20230598 Ver 1_4337 Appleton Way PCN Attachments 4-21-23 Final_20230425

4337 Appleton Way
Wilmington, New Hanover County
Pre -Construction Notification Attachments
Prepared for:
Madison Smith
160 Beaumont Oaks, Apt. 226
Wilmington, NC 28412
[phone]
[e-mail]
Prepared by:
Southern Environmental Group, Inc.
5315 South College Road, Suite E
Wilmington, NC 28412
[phone]
[e-mail]
Date:
21 April 2023

4337 Appleton Way PCN Attachments 4-21-23 "`�F C-1i
Table of Appendices
Number
Description
1
Vicinity Map
2
Parcel Information
3
Division of Water Resources Water Classification Map
4
4337 Appleton Way Site Plan and Wetland Impact Map
5
USFWS Official Species List
6
SLOPES Form & NLEB Consistency Letter
7
New Hanover County GIS Flood Map
8
NC State Historic Preservation Office HPOWEB 2.0 Map
9
Wetland Boundary Sketch and Data Forms
10
Agent Authorization

4337 Appleton Way PCN Attachments 4-21-23 9F Cli
Attachment 1
Vicinity Map

4337 Appleton Way PEN Attachments 4 2 y23 F Ci
Attachment 2
Parcel aerial
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4337 Appleton Way PCN Attachments 4-21-23 9F Cli
Attachment 3
DWR Water Classification Map
y� P Project Site
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a
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Surface Water Classifications: ^ 13 X
Stream Index: 18-90
Stream Name: Barnards Creek
Echo Fartn5Go31 Description: From source to Cape Fear
a d Country C lug+
River
C
LY Classification: C;Sw
a
Date of Class.: March 31, 1959
w What does this Class. Vie'v F
r
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Silver Lake
&arn ds C 601 000
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4337 Appleton Way PCN Attachments 4-21-23 `�F C,i
Attachment 4
4337 Appleton Way Site Plan & Wetland Impact Map

SUBDIVISION: ECHO FARMS — SEC110
LOT NUMBER: 24 A
LIMIT 404
I
F WETLAETLANDIMPACT I
I
I
PROPOSED 10 I
RETAINING WALL _38
_________ -------
PROPOSEDGR.4DE1
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EXISTI NGGRADE 404 WETLAND
Al
LOTS
DB 42984 1
4.
LOT 32
DB 6101
PG 1398
MAP BOOK : 15 PAGE: 34
DEED BOOK: 6533 PAGE: 2931
0 e
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eC 17th Strae
�c
o
SITE
421 132
VICINITY MAP — NOT TO SCALE
/ CURVE TABLE
Radius Ch. Bearing Ch. Length
Curve A 3226.86' N31'13'00"W 71.55'
Curve 3 3196.86' N3222'30"W 199.90'
NOTES.,
LOT 31 1. NO ENCROACHMENTS FOUND.
DB 6353 PG 2490 2. AREA OF LOT 26A IS 20,997.1 SQ.FT. COMPUTED BY COORDINATE
METHOD.
3. CORNERS MARKED AS NOTED. ERB IS EXISTING IRON REBAR
FOUND. EIP IS EX. IRON PIPE FOUND. NR8 IS NEW IRON REAAR SET.
CP IS COMPUTED POINT. ECM IS EX. CONCRETE MONUMENT FOUND.
�• \
4. L07 DOES NOT UE WITHIN A 1 % YEARLY FLOOD CHANCE
\
♦
HAZARD AREA A?EF. FEMA FIRM 13720312500K DATED 08128118.
\
S /
5. SURVEY REFSPENCES: AS SHOWN HEREON.
CP
6. ALL DISTAN ES ARE HORIZONTAL GROUND.
7. 404 FEDEY PROTECTED WETLANDS EXIST ON THIS LOT AS
SHOWN. CONSERVATION RESOURCE SETBACK IS 30'.
Iy
0"' ��
�'•� / LOT ZONING R-15
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V/
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/1
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740.6 SO. FT.
UP DS
?
N 30 " W 102.88'
LOT 30
DB 6085 PG 2256 /
BOUNDARY
OWNER:
f9.08' DE
70'02 51"W
It
i ECHO FARMS LAND I INC
BOOK 1435 PAGE 957
LOT CORNER CURVE A
cCc
FALLS IN TREE S59'25300"W APPLETON WAY
60' PUBLIC RIGHT OF WAY
1 N 30'35 00" W 100.00' i _ _ _CENTERLINE
CURVE 3 CP N29'33'36 1Y 691.44'
TO ECM AT THE Pl OF CURVE ONE
OF APPLETON WAY AT THE CENTERLINE
OF FOXHALL COURT (50' R.O.W.)
Section 404 Wetlands
I
'
WE7Li1IN DE4IN£A710N
Proposed Section 404
`
/!NF TdR/F LINE TABLE (CONTINUED)
V/ Wetland Impact Area (2100 S /0.048)
�
I
LINE BEARING DISTANCE LINE BEARING
DISTANCE
Proposed Retaining Wall I
ERB B 70 A-1 N14'21 22"W 1.38' I A-4 TO A-5 NOD* 12'13 E
38.88'
A-1 TO A-2 1103'06' 13 E 23.50' A-5 TO A-6 N 12'5354 "W
34.78'
A—ded Wetl,,d Im,-A—
A-1 TO A-2 NO3'O6'13 E 23.50'
A-6 TO A-7 N23'26'49"W
47. 17'
(-700syo.oleAc)
I
A-2 TO A-3 N29'56'58 E 43.25'
A — 7 TO ERB C N83'32'43 E
I
6.80'
A-3 TO A-4 NO8'07'O1 "W 27.42'
WETLAND IMPACT MAP
for
4337 APPLETON WAY
Walter B. Cavedo Land Surveying CITY OF WILMINGTON
101 North 23rd Street
WILMINGTON TOWNSHIP — NEW HANOVER COUNTY
Wilmington, North Carolina
NORTH CAROLINA
28405-2912
telex 910-279-4153
—40 0 20 40
email: waltercovedo®gmail.com 4/19/23
GRAPHIC SCALE CHANGES MADE BY SEGi
ill =40' FOR PERMITTING PURPOSES(

4337 Appleton Way PCN Attachments 4-21-23 �jF C,i
Attachment 5
USFWS Official Species List

T v.mo.
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- United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To: April 19, 2023
Project Code: 2023-0071306
Project Name: 4337 Appleton Way, Wilmington, NC 28412
Subject: List of threatened and endangered species that may occur in your proposed project
location or may be affected by your proposed project
To Whom It May Concern:
The enclosed species list identifies threatened, endangered, proposed and candidate species, as
well as proposed and final designated critical habitat, that may occur within the boundary of your
proposed project and/or may be affected by your proposed project. The species list fulfills the
requirements of the U.S. Fish and Wildlife Service (Service) under section 7(c) of the
Endangered Species Act (Act) of 1973, as amended (16 U.S.C. 1531 et seq.). If your project area
contains suitable habitat for any of the federally -listed species on this species list, the proposed
action has the potential to adversely affect those species. If suitable habitat is present, surveys
should be conducted to determine the species' presence or absence within the project area. The
use of this species list and/or North Carolina Natural Heritage program data should not be
substituted for actual field surveys.
New information based on updated surveys, changes in the abundance and distribution of
species, changed habitat conditions, or other factors could change this list. Please feel free to
contact us if you need more current information or assistance regarding the potential impacts to
federally proposed, listed, and candidate species and federally designated and proposed critical
habitat. Please note that under 50 CFR 402.12(e) of the regulations implementing section 7 of the
Act, the accuracy of this species list should be verified after 90 days. This verification can be
completed formally or informally as desired. The Service recommends that verification be
completed by visiting the ECOS-IPaC website at regular intervals during project planning and
implementation for updates to species lists and information. An updated list may be requested
through the ECOS-IPaC system by completing the same process used to receive the enclosed list.
The purpose of the Act is to provide a means whereby threatened and endangered species and the
ecosystems upon which they depend may be conserved. Under sections 7(a)(1) and 7(a)(2) of the
Act and its implementing regulations (50 CFR 402 et seq.), Federal agencies are required to
utilize their authorities to carry out programs for the conservation of threatened and endangered

04/19/2023
species and to determine whether projects may affect threatened and endangered species and/or
designated critical habitat.
A Biological Assessment is required for construction projects (or other undertakings having
similar physical impacts) that are major Federal actions significantly affecting the quality of the
human environment as defined in the National Environmental Policy Act (42 U.S.C. 4332(2)
(c)). For projects other than major construction activities, the Service suggests that a biological
evaluation similar to a Biological Assessment be prepared to determine whether the project may
affect listed or proposed species and/or designated or proposed critical habitat. Recommended
contents of a Biological Assessment are described at 50 CFR 402.12.
If a Federal agency determines, based on the Biological Assessment or biological evaluation, that
listed species and/or designated critical habitat may be affected by the proposed project, the
agency is required to consult with the Service pursuant to 50 CFR 402. In addition, the Service
recommends that candidate species, proposed species and proposed critical habitat be addressed
within the consultation. More information on the regulations and procedures for section 7
consultation, including the role of permit or license applicants, can be found in the "Endangered
Species Consultation Handbook" at:
http://www.fws.gov/endangered/esa-library/pdffrOC-GLOS.PDF
Migratory Birds: In addition to responsibilities to protect threatened and endangered species
under the Endangered Species Act (ESA), there are additional responsibilities under the
Migratory Bird Treaty Act (MBTA) and the Bald and Golden Eagle Protection Act (BGEPA) to
protect native birds from project -related impacts. Any activity, intentional or unintentional,
resulting in take of migratory birds, including eagles, is prohibited unless otherwise permitted by
the U.S. Fish and Wildlife Service (50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)). For more
information regarding these Acts see https://www.fws.govibirds/policies-and-regulations.php.
The MBTA has no provision for allowing take of migratory birds that may be unintentionally
killed or injured by otherwise lawful activities. It is the responsibility of the project proponent to
comply with these Acts by identifying potential impacts to migratory birds and eagles within
applicable NEPA documents (when there is a federal nexus) or a Bird/Eagle Conservation Plan
(when there is no federal nexus). Proponents should implement conservation measures to avoid
or minimize the production of project -related stressors or minimize the exposure of birds and
their resources to the project -related stressors. For more information on avian stressors and
recommended conservation measures see https://www.fws.govibirds/bird-enthusiasts/threats-to-
birds.php.
In addition to MBTA and BGEPA, Executive Order 13186: Responsibilities of Federal Agencies
to Protect Migratory Birds, obligates all Federal agencies that engage in or authorize activities
that might affect migratory birds, to minimize those effects and encourage conservation measures
that will improve bird populations. Executive Order 13186 provides for the protection of both
migratory birds and migratory bird habitat. For information regarding the implementation of
Executive Order 13186, please visit https://www.fws.govibirds/policies-and-regulations/
executive-orders/e0-13186.php.

04/19/2023
We appreciate your concern for threatened and endangered species. The Service encourages
Federal agencies to include conservation of threatened and endangered species into their project
planning to further the purposes of the Act. Please include the Consultation Code in the header of
this letter with any request for consultation or correspondence about your project that you submit
to our office.
Attachment(s):
■ Official Species List
• Migratory Birds
■ Marine Mammals

04/19/2023
OFFICIAL SPECIES LIST
This list is provided pursuant to Section 7 of the Endangered Species Act, and fulfills the
requirement for Federal agencies to "request of the Secretary of the Interior information whether
any species which is listed or proposed to be listed may be present in the area of a proposed
action".
This species list is provided by:
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
[phone]

04/19/2023
PROJECT SUMMARY
Project Code: 2023-0071306
Project Name: 4337 Appleton Way, Wilmington, NC 28412
Project Type: Residential Construction
Project Description: The project site is approximately 0.49 AC and located within an existing
subdivision that used to be a golf course community and has been around
for more than 20 years. The owner intends to construct a single family
dwelling within the property limits, which includes a portion of
Headwater Forest wetlands that drains to Bernard's Creek.
Project Location:
The approximate location of the project can be viewed in Google Maps: https://
www.google.com/maps/(a)34.1616473.-77.91703062305515.14z
0
3 L.�Ih f C Yb
Counties: New Hanover County, North Carolina

04/19/2023
ENDANGERED SPECIES ACT SPECIES
There is a total of 16 threatened, endangered, or candidate species on this species list.
Species on this list should be considered in an effects analysis for your project and could include
species that exist in another geographic area. For example, certain fish may appear on the species
list because a project could affect downstream species.
IPaC does not display listed species or critical habitats under the sole jurisdiction of NOAA
Fisheries , as USFWS does not have the authority to speak on behalf of NOAA and the
Department of Commerce.
See the "Critical habitats" section below for those critical habitats that lie wholly or partially
within your project area under this office's jurisdiction. Please contact the designated FWS office
if you have questions.
1. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
MAMMALS
NAME
Northern Long-eared Bat Myotis septentrionalis
No critical habitat has been designated for this species.
Species profile: htips:Hecos.fws.gov/ecp/species/9045
Tricolored Bat Perimyotis subflavus
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/10515
West Indian Manatee Trichechus manatus
There is final critical habitat for this species. Your location does not overlap the critical habitat.
This species is also protected by the Marine Mammal Protection Act, and may have additional
consultation requirements.
Species profile: https:Hecos.fws.gov/ecp/species/4469
STATUS
Endangered
Proposed
Endangered
Threatened

04/19/2023
BIRDS
NAME
STATUS
Eastern Black Rail Laterallus jamaicensis ssp. jamaicensis
Threatened
No critical habitat has been designated for this species.
Species profile: htips:Hecos.fws.gov/ecp/species/10477
Piping Plover Charadrius melodus
Threatened
Population: [Atlantic Coast and Northern Great Plains populations] - Wherever found, except
those areas where listed as endangered.
There is final critical habitat for this species. Your location does not overlap the critical habitat.
Species profile: hns://ecos.fws.gov/ecp/species/6039
Red Knot Calidris canutus ru fa
Threatened
There is proposed critical habitat for this species.
Species profile: https:Hecos.fws.gov/ecp/species/1864
Red -cockaded Woodpecker Picoides borealis
Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/7614
REPTILES
NAME
STATUS
American Alligator Alligator mississippiensis
Similarity of
No critical habitat has been designated for this species.
Appearance
Species profile: htips:Hecos.fws.gov/ecp/species/776
(Threatened)
Green Sea Turtle Chelonia mydas
Threatened
Population: North Atlantic DPS
There is final critical habitat for this species. Your location does not overlap the critical habitat.
Species profile: https://ecos.fws.gov/ecp/species/6199
Kemp's Ridley Sea Turtle Lepidochelys kempii
Endangered
There is proposed critical habitat for this species.
Species profile: https:Hecos.fws.gov/ecp/species/5523
Leatherback Sea Turtle Dermochelys coriacea
Endangered
There is final critical habitat for this species. Your location does not overlap the critical habitat.
Species profile: https:Hecos.fws.gov/ecp/species/1493
Loggerhead Sea Turtle Caretta caretta
Threatened
Population: Northwest Atlantic Ocean DPS
There is final critical habitat for this species. Your location does not overlap the critical habitat.
Species profile: htips:Hecos.fws.gov/ecp/species/1110

04/19/2023
SNAILS
NAME STATUS
Magnificent Ramshorn Planorbella magnifica Proposed
There is proposed critical habitat for this species. Your location does not overlap the critical Endangered
habitat.
Species profile: htips:Hecos.fws.gov/ecp/species/6216
INSECTS
NAME STATUS
Monarch Butterfly Danaus plexippus Candidate
No critical habitat has been designated for this species.
Species profile: https://ecos.fws.gov/ecp/species/9743
FLOWERING PLANTS
NAME STATUS
Cooley's Meadowrue Thalictrum cooleyi Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3281
Rough -leaved Loosestrife Lysimachia asperulaefolia Endangered
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/2747
CRITICAL HABITATS
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

04/19/2023
MIGRATORY BIRDS
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden Eagle
Protection Act .
Any person or organization who plans or conducts activities that may result in impacts to
migratory birds, eagles, and their habitats should follow appropriate regulations and consider
implementing appropriate conservation measures, as described below.
1. The Migratory Birds Treaty Act of 1918.
2. The Bald and Golden Eagle Protection Act of 1940.
3. 50 C.F.R. Sec. 10.12 and 16 U.S.C. Sec. 668(a)
The birds listed below are birds of particular concern either because they occur on the
USFWS Birds of Conservation Concern (BCC) list or warrant special attention in your
project location. To learn more about the levels of concern for birds on your list and how this
list is generated, see the FAQ below. This is not a list of every bird you may find in this location,
nor a guarantee that every bird on this list will be found in your project area. To see exact
locations of where birders and the general public have sighted birds in and around your project
area, visit the E-bird data mapping tool (Tip: enter your location, desired date range and a species
on your list). For projects that occur off the Atlantic Coast, additional maps and models detailing
the relative occurrence and abundance of bird species on your list are available. Links to
additional information about Atlantic Coast birds, and other important information about your
migratory bird list, including how to properly interpret and use your migratory bird report, can be
found below.
For guidance on when to schedule activities or implement avoidance and minimization measures
to reduce impacts to migratory birds on your list, click on the PROBABILITY OF PRESENCE
SUMMARY at the top of your list to see when these birds are most likely to be present and
breeding in your project area.
BREEDING
NAME SEASON
American Kestrel Falco sparverius paulus Breeds Apr 1 to
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions Aug 31
(BCRs) in the continental USA
fts:Hecos.fws.gov/ec;p/species/9587
American Oystercatcher Haematopus palliatus Breeds Apr 15
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 31
and Alaska.
fts:Hecos.fws.gov/ecp/species/8935

04/19/2023
NAME
BREEDING
SEASON
Bald Eagle Haliaeetus leucocephalus Breeds Sep 1 to
This is not a Bird of Conservation Concern (BCC) in this area, but warrants attention Jul 31
because of the Eagle Act or for potential susceptibilities in offshore areas from certain types
of development or activities.
Black Skimmer Rynchops niger Breeds May 20
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Sep 15
and Alaska.
fts:Hecos.fws.gov/ec;p/species/523
Brown -headed Nuthatch Sitta pusilla Breeds Mar 1 to
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions Jul 15
(BCRs) in the continental USA
Chimney Swift Chaetura pelagica Breeds Mar 15
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 25
and Alaska.
Eastern Whip -poor -will Antrostomus voci ferns Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Aug 20
and Alaska.
Gull -billed Tern Gelochelidon nilotica Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Jul 31
and Alaska.
fts:Hecos.fws.gov/ec;p/species/9501
King Rail Rallus elegans Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Sep 5
and Alaska.
fts:Hecos.fws.gov/ec;p/species/8936
Lesser Yellowlegs Tringa flavipes Breeds
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA elsewhere
and Alaska.
fts:Hecos.fws.gov/ecp/species/9679
Marbled Godwit Limosa fedoa Breeds
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA elsewhere
and Alaska.
btips:Hecos.fws.gov/eqp/species/9481
Painted Bunting Passerina ciris Breeds Apr 25
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions to Aug 15
(BCRs) in the continental USA
Prairie Warbler Dendroica discolor Breeds May 1
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Jul 31
and Alaska.

04/19/2023
BREEDING
NAME SEASON
Prothonotary Warbler Protonotaria citrea Breeds Apr 1 to
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA Jul 31
and Alaska.
Purple Sandpiper Calidris maritima Breeds
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA elsewhere
and Alaska.
Red-headed Woodpecker Melanerpes erythrocephalus Breeds May 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Sep 10
and Alaska.
Ruddy Turnstone Arenaria interpres morinella Breeds
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions elsewhere
(BCRs) in the continental USA
Rusty Blackbird Euphagus carolinus Breeds
This is a Bird of Conservation Concern (BCC) only in particular Bird Conservation Regions elsewhere
(BCRs) in the continental USA
Short -billed Dowitcher Limnodromus griseus Breeds
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA elsewhere
and Alaska.
fts:Hecos.fws.gov/ec;p/species/9480
Swallow-tailed Kite Elanoides for ficatus Breeds Mar 10
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA to Jun 30
and Alaska.
fts:Hecos.fws.gov/ecp/species/8938
Willet Tringa semipalmata
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
and Alaska.
Wilson's Plover Charadrius wilsonia
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
and Alaska.
Wood Thrush Hylocichla mustelina
This is a Bird of Conservation Concern (BCC) throughout its range in the continental USA
and Alaska.
PROBABILITY OF PRESENCE SUMMARY
Breeds Apr 20
to Aug 5
Breeds Apr 1 to
Aug 20
Breeds May 10
to Aug 31
The graphs below provide our best understanding of when birds of concern are most likely to be
present in your project area. This information can be used to tailor and schedule your project
activities to avoid or minimize impacts to birds. Please make sure you read and understand the
FAQ "Proper Interpretation and Use of Your Migratory Bird Report" before using or attempting
to interpret this report.
Probability of Presence (■)

04/19/2023
Each green bar represents the bird's relative probability of presence in the 10km grid cell(s) your
project overlaps during a particular week of the year. (A year is represented as 12 4-week
months.) A taller bar indicates a higher probability of species presence. The survey effort (see
below) can be used to establish a level of confidence in the presence score. One can have higher
confidence in the presence score if the corresponding survey effort is also high.
How is the probability of presence score calculated? The calculation is done in three steps:
1. The probability of presence for each week is calculated as the number of survey events in
the week where the species was detected divided by the total number of survey events for
that week. For example, if in week 12 there were 20 survey events and the Spotted Towhee
was found in 5 of them, the probability of presence of the Spotted Towhee in week 12 is
0.25.
2. To properly present the pattern of presence across the year, the relative probability of
presence is calculated. This is the probability of presence divided by the maximum
probability of presence across all weeks. For example, imagine the probability of presence
in week 20 for the Spotted Towhee is 0.05, and that the probability of presence at week 12
(0.25) is the maximum of any week of the year. The relative probability of presence on
week 12 is 0.25/0.25 = 1; at week 20 it is 0.05/0.25 = 0.2.
3. The relative probability of presence calculated in the previous step undergoes a statistical
conversion so that all possible values fall between 0 and 10, inclusive. This is the
probability of presence score.
Breeding Season( )
Yellow bars denote a very liberal estimate of the time -frame inside which the bird breeds across
its entire range. If there are no yellow bars shown for a bird, it does not breed in your project
area.
Survey Effort (1)
Vertical black lines superimposed on probability of presence bars indicate the number of surveys
performed for that species in the 10km grid cell(s) your project area overlaps. The number of
surveys is expressed as a range, for example, 33 to 64 surveys.
No Data (—)
A week is marked as having no data if there were no survey events for that week.
Survey Timeframe
Surveys from only the last 10 years are used in order to ensure delivery of currently relevant
information. The exception to this is areas off the Atlantic coast, where bird returns are based on
all years of available data, since data in these areas is currently much more sparse.
probability of presence breeding season I survey effort — no data
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

04/19/2023 5
American Kestrel +�+:L+ ++++ ++++ *A T+1+ 0++0 ++0+
BCC -BCR
American Oystercatcher +000 bil 11+11ill 1N$+ 0+101+1111*0 +0+101+0100+
BCC Rangewide
(CON)
Bad Noln_BCCe I I I I I I I I I I I I I I I I I III I I I I III I I sill 10++ ow
Vulnerable
Black BCC Rangewide
(CON)
Brown headed Nuthatch 111$ 1111 till 11111111111111111111
BCC -BCR
SwiftChimney BCC Rangewide ++++ ++++ (CON) +111
Wall Eastern whip -poor- +++IIIII I+++ ++-I I I I I I 11 I+�+. 11 I ill I f++ ++++ d I 1 I III I
BCC Rangewide
(CON)
Tn
BCCbilled Rangewi de +++] I I I 144 +++ I I I I I I I I I I I ++ + l �+ ++++ ++++ ++++ ++++
(CON)
King Rail
BCC Rangewide +++* ++++ ++++ ++++ +++4 I I 1 ++++ ++++ ++++
(CON)Lesser Yellowleg
y + L
BCC Rangewide s +y++ ++++ +�� I I L++ ++++ ++++ ++++ +0++ ++++ ++I+ *I*
(CON)MarGodwit
BCC1ed Rangewide ++++ ++++ 4A I U++ ++++ ++++ ++++ ++++ 01+0 +10+ ++++ 0+++
(CON)
Painted Bunting +T++ ++++ +so+ +*i1 T I I 177 I 00 loll 10+1 A* ++++ ++01
BCC -BCR
SPECIES JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
PrairWarbler
BCC1Rangewide TT++ *+++ +A I I Ir++ + 00+01111 im+ s+++ +00*
(CON)
Prothonotary Warbler +++ 114+ ++++ W I 1111 I I l I++++ +$++ I I 1 I ill
BCC Rangewide
(CON)
PurpC1 e Sandpiper
BRangewide'� I + ++++ ++++ ++++ ++++ ++++ ++++ ++++ ++++ ++++ ++++ ++++
(CON)

04/19/2023
11
Red-headed
Woodpecker
BCC Rangewide
(CON)
Ruddy Turnstone 00 *40 *+++ 01+11110 04 11 III 1 t I I T t f+1 +1+011+1010
BCC -BCR
Rusty Blackbird I
BCC -BCR
Short -billed Dowitcher 0+00 OW 41 1 "1 j++++ ++++ i I l l l l� l� l++++ 00++ BCC Rangewide
(CON)
Swallow-tailed Kite
Rangewide
BCC ++++ ++++ ++++ +1 � �+ ++++ ++++ ++++ ++++ ++++ ++++
(CON)
C BC Rangewide 0011 101* 11011+10 0+0+ 10+11++11111 *1111111 mill
BCC
(CON)
'Arilson's
Rangewide
Plover Jill 1::: 1::'t
��BCC Rangewide ++++ ++++ +' +�++ ++++ ++++ ++++
(CON) i==A
Wood Thrush
BCC Rangewide IIII IIII I-+4++++UII IIII IIII IIII IIII (CON)
Additional information can be found using the following links:
■ Birds of Conservation Concern https://www.fws.goy/program/migratory-birds/species
■ Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoidine-and-minimizine-incidental-take-migratorv-birds
■ Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.pdf
MIGRATORY BIRDS FAQ
Tell me more about conservation measures I can implement to avoid or minimize impacts
to migratory birds.
Nationwide Conservation Measures describes measures that can help avoid and minimize
impacts to all birds at any location year round. Implementation of these measures is particularly
important when birds are most likely to occur in the project area. When birds may be breeding in
the area, identifying the locations of any active nests and avoiding their destruction is a very
helpful impact minimization measure. To see when birds are most likely to occur and be breeding
in your project area, view the Probability of Presence Summary. Additional measures or permits
may be advisable depending on the type of activity you are conducting and the type of
infrastructure or bird species present on your project site.

04/19/2023
What does IPaC use to generate the list of migratory birds that potentially occur in my
specified location?
The Migratory Bird Resource List is comprised of USFWS Birds of Conservation Concern
BCC and other species that may warrant special attention in your project location.
The migratory bird list generated for your project is derived from data provided by the Avian
Knowledge Network (AKN). The AKN data is based on a growing collection of survey, banding,
and citizen science datasets and is queried and filtered to return a list of those birds reported as
occurring in the 10km grid cell(s) which your project intersects, and that have been identified as
warranting special attention because they are a BCC species in that area, an eagle (Eagle Act
requirements may apply), or a species that has a particular vulnerability to offshore activities or
development.
Again, the Migratory Bird Resource list includes only a subset of birds that may occur in your
project area. It is not representative of all birds that may occur in your project area. To get a list
of all birds potentially present in your project area, please visit the Rapid Avian Information
Locator (RAIL)Tool.
What does IPaC use to generate the probability of presence graphs for the migratory birds
potentially occurring in my specified location?
The probability of presence graphs associated with your migratory bird list are based on data
provided by the Avian Knowledge Network (AKN). This data is derived from a growing
collection of survey, banding, and citizen science datasets.
Probability of presence data is continuously being updated as new and better information
becomes available. To learn more about how the probability of presence graphs are produced and
how to interpret them, go the Probability of Presence Summary and then click on the "Tell me
about these graphs" link.
How do I know if a bird is breeding, wintering or migrating in my area?
To see what part of a particular bird's range your project area falls within (i.e. breeding,
wintering, migrating or year-round), you may query your location using the RAIL Tool and look
at the range maps provided for birds in your area at the bottom of the profiles provided for each
bird in your results. If a bird on your migratory bird species list has a breeding season associated
with it, if that bird does occur in your project area, there may be nests present at some point
within the timeframe specified. If "Breeds elsewhere" is indicated, then the bird likely does not
breed in your project area.
What are the levels of concern for migratory birds?
Migratory birds delivered through IPaC fall into the following distinct categories of concern:
1. "BCC Rangewide" birds are Birds of Conservation Concern (BCC) that are of concern
throughout their range anywhere within the USA (including Hawaii, the Pacific Islands,
Puerto Rico, and the Virgin Islands);
2. "BCC - BCR" birds are BCCs that are of concern only in particular Bird Conservation
Regions (BCRs) in the continental USA; and

04/19/2023
3. "Non -BCC - Vulnerable" birds are not BCC species in your project area, but appear on
your list either because of the Eagle Act requirements (for eagles) or (for non -eagles)
potential susceptibilities in offshore areas from certain types of development or activities
(e.g. offshore energy development or longline fishing).
Although it is important to try to avoid and minimize impacts to all birds, efforts should be made,
in particular, to avoid and minimize impacts to the birds on this list, especially eagles and BCC
species of rangewide concern. For more information on conservation measures you can
implement to help avoid and minimize migratory bird impacts and requirements for eagles,
please see the FAQs for these topics.
Details about birds that are potentially affected by offshore projects
For additional details about the relative occurrence and abundance of both individual bird species
and groups of bird species within your project area off the Atlantic Coast, please visit the
Northeast Ocean Data Portal. The Portal also offers data and information about other taxa besides
birds that may be helpful to you in your project review. Alternately, you may download the bird
model results files underlying the portal maps through the NOAA NCCOS Integrative Statistical
Modeling and Predictive Mapping of Marine Bird Distributions and Abundance on the Atlantic
Outer Continental Shelf project webpage.
Bird tracking data can also provide additional details about occurrence and habitat use
throughout the year, including migration. Models relying on survey data may not include this
information. For additional information on marine bird tracking data, see the Diving Bird Study
and the nanotag studies or contact Caleb Spiegel or Pam Loring.
What if I have eagles on my list?
If your project has the potential to disturb or kill eagles, you may need to obtain a permit to avoid
violating the Eagle Act should such impacts occur.
Proper Interpretation and Use of Your Migratory Bird Report
The migratory bird list generated is not a list of all birds in your project area, only a subset of
birds of priority concern. To learn more about how your list is generated, and see options for
identifying what other birds may be in your project area, please see the FAQ "What does IPaC
use to generate the migratory birds potentially occurring in my specified location". Please be
aware this report provides the "probability of presence" of birds within the 10 km grid cell(s) that
overlap your project; not your exact project footprint. On the graphs provided, please also look
carefully at the survey effort (indicated by the black vertical bar) and for the existence of the "no
data" indicator (a red horizontal bar). A high survey effort is the key component. If the survey
effort is high, then the probability of presence score can be viewed as more dependable. In
contrast, a low survey effort bar or no data bar means a lack of data and, therefore, a lack of
certainty about presence of the species. This list is not perfect; it is simply a starting point for
identifying what birds of concern have the potential to be in your project area, when they might
be there, and if they might be breeding (which means nests might be present). The list helps you
know what to look for to confirm presence, and helps guide you in knowing when to implement
conservation measures to avoid or minimize potential impacts from your project activities,
should presence be confirmed. To learn more about conservation measures, visit the FAQ "Tell

04/19/2023
me about conservation measures I can implement to avoid or minimize impacts to migratory
birds" at the bottom of your migratory bird trust resources page.

04/19/2023
MARINE MAMMALS
Marine mammals are protected under the Marine Mammal Protection Act. Some are also
protected under the Endangered Species Act! and the Convention on International Trade in
Endangered Species of Wild Fauna and Flora.
The responsibilities for the protection, conservation, and management of marine mammals are
shared by the U.S. Fish and Wildlife Service [responsible for otters, walruses, polar bears,
manatees, and dugongs] and NOAA Fisheries [responsible for seals, sea lions, whales, dolphins,
and porpoises]. Marine mammals under the responsibility of NOAA Fisheries are not shown on
this list; for additional information on those species please visit the Marine Mammals page of the
NOAA Fisheries website.
The Marine Mammal Protection Act prohibits the take of marine mammals and further
coordination may be necessary for project evaluation. Please contact the U.S. Fish and Wildlife
Service Field Office shown.
1. The Endangered Species Act (ESA) of 1973.
2. The Convention on International Trade in Endangered Species of Wild Fauna and Flora
(CITES) is a treaty to ensure that international trade in plants and animals does not
threaten their survival in the wild.
3. NOAA Fisheries, also known as the National Marine Fisheries Service (NMFS), is an
office of the National Oceanic and Atmospheric Administration within the Department of
Commerce.
WIVWIMI
West Indian Manatee Trichechus manaeus
Species profile: htips:Hecos.fws.gov/ecp/species/4469

04/19/2023
IPAC USER CONTACT INFORMATION
Agency: Southern Environmental Group, Inc. (SEGi)
Name: Dana Lutheran
Address: 5315 South College Road
Address Line 2: Suite E
City: Wilmington
State: NC
Zip: 28412
Email [e-mail]
Phone: [phone]

4337 Appleton Way PCN Attachments 4-21-23 `�F C,i
Attachment 6
SLOPES Form & NLEB Consistency Letter

T v.mo.
p, Nf a�w��uve
- United States Department of the Interior
FISH AND WILDLIFE SERVICE
Raleigh Ecological Services Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Phone: [phone] Fax: [phone]
In Reply Refer To: April 19, 2023
Project code: 2023-0071306
Project Name: 4337 Appleton Way, Wilmington, NC 28412
Federal Nexus: yes
Federal Action Agency (if applicable): Army Corps of Engineers
Subject: Record of project representative's no effect determination for'4337 Appleton Way,
Wilmington, NC 28412'
Dear Dana Lutheran:
This letter records your determination using the Information for Planning and Consultation
(IPaC) system provided to the U.S. Fish and Wildlife Service (Service) on April 19, 2023, for
'4337 Appleton Way, Wilmington, NC 28412' (here forward, Project). This project has been
assigned Project Code 2023-0071306 and all future correspondence should clearly reference this
number. Please carefully review this letter.
Ensuring Accurate Determinations When Using IPaC
The Service developed the IPaC system and associated species' determination keys in accordance
with the Endangered Species Act of 1973 (ESA; 87 Stat. 884, as amended; 16 U.S.C. 1531 et
seq.) and based on a standing analysis. All information submitted by the Project proponent into
the IPaC must accurately represent the full scope and details of the Project. Failure to accurately
represent or implement the Project as detailed in IPaC or the Northern Long-eared Bat
Rangewide Determination Key (Dkey), invalidates this letter.
Determination for the Northern Long -Eared Bat
Based upon your IPaC submission and a standing analysis, your project has reached the
determination of "No Effect" on the northern long-eared bat. To make a no effect determination,
the full scope of the proposed project implementation (action) should not have any effects (either
positive or negative), to a federally listed species or designated critical habitat. Effects of the
action are all consequences to listed species or critical habitat that are caused by the proposed
action, including the consequences of other activities that are caused by the proposed action. A
consequence is caused by the proposed action if it would not occur but for the proposed action
and it is reasonably certain to occur. Effects of the action may occur later in time and may

04/19/2023 1 PaC Record Locator: 052-125309232
include consequences occurring outside the immediate area involved in the action. (See §
402.17).
Under Section 7 of the ESA, if a federal action agency makes a no effect determination, no
consultation with the Service is required (ESA §7). If a proposed Federal action may affect a
listed species or designated critical habitat, formal consultation is required except when the
Service concurs, in writing, that a proposed action "is not likely to adversely affect" listed species
or designated critical habitat [50 CFR §402.02, 50 CFR§402.13].
Other Species and Critical Habitat that May be Present in the Action Area
The IPaC-assisted determination for the northern long-eared bat does not apply to the following
ESA -protected species and/or critical habitat that also may occur in your Action area:
■ American Alligator Alligator mississippiensis Similarity of Appearance (Threatened)
■ Cooley's Meadowrue Thalictrum cooleyi Endangered
■ Eastern Black Rail Laterallus jamaicensis ssp. jamaicensis Threatened
■ Green Sea Turtle Chelonia mydas Threatened
■ Kemp's Ridley Sea Turtle Lepidochelys kempii Endangered
■ Leatherback Sea Turtle Dermochelys coriacea Endangered
■ Loggerhead Sea Turtle Caretta caretta Threatened
■ Magnificent Ramshorn Planorbella magnifica Proposed Endangered
■ Monarch Butterfly Danaus plexippus Candidate
■ Piping Plover Charadrius melodus Threatened
■ Red Knot Calidris canutus ru fa Threatened
■ Red -cockaded Woodpecker Picoides borealis Endangered
■ Rough -leaved Loosestrife Lysimachia asperulaefolia Endangered
■ Tricolored Bat Perimyotis sub flavus Proposed Endangered
■ West Indian Manatee Trichechus manatus Threatened
You may coordinate with our Office to determine whether the Action may affect the animal
species listed above and, if so, how they may be affected.
Next Steps
Based upon your IPaC submission, your project has reached the determination of "No Effect" on
the northern long-eared bat. If there are no updates on listed species, no further consultation/
coordination for this project is required with respect to the northern long-eared bat. However, the
Service recommends that project proponents re-evaluate the Project in IPaC if: 1) the scope,
timing, duration, or location of the Project changes (includes any project changes or
amendments); 2) new information reveals the Project may impact (positively or negatively)
federally listed species or designated critical habitat; or 3) a new species is listed, or critical

04/19/2023 1 PaC Record Locator: 052-125309232 3
habitat designated. If any of the above conditions occurs, additional coordination with the
Service should take place to ensure compliance with the Act.
If you have any questions regarding this letter or need further assistance, please contact the
Raleigh Ecological Services Field Office and reference Project Code 2023-0071306 associated
with this Project.

04/19/2023 1 PaC Record Locator: 052-125309232 ^
Action Description
You provided to IPaC the following name and description for the subject Action.
1. Name
4337 Appleton Way, Wilmington, NC 28412
2. Description
The following description was provided for the project '4337 Appleton Way, Wilmington, NC
28412':
The project site is approximately 0.49 AC and located within an existing
subdivision that used to be a golf course community and has been around for
more than 20 years. The owner intends to construct a single family dwelling
within the property limits, which includes a portion of Headwater Forest wetlands
that drains to Bernard's Creek.
The approximate location of the project can be viewed in Google Maps: https://
www.p-oop-le.com/maDs/034.1616473.-77.91703062305515.14z

04/19/2023 1 PaC Record Locator: 052-125309232
DETERMINATION KEY RESULT
Based on the information you provided, you have determined that the Proposed Action will have
no effect on the Endangered northern long-eared bat (Myotis septentrionalis). Therefore, no
consultation with the U.S. Fish and Wildlife Service pursuant to Section 7(a)(2) of the
Endangered Species Act of 1973 (87 Stat. 884, as amended 16 U.S.C. 1531 et seq.) is required
for those species.
QUALIFICATION INTERVIEW
1. Does the proposed project include, or is it reasonably certain to cause, intentional take of
the northern long-eared bat or any other listed species?
Note: Intentional take is defined as take that is the intended result of a project. Intentional take could refer to
research, direct species management, surveys, and/or studies that include intentional handling/encountering,
harassment, collection, or capturing of any individual of a federally listed threatened, endangered or proposed
species?
No
2. Your project overlaps with an area where northern long-eared bats may be present year-
round. Time -of -year restrictions may not be appropriate for your project due to bats being
active all year.
Do you understand that your project may impact bats at any time during the year and time -
of -year restrictions may not apply to your project?
Yes
3. Do you have post -white nose syndrome occurrence data that indicates that northern long-
eared bats (NLEB) are likely to be present in the action area?
Bat occurrence data may include identification of NLEBs in hibernacula, capture of
NLEBs, tracking of NLEBs to roost trees, or confirmed acoustic detections. With this
question, we are looking for data that, for some reason, may have not yet been made
available to U.S. Fish and Wildlife Service.
No
4. Does any component of the action involve construction or operation of wind turbines?
Note: For federal actions, answer `yes' if the construction or operation of wind power facilities is either (1) part
of the federal action or (2) would not occur but for a federal agency action (federal permit, funding, etc.).
No
5. Is the proposed action authorized, permitted, licensed, funded, or being carried out by a
Federal agency in whole or in part?
Yes

04/19/2023 1 PaC Record Locator: 052-125309232
6. Is the Federal Highway Administration (FHWA), Federal Railroad Administration (FRA),
or Federal Transit Administration (FTA) funding or authorizing the proposed action, in
whole or in part?
No
7. Are you an employee of the federal action agency or have you been officially designated in
writing by the agency as its designated non-federal representative for the purposes of
Endangered Species Act Section 7 informal consultation per 50 CFR § 402.08?
Note: This key may be used for federal actions and for non-federal actions to facilitate section 7 consultation and
to help determine whether an incidental take permit may be needed, respectively. This question is for information
purposes only.
No
8. Is the lead federal action agency the Environmental Protection Agency (EPA) or Federal
Communications Commission (FCC)? Is the Environmental Protection Agency (EPA) or
Federal Communications Commission (FCC) funding or authorizing the proposed action,
in whole or in part?
Yes
9. Have you determined that your proposed action will have no effect on the northern long-
eared bat? Remember to consider the effects of any activities that would not occur but for
the proposed action.
If you think that the northern long-eared bat may be affected by your project or if you
would like assistance in deciding, answer "No" below and continue through the key. If you
have determined that the northern long-eared bat does not occur in your project's action
area and/or that your project will have no effects whatsoever on the species despite the
potential for it to occur in the action area, you may make a "no effect" determination for
the northern long-eared bat.
Note: Federal agencies (or their designated non-federal representatives) must consult with USFWS on federal
agency actions that may affect listed species [50 CFR 402.14(a)]. Consultation is not required for actions that will
not affect listed species or critical habitat. Therefore, this determination key will not provide a consistency or
verification letter for actions that will not affect listed species. If you believe that the northern long-eared bat may
be affected by your project or if you would like assistance in deciding, please answer "No" and continue through
the key. Remember that this key addresses only effects to the northern long-eared bat. Consultation with USFWS
would be required if your action may affect another listed species or critical habitat. The definition of Effects of
the Action can be found here: https://www.fws.gov/media/northern-long-eared-bat-assisted-determination-kM-
selected -definitions
Yes

04/19/2023 1 PaC Record Locator: 052-125309232
PROJECT QUESTIONNAIRE
Will all project activities by completed by April 1, 2024?
Yes

04/19/2023 1 PaC Record Locator: 052-125309232 8
IPAC USER CONTACT INFORMATION
Agency:
Southern Environmental Group, Inc. (SEGi)
Name:
Dana Lutheran
Address:
5315 South College Road
Address Line 2:
Suite E
City:
Wilmington
State:
NC
Zip:
28412
Email
[e-mail]
Phone:
9102281841
LEAD AGENCY CONTACT INFORMATION
Lead Agency: Army Corps of Engineers
Name: Brad Shaver
Email: [e-mail]
Phone: [phone]

RCW SLOPES Manual — North Carolina
March 2022
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11

RCW SLOPES Manual — North Carolina
March 2022
Appendix B — Red -cockaded Woodpecker Effects Determination Key
lJOURVANINGS
USFWS Reference No. (if applicable):
Date 4/21/23
US A Army Corps
of Engineers
1) Is the action areal located within the RCW consultation area (see Appendix A and project -specific
results from a project -specific IPaC or internal USACE GIS review)?
a) Yes ........................................ .......................................................................go to 2
No No of
2) Is the action areal located in the northeastern coastal plain (see Appendix A)?
a) Yes.......................................................................................................................................................go to 3
b) No (the project is located in piedmont, sandhills, or southeastern coastal plain)..................go to 4
3) Is the action areal located in a forested area with pine trees present in northeast North Carolina (e.g.,
high pocosin, Atlantic white cedar, nonriverine swamp forests, pond pine woodland, coastal fringe
evergreen forest, wet successional pine/pine-hardwood forest, or pine plantation or uplands)? If yes,
are the pine trees greater than 30 years of age (if stand age is not readily determined, refer to Table
1 for a description of the minimum dbh of 30-year-old pines associated with each community type).
If the answer to both of these questions is yes, choose Yes below. If the answer to one or both
questions is no, then choose No below.
a) Yes.......................................................................................................................................................go to 8
b) No...................................................................................................................................................No effectZ
4) Is the action areal located within suitable RCW foraging or nesting habitat (pine or pine/hardwood
stands in which 50% or more of the dominant trees are pines and the dominant pine trees are 30
years of age or older or >_8-inches dbh')?
a) Yes.......................................................................................................................................................go to 5
b) No...................................................................................................................................................No effectZ
5) Will any activity in the action area' remove trees equal to or greater than 8 inches dbh; or will any
activity occur within 200 feet of known RCW cavity trees? If unable to determine the location of a
cavity tree with confidence, contact the USFWS Raleigh Ecological Services Field Office.
a) Yes (to one or both).........................................................................................................................go to 6
b) No.........................................................................................................................................................NLAA'
12

RCW SLOPES Manual — North Carolina
March 2022
6) Is the action areal located in suitable RCW nesting habitat (in the sandhills and piedmont: pine or
pine/hardwood stands that contain pines 60 years in age or older or >_10 inches dbh; in the
southeastern coastal plain: pine or pine/hardwood stands that contain pines >_8 inches dbh, including
but not limited to pine flatwoods, pocosin, pine savannah, upland pine/hardwood)?
a) Yes........................................................................................................................................................go to 9
b) No.........................................................................................................................................................go to 7
7) Does suitable nesting habitat occur within 0.5 miles of suitable foraging habitat that would be
impacted by any activity in the action areal?
a) Yes......................................................................................................................................................go to 9
b) No.........................................................................................................................................................NLAA'
8) Refer to Table 1 in the SLOPES for the northeastern North Carolina habitat type in the action areal.
Are pine trees with a dbh equal to or greater than that shown in Table 1 proposed to be removed in
the action areal, or is the action areal within 200 feet of a cavity tree? If the answer to either of these
questions is yes, choose Yes below. If unable to determine the location of a cavity tree with
confidence, then contact the USFWS Raleigh Field Office.
a) Yes......................................................................................................................................................go to 9
b) No.........................................................................................................................................................NLAA'
9) Contact the appropriate USACE representative for a pre -application meeting to determine if a survey
is necessary (for a list of USACE representatives please see the contact list at http://saw-
reg.usace.army.mil/FO/PM List.pdf). Note that project -specific information, such as a delineation of
waters of the U.S., project plans, and details concerning certain activities on disturbances that would
occur in the action areal (e.g. percussive activities, forest management, or similar disturbances), may
be needed for the USACE to determine the action area(s)l of the project. If a survey is required and
agreed to by the applicant, all suitable RCW nesting habitat within 0.5 miles of the action areal should
be surveyed according to USFWS protocol for the presence of RCW cavity trees'. If the applicant is
unwilling or unable to conduct the survey, standard consultation with the USFWS should begin. Such
surveys are conducted by running line transects through stands and visually inspecting all medium-
sized and large pines for evidence of cavity excavation by RCWs. Transects must be spaced so that all
trees are inspected and are run north -south.
Was a survey performed?
a) Yes, a survey was performed, and RCW cavity trees were observed.......................................go to 10
b) Yes, the survey was submitted to the USFWS for concurrence, and the USFWS concurred with the
results (no RCW cavity trees were observed)................................................................................NLAA'
c) No, the USACE determined that a survey was not required and the USFWS
concurred.............................................................................................................................................NLAA'
d) No, a survey was not performed..........................................................................Consultation required'
10) Does the project involve activities or disturbances in the action areal (e.g., percussive activities, forest
management, or similar disturbances) within the 200-foot cavity tree buffer, and/or cause removal or
damage to RCW cavity trees (e.g., via root compaction, soil compaction)? If yes to either or both then
consultation is required.
a) Yes............................................................................................................................Consultation required'
b) No......................................................................................................................................................go to 11
13

RCW SLOPES Manual — North Carolina
March 2022
11) Has a foraging habitat analysis (FHA)' been conducted to determine whether enough foraging habitat
would remain for each RCW group post -project? For information on how to conduct an FHA', refer to
the "Procedures for Determining Foraging Habitat Availability" and the Private Land Guidelines.'
a) Yes, the FHA' has been submitted to the USFWS for concurrence' and the USFWS concurred
that adequate amounts of foraging habitat would remain post -project ................................. NLAA3
b) Yes, and review of the FHA' by the USACE along with concurrence from USFWS determined
inadequate amounts of foraging habitat would remain post -project......... Consultation required'
c) No, an FHA' has not been conducted...............................................................Consultation required'
'Action Area means all areas to be affected directly or indirectly by the Federal action and not merely the immediate area involved
in the action. Please contact the appropriate USACE representative for any questions as to the action area for the Federal action.
For a list of USACE representatives, please see the contact list at: http://saw-reg.usace.army.mil/FO/PMList.pdf.
2No effect — The proposed project would result in no effect to this species and/or its federally designated critical habitat (if
applicable). Further consultation with the USFWS Raleigh and Asheville Ecological Services field offices is not necessary for the
project as described.
3NLAA—The proposed project may affect but is not likely to adversely affect this species and/or its designated critical habitat (if
applicable). NLAA determinations for projects made pursuant to this key require no further consultation with the USFWS Raleigh
and Asheville Ecological Services field offices, therefore, consultation is considered complete for this species. For General Permits,
submittal of a Pre -Construction Notification to the USACE will be required for all NLAA determinations.
4Follow link to USFWS RCW Recovery Plan, Appendix 4 for additional information on nesting and foraging habitats, and survey
protocol (https://www.fws.goy/rcwrecovery/files/RecoveryPlan/survey protocol.pdf)
-'Consultation required — Contact the USACE to begin this consultation process. For a list of USACE representatives please see the
contact list at http://saw-reg.usace.army.mil/FO/PMList.pdf. Further consultation with the USFWS Raleigh and Asheville
Ecological Services field offices is necessary to discern if the activity would result in a "no effect," "not likely to adversely affect,"
or "likely to adversely affect" determination.
6Follow links for additional information on conducting FHA (https://www.fws.gov/rcwrecovery/matrix.html) and for
determining foraging habitat availability (https://www.fws.gov/ncsandhills/files/fha data collection procedures.pdf).
'Follow link for additional information regarding determination for adequate amount of foraging habitat
(https://www.fws.gov/rcwrecovery/files/RecoveryPlan/private lands guidelines.pdf).
a FHA — When an FHA is conducted, the USACE must provide the FHA to USFWS for review and concurrence.
Additional Information The project site does not appear to be within the consultation area.
14

4337 Appleton Way PCN Attachments 4-21-23 F Cii
Attachment 7
Brunswick County GIS Flood Map
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4337 Appleton Way PCN Attachments 4-21-23 �jF C,i
Attachment 8
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4337 Appleton Way PCN Attachments 4-21-23 `�F C,i
Attachment 9
Wetland Boundary Sketch and Data Forms

DP-
Approx. Wetlands - —0.31 ac. a:
Property Line - 0.5 ac.
0 ft 20 ft 40 ft 60 ft
Map Source: 2020 NC Statewide Orthoimagery Field Sketch of Wetlands N
4337 Appleton Way
All lines are approximate and should be used forWilmington, New Hanover Co., N.C. .1
planning purposes only. 7/25/2022 022-082.01�G'

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Atlantic and Gulf Coastal Plain Region Requirement Control Symbol EXEMPT.•
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: 4773 Appleton Way City/County: Wilmington/New Hanover Sampling Date: 7/19/2022
Applicant/Owner: Madison Smith State: NC Sampling Point: DP-1 Wet
Investigator(s): David Scibetta, SEGi Section, Township, Range: NA
Landform (hillside, terrace, etc.): swamp forest Local relief (concave, convex, none): concave Slope (%): 0
Subregion (LRR or MLRA): LRR T, MLRA 153A Lat: N 34.16146 Long: W 77.91710 Datum: NAD83
Soil Map Unit Name: Johnston NWI classification: PFO1Cd
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
_Surface Water (Al)
_Aquatic Fauna (1313)
_Sparsely Vegetated Concave Surface (138)
X High Water Table (A2)
_ Marl Deposits (B15) (LRR U)
—Drainage Patterns (1310)
X Saturation (A3)
—Hydrogen Sulfide Odor (Cl)
—Moss Trim Lines (1316)
_Water Marks (131)
_Oxidized Rhizospheres on Living Roots (C3)
_Dry -Season Water Table (C2)
_Sediment Deposits (132)
_Presence of Reduced Iron (C4)
X Crayfish Burrows (C8)
_ Drift Deposits (133)
—Recent Iron Reduction in Tilled Soils (C6)
—Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134)
_Thin Muck Surface (C7)
X Geomorphic Position (D2)
_Iron Deposits (135)
_Other (Explain in Remarks)
_ShallowAquitard (D3)
_ Inundation Visible on Aerial Imagery (137)
X FAC-Neutral Test (D5)
X Water -Stained Leaves (139)
Sphagnum Moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
No X Depth (inches):
Water Table Present? Yes X
No Depth (inches): 3
Saturation Present? Yes X
No Depth (inches): 0
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-1 Wet
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30' )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Fraxinus pennsylvanica
60
Yes
FACW
Number of Dominant Species
2.
Nyssa aquatica
50
Yes
OBL
That Are OBL, FACW, or FAC: 7 (A)
3.
Acerrubrum
30
Yes
FAC
Total Number of Dominant
4.
Species Across All Strata: 7 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
8.
Total % Cover of: Multiply by:
140
=Total Cover
OBL species x 1 =
50% of total cover:
70 20%
of total cover:
28
FACW species x 2 =
Sapling/Shrub Stratum (Plot size: 30'
)
FAC species x 3 =
1.
Ligustrum sinense
80
Yes
FAC
FACU species x 4 =
2.
Acerrubrum
50
Yes
FAC
UPL species x 5 =
3.
Fraxinus pennsylvanica
20
No
FACW
Column Totals: (A) (B)
4.
Prevalence Index = B/A =
5.
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7.
X 2 - Dominance Test is >50%
8.
3 - Prevalence Index is <_3.01
150
=Total Cover
_
-Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
75 20%
of total cover:
30
Herb Stratum (Plot size: 30' )
1.
Woodwardia areolata
60
Yes
OBL
Indicators of hydric soil and wetland hydrology must be
2.
Arundinaria gigantea
5
No
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Saururus cernuus 30 Yes OBL
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
9.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
12.
95
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
48 20%
of total cover:
19
height.
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20%
of total cover:
Present? Yes X No
Remarks: (If observed, list morphological adaptations below.)
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: DP-1 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Types Loc2 Texture Remarks
0-10 10YR 2/1
Muck
10-18 10YR 2/1
Mucky Loam/Clay
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
—Thin Dark Surface (S9) (LRR S, T, U)
_ 1 cm Muck (A9) (LRR O)
X Histic Epipedon (A2)
—Barrier Islands 1 cm Muck (S12)
_2 cm Muck (A10) (LRR S)
X Black Histic (A3)
(MLRA 15313, 153D)
—Coast Prairie Redox (A16)
—Hydrogen Sulfide (A4)
—Loamy Mucky Mineral (F1) (LRR O)
(outside MLRA 150A)
—Stratified Layers (A5)
—Loamy Gleyed Matrix (F2)
_ Reduced Vertic (F18)
—Organic Bodies (A6) (LRR P, T, U)
_ Depleted Matrix (F3)
(outside MLRA 150A, 15013)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Redox Dark Surface (F6)
—Piedmont Floodplain Soils (F19) (LRR P, T)
—Muck Presence (A8) (LRR U)
_ Depleted Dark Surface (F7)
_Anomalous Bright Floodplain Soils (F20)
X 1 cm Muck (A9) (LRR P, T)
_ Redox Depressions (F8)
(MLRA 15313)
_ Depleted Below Dark Surface (Al 1)
—Marl (F10) (LRR U)
—Red Parent Material (F21)
_Thick Dark Surface (Al2)
_Depleted Ochric (F11) (MLRA 151)
_Very Shallow Dark Surface (F22)
—Coast Prairie Redox (A16) (MLRA 150A)_
Iron -Manganese Masses (F12) (LRR O, P, T)
(outside MLRA 138, 152A in FL, 154)
_Sandy Mucky Mineral (S 1) (LRR O, S)
Umbric Surface (F13) (LRR P, T, U)
_Barrier Islands Low Chroma Matrix (TS7)
—Sandy Gleyed Matrix (S4)
—Delta Ochric (F17) (MLRA 151)
(MLRA 15313, 153D)
_Sandy Redox (S5)
_Reduced Vertic (F18) (MLRA 150A, 15013)
_Other (Explain in Remarks)
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 149A)
_Dark Surface (S7) (LRR P, S, T, U)
_Anomalous Bright Floodplain Soils (F20)
_ Polyvalue Below Surface (S8)
(MLRA 149A, 153C, 153D)
3Indicators of hydrophytic vegetation and
(LRR S, T, U)
_Very Shallow Dark Surface (F22)
wetland hydrology must be present,
(MLRA 138, 152A in FL, 154)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks:
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain — Version 2.0

U.S. Army Corps of Engineers OMB Control #: 0710-xxxx, Exp: Pending
WETLAND DETERMINATION DATA SHEET — Atlantic and Gulf Coastal Plain Region Requirement Control Symbol EXEMPT.•
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R (Authority: AR 335-15, paragraph 5-2a)
Project/Site: 4773 Appleton Way City/County: Wilmington/New Hanover Sampling Date: 7/19/2022
Applicant/Owner: Madison Smith State: NC Sampling Point: DP-2 Up
Investigator(s): David Scibetta, SEGi Section, Township, Range: NA
Landform (hillside, terrace, etc.): Ridge Local relief (concave, convex, none): convex Slope (%): 0
Subregion (LRR or MLRA): LRR T, MLRA 153A Lat: N 34.16157 Long: W 77.91696 Datum: NAD83
Soil Map Unit Name: Johnston NWI classification: PFO1Cd
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes X No Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
_Surface Water (Al)
_Aquatic Fauna (1313)
_Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Marl Deposits (B15) (LRR U)
—Drainage Patterns (1310)
—Saturation (A3)
—Hydrogen Sulfide Odor (Cl)
—Moss Trim Lines (1316)
_Water Marks (131)
_Oxidized Rhizospheres on Living Roots (C3)
_Dry -Season Water Table (C2)
—Sediment Deposits (132)
—Presence of Reduced Iron (C4)
—Crayfish Burrows (C8)
_ Drift Deposits (133)
—Recent Iron Reduction in Tilled Soils (C6)
—Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134)
_Thin Muck Surface (C7)
_Geomorphic Position (D2)
_Iron Deposits (135)
_Other (Explain in Remarks)
_ShallowAquitard (D3)
_ Inundation Visible on Aerial Imagery (137)
_ FAC-Neutral Test (D5)
Water -Stained Leaves (139)
Sphagnum Moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
No X Depth (inches):
Water Table Present? Yes
No X Depth (inches):
Saturation Present? Yes
No X Depth (inches):
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP-2 Up
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30' )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Pinus taeda
80
Yes
FAC
Number of Dominant Species
2.
Quercus nigra
20
No
FAC
That Are OBL, FACW, or FAC: 3 (A)
3.
Magnolia grandiflora
10
No
FAC
Total Number of Dominant
4.
Species Across All Strata: 4 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 75.0% (A/B)
7.
Prevalence Index worksheet:
8.
Total % Cover of: Multiply by:
110
=Total Cover
OBL species x 1 =
50% of total cover:
55
20%
of total cover:
22
FACW species x 2 =
Sapling/Shrub Stratum (Plot size: 30'
)
FAC species x 3 =
1.
Ligustrum sinense
50
Yes
FAC
FACU species x 4 =
2.
Aralia spinosa
10
No
FAC
UPL species x 5 =
3.
Column Totals: (A) (B)
4.
Prevalence Index = B/A =
5.
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7.
X 2 - Dominance Test is >50%
8.
3 - Prevalence Index is <_3.01
60
=Total Cover
_
-Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
30
20%
of total cover:
12
Herb Stratum (Plot size: 30' )
1.
Arundinaria gigantea
10
Yes
FACW
Indicators of hydric soil and wetland hydrology must be
2.
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
9.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
12.
10
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
5
20%
of total cover:
2
height.
Woody Vine Stratum (Plot size: 30' )
1.
Hedera helix
10
Yes
FACU
2.
3.
4.
5.
Hydrophytic
10
=Total Cover
Vegetation
50% of total cover:
5
20%
of total cover:
2
Present? Yes X No
Remarks: (If observed, list morphological adaptations below.)
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: DP-2 Up
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Types Loc2
Texture Remarks
0-6 10YR 2/1 50
10YR 5/1 50 MS M
Sandy
6-18 10YR 4/1
Sandy
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
—Thin Dark Surface (S9) (LRR S, T, U)
_ 1 cm Muck (A9) (LRR O)
_ Histic Epipedon (A2)
—Barrier Islands 1 cm Muck (S12)
_2 cm Muck (A10) (LRR S)
—Black Histic (A3)
(MLRA 15313, 153D)
—Coast Prairie Redox (A16)
—Hydrogen Sulfide (A4)
—Loamy Mucky Mineral (F1) (LRR O)
(outside MLRA 150A)
—Stratified Layers (A5)
—Loamy Gleyed Matrix (F2)
_ Reduced Vertic (F18)
—Organic Bodies (A6) (LRR P, T, U)
_ Depleted Matrix (F3)
(outside MLRA 150A, 15013)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Redox Dark Surface (F6)
—Piedmont Floodplain Soils (F19) (LRR P, T)
—Muck Presence (A8) (LRR U)
_ Depleted Dark Surface (F7)
_Anomalous Bright Floodplain Soils (F20)
_ 1 cm Muck (A9) (LRR P, T)
_ Redox Depressions (F8)
(MLRA 15313)
_ Depleted Below Dark Surface (Al 1)
—Marl (F10) (LRR U)
—Red Parent Material (F21)
_Thick Dark Surface (Al2)
_Depleted Ochric (F11) (MLRA 151)
_Very Shallow Dark Surface (F22)
—Coast Prairie Redox (A16) (MLRA 150A)_
Iron -Manganese Masses (F12) (LRR O, P, T) (outside MLRA 138, 152A in FL, 154)
_Sandy Mucky Mineral (S 1) (LRR O, S)
Umbric Surface (F13) (LRR P, T, U)
_Barrier Islands Low Chroma Matrix (TS7)
—Sandy Gleyed Matrix (S4)
—Delta Ochric (F17) (MLRA 151)
(MLRA 15313, 153D)
_Sandy Redox (S5)
_Reduced Vertic (F18) (MLRA 150A, 15013)
_Other (Explain in Remarks)
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 149A)
_Dark Surface (S7) (LRR P, S, T, U)
_Anomalous Bright Floodplain Soils (F20)
_ Polyvalue Below Surface (S8)
(MLRA 149A, 153C, 153D)
3Indicators of hydrophytic vegetation and
(LRR S, T, U)
_Very Shallow Dark Surface (F22)
wetland hydrology must be present,
(MLRA 138, 152A in FL, 154)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain — Version 2.0

4337 Appleton Way PCN Attachments 4-21-23 �jF C,i
Attachment 10
Agent Authorization

�1
5E
AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION: LOT 24A SEC 1 ECHO FARMS
LOT NO. PLAN NO. PARCEL I.D. R070 12-00 1-042-000
STREET ADDRESS: 4337 Appleton Way, Wilmington; NC 28412
Property Owner (please print): Madison Smith
The undersigned, registered property owner of the above noted property, does hereby authorize
Southern Environmental Group, Inc. (SEGi) to act on their behalf in matters regarding areas of
environmental concern.
Property Owner's Address (if different than property above):
160 Beaumont oaks, apt 226 Wilmington, NC 28412
Telephone & Email Address:
[phone], [e-mail]
We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.
Madison Smith
..,,N,,..y --thorized Signature
Madison smith
Printed Name
4/20/2023
Date
SEGi Authorized Signature
Dana A. Lutheran
Printed Name
4/19/2023
Date