20150392 Ver 1_401 Application_20150415

L r Le r
2
ClearWater Environmental Consultants, Inc
www.cwenv.com
April 20, 2015
Mr. David Brown ���
US Army Corps of Engineers
Asheville Regulatory Field Office DD
151 Patton Avenue, Room 208
Asheville, North Carolina 28801 -2638
Ms Karen Higgins
NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street, 9'h Floor
Raleigh, North Carolina 27604 a V �
RE: Mill Pond Sewer Line ( +/ -5.2 miles) V
Nationwide Permit 12 Application APR 2 3 2015
Henderson County, North Carolina
Dear Mr. Brown and Ms Higgins,
The attached Pre - Construction Notification (PCN) is being submitted on behalf of Henderson
County represented by Mr. Marcus Jones. The protect site is located along NC -191 and North
Rugby Road between Levi Lane and Butler Bridge Road in Henderson County, North Carolina
Please do not hesitate to contact me at 828 - 698 -9800 if you have any questions or comments
regarding the enclosed PCN. A copy of this package has been sent to Ms Andrea Leslie of the
NC Wildlife Resources Commission and Mr Bryan Tompkins of the US Fish and Wildlife
Service for review A copy of this application has also been submitted to Mr Zan Price of the
NC Division of Water Resources, Asheville Regional Office.
Respectfully,
Kevm Mitchell R Cement Riddle, P W S
Biologist Principal
Copy Furnished.
NC Division of Water Resources, Asheville — Zan Price
NC Wildlife Resources Commission — Andrea Leslie
US Fish and Wildlife Service — Bryan Tompkins
224 South Grove Street, Suite F
Hendersonville, NC 28792
828 - 698 -9800 Tel
828 - 698 -9003 Fax

Corps Submittal Cover Sheet
Please provide the following info
1 Project Name- Mill Pond Sewer Line
2. Name of Property Owner /Applicant: Henderson County, Attn: Marcus Jones
3 Name of Consultant/Agent. C1earWater Environmental Consultants, Inc.
*Agent authorization needs to be attached.
4. Related/previous Action ID numbers(s)- N/A
5 Site Address. NC- 191and North Rugby Road
6 Subdivision Name: n/a
7. City- Hendersonville
8. County Henderson
9 Lat: 35.356425 N Long: - 82.509805W (Decimal Degrees Please)
10. Quadrangle Name: Horse Shoe & Skyland
11 Waterway: Mill Pond Creek and Unnamed Tributaries, Mud Creek and Unnamed
Tributaries, Unnamed Tributaries to French Broad
12 Watershed- Upper French Broad 06010105
13 Requested Action.
X Nationwide Permit #12
General Permit #
Jurisdictional Determination Request
Pre - Application Request
The following information will be completed by the Corps office:
AID:
Prepare File Folder Assign number in ORM Begin Date
Authorization: Section 10 Section 404
Project Description/Nature of Activity/Project Purpose:
Site/Waters Name:
Keywords:

&earW.
Department of the Army NCDENR
Wilmington District, Corps of Engineers NC DWR, Webscape Unit
Attn: Scott McLendon, Chief Regulatory Division Attn Karen Higgins
PO Box 1890 512 North Salisbury Street
Wilmington, NC 28402 -1890 Raleigh, North Carolina 27604
1, the current landowner /managing partner of the property identified below, hereby
authorize Clear-Water Environmental Consultants, Inc. (CEC) to act on my behalf as my
agent during the processing of, jurisdictional determination requests and permits to impact
Wetlands and Water of the US subject to Federal .jurisdiction under Section 404 of the
Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. CEC is
authorized to provide supplemental information as needed at the request of the USACE
or DWR.
Additionally, I authorize representatives of the Wilmington District, US Army Corps of
Engineers to enter upon the property herein described for the purposes of conducting on-
site investigations and issuing a determination associated with Wetlands and Waters of
the US subject to Federal ,jurisdiction under Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act of 1899.
Property Owner of Record.
County of Henderson
Property Owner of Address.
1 Historic Courthouse Square
Hendersonville, NC 28792
Phone Number
828 694 -6560
Property Location.
Sewer Easements along NC 191
Owner/Managing Partner
Printed Name
Marcus A. Jones, PE
Owner/Managing Partner Signature:
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Date
March 23, 2015
224 South Grove Street, Suite F
Hendersonville, NC 28792
Phone 828 - 698 -9800
www cwenv corn

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Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Pre - Construction Notification PC Form
A. Applicant Information
1. Processing
la Type(s) of approval sought from the
Corps
®Section 404 Permit El Section 10 Permit
lb Specify Nationwide Permit (NWP) number 12 or General Permit (GP) number
1c Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
ld Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authonzation
le Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ® No
1f Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program
❑ Yes
® No
1g Is the project located in any of NC's twenty coastal counties If yes, answer lh
below
❑ Yes
® No
1h Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project
Mill Pond Sewer Line
2b. County,
Henderson
2c Nearest municipality / town
Hendersonville
2d. Subdivision name.
N/A
2e. NCDOT only, T I.P. or state
project no*
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Henderson County Sewer Line Right of Way
3b Deed Book and Page No
3c Responsible Party (for LLC if
applicable)
3d Street address
3e. City, state, zip.
3f. Telephone no.
3g. Fax no.
3h Email address-
Page 1 of 12
PCN Form — Version 1 3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ® Other, specify Henderson County, Utility Easement Holder
4b
Name
Mr Marcus Jones
4c
Business name
(if applicable)
Henderson County
4d
Street address
1 Historic Courthouse Square
4e. City, state, zip
Hendersonville, NC 28792
4f
Telephone no
828 - 694 -6560
4g. Fax no
N/A
4h
Email address.
N/A
5.
Agent/Consultant Information (if applicable)
5a
Name
R Clement Riddle
5b. Business name
(if applicable)
ClearWater Environmental Consultants, Inc
5c. Street address
224 South Grove Street, Suite F
5d
City, state, zip
Hendersonville, North Carolina 28792
5e
Telephone no
828 -698 -9800
5f
Fax no
n/a
5g
Email address.
clement @cwenv com
Page 2 of 12
PCN Form — Version 1 3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a Property identification no (tax PIN or parcel ID)
Henderson County Sewer Line Right of Way
1 b Site coordinates (in decimal degrees)
Latitude 35 356425 N Longitude -82 509805W
(DD DDDDDD) ( -DD DDDDDD)
1c Property size:
+/_ 12 6 Acres
2. Surface Waters
2a Name of nearest body of water (stream, river, etc ) to
Mill Pond Creek and Unnamed Tributaries, Mud Creek
proposed project-
and Unnamed Tributaries, Unnamed Tributaries to
French Broad
2b Water Quality Classification of nearest receiving water
Mill Pond Creek =WS IV, Mud Creek = C, UT French
Broad = WS -IV,B, CA, UT French Broad = WS -IV, B
2c River basin- Upper French Broad 06010105
3. Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Residential and commercial dwellings, as well as, agricultural fields are included in the vicinity of the proposed sewer line
3b List the total estimated acreage of all existing wetlands on the property
Approximately 0.01 acres in the project area
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property-
Approximately 300 linear feet in the protect area
3d Explain the purpose of the proposed project
The purpose of the project is to provide a sewer line that will serve the existing residents, businesses, and schools along
NC Highway 191 and North Rugby Road
3e Describe the overall project in detail, including the type of equipment to be used.
The project includes the installation of anew sewer line paralleling NC Hwy. 191 and North Rugby Road Typical
construction and earth moving equipment will be used (i a backhoe) The line will loin an existing sewer line on North
Rugby Road north of Mud Creek The project will include 15 temporary stream crossings and 1 temporary linear wetland
crossing
4. Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
❑ Yes ® No ❑ Unknown
Comments-
4b If the Corps made the jurisdictional determination, what type
❑ Preliminary ❑ Final
of determination was made?
4c If yes, who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known)
Other
4d If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
5. Project History
5a Have permits or certifications been requested or obtained for
El Yes No El Unknown
this project (including all prior phases) in the past?
5b If yes, explain in detail according to "help file" instructions
Page 3 of 12
PCN Form — Version 1 3 December 10, 2008 Version

6. Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b If yes, explain
C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your protect (check all that apply)
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
Page 4 of 12
PCN Form — Version 1 3 December 10, 2008 Version

2 Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Welland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
1 ❑ P ®T
Impact1 — Utility
Herbaceous
❑ Yes
® Corps
01
Crossing
® No
® DWQ
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
01
2h Comments
3 Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404,
width
(linear
Temporary (T)
(INT)
other)
(feet)
feet)
2 ❑ P ®T
Impact 2 — Utility
Crossing
UT French Broad
® PER
❑ INT
® Corps
® DWQ
20
3 ❑ P ®T
Impact 3 — Utility
Crossing
UT French Broad
® PER
❑ INT
® Corps
® DWQ
20
4 ❑ P ®T
Impact 4 — Utility
UT French Broad
® PER
® Corps
20
Crossing
❑ INT
® DWQ
5 ❑ P ®T
Impact 5 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
6 []POT
Impact 6 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
El INT
® DWQ
7 ❑ P ®T
Impact 7 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
8 ❑ P ®T
Impact 8 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
9 ❑ P ®T
Impact 9 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
10 ❑ POT
Impact 10 — Utility
Mill Pond Creek
® PER
® Corps
20
Crossing
❑ INT
® DWQ
11 ❑ P ® T
Impact 11 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
12 []POT
Impact 12 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
13 ❑ P ® T
Impact 13 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
14 ❑P ®T
Impact 14 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
15 ❑P ®T
Impact 15 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑ INT
® DWQ
16 ❑P ®T
Impact 16 — Utility
UT Mill Pond
® PER
® Corps
20
Crossing
Creek
❑INT
®DWQ
Page 5 of 12
PCN Form — Version 1 3 December 10, 2008 Version

3h Total stream and tributary impacts
300
31 Comments All impacts are temporary
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U S then individually list all open water impacts below
4a
Open water
impact number —
Permanent (P) or
Temporary T
4b
Name of waterbody
(if applicable)
4c
Type of impact
4d
Waterbody type
4e
Area of impact (acres)
01 ❑P ❑T
02 ❑P ❑T
03 ❑P❑T
04 ❑P ❑T
4f. Total open water impacts
4g Comments
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below
5a
Pond ID
number
5b
Proposed use or purpose
of pond
5c
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g Comments:
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes, permit ID no
51 Expected pond surface area (acres)
51 Size of pond watershed (acres)
5k Method of construction
Page 6 of 12
PCN Form — Version 1 3 December 10, 2008 Version

6 Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below If yes, then individually list all buffer impacts
below If any impacts require mitigation, then you MUST fill out Section D of this form
6a
❑ Neuse ❑ Tar - Pamlico ❑ Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number —
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
131 ❑ PEI T
❑Yes
❑ No
B2 ❑ P ❑ T
❑ Yes
❑ No
B3 ❑P ❑T
El Yes
❑ No
6h Total buffer impacts
61 Comments.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
la Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The sewer line will be placed beneath the streams and wetlands The line will be trenched in and contours will be returned to
preexisting conditions Impacts are limited to the amount necessary to install the line
1b Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Construction equipment will be operated from high ground during construction The sewer line will be placed beneath the
streams and wetlands The line will be trenched in and contours will be returned to preexisting conditions Impacts are limited
to the amount necessary to install the line (20 Linear feet at each crossing) The installation of the proposed sewer line
crossing should take less than one day to install at each crossing
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U S or Waters of the State?
2b If yes, mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
❑ Mitigation bank
2c If yes, which mitigation option will be used for this
❑ Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
Page 7 of 12
PCN Form — Version 1 3 December 10, 2008 Version

3c Comments
4. Complete if Making a Payment to In -lieu Fee Program
4a Approval letter from in -lieu fee program is attached
❑ Yes
4b Stream mitigation requested
linear feet
4c If using stream mitigation, stream temperature
❑ warm ❑ cool ❑cold
4d Buffer mitigation requested (DWQ only)
square feet
4e Riparian wetland mitigation requested
acres
4f Non - npanan wetland mitigation requested
acres
4g Coastal (tidal) wetland mitigation requested
acres
4h Comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan
6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required:
6g If buffer mitigation is required, discuss what type of mitigation is proposed (e g , payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund)
6h Comments
Page 8 of 12
PCN Form — Version 1 3 December 10, 2008 Version

E Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
la Does the project include or is it adjacent to protected riparian buffers identified
El Yes No
within one of the INC Riparian Buffer Protection Rules
lb If yes, then is a diffuse flow plan included? If no, explain why
Comments
El Yes ❑ No
2. Stormwater Management Plan
2a What is the overall percent imperviousness of this project?
0%
2b Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c If this project DOES NOT require a Stormwater Management Plan, explain why The project includes the installation of a
sewer line and will not increase impervious surface area at the site
2d if this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan
❑ Certified Local Government
2e Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a In which local government's jurisdiction is this project7
❑ Phase II
3b Which of the following locally - implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
4a. Which of the following state - implemented stormwater management programs apply
❑ HQW
❑ ORW
(check all that apply):
❑ Session Law 2006 -246
❑ Other
4b Has the approved Stormwater Management Plan with proof of approval been
attached'
❑ Yes ❑ No
5. DWQ 401 Unit Stormwater Review
5a Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 12
PCN Form — Version 1 3 December 10, 2008 Version

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a Does the protect involve an expenditure of public (federal /state /local) funds or the
® Yes ❑ No
use of public (federal /state) land?
lb If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1c If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter )
❑ Yes ❑ No
Comments
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500), Isolated
Wetland Rules (15A NCAC 2H 1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 213 0200)?
2b Is this an after - the -fact permit application?
❑ Yes ® No
2c If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s)
3. Cumulative Impacts (DWQ Requirement)
3a Will this project (based on past and reasonably anticipated future impacts) result in
El Yes No
additional development, which could impact nearby downstream water quality?
3b If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWO policy If you answered "no," provide a short narrative description
The sewer line will serve the existing residents and schools along NC Highway 191 and North Rugby Road Additional
development in the surrounding area is independent of the project. The project will not result in additional development
that could impact downstream water quality
4. Sewage Disposal (DWQ Requirement)
4a Clearly detail the ultimate treatment methods and disposition (non - discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility
Wastewater will not be generated as a result of this project
Page 10 of 12
PCN Form — Version 1 3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes, indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
USFWS County data and Natural Heritage Program (NHP) data The NHP data indicates a historical occurrence of the
mountain sweet pitcherplant (Saracemajonesn) within the eastern extent of the project area on Stoney Mountain Drive
NHP data indicated that searches in 1987 were unsuccessful in locating mountain sweet pitcher plant due to the draining of
the bog Mountain sweet pitcher plant occurs in mountain bogs or other weltand habitats Suitable habitat does not exist
within the project site It is the opinion of CEC that the proposed project is not likely to adversely affect the mountain
sweet pitcher plant
6. Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
South Atlantic Habitat and Ecosystem IMS Impact will not occur in a marine system
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
®Yes E:1 No
status (e.g , National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
National Register of Historic Places records maintained by the NC State Historic Preservation Office (SHPO) and
available on SHPO's HPOWEB GIS Service The Moss - Johnson Farm (HPO Site ID HN0043) is located approximately
600 feet north of the proposed sewer line across NC Hwy 191 The Merchant - Goodson House (HPO Site ID HN0239) is
located approximately 1 1 miles east of the project It is the opinion of CEC that the proposed project will not threaten the
Integrity of these sites
B. Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA- designated 100 -year floodplain?
® Yes ❑ No
8b If yes, explain how project meets FEMA requirements The sewer line will be sub - surface and upon completion of
construction, contours will be returned to pre - existing conditions throughout the length of the floodplain. Installation of the
line will not result in a rise to the floodplain elevation.
8c What source(s) did you use to make the floodplain determination? FEMA Map Service Center Map Panel 3700965000.1,
3700964000J, 3700964100J, and 37009651 00) (effective date 10/2/2008)
Page 11 of 12
PCN Form — Version 1 3 December 10, 2008 Version

R Clement Riddle
at
Applicant/Agent's Panted Name ApplicanUAgent's Signure
(Agent's signature is valid only if an authorization letter from the applicant
Is provided )
t/ Zd -&S­�
Date
Page 12 of 12
PCN Form — Version 1 3 December 10, 2008 Version

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HeodemonvOle, North Cnulioe 28792
Site Vicinity
Figure 1

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Proposed Sewer Alignment
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Quads Henderson County, QJV_ku Skyland & Horse Shoe
North Carolina 224 South Grove Street, Suite F
Hendersonville, North Carolina 28792 Figure 2

Figure 3
Impact Maps /Site Plans

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Henderson County, CLear%tter Impact Map Overview
North Carolina
224 South Grove Street, Suite F Figure 3A
Hendersonville, North Carolina 28792

Mill Pond Sewer Line ( +I- 5.2 Miles)

Mill Pond Sewer Line ( +/- 5.2 Miles)
Legend
i
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% I.
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0 62.5 125 250
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224 South Grove Street, Suite F
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Figure 3C

Mill Pond Sewer Line ( +/- 5.2 Miles)
Impact 3
20 LF
Legend
Linear Wetland
Culvert
Stream
Proposed Sewer 2015
Henderson County, CLearWater Impact Map
North Carolina
224 South Grove Street, Suite I' Figure 3D
I lendersonville, North Carolina 28792

Mill Pond Sewer Line ( +/- 5.2 Miles)
Legend
Linear Wetland
- Culvert
Stream
�= Proposed Sewer 2015
a
Impact 5
20 LF
0 62.5 125 250
Henderson County, CLearWater Impact Map
North Carolina
224 South Grove Street, Suiic F Figure 3E
I lendersonville, North Carolina 28792

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♦ q�e ,r
♦
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N
it
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Henderson County, CLearWaEer
North Carolina
224 South Grove Street, Suite F
Hcndcrsonville, North Carolina 28792
Impact Map
Figure 3F

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Legend
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�= Proposed Sewer 2015
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yr1��
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Henderson County, CLearWater Impact Map
North Carolina
224 South Grove SUM, Suite F Figure 3G
Hendersonville, North Carolina 28792

Mill Pond Sewer Line ( +/- 5.2 Miles)
Impact 8
20 LF
e
ud�
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Legend
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Culvert
Stream
Proposed Sewer 2015
4.15.1 887
Henderson County,
North Carolina
Impact 10
20 LF
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I
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F act 9 LF
N
0 62.5 125 250
Feet
224 South Grove Street, Suite F
Hendersonville, North Carolina 28792
Impact Map
Figure 3H

Mill Pond Sewer Line ( +/- 5.2 Miles)
W-0 I
Impact 11
20 LF
Impact 12
20 LF
, - 7- M
A'
Legend _
N
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0 62.5 125 250
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Diewn by: 4.16.1
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Henderson County, CLWOter Impact Map
North Carolina
224 Soulh Grove Strccr, 5uile F Figure 31
Hendersonville, North Carolina 28792

Impact 13
20 LF
Now.
Mill Pond Sewer Line ( +/- 5.2 Miles)
a
Henderson County, CLearWater Impact Map
North Carolina
224 South Grove Street, Suite F Figure 3J
Hendersonville, North Carolina 28792

Mill Pond Sewer Line (+/- 5.2 Miles)
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0 62.5 125 250
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Feet
Drawn by: 4.16.16 RKM; CECWiWqct# 097
Henderson County, CLear\Nater Impact Map
North Carolina
224 South Grove Simi, Suite F Figure 3K
I lendersonville, Norlh Carolina 28792

Mill Pond Sewer Line ( +/- 5.2 Miles)
Impact 16
20 LF
r�
r;—
r
.r r
y st
r
4
Legend
N
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Culvert
Stream
0 62.5 125 250
ry
T� Proposed Sewer 2015 Feet
Drawn :1.1 .1 is ecee tie
Henderson County, CLearWater Impact Map
North Carolina
224 South Grove Street, Suite F Figure 3L
Hendersonville, North Carolina 28792

GRASSED SLOPE
CLASS B
R 1
IP RAP
TYPICAL HIGH WATER DEPTH
.12" — 18" 1
EAM BED
EXTEND RIP RAP A MIN, OF
6" BELOW STREAM BED.
2 1 o XISTING
N N PROFILE
0 w it
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PROPOS
PROFILE
RIP RAP do 6 " +/— NATURAL STREAM
FILTER FABRIC DEPTH VARIES SUBSTRATE PLACED ON TOP OF
ON STREAM BANKS 1 RIP RAP IN CENTER OF CHANNEL
PROPOSED UTILITY
PIPE LINE
STREAM CROSSING DETAIL Preliminary
Not for Construction
WGLA Engineering, PLLC Scream Bank Scabilb2don
CONSULTING ENGINMS $ LAND PLANNERS MILL POND CREEK $ Crossing Detail
NC License No: P -1342 SANITARY SEWER FIGURE 3.1
214 N. King Sweet HENDERSON COUNTY #, 12158
Hendersonville, NC 28792 job
[phone] NORTH CAROLINA Dace: 4/02/15
wglaxom Scale: NTS

Mill Pond Sewer Line (+/- 5.2 Miles)
aye
: A.-
�q
A
Legend
Sewer Alignment
Soils C-
BaB - Bradson
Co - Codorus
Cu - Comus
DeA; Deb - Delanco (Dillard)
Sao N
HyB; HyC; HyE - Hayesville
NYC,
Ilk
TeB- TeC - Tate
To - Toxawayrb J
0 750 1,500 3,000
W - Water Fee t
Dmwn by, RM 4.14.16; CEC Projectill 697
Henderson County, CLear\Nater USDA Soils Map
North Carolina 224 South Grove Street, Suite F Figure 4
Hendersonville, North Carolina 28792

Mill Pond Sewer Line ( +/- 5.2 Miles)
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Henderson County,
North •
224 South Grove Street, Suite F
liendWonville, North Carolina 28792

Mill Pond Sewer Line ( +/- 5.2 Miles)

Jurisdictional Determination Information

'0
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=--=m= Proposed Sewer 2015 ENEMni Feet
Drawn by. RKM 3.31.15; CEC Project #697
Henderson County,
North Carolina
Qtr /�
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224 South Grove Street, Suite F
Hendersonville, North Carolina 28792
.Matsdiebanal wetands and walm ldenatsd on W a map haw bean located WtM Sub -meler no q
ulitlaing a Trimbe mapping grade GbbN PaMoring System (GPS) and the wbsequenl dMNnrWal
eonadlont of that data. GPS P� may demonstrate whcortadaMe errors due to topography. vegetative
Cover, andfor multpath signal strm.
f`
— ot,rr,�n C1 81 y d (CEC) fi r our ahave not �thue veyed.. C a EC wj l: tM osuna 4.
r agency that
ran matte trnl dedabns raparmntg juriadcionN wetland and waters d the L1S dNkheatons Tlheraftxe, NI
pratmirrary dalamr$hNterts w subJeet b t3rrhpe uMt wrtderr verMraton la oblashad. CEC atrorhgly
�� rammmarhds trot wridsrh wdtcaton be obtained kom M Cory$ pdm b dosing an the gopsM. beglmirp Qt
All any silo work, or maidng any No relianw on rds determination d
a
mt+ This map was prepared by CEC using the best Irdormation avatable to CEC at the time of production. `.O
This map Is for bbrmodonet purposes only and should not be used to determine prods* boundaries. 7
roadway$, properly boundary linos, nor legal descriptions This map shall not be Conabued to be an
official survey of any data depicted.
Source OW: Togo data Is from Henderson County WGLA Englnoering Q• o Ck `
BostWIC ':�
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all o
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aearWater
224 South Grove Street, Suite F
Hendersonville, North Carolina 28792
.Matsdiebanal wetands and walm ldenatsd on W a map haw bean located WtM Sub -meler no q
ulitlaing a Trimbe mapping grade GbbN PaMoring System (GPS) and the wbsequenl dMNnrWal
eonadlont of that data. GPS P� may demonstrate whcortadaMe errors due to topography. vegetative
Cover, andfor multpath signal strm.
f`
— ot,rr,�n C1 81 y d (CEC) fi r our ahave not �thue veyed.. C a EC wj l: tM osuna 4.
r agency that
ran matte trnl dedabns raparmntg juriadcionN wetland and waters d the L1S dNkheatons Tlheraftxe, NI
pratmirrary dalamr$hNterts w subJeet b t3rrhpe uMt wrtderr verMraton la oblashad. CEC atrorhgly
�� rammmarhds trot wridsrh wdtcaton be obtained kom M Cory$ pdm b dosing an the gopsM. beglmirp Qt
All any silo work, or maidng any No relianw on rds determination d
a
mt+ This map was prepared by CEC using the best Irdormation avatable to CEC at the time of production. `.O
This map Is for bbrmodonet purposes only and should not be used to determine prods* boundaries. 7
roadway$, properly boundary linos, nor legal descriptions This map shall not be Conabued to be an
official survey of any data depicted.
Source OW: Togo data Is from Henderson County WGLA Englnoering Q• o Ck `
BostWIC ':�
_ o
0
c
JO d
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Stream & Wetland Delineation Map
Delineated March 2015
Figure 7

APPROVED JURISDICTIONAL DETERMINATION FORM
U S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION 1: BACKGROUND INFORMATION
A REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)-
B. DISTRICT OFFICE, FiLE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State NC County /pansh/borough Henderson City
Center coordinates of site (lat / long in degree decimal format) Lat 35 356425 ° N, Long -82 509805',W,
Universal Transverse Mercator NAD 83
Name of nearest waterbody Mill Pond Creek and Unnamed Tributaries
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows French Broad
Name of watershed or Hydrologic Unit Code (HUC) Upper French Broad 06010105
® Check if map /diagram of review area and/or potential Jurisdictional areas is /are available upon request
Q Check if other sites (e g, offsite mitigation sites. disposal sites etc ) are associated with this action and are recorded on a
different JD form
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
® Office (Desk) Determination Date
® Field Determination Date(s)
SECTION Ii: SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION.
There = "navigable waters of the US" within Rivers and Harbors Act (RHA) Jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
® Waters subject to the ebb and flow of the tide
® Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce
Explain
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There _A�t`'e "waters of the US" within Clean Water Act (CWA) Jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1 Waters of the U.S.
a. Indicate presence of waters of U.S in review area (check all that apply). i
® TNWs, including territorial seas
Wetlands adjacent to TNWs
® Relatively permanent waters' (RPWs) that flow directly or indirectly into TNWs
® Non -RPWs that flow directly or indirectly into TNWs
® Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
® Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
® Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs
® Impoundments of junsdictional waters
® Isolated (interstate or intrastate) waters, including isolated wetlands
b Identify (estimate) size of waters of the U.S. in the review area-
Non-wetland waters 687 linear feet 3- 8 width (ft) and/or acres
Wetlands acres
c. Limits (boundaries) of jurisdiction based on `bUabed by OHWM.
Elevation of established OHWM (if known)
2. Non- regulated waters/wetlands (check if applicable)?
® Potentially junsdictional waters and /or wetlands were assessed within the review area and determined to be not jurisdictional
Explain
i Boxes checked below shall be supported by completing the appropriate sections to Section Ill below
' For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year -round or has continuous flow at least "seasonally"
(e g, typically 3 months)
Supporting documentation is presented in Section ill F

SECTION 111: CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW, complete
Section I11.A.1 and Section I11.D.1. only, if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A 1 and 2
and Section IILD 1.; otherwise, see Section III.B below
1. TNW
Identify TNW
Summarize rationale supporting determination
Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent'
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non - navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year -round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year -round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III DA.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined In Section 111.0 below.
1. Characteristics of non -TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size 4Llat
Drainage area idrl4fet
Average annual rainfall inches
Average annual snowfall inches
(h) Physical Characteristics:
(a) Relationship with TNW
❑ Tributary flows directly into TNW
❑ Tributary flows through tributaries before entering TNW
Project waters are 1PfikIM! river miles from TNW
Project waters are iikiE at river miles from RPW
Project waters are aLlst aerial (straight) miles from TNW
Project waters are I&V aenal (straight) miles from RPW
Project waters cross or serve as state boundaries Explain
Identify flow route to TNW'
Tributary stream order, if known
'Note that the Instructional Guidebool, contains additional information regarding swales, ditches, washes, and erosional futures generally and to the and
West
' Flow route can be described by identifying, e g, tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW

(b) General Tributary Characteristics (check all that apply)
Tributary is ❑ Natural
❑ Artificial (man -made) Explain
❑ Manipulated (man - altered) Explain
Tributary properties with respect to top of bank (estimate)
Average width feet
Average depth feet
Average side slopes
Primary tributary substrate composition (check all that apply)
❑ Sdts ❑ Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation Type/% cover
❑ Other Explain
Tributary condition/stability [e g, highly eroding, sloughing banks] Explain
Presence of run/nflle/pool complexes Explain
Tributary geometry
Tributary gradient (approximate average slope) %
(c) Flow
Tributary provides for �1LM
Estimate average number of flow events in review area/year , EFEW
Describe flow regime
Other information on duration and volume
Surface flow is 1, . Characteristics
Subsurface flow Explain findings
❑ Dye (or other) test performed
Tributary has (check all that apply)
❑ Bed and banks
❑ OHWM6 (check all indicators that apply)
❑ clear, natural line impressed on the bank
❑
❑ changes in the character of soil
❑
❑ shelving
❑
❑ vegetation matted down, bent, or absent
❑
❑ leaf litter disturbed or washed away
❑
❑ sediment deposition
❑
❑ water staining
❑
❑ other (list)
❑ Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to determ
® High Tide Line indicated by Q
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings /charactensncs
❑ tidal gauges
❑ other (list)
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
ine lateral extent of CWA,lunsdicnon (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum,
❑ physical markings,
❑ vegetation lines/changes in vegetation types
(iii) Chemical Characteristics:
Charactenze tributary (e g , water color is clear, discolored, oily film, water quality, general watershed characteristics, etc )
Explain
Identify specific pollutants, if known
6A natural or man -made discontinuity in the OHWM does not necessarily sever junsdicuon (e g, where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbod)'s flow
regime (e g , flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break
'ibid

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor Characteristics (type, average width)
❑ Wetland fringe Characteristics
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish/spawn areas Explain findings
❑ Other environmentally - sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
2. Characteristics of wetlands adjacent to non -TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Project wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non -TNW
Flow is PIilit Explain
Surface flow is:
Characteristics
Subsurface flow ek List Explain findings
❑ Dye (or other) test performed
(c) Wetland Adiacencv Determination with Non -TNW.
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection Explain
❑ Ecological connection Explain
❑ Separated by bcmvbamer Explain
(d) Proximity (Relationship) to TNW
Project wetlands are MAM river miles from TNW
Project waters are aerial (straight) miles from TNW
Flow is from WList.
Estimate approximate location of wetland as within the � floodplain
(ii) Chemical Characteristics:
Characterize wetland system (e g , water color is clear, brown, oil film on surface, water quality, general watershed
characteristics, etc ) Explain
Identify specific pollutants, if known
(Ill) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer Characteristics (type, average width)
❑ Vegetation type/percent cover Explain
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish/spawn areas Explain findings
❑ Other environmentally - sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis MUM
Approximately ( ) acres in total are being considered in the cumulative analysis

For each wetland, specify the following
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW9
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and hfecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW9
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below -
1. Significant nexus findings for non -RPW that has no adjacent wetlands and flows directly or indirectly into TNWs Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III D
Significant nexus findings for non -RPW and Its adjacent wetlands, where the non -RPW flows directly or indirectly into
TNWs Explain findings of presence or absence of significant nexus below, based on the tributary in combination with ail of its
adjacent wetlands, then go to Section IiI D
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section IiI D
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY)-
TNWs and Adjacent Wetlands. Check all that apply and provide size estimates to review area
® TNWs linear feet width (ft), Or, acres
® Wetlands adjacent to TNWs acres
RPWs that flow directly or indirectly into TNWs.
® Tributaries of TNWs where tributaries typically flow year -round are junsdictional Provide data and rationale indicating that
tributary is perennial Tributaries have strong bed and bank, continous flow, and substrate sorting
® Tributaries of TNW where tributaries have continuous flow "seasonally" (e g typically three months each year) are
,jurisdictional Data supporting this conclusion is provided at Section 111 B Provide rationale indicating that tributary flows
seasonally

Provide estimates forjunsdictional waters in the review area (check all that apply)
® Tributary waters 687 linear feet 3 -8 width (ft)
® Other non - wetland waters acres
Identify type(s) of waters
3. Non -RPWss that flow directly or indirectly into TNWs.
® Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is junsdictional Data supporting this conclusion is provided at Section iIi C
Provide estimates for junsdictional waters within the review area (check all that apply)
Q Tributary waters linear feet width (ft)
19 Other non - wetland waters acres
Identify type(s) of waters
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
® Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
❑ Wetlands directly abutting an RPW where tnbutanes typically flow year -round Provide data and rationale
indicating that tributary is perennial in Section IiI D 2, above Provide rationale indicating that wetland is
directly abutting an RPW
® Wetlands directly abutting an RPW where tributaries typically flow "seasonally " Provide data indicating that tributary is
seasonal in Section 111 B and rationale in Section III D 2, above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates forjunsdictional wetlands in the review area acres
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW arejunsidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for junsdictional wetlands in the review area acres
6 Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs.
® Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section iII C
Provide estimates for junsdictional wetlands in the review area acres
7 Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a junsdictional tributary remains jurisdictional
® Demonstrate that impoundment was created from "waters of the US," or
® Demonstrate that water meets the criteria for one of the categories presented above (1 -6), or
® Demonstrate that water is isolated with a nexus to commerce (see E below)
ISOLATED [INTERSTATE OR INTRA- STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):10
® which are or could be used by interstate or foreign travelers for recreational or other purposes
from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
which are or could be used for industrial purposes by industries in interstate commerce
® interstate isolated waters Explain
® Other factors Explain
Identify water body and summarize rationale supporting determination:
iSee Footnote # 3
9 To complete the analysis refer to the key in Section IIi D 6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
revieN consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Provide estimates for jurisdictional waters in the review area (check all that apply)
Tributary waters linear feet width (ft)
® Other non - wetland waters acres
Identify type(s) of waters
® Wetlands acres
F. NON - JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY)-
® If potential wetlands were assessed within the review area, these areas did not meet the cntena in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropnate Regional Supplements
® Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Pnor to the Jan 2001 Supreme Court decision in "SWANCC,' the review area would have been regulated based solely on the
"Migratory Bird Rule' (MBR)
Q Waters do not meet the `Significant Nexus" standard, where such a finding is required for Junsdiction Explain
® Other (explain, if not covered above)
Provide acreage estimates for non -junsdictional waters in the review area, where the sole potential basis of junsdiction is the MBR
factors (i e, presence of migratory birds, presence of endangered species, use of water for imgated agnculture), using best professional
Judgment (check all that apply)
Non - wetland waters (i e , rivers, streams) linear feet width (ft)
0 Lakes /ponds acres
Q Other non - wetland waters acres List type of aquatic resource
0 Wetlands acres
Provide acreage estimates for nonyunsdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for junsdiction (check all that apply)
Q Non - wetland waters (i e , nvers, streams) linear feet, width (ft)
® Lakes/ponds acres
Other non - wetland waters acres List type of aquatic resource
❑ Wetlands acres
SECTION IV: DATA SOURCES
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropnately reference sources below)
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant
® Data sheets prepared/submitted by or on behalf of the applicant/consultant
❑ Office concurs with data sheets/delineation report
❑ Office does not concur with data sheets/delineation report
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 124K, Horse Shoe
® USDA Natural Resources Conservation Service Soil Survey Citation
❑� National wetlands inventory map(s) Cite name
State /Local wetland inventory map(s)
® FEMA/FiRM maps
® 100 -year Floodplam Elevation is (National Geodectic Vertical Datum of 1929)
® Photographs ® Aerial (Name & Date) NCCGiA 2010
or ❑ Other (Name & Date)
® Previous determination(s) File no and date of response letter
© Applicable/supporting case law
® Applicable /supporting scientific literature
Other information (please specify)
B. ADDITIONAL COMMENTS TO SUPPORT JD: JD applies to all streams in the Mill Pond Creek watershed within the delineation
boundary

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B DISTRICT OFFICE, FILE NAME, AND NUMBER•
C PROJECT LOCATION AND BACKGROUND INFORMATION:
State NC County/pansh / borough Henderson City
Center coordinates of site (]at/long in degree decimal format) Lat. 35 356425 ° N, Long -82 5098050 W
Universal Transverse Mercator NAD 83
Name of nearest waterbody Mud Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows French Broad
Name of watershed or Hydrologic Unit Code (HUC) Upper French Broad 06010105
® Check if map /diagram of review area and/or potential Jurisdictional areas is /are available upon request
® Check if other sites (e g , offsite mitigation sites disposal sites, etc ) are associated with this action and are recorded on a
different JD form
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
® Office (Desk) Determination Date
t Field Determination Date(s)
SECTION Il: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Mi "navigable waters of the U S " within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area [Required)
Waters subject to the ebb and flow of the tide
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce
Explain
B CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Pa "waters of the US' within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): i
® TNWs, including territorial seas
® Wetlands adjacent to TNWs
® Relatively permanent waters'- (RPWs) that flow directly or indirectly into TNWs
® Non -RPWs that flow directly or indirectly into TNWs
® Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Q Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
® Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
® Isolated (interstate or Intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non - wetland waters 50 linear feet 50 width (fl) and/or acres
Wetlands 01 acres
c. Limits (boundaries) of jurisdiction based on ttibl TbsOHWA
Elevation of established OHWM (if known)
2. Non - regulated waters /wetlands (check if applicable) :3
Q Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional
Explain
i Boxes checked below shall be supported by completing the appropriate sections in Section III below
'- For purposes of this form, an RPW is defined as a tributary that is not a TN W and that typically flows year -round or has continuous flow at least "seasonally"
(e g, typically 3 months)
3 Supporting documentation is presented in Section 111 F

SECTION III- CWA ANALYSIS
A TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.I only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections 111.A.1 and 2
and Section III.D.I.; otherwise, see Section Il1.B below
1. TNW
Identify TNW
Summarize rationale supporting determination
Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent'
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY)-
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non - navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year -round or have continuous flow at least seasonally (e g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional If the aquatic resource is not a TNW, but has year -round
(perennial) flow, slip to Section III D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will Include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary In combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request Is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section II1.B.1 for
the tributary, Section III B.2 for any onsite wetlands, and Section 111.133 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non -TNWs that flow directly or indirectly into TNW
(t) General Area Conditions:
Watershed size
Drainage areal'Id 1f:W
Average annual rainfall inches
Average annual snowfall inches
(d) Physical Characteristics,
(a) Relationship with TNW
❑ Tributary flows directly into TNW
❑ Tributary flows through tributaries before entering TNW
Project waters are # jaMVI iif river miles from TNW
Project waters are ck nver miles from RPW
Project waters are iek st aerial (straight) miles from TNW
Project waters are r]tList' aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain
Identify flow route to TNW'
Tributary stream order, if known
° Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West
5 Flow route can be descnbed by identifying, e g , tributary a, which flows through the review area, to flow into tnbutary b which then flows into TNW

(b) General Tributary Characteristics (check all that apply)
Tributary is ❑ Natural
❑ Artificial (man -made) Explain
❑ Manipulated (man- altered) Explain
Tributary properties with respect to top of bank (estimate)
Average width feet
Average depth feet
Average side slopes lilt I.ii:t
Primary tributary substrate composition (check all that apply)
❑ Silts ❑ Sands
❑ Cobbles ❑ Gravel
❑ Bedrock ❑ Vegetation Type/% cover
❑ Other Explain
❑ Concrete
❑ Muck
Tributary condition /stability [e g , highly eroding, sloughing banks] Explain
Presence of run/nffle/pool complexes Explain
Tributary geometry �Liet
Tributary gradient (approximate average slope) %
(c) Flow
Tributary provides forL�i�at
Estimate average number of flow events in review area/year sF,
Describe flow regime
Other information on duration and volume
Surface flow is Characteristics
Subsurface flow Ud Explain findings
❑ Dye (or other) test performed
Tributary has (check all that apply)
❑ Bed and banks
❑ OHWM6 (check all indicators that apply)
❑ clear, natural line impressed on the bank
❑
❑ changes in the character of soil
❑
❑ shelving
❑
❑ vegetation matted down, bent, or absent
❑
❑ leaf litter disturbed or washed away
❑
❑ sediment deposition
❑
❑ water staining
❑
❑ other (list)
❑ Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to determ
® High Tide Line indicated by
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markmgs/charactenstics
❑ tidal gauges
❑ other (list)
(iii) Chemical Characteristics:
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
ine lateral extent of CWA jurisdiction (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum,
❑ physical markings,
❑ vegetation lines /changes in vegetation types
Characterize tributary (e g , water color is clear, discolored, oily film, water quality, general watershed characteristics, etc )
Explain
Identify specific pollutants, if known
rA natural or man -made discontinuity in the OHWM does not necessarily sever jurisdiction (e g, where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e g ,flow over a rock outcrop or through a culvert), the agencies will look for indicators of now above and below the break.
7ibid

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor Characteristics (type, average width)
❑ Wetland fringe Characteristics
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish /spawn areas Explain findings
❑ Other environmentally - sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
2 Characteristics of wetlands adjacent to non -TNW that flow directly or indirectly into TNW
(f) Physical Characteristics:
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Project wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non -TNW
Flow is ek " Explain
Surface Flow is:
Characteristics
Subsurface flow + a Explain findings
❑ Dye (or other) test performed
(c) Wetland Adjacency Determination with Non -TNW
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection Explain
❑ Ecological connection Explain
❑ Separated by berm/barrier Explain
(d) Proximity (Relationship) to TNW
Project wetlands are FIRM river miles from TNW
Project waters are ekl A aerial (straight) miles from TNW
Flow is from
Estimate approximate location of wetland as within the It W_"M Floodplain
(ii) Chemical Characteristics-
Characterize wetland system (e g , water color is clear, brown, oil film on surface, water quality, general watershed
characteristics, etc ) Explain
Identify specific pollutants, if known
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer Characteristics (type, average width)
❑ Vegetation type/percent cover Explain
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish/spawn areas Explain findings
❑ Other environmentally - sensitive species Explain findings
❑ Aquatic/wildlife diversity Explain findings
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetlands) being considered in the cumulative analysis dcL�ist
Approximately ( ) acres in total are being considered in the cumulative analysis

For each wetland, specify the following
Directly abuts9 (Y /N Size (in acres) Directly abuts9 (Y/N) Size (in acres)
Summarize overall biological, chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW For each of the following situations, a significant nexus exists if the tributary, In combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW) Similarly, the fact an adjacent wetland Iles within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the instructional Guidebook. Factors to consider include, for example-
• Does the tnbutary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or reanng young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs9
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below-
1. Significant nexus findings for non -RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III D
2 Significant nexus findings for non -RPW and its adjacent wetlands, where the non -RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section iII D
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III D
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area
® TNWs linear feet width (ft), Or, acres
Wetlands adjacent to TNWs acres
2 RPWs that flow directly or indirectly into TNWs.
® Tributaries of TNWs where tributaries typically flow year -round are jurisdictional Provide data and rationale indicating that
tnbutary is perennial Mud Creek is a named blue line creek on the USGS Topographic Map
® Tributaries of TNW where tributaries have continuous flow "seasonally" (e g, typically three months each year) are
,jurisdictional Data supporting this conclusion is provided at Section 111 B Provide rationale indicating that tnbutary flows
seasonally

Provide estimates for jurisdictional waters in the review area (check all that apply)
® Tributary waters 50 linear feet 50 width (ft)
19 Other non - wetland waters acres
Identify type(s) of waters
Non -RPWs8 that flow directly or indirectly into TNWs.
Q Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional Data supporting this conclusion is provided at Section III C
Provide estimates for junsdictional waters within the review area (check all that apply)
Q Tributary waters linear feet width (ft)
Q Other non - wetland waters acres
Identify type(s) of waters
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
® Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
® Wetlands directly abutting an RPW where tributaries typically flow year -round Provide data and rationale
indicating that tributary is perennial in Section III D 2, above Provide rationale indicating that wetland is
directly abutting an RPW Wetland discharges directly into Mud Creek.
® Wetlands directly abutting an RPW where tributaries typically flow "seasonally " Provide data indicating that tributary
seasonal in Section iII B and rationale in Section III D 2, above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates for junsdictional wetlands in the review area .01acres
5 Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs
® Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are junsidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates for junsdictional wetlands in the review area acres
6 Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs.
® Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section IIi C
Provide estimates for jurisdictional wetlands in the review area acres
7. Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a junsdichonal tributary remains junsdicttonal
Q Demonstrate that impoundment was created from "waters of the US." or
Q Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below)
E. ISOLATED [INTERSTATE OR INTRA - STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY) :'o
® which are or could be used by interstate or foreign travelers for recreational or other purposes
® from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
® which are or could be used for industrial purposes by industries in interstate commerce
Interstate isolated waters Explain
® Other factors Explain
Identify water body and summarize rationale supporting determination:
'See Footnote # 3
9 To complete the analysis refer to the key in Section III D 6 of the Instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
re,.iew consistent with the process described in the Corps/EPA Memorandum Regarding CIVA Act Jurisdiction Following Rapano&

Provide estimates for Junsdictional waters in the review area (check all that apply)
Q Tributary waters linear feet width (ft)
Q Other non - wetland waters acres
Identify type(s) of waters
Wetlands acres
NON - JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
Q If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropnate Regional Supplements
® Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Pnor to the Jan 2001 Supreme Court decision in "SWANCC' the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR)
Waters do not meet the "Significant Nexus' standard, where such a finding is required for Junsdiction Explain
® Other (explain, if not covered above)
Provide acreage estimates for non- lunsdicttonal waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i e , presence of migratory birds, presence of endangered species, use of water for irrigated agnculture), using best professional
Judgment (check all that apply)
❑ Non - wetland waters (i e, rivers, streams) linear feet width (ft)
Lakes /ponds acres
Other non - wetland waters acres List type of aquatic resource
Wetlands acres
Provide acreage estimates for non- lunsdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for junsdiction (check all that apply)
® Non - wetland waters (i e, rivers, streams) linear feet, width (ft)
sa Lakes/ponds acres
Other non - wetland waters acres List type of aquatic resource
Wetlands acres
SECTION IV- DATA SOURCES.
A. SUPPORTING DATA Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below)
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report
❑ Office does not concur with data sheets /delineation report
® 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 l 24K, Skyland
® USDA Natural Resources Conservation Service Soil Survey Citation
® National wetlands inventory map(s) Cite name
® State /Local wetland inventory map(s)
p FEMA/FIRM maps
® 100 -year Floodplain Elevation is (National Geodectic Vertical Datum of 1929)
® Photographs ® Aenal (Name & Date) NCCGIA 2010
or ❑ Other (Name & Date)
® Previous determination(s) File no and date of response letter
❑ Applicable /supporting case law
® Applicable /supporting scientific literature
® Other information (please specify)
B. ADDITIONAL COMMENTS TO SUPPORT JD. JD applies to the streams and wetlands to the Mud Creek Watershed and in the
delineation boundary

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION 1: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD)
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C PROJECT LOCATION AND BACKGROUND INFORMATION:
Statc -NC County/pansh/borough Henderson City
Center coordinates of site (lat/long in degree decimal format) Lat 35 356425 ° 1, Long -82 509805° R
Universal Transverse Mercator NAD 83
Name of nearest waterbody Unnamed Tributaries to French Broad River
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows French Broad
Name of watershed or Hydrologic Unit Code (HUC) Upper French Broad 06010105
® Check if map /diagram of review area and /or potential Jurisdictional areas is /are available upon request
® Check if other sites (e g , offsite mitigation sites, disposal sites, etc ) are associated with this action and are recorded on a
different JD form
D REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination Date
I Field Determination Date(s)
SECTION II: SUMMARY OF FINDINGS
A RHA SECTION 10 DETERMINATION OF JURISDICTION.
There no "navigable waters of the US " within Rivers and Harbors Act (RHA) Jurisdiction (as defined by 33 CFR part 329) in the
review area [Required]
Waters subject to the ebb and flow of the tide
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce
Explain
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Are "waters of the US" within Clean Water Act (CWA) Jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1 Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): i
® TNWs, including territorial seas
® Wetlands adjacent to TNWs
® Relatively permanent waters (RPWs) that flow directly or indirectly into TNWs
® Non -RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs
Impoundments of junsdictional waters
® Isolated (interstate or intrastate) waters, including isolated wetlands
b Identify (estimate) size of waters of the U.S. in the review area:
Non - wetland waters 71 linear feet 213 width (ft) and/or acres
Wetlands acres
c. Limits (boundaries) of jurisdiction based on Erta'11I edlbs OHW�VI;
Elevation of established OHWM (if known)
2 Non - regulated waters /wetlands (check if applicable)?
Potentially jurisdictional waters and /or wetlands were assessed within the review area and determined to be not junsdictional
Explain
i Boxes checked below shall be supported by completing the appropriate sections in Section III below
' For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year -round or has continuous flow at least "seasonally"
(e g , typically 3 months)
' Supporting documentation is presented in Section Ill F

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and Hetlands adjacent to TNWs If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections HI.A.I and 2
and Section HI.D 1.; otherwise, see Section III.B below
1 TNW
Identify TNW
Summarize rationale supporting determination
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent"
B CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for Jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non - navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e tributaries that typically flow year -round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year -round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section II1.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section IIl.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section IIl.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non -TNWs that flow directly or indirectly into TNW
(i) General Area Conditions
Watershed size WI—Rd
Drainage area Pldi I:1>tR
Average annual rainfall inches
Average annual snowfall inches
(it) Physical Characteristics:
(a) Relationship with TNW
❑ Tributary flows directly into TNW
❑ Tributary flows through ek +I.lat tributaries before entering TNW
Project waters are
river miles from TNW
Project waters are
river miles from RPW
rck,
Project waters are
aenal (straight) miles from TNW
Project waters are
aerial (straight) miles from RPW
Project waters cross or serve as state boundaries Explain
Identify flow route to TNWS
Tributary stream order, if known
Note that the Instructional Guidebook contains additional information regarding swales ditches, washes, and erosional futures generally and in the and
West
5 Flow route can be described by identifying e g tributary a, which Flows through the review area, to flow into tributary b, which then flows into TNW

(b) General Tributary Characteristics (check all that annly)
Tributary is ❑ Natural
❑ Artificial (man -made) Explain
❑ Manipulated (man- altered) Explain
Tributary properties with respect to top of bank (estimate)
Average width feet
Average depth feet
Average side slopes L1s�t.
Primary tributary substrate composition (check all that apply)
❑ Silts ❑ Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation Type /% cover
❑ Other Explain
Tributary condition/stability [e g, highly eroding, sloughing banks] Explain
Presence of run/nffle/pool complexes Explain
Tributary geometry I,!
Tributary gradient (approximate average slope) %
(c) Flow
Tributary provides for List
Estimate average number of flow events in review area/year We7
Describe flow regime
Other information on duration and volume
Surface flow is Charactenshcs
Subsurface flow Explain findings
❑ Dye (or other) test performed
Tributary has (check all that apply)
❑ Bed and banks
❑ OHWM6 (check all indicators that apply)
❑ clear, natural line impressed on the bank ❑
❑ changes in the character of soil ❑
❑ shelving ❑
❑ vegetation matted down, bent, or absent ❑
❑ leaf litter disturbed or washed away ❑
❑ sediment deposition ❑
❑ water staining ❑
❑ other (list)
❑ Discontinuous OHWM 7 Explain
If factors other than the OHWM were used to deter
® High Tide Line indicated by
❑ oil or scum line along shore objects
❑ fine shell or debris deposits (foreshore)
❑ physical markings/charactenstics
❑ tidal gauges
❑ other (list)
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
ine lateral extent of CWA,lunsdichon (check all that apply)
Mean High Water Mark indicated by
❑ survey to available datum,
❑ physical markings,
❑ vegetation lines/changes in vegetation types
(iii) Chemical Characteristics:
Characterize tributary (e g , water color is clear, discolored, oily film, water quality, general watershed characteristics, etc )
Explain
Identify specific pollutants, if known
6A natural or man -made discontinuity in the OHWM does not necessarily sever jurisdiction (e g , where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices) Where there is a break in the OHWM that is unrelated to the waterbod)'s flow
regime (e g , flow over a rock outcrop or through a culvert), the agencies will loot, for indicators of flow above and below the break
'Ibid

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Ripanan comdor Charactenshcs (type, average width)
❑ Wetland fringe Characteristics
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish/spawn areas Explain findings
❑ Other environmentally - sensitive species Explain findings
❑ Aquatic /wildlife diversity Explain findings
2. Characteristics of wetlands adjacent to non -TNW that flow directly or indirectly into TNW
(i) Physical Characteristics.
(a) General Wetland Characteristics
Properties
Wetland size acres
Wetland type Explain
Wetland quality Explain
Project wetlands cross or serve as state boundaries Explain
(b) General Flow Relationship with Non -TNW
Flow is F "MM Explain
Surface flow is: aj;M
Characteristics
Subsurface flow Explain findings
❑ Dye (or other) test performed
(c) Wetland Adlacency Determination with Non -TNW
❑ Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection Explain
❑ Ecological connection Explain
❑ Separated by berm/bamer Explain
(d) Proximity (Relationship) to TNW
Project wetlands are river miles from TNW
Project waters are aerial (straight) miles from TNW
Flow is from elc,Ew.
Estimate approximate location of wetland as within the floodplain
(ii) Chemical Characteristics:
Characterize wetland system (e g., water color is clear, brown, oil film on surface, water quality, general watershed
characteristics, etc ) Explain
Identify specific pollutants, if known
(iii) Biological Characteristics. Wetland supports (check all that apply).
❑ Riparian buffer Characteristics (type, average width)
❑ Vegetation type/percent cover Explain
❑ Habitat for
❑ Federally Listed species Explain findings
❑ Fish/spawn areas Explain findings
❑ Other environmentally - sensitive species Explain findings
❑ Aquahc /wildlife diversity Explain findings
3 Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis Let
Approximately ( ) acres in total are being considered in the cumulative analysis

For each wetland, specify the following
Directly abuts? (Y /N) Size (in acres) Directly abuts? (YIN) Size tin acres)
Summarize overall biological, chemical and physical functions being performed
C SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysts will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and /or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below.
Significant nexus findings for non -RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III D
2. Significant nexus findings for non -RPW and its adjacent wetlands, where the non -RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III D
Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section III D
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
TNWs and Adjacent Wetlands Check all that apply and provide size estimates in review area
® TNWs linear feet width (ft), Or, acres
® Wetlands adjacent to TNWs acres
RPWs that flow directly or indirectly into TNWs.
® Tributaries of TNWs where tributaries typically flow year -round arejunsdictional Provide data and rationale indicating that
tributary is perennial Tributaries have strong bed and bank and continous flow
® Tributaries of TNW where tributaries have continuous flow "seasonally" (e g , typically three months each year) are
,jurisdictional Data supporting this conclusion is provided at Section 111 B Provide rationale indicating that tributary flows
seasonally

Provide estimates forjunsdictional waters in the review area (check all that apply)
® Tributary waters 71 linear feet 24 width (ft)
Q Other non - wetland waters acres
Identify type(s) of waters
3 Non -RPWs8 that flow directly or indirectly into TNWs.
® Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jursdictional Data supporting this conclusion is provided at Section iiI C
Provide estimates forjunsdictional waters within the review area (check all that apply)
Q Tributary waters linear feet width (ft)
® Other non - wetland waters acres
Identify type(s) of waters
4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands
® Wetlands directly abutting an RPW where tributaries typically flow year-round Provide data and rationale
indicating that tributary is perennial in Section III D 2, above Provide rationale indicating that wetland is
directly abutting an RPW
El Wetlands directly abutting an RPW where tributaries typically flow "seasonally " Provide data indicating that tributary is
seasonal in Section 111 B and rationale in Section III D 2, above Provide rationale indicating that wetland is directly
abutting an RPW
Provide acreage estimates for jurisdictional wetlands in the review area acres
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
® Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW arejunsidictional Data supporting this
conclusion is provided at Section III C
Provide acreage estimates forjunsdictional wetlands in the review area acres
6. Wetlands adjacent to non -RPWs that flow directly or indirectly into TNWs.
Q Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional Data supporting this
conclusion is provided at Section 111 C
Provide estimates for junsdictional wetlands in the review area acres
7. Impoundments of jurisdictional waters .9
As a general rule, the impoundment of ajurisdictional tributary remains jurisdictional
ai Demonstrate that impoundment was created from "waters of the U S ," or
Q Demonstrate that water meets the criteria for one of the categories presented above (1 -6), or
® Demonstrate that water is isolated with a nexus to commerce (see E below)
E ISOLATED (INTERSTATE OR INTRA- STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY).10
® which are or could be used by interstate or foreign travelers for recreational or other purposes
® from which fish or shellfish are or could be taken and sold in interstate or foreign commerce
Q which are or could be used for industrial purposes by industries in interstate commerce
Interstate isolated waters Explain
® Other factors Explain
Identify water body and summarize rationale supporting determination:
8See Footnote tl 3
To complete the analysis refer to the key in Section 111 D 6 of the instructional Guidebook
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts wll elevate the action to Corps and EPA HQ for
reviev, consistent arth the process described in the Corps/EPA Afemarandum Regarding CIVA Act Jurisdiction Following Rapanos.

Provide estimates for Jurisdictional waters in the review area (check all that apply)
0 Tributary waters linear feet width (ft)
® Other non - wetland waters acres
Identify type(s) of waters
® Wetlands acres
NON - JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY)
® If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements
® Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC" the review area would have been regulated based solely. on the
"Migratory Bird Rule' (MBR)
® Waters do not meet the "Significant Nexus' standard, where such a finding is required forJunsdicnon Explain
❑ Other (explain, if not covered above)
Provide acreage estimates for non -lunsdictional waters in the review area, where the sole potential basis of Jurisdiction is the MBR
factors (i e, presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
Judgment (check all that apply)
® Non - wetland waters (i e, rivers, streams) linear feet width (ft)
Q Lakes/ponds acres
® Other non - wetland waters acres List type of aquatic resource
® Wetlands acres
Provide acreage estimates for non- lunsdictional waters to the review area that do not meet the "Significant Nexus standard, where such
a finding is required for Junsdiction (check all that apply)
INon - wetland waters (i c, rivers, streams) linear feet, width (ft)
Lakes/ponds acres
® Other non - wetland waters acres List type of aquatic resource
® Wetlands acres
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below)
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant
® Data sheets prepared/submitted by or on behalf of the applicant/consultant
❑ Office concurs with data sheets/delineation report
❑ Office does not concur with data sheets/delineation report
® 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 24K, Skyland
USDA Natural Resources Conservation Service Soil Survey Citation
National wetlands inventory map(s) Cite name
® State/Local wetland inventory map(s)
® FEMA/FIRM maps
® 100 -year Floodplam Elevation is (National Geodectic Vertical Datum of 1929)
® Photographs ® Aerial (Name & Date) NCCGIA 2010
or ❑ Other (Name & Date)
® Previous determination(s) File no and date of response letter
® Applicable/supporting case law
® Applicable/supporting scientific literature
© Other information (please specify)
B ADDITIONAL COMMENTS TO SUPPORT JD. JD applies to S2, S3, and S4 - unnamed tributaries to the French Broad River

Wetland Data Forms

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site P Q-yny Q •�� City /County Hc� Sampling Dale 3131115
Applicant/Owner _ Ha..tcr�o. ta._t / Slate WG Sampling Point W 1
Investigator(s) M 1 A-f wit Section, Township, Range
Landform (hillslope terrace etc Local relief (concave, convex, none) Lo'r. c_ Slope ( %) L I
Subregion (LRR or MLRA) tVI-0 Lai 35 3912,39 Lon -Sa.5e93o1
9 Datum -!2111 111 $3
Sod Map unit Name C olter.� NWI classification td %A
Are climatic / hydrologic conditions on the site typical for this hme or year? Yes X No (If no, explain classification
Remarks)
Are Vegetation Soil or Hydrology significantly disturbed7 Are "Normal Circumstances" present? Yes x No
Are Vegetation 5011 or Hydrology naturally problematic? (If needed, explain any answers In Remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes X No Is the Sampled Area
Wetland Hydrology Present? Yes X No within a Wetland? Yes X_ No
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators (minimum of one is reouired check all that
Secondary Indicators (minimum of two required)
_ Surface Water (Al)
apply)
_ True Aquatic Plants (814)
_ Surface Sal Cracks (B6)
_ Sparsely Vegetated Concave Surface (BB)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (CI)
_ Drainage Patterns (1310)
(Z Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1376)
_ Water Marks (131)
_, Presence of Reduced Iron (C4)
_
_ Dry- Season Water Table (C2)
_ Sediment Deposits (132)
_ Recent Iron Reduction in Tilled Sods (C6)
_ Crayfish Burrows (CB)
_ Drift Deposits (133)
Algal Mat or Crust (84)
_ Thin Muck Surface (C7)
_ Saturation Visible on Aerial Imagery (C9)
_
_ Iron Deposits (85)
_ Other (Explain In Remarks)
_ Stunted or Stressed Plants (D1)
_ Inundation Visible on Aerial Imagery (87)
_ Geomorphic Position (D2)
Water - Stained Leaves (89)
_ Shallow Aquitard (D3)
_ Aquatic Fauna (B13)
_ Microtopographic Relief (D4)
ations_
_ FAC- Neutral Test (135)
r Present? Yes No
X Depth (inches)-
EObservations:
resent? Yes No
X Depth ( mches)
sent? Y es )t No
Ala inn e
Depth (inches)Wetland Hydrology Present? Ves X No
escrie Recorded Data (stream gauge, monitoring well, aerial photos, previous Inspections), if available
Remarks
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

VEGETATION (Four Strata) - Use scientific names of plants. Sampling Point V t
Tree Stratum (Plot size )
Absolute Dominant indicator
°.6 Cover Species? Status
Dominance Test worksheet
1
Number of Dominant Species
'
That Are OBL, FACW, or FAC (A)
2
3
Total Number of Dominant
Species Across All Strata (B) I
4
5
Percent of Dominant
6
That Are BL, FACW, or FAC (A/B)
7
Prevalence Index worksheet:
= Total Cover
Total % Cover of Multiply by
50% of total cover
20% of Iota[ cover
OBL species x 1 -
Saplinp /Shrub Stratum (Plot size t
FACW species x 2 =
1
FAC species x 3 -
2
FACU species x 4 =
3
UPL species x 5 =
4
Column Totals (A) (B)
5
6
Prevalence Index = B/A =
7
Hydrophyttc Vegetation Indicators:
6
_ 1 - Rapid Test for Hydrophytic Vegetation
g
,- 2 - Dominance Test is >50%
_ 3 Prevalence Index is s3 D'
=Total Cover
50% of total cover
20% of total cover
— 4 - Morphological Adaptations' (Provide supporting
Herb Stratum (Plot size )
data in Remarks or on a separate sheet)
1 Cmc,r cif.
- r —i- FACW
_ Problematic Hydrophylic Vegetation' (Explain)
2
3
'Indicates of hydric soil and wetland hydrology must
4
he present, unless disturbed or problematic.
5
Definitions of Four Vegetation Strata -
6
Tree - Woody plants, excluding vines, 3 In (7 6 cm) or j
7
more to diameter at breast height (DBH), regardless of
height
B
g
Sapling/Shrub s
10
than 3 b D Hand greater th n or equal to
3.28 ft
m) tall
11
Herb - All herbaceous (non - woody) plants, regardless
= Total Cover
of size, and woody plants less than 3.28 R tall
50% of total cover
20% of total cover
Woody Vine Stratum (Plot size )
Woody vine - All woody vines greater than 3 28 h in
1
hei hl
2
3
4
5
Hydrophyuc
Vegetation
= Total Cover
Present? Yes Y_ No
50% of total cover
20% of total cover
Remarks (Include photo numbers here or on a separate sheet)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2 0

SOIL
Sampling Point NN i
Profle Description (Describe to the depth needed to document the indicator or confirm the absence of indicators)
Depth Matrix
mches Color (moist) A
Redox Features
Color fmolsi) 9- Type Loc
Texture Remarks
C
'Type C= Concentration, D =De lesion. RM= Reduced Matrix, MS= Masked Sand Grains
Hydric Soil indicators:
'Location PL =Pore Lining. M =Matnx
Histosol (Al)
Indicators for Problematic Hydric SodsT
_
_ Histic Epipedon (A2)
_ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ PDlyvaiue Below Surface (S8) (MLRA 147, 148) Coast Prairie Redox (Al 6)
_ Black Histic (A3)
Hydrogen Sulfide (A4)
_ Thin Dark Surface (59) (MLRA 147, 148)
_
(MLRA 147, 148)
_,
_ Stratified Layers (A5)
_ Loamy Gleyed Matrix (F2)
Depleted Matrix (F3)
_ Piedmont Floodplain Soils (F19)
_ 2 cm Muck (A10) (LRR N)
Depleted Below Dark Surface (Al 1)
-X
_ Redox Dark Surface (F6)
(MLRA 136, 147)
_ Very Shallow Dark Surface (TF12)
_
_, Thick Dark Surface (Al2)
_ Depleted Dark Surface (F7)
_ Redox Depressions (Fa)
_ Other (Explain in Remarks)
_ Sandy Mucky Mineral (S7) (LRR N,
_ Iron - Manganese Masses (1712) (LRR N.
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
Sandy Redox (SS)
_ Umbric Surface (1713) (MLRA 136, 122)
'Indicators of hydrophytic vegetation and
_
_ Stripped Matrix (S6)
_ Piedmont Floodplain Sails (F19) (MLRA 148) wetland hydrology must be present,
_ Red Parent Material (1721) (MLRA 127,147)
Restrictive Layer fif observed):
unless disturbed or problematic
Type
Depth (inches)
Remarks
Hydric Soil Present? Yes iC No
US Army Corps of Engineers
Eastern Mountains and Piedmont - Version 2 0