
❑A >_ 25% coverage of vegetation
❑B < 25% coverage of vegetation
17c. Check a box in each column for each stratum. Evaluate this portion of the metric for non -marsh wetlands. Consider
structure in airspace above the assessment area (AA) and the wetland type (WT) separately.
AA WT
o ❑A ❑A Canopy closed, or nearly closed, with natural gaps associated with natural processes
❑B ❑B Canopy present, but opened more than natural gaps
U ®C ®C Canopy sparse or absent
>,
o ❑A
❑A
Dense mid-story/sapling layer
❑B
❑B
Moderate density mid-story/sapling layer
®C
®C
Mid-story/sapling layer sparse or absent
❑A
❑A
Dense shrub layer
1= ®B
®B
Moderate density shrub layer
U) ❑C
❑C
Shrub layer sparse or absent
.0 ❑A
❑A
Dense herb layer
_ ®B
®B
Moderate density herb layer
❑C
❑C
Herb layer sparse or absent
18. Snags — wetland type condition metric (skip for all marshes)
❑A Large snags (more than one) are visible (> 12 inches DBH, or large relative to species present and landscape stability).
®B Not
19. Diameter Class Distribution — wetland type condition metric (skip for all marshes)
❑A Majority of canopy trees have stems > 6 inches in diameter at breast height (DBH); many large trees (> 12 inches DBH) are
present.
❑B Majority of canopy trees have stems between 6 and 12 inches DBH, few are > 12 inch DBH.
®C Majority of canopy trees are < 6 inches DBH or no trees.
20. Large Woody Debris — wetland type condition metric (skip for all marshes)
Include both natural debris and man -placed natural debris.
❑A Large logs (more than one) are visible (> 12 inches in diameter, or large relative to species present and landscape stability).
®B Not
21. Vegetation/Open Water Dispersion — wetland type/open water condition metric (evaluate for Non -Tidal Freshwater Marsh only)
Select the figure that best describes the amount of interspersion between vegetation and open water in the growing season. Patterned
areas indicate vegetated areas, while solid white areas indicate open water.
❑A ❑B ❑C ®D
611
22. Hydrologic Connectivity — assessment area condition metric (evaluate for riparian wetlands and Salt/Brackish Marsh only)
Examples of activities that may severely alter hydrologic connectivity include intensive ditching, fill, sedimentation, channelization, diversion,
man-made berms, beaver dams, and stream incision. Documentation required if evaluated as B, C, or D.
®A Overbank and overland flow are not severely altered in the assessment area.
❑B Overbank flow is severely altered in the assessment area.
❑C Overland flow is severely altered in the assessment area.
❑D Both overbank and overland flow are severely altered in the assessment area.
Notes
This form represents Wetland W3, which is located between two larger unnamed tributaries to Rock Creek. It is on the upstream side of Bethel
Church Road and is essentially confined to a roadside ditch.

NC WAM Wetland Rating Sheet
Accompanies User Manual Version 5.0
Wetland Site Name W3 Date of Assessment 11/4/2021
Nathan Howell - Three
Wetland Type Floodplain Pool Assessor Name/Organization Oaks Eng.
Notes on Field Assessment Form (Y/N) YES
Presence of regulatory considerations (Y/N) NO
Wetland is intensively managed (Y/N) YES
Assessment area is located within 50 feet of a natural tributary or other open water (Y/N) NO
Assessment area is substantially altered by beaver (Y/N) NO
Assessment area experiences overbank flooding during normal rainfall conditions (Y/N) NO
Assessment area is on a coastal island (Y/N) NO
Sub -function Ratina Summa
Function Sub -function Metrics Rating
Hydrology Surface Storage and Retention Condition LOW
Sub -surface Storage and
Retention Condition NA
Water Quality Pathogen Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence (Y/N)
NO
Particulate Change
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence (Y/N)
YES
Soluble Change
Condition
MEDIUM
Condition/Opportunity
HIGH
Opportunity Presence (Y/N)
YES
Physical Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Pollution Change
Condition
NA
Condition/Opportunity
NA
Opportunity Presence (Y/N)
NA
Habitat Physical Structure
Condition
LOW
Landscape Patch Structure
Condition
LOW
Vegetation Composition
Condition
MEDIUM
Function Ratina Summa
Function
Metrics
Rating
Hydrology
Condition
LOW
Water Quality
Condition
HIGH
Condition/Opportunity
HIGH
Opportunity Presence (Y/N)
YES
Habitat
Condition
LOW
Overall Wetland Rating LOW

0
Appendix C
ORM Data Entry Form
JD Request Form
PJD Form
Agent Authorization Form
ORM Waters Upload Sheet
Three Oaks Engineering threeoaksengineering.com

Preliminary ORM Data Entry Fields for New Actions
SAW — 202 -
BEGIN DATE [Received Date]:
Prepare file folder
1. Project Name [PCN Form A2a]: Knox and Bethel Church Road Water Line Improvements
2. Work Type: Private ❑ Institutional ❑ Government � Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
Water Line Improvements from SR 2752 (Bethel Church Road) at Peeden Drive to SR 2814 (Knox Road) at US
70 (Burlington Road)
4. Property Owner / Applicant [PCN Form A3 or A4]: Multiple Owners/City of Greensboro, ATTN: Shane Messer
5. Agent / Consultant [PCN Form A5 — or ORM Consultant ID Number]: Nathan Howell - Three Oaks Eng.
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form 131b]:
36.088177,-79.630623
8. Project Location -Tax Parcel ID [PCN Form 131a]: Multiple PIN's
9. Project Location — County [PCN Form A2b]: Guilford
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: MCLeansvllle/Glbsonvllle
11. Project Information — Nearest Waterbody [PCN Form 132a]: Rock Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03030002
Authorization: Section 10 ❑ Section 404 ❑E Section 10 & 404
Regulatory Action Type:
E
Standard Permit
Nationwide Permit #
❑ Regional General Permit #
0 Jurisdictional Determination Request
❑Pre -Application Request
Unauthorized Activity
0 Compliance
❑ No Permit Required
Revised 20150602

urisdictional Determination Reauest
US Army Corps
of Engineers
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www. saw.usace.army.mil/Missions/RegulatoryPermitProgram/Contact/CountyLocator. aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
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 also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

A.
B.
C.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: SR 2752 (Bethel Church Road) at Peeden Drive to SR 2814 (Knox Road) at US 70 (Burlington Road)
City, State:
County:
McLeansville/Gibsonville, NC
Guilford
Parcel Index Number(s) (PIN): Multiple P I N's
REQUESTOR INFORMATION
Name: Nathan Howell
Mailing Address: 324 Blackwell St, Suite 1200
Durham, NC 27701
Telephone Number: 919-732-1300
Electronic Mail Address: [e-mail]
Select one:
EI am the current property owner.
aI am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
1-1 Other, please explain.
PROPERTY OWNER INFORMATION'
Name: City of Greensboro, ATTN: Shane Messer
Mailing Address: Water Resources Department
Telephone Number:
2602 S. Elm -Eugene St., Greensboro, NC 27406
[phone]
Electronic Mail Address: [e-mail]
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I 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, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Nathan Howell
Print Name
Capacity: ❑ Owner ❑✓ Authorized Agent'
March 2, 2022
Date Electronically signed by:
n% 1
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑✓ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
I intend to construct/develop a projector perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 16.87 acres.
❑ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
Longitude
36.088177
-79.630623
0 A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than I Ix17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
✓❑ Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
✓❑ Vicinity Map
✓❑ Aerial Photograph
lv USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
7 NCWAM and/or NCWAM Assessment Forms and Rating Sheets
❑ NC Division of Water Resources Stream Identification Forms
❑ Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/re ug latorregdocs/JD/RGL_08-02_App A Prelim_ JD_ Form_fillable.pdf
' Please see hlW://www.saw.usace.g.M.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Nathan Howell, 324 Blackwell St, Suite 1200, Durham, NC 27701
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Guilford City: McLeansville/Gibsonville
Center coordinates of site (lat/long in degree decimal format):
Lat.: 36.088177 Long.:-79.630623
Universal Transverse Mercator: 17
Name of nearest waterbody: Rock Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
See
Attached
List

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

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
❑■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Vicinity Map, Topo Map, Aerial Map, LiDAR Map
❑E Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
❑■ U.S. Geological Survey map(s). Cite scale & quad name:
1:24,000 1977 McLeansville, NC
1-24,000 1994 Gibsonville, NC
❑■ Natural Resources Conservation Service Soil Survey. Citation: 1977 Guilford County Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929)
❑■ Photographs: ❑■ Aerial (Name & Date): NCOneMap Orthoimagery
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Electronically signed by:
3/2/2022
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

ardin Code I HGM_Code
S1
NORTH CAROLINA
R3UB RIVERINE
S2
NORTH CAROLINA
R3UB RIVERINE
S3
NORTH CAROLINA
R3UB RIVERINE
W1
NORTH CAROLINA
PEM RIVERINE
W2
NORTH CAROLINA
PEM RIVERINE
W3
Meas
MEMEMMipte
Local Waterway
Linear
18 FOOT
DELINEATE
36.089093
-79.637508 Rock Creek
Linear
17 FOOT
DELINEATE
36.090679
-79.62135 Rock Creek
Linear
4 FOOT
DELINEATE
36.090815
-79.62016 Rock Creek
Area
0.0028 ACRE
DELINEATE
36.089057
-79.637509 Rock Creek
Area
0.0001 ACRE
DELINEATE
36.090497
-79.622534 Rock Creek
Area
0.0192 ACRE
DELINEATE
36.090729
-79.620943 Rock Creek

AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. PLAN NO.
PARCEL ID: Multiple
STREET ADDRESS: From SR 2752 (Bethel Church Road) at Peeden Drive
to SR 2814 (Knox Road) at US 70 (Burlington Road), near Gibsonville/McLeansville
Please print: City of Greensboro, ATTN: Shane Messer
Property Owner:
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Nathan Howell , of
(Contractor / Agent)
Three Oaks Engineering
(Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
City of Greensboro, Water Resources Dept., 2602 S. Elm -Eugene St., Greensboro, NC 27406
Telephone:
[phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
shane messer =7
Authorized Signature
Date: 2-22-22
Electronically signed by:
Authorized Signature
Date: 12/17/2021