20160324 Ver 1_Jurisdictional Determination_20150611

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S7'ATE OF NORTH CAROLINA
DEPARTMF,NT OF TRANSPORTATION
PA"CRICK L. i�/1CCRORY AN�CI�ONY J. �I�A9'A
GOVEftCOR
May 26, 7.O15
Ms. CrysYal Amschler
Asheville Regulatory Field Office
U.S. Army Corps of Engineers
! 51 Patton Avenuc, Room 208
Asheville, North Carolina 28805
RE: Prcliminary Jurisdictional Determination Request
TIP B-2506 (E3ridge No. 8 over }3rown Creek on SR 1627)
Ansoii County, North Carolina
Dear Ms. Amschler:
$GCItP: fdl<t'
Carolina Gcosystems, Inc. (CI;I) has completed ajurisdictional stream and wetland delineation
on the above refereuced pr�ject for the NorCh Carolina llepartment of'lYanspoctation (NCUO`C').
The attached infonnation is subinitted for your review and determination ofjurisdictia� imdee
the Clean Water Act.
Enclased olease find the Eollowing infonnation:
i� Jurisdictioilal I3etermination (JD) Request Form
v Yrcliminary JD Porn�
F Stream and Wetland Su���mary Tables
➢ Vicinity Map
➢ USUS Map
➢ 1w�isciictional l�aatures Map
Y Stream and Wctland Data Forms
Project llescription & Metl�odology
As shown in I�igure 1, B-2506 is located in Anson County, NC. 7'he study �rea for this project is
located elong SR-1627 (Yinkston River Road) aLRrown G�eck. The study area lies witllin thc
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JUN � 1 2015
DENR • WATER RESOURCFS
TRANSPORTATION PERMITfING UNIT

Ms. Crystal Amschler Page 2 of 3
May 26, 2015
Yadkin-Pee Dee River Basin (USGS Hydrologic Unit 03040104), and comprises approximately
24.5 acres. A previous jurisdictional wetland delineation was performed in Febivary 2011. '1'he
field work Por the current delineation was pet•foimed on April 24, 2015 in compliance with
methodology set forth in the USACE Wetland Delineation Manual (USACE 1987) and
subsequent guidance. This included die use of the four strata Wetland Determination I'orm for
the Eastern Mountains and Piedmont (Version 2.0). Streams were assessed forjurisdiction under
the Clean Water Act using 6eld indicaYions of ordinary high water mark and the NC Division of
Water Quality (NCDWQ) Scream Identification Form Version 4.1 1.
Previously delineated streams and wetlands were field verified for jurisdiction and acci�racy.
Changes to the previous delineation were f7agged and mapped. New or changed wetland
boundaries were delineated using survey flagging at regu(ar locations along the wetland-up(antl
boundary. Previous wetland designations (WA -- WF) were retained and two new features (WG
and W H) were added. All boundaries either form comp(ete polygoi�s, tie to surface water
features such as streams or ponds, or tie to the edge of the study area. New wetland boundaries
were located using sub-meter GPS technology to NCDOT standa3•ds.
Wetland Determination Fonns and NCDWQ Wetland Rating Worksheets were completed for
each type of wetland community encountered. NCDWQ Stream Identification Forms were
completed for each intermittent and small perennial channei (when status was in doubt), and
USACE Stream Quality Assessment Worksheets were completed for each intermittent channel
and degraded perennial channel.
Delineation Results
Figures 2 and 3 present the results of the delineation, including streams, surface waters, and
wetlands. Figure 2 is presented using the Ansonville (2013) US Geological Survey 1:24,000
Quadrangle Map. Figure 3 is presented using aerial photography.
Table 1 presents detailed information on each jurisdictional su•eam within the study area,
inctuding previous delineation ID, status (intermittent or perennial), bankfull measurements,
length within the study area, NCDWQ and USACE data form scores, and latitude/longitude.
Tht•ee jurisdictional streams measuring approximately 2,340 linear feet are present within the
study area.
Table 2 presents detailed information a� each wetland feature including wetland delineation ID,
NC Wetland Assessment Method type, Hydrologic Class, Cowardin Classification, isolated
status, size, represenlative wetland delineation form identifcation, NCDWQ wetland rating
score, and latitude/longitude. A total of 0.95 acres of wetlands are present within the study area.
We request your review of the attached documentation and mapping, and issuance of a
Preli�ninary Jurisdictional Determii�atioi� for tliis project.

Ms. Crystal Amschler
Vlay 26, 2015
Page 3 of 3
If you have any questions, need additional information, or woiQd like to schedule a site visit,
please contact me at your earliest convenience at (9l9) 707-6108 or [e-mail].
Sincerely,
� G�
rin K. Cheely
Environmental Specialist
Cc: Mr. David Wainwright, NCDWR
Phil May, Carolina Ecosystems Inc,

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: M�inpie parceis
CItY, SC3I2: Anson County, NC
COUttty: Anson County
Ji1T@Ct1011S: From Raleigh take US 1 S to NC 73; head wesl to NC 109; head south. R on Dennis
Rd - R. on Pinkston River Road. Bridge is .75 mile N.
Parcel Index Number(s) (PIN): NA
B. REQUESTOR INFORMATION
r]atpe: Erin K. Cheely, Environmental Specialist, NCDOT
Mailing Address i ssa Ma�i seN�oe ce�ter, Raie�9n, Nc z�sss
TelephoneNutnber: (9�9)�o�-s�os
Electronic Mail Address�: ekcneeiy@ncdoc9o�
Select one:
I am the current property owner.
I am an Authorized Agent or Lirvironmental Consultant2
Interested Buyer or Under Contract to Purchase
Other, please explain.
NCDOT project. Right-of-way to be acquired, where needed.
C. PROPERTY OWNF.R INFORMATION
Name: NI/+
Mailing Address: NiA
N/A
Telephone Number: NiA
Electronie Mail Address3: N//+
Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/"I'ax Record data)
' If available
' Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION°
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the VJilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations
and issuing a determination associated with Waters of the U.5. 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 (please print) Date
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
I am requesting that the Corps provide a preliminarv JD for the property identified herein.
This request does include a delineation.
I am requesting that the Corps provide a oreliminarx JD for the property identified herein.
This request does NOT include a delineation.
I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUSs and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an aporoved Jll (may or may not
include a survey plat).
° For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Vage 4

Jurisdictional Determination Request
F. ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
Size of Property or Project Area 24.5 acres
I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR az•e otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminaty JD Requests:
Completed and signed Preliminary Jurisdictional Detennination Formb.
35.0636 -80.0528
�/ Project Coordinates: _ Latitude __, Longitude
Maps (no larger than l 1x17) with Project Boundary Overlay:
� Large and small scale maps that depict, at minimum: streets, intersections, towns
� Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
� Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. OS-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)�:
Wetlands:
� Wetland Data Sheets8
❑✓
�
u
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
� USACE Assessment Fornis
� Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
� Project Coordinates:
Latitude
Maps (no larger than ] 1x17) with Project Boundary Overlay:
�
I-
I�I
�
Longitude
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
' 1987 Manual Regional Supplements and Data forms can be found at:
htt : www.usace armv millMissions/CivilWOrks/Re�ulatorvProQramandPermits/reR supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http�//portal ncdenr ora/c/document librarv/eet file�uuid=76f3c58b-dab8-49E0-ba43-45b7faf06f4c&aroupld=38364 and,
http://wwwsaw.usace armv mii/POrtals/59/docs/reRUlatorv/oublicnotices/2013/NCSAM Draft User Manual 130i18,odf
8 Delineation information inust include, at minimum, one wetland data sheet for each wetland%tommunity type.
Version: December'L013 Page 6

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
� Wetland Data Sheets9
❑�
C
1-
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
� USACE Assessment Forms
� Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
� Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Form(s)")
� Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

Jurisdictional Determination Request
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard-
copy submittals include at least one ori�inal Plat (to scaleZ that is no larger than 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"x1T', may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
C
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Must be sealed and signed by a licensed professional land surveyor
Must be to scale (all maps must include both a graphic scale and a verbal scale)
Must be legible
Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
Must clearly depict surveyed property or project boundaries
Must clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify each wetland polygon using an alphanumeric sys[em
Version: December 2013 Page 8

Jurisdictional Determination Request
� When tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or suiveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
❑ all depicted R/oUS (wetland polygons and tributary lines) must intersect or tie-to
surveyed project/property boundaries
� Must include the location of wetland data points and/or tributary assessment
reaches
� Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the CWA (e.g. "isolated wetlands", "non-
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
� Must include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
� When the entire actual Jurisdictional Boundarv is devicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 ojthe Clean WaterAct as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5J years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
� When u�lands may be present within a depicted Jurisdictional Boundar�
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean WaterAct as determined by the
undersigned on this date. Unless there is change in the law or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Date:
USACE Action ID No.:
Version: December 2013 Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
� be at sub-meter accuracy at each survey point.
� include an accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS ar�d cross-referenced with the existing traditionai property survey (metes and
bounds).
� include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Erin Cheely, Environmental Specialist, NC Department of Transportation
1598 Mail Service Cenler Raleigh, North Carolina 27699-1598
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Section along SR-7627 (Pinkston River Road) near Brown Creek
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: A�S�� Clty: N/A
Center coordinates of site (IaUlong in degree decimal format):
Lat. as.osss °N; Long. -ao.oeza °W.
Universal Transverse Mercator:
Name of nearest waterbody: B��W� c�eek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
z,sao linear feet: s-so width (ft) and/or acres.
Cowardin Class: R��e���e
Stf28171 FIOw: Perennia�
Wetlands: 0 95 acres.
COWaf(�Ifl C�BSS: Palustrine Forested
Name of any water bodies on the site that have been identified as Section 10
waters:
Tldal: None
NOII-Tldal: None
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date:
� Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should 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
applicanUconsultant: v������v Mav
�❑ Data sheets prepared/submitted by or on behalf of the
appli nUconsultant.
� 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: �:zaKn�SO�����e�zo,s�
❑ USDA Natural Resources Conservation Service Soil Survey.
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
✓❑ Photographs: ✓❑ Aerial (Name & Date): u�aacea esRi ae��ai ano�o9�aPn or
� Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
2

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicanYs acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
later iurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
0
SIL2 � � �
ignatu and ate of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

B-2506 Delineation
Stream, Wetiand, and Surtace Water Tables
Table 1.
Table 2.
April 2015
- = No Score
PFO = Palustrine Forested; PSS = Palustrine Scrub-Shrub
X = Data form completed
Page 1 of 1

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Pa � �.S 1 Bridge No. 08 on SR-1627
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i✓ �l° ,�F °v` 1lf -.✓'/ 9.
' ' ' ._ - '-'-_.___...._...__'_..__--'_'_'_- I
�_�. _....___ ..________..
� USACE AIDN DWQ # Sitc #_ (indicate on attached map)
___._.__— __... _....-- --- __..---_. .._..__..__ _..__-- -....___- _._.-- .....---_..---_,
� STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. ApplicanYs name: I`� �.,li{i"T�
3. Date ofevaluation: ��i ���•3%�`��"��
5. Na�ne of stream: S�_
7.Approximatedrainagearea: ���1 nffs"4
c�
9. Length of reach evaluated: i S �
fi��j'. ".
2. Evaluator's name: �'�`a.Pl,�uk i�
4. Time of evaluation: !�. �� ��
6, River basin: �fier�� > "' - ��`G-, ,'� f :
8. Stream order: �_�� __ _
10. Counry:
I1. Site coordinates (if known): prefcr in decimal degrees. 12. Subdivision name (if any): _
D
Laiitude�ex.3a.x�zai2�; ��), �i���h�"+ ���, Longicude{ex.-��sseeii�:_-9,g?�j3i��-�����rfi�
_ _ __ ._. -_
Method bcation determvied (circle): GPS Topo Sheet �Ortho (Aerial).f'hoto/GIS � Other GIS Other
___ .
13. Locntion of reach under evaluation (note nearby roads and landmurks and attach map identifying stream(s) bcation):_._
C:i..!. ,�� r� � � �,,; '� -`-- ��, •
� '°� �il,. A r� 1� ' u r �� �},� ,rr 4 i� � o r 5� kL ��n.��' ��- lac:. � ni�� �� I`� r r;.-.rr � S?r� :
14. Proposed channel work (if any): _ .
15. Kecent weather
1G. Site conditions at time of
17. Identify any special waterway classifications known: _Section ID _Tidai Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters
18. ls there a pond or lake located upstream of the evaluation p
�
19. Does channel appear on USGS quad map? YES NO�
21. Estimated wltershed land use: _% Residential
{�% Forested
22. Bankfull width: � t''�
NutrientSensitiveWaters _WaterSupplyWatershed_(I-IV)
oint? YES �NO�f yes, estimate the water surface area:
20. Does channel appear on USDA Soil Survey? YES NO `,
%Commercial _%Industrial %Agricultural
_% Cleared / Logged �C` % Other ( � �r.,� � � t'� W )
23. $ank height (from bed to top of bauk):_ 1�-�;
24. Channel slope down center of stream: � Fiat (0 to 2°/u) ,Gentle (2 io 4%)
25. Cliannel sinuosity: _Straight ,�Occasional bends _Frequent meander
Moderate (4 to 10%) _Steep (> 10%)
_Very sinuous _Braided channel
6�structions for compietion of worksheet (located on page 2): Begin by determining tha most appropriate ecoregion based on
tocation, terrain, vegetation, stream classificatimi, etc. Every characteristie must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides � brief description of how to review the
cl�aracteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
chazacteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide a�� expiaoation in the
comment section. Where there are obvious changes in the chazacter of a stream under review (e.g., the stream flows from a pasture
into a forest), tlie stream may be divided into smallar reaches that display more continuity, and a sepazate form used to evaluate each
reach. The total score assigned to a stream reach must range betwean 0 and lOQ wifh a score of 100 representing a stream of Ihe
highest quality.
Total Score (from reverse): L� � ,_.
�' . �y ��r; �� C{j�°��t�
Evaluator's Signaturc � �iR � � ' � ' Date_
This channei evaluation form is intended to be used only as a g,u de to assist landowners and envlronmental professionals in
gathering the datn required by the United States Army Corps of Engineers to make a pretiminary assessn�ent of stream
quality. The [otal score resulting from the completion of this form is subject to USACE approval and does �ot imply a
parficutar mitigation ratio or requirement. Fo�m subject to change-version Ob/03. To Comment, please ca11919-876•8441 x 2G.

y'\ �. �} i FiR'S ��
.a _. ,. .,.�
STREAM QUALITY ASSESSMENT WORKSHEET

NC DWQ Stream Identiffcation Form Version 4.11
DaYe: U� u t.,� %� � ProjectlSite:
Evaluator. �,� t=� County
�•� �> >�� n
Total Points:,�'" --- � Stream Deter
Streamisat/easmte ent `:`'?�
1, �,�� t , � Ephemeral �
i!2 ?9 or Perennial ii 2��
A. Geomorpholoqy (Subtotai = t'i . � )
1a' Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In•channel structure: ex. riffle-pool, step-pool,
ripple-pool sequence
4. Particle size of stream substrate
5. Active/relict floodplain
6. Depositional bars or benches
7. Recent alluvial deposits
6. Headcuts
9. Grade control
10. Natural valley
1 t. Second or greater order channel
artificial ditches are not rated; see discus ' ns in manual
B. Hydrology (Subtotal = .�_
0
�
0
0
t
1
1
Latitude: �� f
Longitude:
_,
one) Other
nnial e.g. QuadName:
12. Presence of Baseflow 0 1
13. Iron oxidizing bacteria 0 1
14. leaf litter � 5 �
15. Sediment on plants or debris 0 0,
16. Organic debris lines or piles 0 0.5
17. Soil-based evidence of high water table? No = 0
C. Biolo Subtotal = . �
18. Fibrous roots in streambed � Z
19. Rooted upland plants in streambed �- Z
� 20. Macrobenthos (note diversity and abuntlance) 0 1
' 21. Aquatic Mollusks �
22. Fish 0 0.5
23. Crayfish , 0., 0.5
24. Amphibians l. 0 0.5
25. Algae 0 _; 0.5
26. Wetland plants in streambed FACW = 0.
'perennial streams may also be itlenli8ed using other methods. See p. 35 of manual.
Notes:
Sketch:
�/ � C ' � � -�-�.`�Jf`.'. �. '!. . '�''. �1
w�
�:.. `y' �t�
r
!... A.`$ ..'
R
i
J J ;
�
2 3
3
2 3
� 3
2 3
2 3
2 3
2 3
1 1.5
1 1.5
Yes=3
z
1
1
t
t _
1
= 1.5 Other
��
��
��
��
�
�
��'
��
1�
1.5
1.5
�

� j l. (,
�l�`
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
�{ �, �6
ProjecUSite: � > f1'.{' Clty/County: 1"� n'S�'��1 Sampling Date ` � 4 ,
ApplicantlOwoer �1 t r��1� State: R�f . Samphng Pome' l ,>?� �_* ti''� i
, -, r
Inves6gamr(s): '` +: �`� � - t v - " r` Section, Township, Range: r �-�� e•�% � rsn s-��� s��'
.✓..
n!;
Landform (hlllslope, terrace, elc ) � Local relief (wnceve, convex „oo�n� Slope (°.6) �r .� "�� �%
� � � � � "' `� r`� ' � � g:—�'r} `;' P .ri � OaWm: ._
Subregion (lRR Or MLRAJ: ( rr' �r i�3 Lat: i�t '> 7.{�7 �r� :> > lon
Soil Map Unit Name ��r�G in�r, f�� NWI classi(cation: �t,? I{�c
Are climatic! hydrologic condi6ons on lhe site typical for this time of year7 Yes �'', No _(If no, explain in Remarks.)
Are Vegetation _, Soil _� or Hydrology _ significantly disNrbed? �� Are "Normal Circumstances" present? Yes � No _
Are Vegetation _. Soil _, or Hydrology _ naturally problematic? �,J4 pf needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, Vansects, important features, etc.
Hydrophytic Vegeta[ion Present?
Hydric Soil Present?
WeUand Hydrology Present?
HVIIR(li (1f.Y
Yes � No I Is the Sampled Area
Yes No within a Wetland? Ves � No
Yes No
Wetland Hydrology Indicators: Secondarv I�dicators (minimum of two requiredl
Prim r indi rors minimum ot one is re uired� check all that a � Surtace Soil Cracks (B6)
Surface Water (Ai) _ True Aquatic Plan[s (814) _ Sparsely Vegetated Concave Surface (68)
a/�High Water Table (A2) _ Hytlrogen Sulfide Odor (Ct) _ Dreinage Pattems (B70)
�Saturation (A3) _ Oxidized Rhizospheres on Living Rools (C3) _ Moss Trim Lines (Bt6)
Water Marks (B�) _ Presence of Reduced Iron (C4) . _ Dry-Season Water Table (C2)
_ Sediment Deposits (82) _ Recent Iron Retluction io Tilled Soils (C6) _ Crayfish Burrows (C9)
Drift �eposits (63) _ Thin Muck Surface (C7) _ Sa[uration Visible on Aerial imagery (C9)
Algal Mal or Crust (84) ._ O[her (Explain in Remarks) . _ SWnted or SVessed Plants (D1)
_ Iron Deposits (65) _ Geomorphic Position (D2)
Inunda[ion Visible on Aerial Imagery (87) _ Shallow Aqui[ard (D3)
✓Water-Stained Leaves (89) Microtopographic Relief (D4)
— �FAGNeutrel Test (D5)
_ Aquatic Fauna (813)
Pield Observations: �
Surtace Water Present? Yes �NO _ Depth (inches):�
Water Table Present? Yes ✓/ No _ Dep�h (inches): �'
Sawration Present? Yes -.r No _. Depth (inches): � WeUand Hydrolo9y Present? Yes � No
(indudes ca illa fry rinqe)
Describe Recorded Data (stream gauge, monitoring we0, aerial photos, previous inspections), if avai�able:
Remarks:
1 ..h.'�ItiJ.; f4,ml ~I. E}g ...�f� .�
Eastem Moun[ains and Piedmonl - Version 2.0
US Army Corps of Engineers

VEGETATION (Four St�ata) — Use scientific names of plants. Sampling Point: }��1 ',��
} AbsoWte Dominant Indicator poroioanceTeatworksheet:
Tree Stratum (Piot size: '�7 _) °/ ver S ed 7 S atus r�
Number of Dominant Species
1. '- `.r! CA '+^3 Thal Are OBL, FACW, or FAC: �`� (A)
'I. � i�(t'lA-S .:�•�r�t1f . ,—.(,� —
� �p�
2. �`11�,�!�.�'.�,_-sd tlltST �(,F1b � f � �+'?[ ,,. �1
Tolal Nurnber of Dominant
3. — Species Across All Streta: '�� (6)
�� ,� �,. = Totai Cover
50% of tOtal Cover: x.�. .3 _ 20% of tOlal Cover: } t, _
Saolina/Shrub Stratum (Plot size: )
1.
50% oftotalcover:
Herb SUatum (Plot size: _ 3
L_—_ --_"
11
50°h oftotalcover:
Woodv Vine Stratum (Pbl size: )
1.
2.
3.
4.
5.
50% of totai cover:
�rs here of on a Se4
Percent of Dominant Species j�, .
Thet Are OBL, FACW, or FAC: 7? :. _(A/B)
TOtel °b Covef of: MultiplV bV:
OBL species x 1 = _
FACW speGes x 2 =
FAC species _ x 3 =
FACU spedes x 4 =
UPL spacies _ z 5 =
ColumnTOtals: , (A) (B)
Prevalence Index = B!A =
— 1- Rapid Tesl for Hydrophylic Vegetation
— � 2 - Dominance Test is >50°k
— 3- Prevalence Index is 53.0'
= Total Cover 4• Morphological Adaptallons' (Provitle suppoding
20°h of total Cover: —
data in Remarks or on a separate sheet)
_ Problemalic HydrophyGc Vegelation' (Explain)
— �Indicators of hydnc soil and welland hydrology must
-- be present, unless diswrbed or problematic.
--- �efinitions ot Four Vegetation SRreta:
7rae - Woody plants, exduding vines, 3 in. (7.6 cm) or
— more in diameter at breast height (DBH), regardless of
height.
-'—' SaplinglShrub - Woody plants, exciuding vines, less
_... than 31n. DBH antl greater lhan or equal to 328 fl(1
m) tall.
Herb-Ail herbaceoua (non-woody) plants, regardless
= Total Cover of size, and woody planis less than 3.28 fltall.
20°� of total cover: Woody vine -All woody vines greater ihan 3.28 ft in
— — Hydrophytic
` Vegetation
= Total Cover Present? Yes � Na ^
20°{0 of totai cover:
US Army Corps of Engineers �
Eastem Mountains and Piedmont - Version 2.0

SOIL � SamplingPoint:'t��', '��c��
Protile Description: (�esc�be to tha depth needed to document the indicator or confirm the abeence of indicators.)
Depth Matrix Redox Features
jinchesl Cobr (moistl % Color (moisfl %�( e� oc� 7eMure Remarks
r).?i`> �.i +��':f� ?7� , �r� ^l�; a� _ '�z.,l�,,,.�
'T e: C=COncentraUon, D=De letion, RM=Reduced Matriz, MS=Masked Sand Grains. 'location: PL=Pore Linin , M=Matrix.
HydNc Soil Indicators; indleators for Problemade Hydrie Soils':
Histosol (A7 ) Dark SuAaca (S7) 2 cm Muck (A10) �MLRA 747)
Histic Epipedon (A2) Polyvatue Below Surtace (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
Black Histic (A3) Thin Oark Surface (S8} {MLRA �47, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) Loamy Gleyed MaUiu (F2) _ Piedmont Floodplain Soils (F19)
SUatified Layers (A5) � Depleted Matnx (F3) (MLRA 136,147j
2 cm Muck (AtOj (LRR N) _ Retlox Dark Surface (F6) _ Very Shallow Dark Suriace (TF12)
Depleted Below Dark Surface (A11) _ Depletetl Dark Surface (F7) _ Other (Explain in Remarks)
Thick Dark Surface (Al2) Redox Depressions (F8)
Sandy Mucky Mineral (S7) (lRR N, _ Iron-Manganese Masses (Fi2) (LRR N,
MLRA 147, 148) MLRA 136)
Sandy Gieyed Matrix (S4) Umbric Surface (F13) (MLRA 138, 122) 3lndicators of hydrophytic vegetation and
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 148) weiland hydrology must be present,
Stripped Mafrix (S6) ReA Parent Meterial (F21) (MLRA 127, 147) unless disturbetl or problematic.
Restrlctive Layer (it observed):
Type:
Depth (inches): Hydric 3oil Present? Yes No _
Remarks:
US Army Corps of Engineers Eastem Mounfains and Piedmont— Version 2.0

�i
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
n � i a.-
ProjecUSite: t�� �`�� Ciry/County: �i�'�r� `� Sampling Date: `z f i
Applicant/Ownec � ��p} s -- State: ��`i = i Sampling Point: ' � �„� ° 4 `:`E •.,..
InvesUgator(s):� �nr����`-� ^ r ` � �� �
. d r ?.0 Section, Township, Range f rs� 3 3.> h r�x ,r� �: !�� f' .
�, r �p �+,
�andform (hillslopc. terrace, etc ) i '� � ^"��� _ Local relief (concave, convex,NOn� Slope (%)�"c:� ?� �
Subregion (LRR or MLRA): 1.�,� 1��� - +�i�. �°i� : "� Long: �^ %ts"7. .� �'";� i "1'��_ {DaWm: `"'
SoilMapUnitName:�_'ft-�„f�:�}(h NWICIassiFlcation: �fr�
r
Are climatic / hydrologic conditions on the site typical for Ihis time o( year? Ves �.�„_ No _. Of no, explain in Remarks.)
Are Vegetation _, Soil �, or Hydrology � significanUy tlislurbed? 1v'� Are "Normal Ciramstances" present7 Yes � No __
Are Vegetation _, Soii,, or Hydrology v naturally problematic7 �(/ Qf neetled, explain any answers in Remarks.)
SUMMARY OF 1"INDINGS - Attach site map showing sampiing point locations, transects, important features, etc.
Hydrophytic Vegetation Present7
Hyddc Soil Present?
Wetland Hydrology Present?
HYDR�LOGY
Yes_ No�
Yes _ No�
Yes_ No_��_
Is the Sampled Area
within a Wetland? Yes No
Wetland Hydrology Indicators: Sewndarv Indicators (minimum of two re uired
Primarv Indicators (minimum of one is required� check all thot aoalvl _ Surface Soil Cracks (B6)
Surfece Water (A7) _ True Aquatic Plants (614) _ Spersely vegetated Concave Surtace (B8)
_ High Water Table (A2) _ Hydmgen Sulfide Odor (C1) _ Drainage Patterns (810)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3} _ Moss Trim Lines (B16)
Water Marks (Bt) _ Presence ot Retluced Iron (C4) _ Dry-Season Water Table (C2)
_ Sediment Deposits (82) � Recent Iron Reduction in Tilled Soils (C6) _ Cra�sh Burtows (CS)
Drift Deposits (63) _ Thin Muck Surtace (C7) _ SaWration Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Planls (Dt}
Iron Deposits (65) _ Geomorphic Position (D2)
loundation Visible on Aerial Imagery (67) _ Shallow Aquitard (D3)
Wa[erStained Leaves (69) _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) � FAC-Neuvai Test (DS)
Field ObservaUons:
Surface Water Present? Yes No ✓ Depth (inches):
Water Table Presen[? Yes �, No _� Depth (inches):
Sataration Present? Yes _ No _,�,f Deplh (iriches): I WeUand Hydrology PresenC? Yes _ No '�
includes ca iilar Gin e
Describe Recorded �ata (stream gauge, monitoring well, aerial photos. previous inspecuons), d avatlable:
Remarks:
� �._ .'�1:etA: sJ=:� �r S °- : i1;'� G...- �
US Army Corps of Engineers Easlern Mountains and Piedmonl - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
� �
Tree Stratum (Plot s¢e: t ) % Cover S e' s1 Stalus
r - ?
7 ( �� r,:e s � `: 1 R "<k�?.:: �. - � iH�C-ti
�--Y
2 �``� �- .�,�x�i s'sG` 1� oi� G�%ti '
3—bX G-`` r,� t� i� ��� 'rF
7. _
� CT = Total Cover
60% of total cover. �it* 20% of total cover.�
Saplina/Shrub�t,�ratum (Plot srze `'�? �� )
1 ti.�,. ,� �; _c(= v/ ��C.l
7
��'�� =TotalCover
50°hoftotaicover. '�� 20%ottotalcover.�
Herb Stratum (Plot size: `, �� )
1 hit . =;7`,(�(. t '. e
c'� �n ; r.a. -;'f ) � ��G,�d
_ 'v
5.
7
Sampling Point: '���'� �>
Number of Dominant Species
That Are OBL, FACW, or PAC: B (A)
Total Number of Dominant
Species Across All Strata: � (B)
Pefcenl of Dominant Species E�
That Are OBL, FACW, or FAC: r.�.� (A/B)
Prevalence Index worksheet:
Total °� Cover of: Multiolv bv:
08L spedes x t =
FACW species x 2 =
FAC species x 3 =
FACU spocies x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Indez = B!A =
_ 1• Repid Test for HydroRhytic Vegetation
2 - Dominancs Test is >50%
3- Prevalence Index is 53.0�
,� 4 - Morphological Adaptations' (Provide suppoAing
dala in Remarks or on a separate sheet)
_ Problematic Hydrophyiic Vagelation' (Expiain)
—'IndiCators of hydric soii and wetland hydrology must
— be present, unless disturbed or problematic.
OefiNHona of Pnue Vaoefafinn Strafn�
Tree- Woody plants, excluding vines, 3 in. (7.6 cm) or
— more in diameter at breast height (DBH), regardless of
helght.
SapiinglShrub - Woody plants, excluding vines, less
9� , than 3 in. DBH and greaterthan or equal to 328 ft(1
�p m) tali.
»� - Her6-All herbaceous (non-woody) plants, regardless
`.:>'�� = Total Cover' of size, and woody plams less than 328 fl tall.
50% of rolal covec d.�+-> 20% of total cover.�t7
Woodv Vine SUatum (Plot size: ��� ) Wood`y vine- All woody vines greater than 328 ft in
i. °;� r.� -�>. j �tri-��r-�;=�r�i.�'< I_�_ ✓' -A.F,.�
2.
-- Nytlrophytic �
_ _ Vegetation
1°�`� � = Total Cover P�esenY7 Yes � No
50% of lotal cover: 7•� 20°k of total cover: �
rs here or on a separate sheeL)
US Army Corps of Engineers Eastern Mountains and Piedmont- Verslon 2.0

5.'. E.
SOIL SamplingPoint 1�"-'
Profile Desctiption: (Describe to the depth needed to document the indicator or conTirm the absence of indicators.�
Depth Matrix Redox Features
(inches) Colorlmois0 % Color(moist) % Tvo2�oc� Textore Remarks
1 i `� _� 5 �:�"� �`,�li !� 3 �� ` �„�%'-a_ C � ? �t..
�.
'T e: C=ConcenUalion, D=De letion, RM=Retluced Matdx, MS=Masked Sand Grains. 'LOCation: PL=POre Lining, M=Matdx.
Hydric SoH lodicato�s: Intlicators for Problematic Hydrtc Soils':
Histosol (A7) Dark Surface (S7) 2 cm Muck (A10) �MLRA 147)
Histic Epipedon (A2) _ Polyvalue Below SuAace (SB) (MLRA 147, 148) _ Coasl Praine Redox (A16)
Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 748) �MLRA 147, 146)
_ Hydrogen Sulfide (A4) Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
Stratifed Layers (A5) Depleted Matrix (F3) (MLRA 736, 147)
2 cm Muck (A10) (LRR N) Redoz Dark Surface (F6) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Depleted Dark Surface (F7) � Other (Explain in Remarks)
Thick Dark Surface (Al2) Redox Depressions (FB)
Sandy Mucky Minerai (S1) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 146) MLRA 136)
Sandy Gleyed Matrix (S4} Umbric Surface (Ft3) (MLRA 136, 722) 'Indicators of hydrophytic vegetation antl
Sandy Redox (S5) Piedmont floodplain Soils (F19) �MLRA 148) wetland hydrology must 6e presenf,
Stripped Matrix (SB) Red Parent Material (f21) (MLRA 127, 147) unless disturbed or problematic.
Restrictive Layer (it observetl�:
Type:
Depth (inches): HyAric Soil Present7 Yes No �
Remarks:
US Army Corps of Engineers Eastern Mowtains and Piedmont - Version 2.0

t;1�t ;,15, L''t��
WF,TLAND RATING WORKSHEET Fourth Version
ProjectName �' �`; �i4, Nearest Road �;� - (t„�"]
County �n�,�, � Wetland area ?.�, � acres Wetland width �feet
Name of evaluator
Wetland location
on pond or lake
�/ on perennial stream
� on intermittent stream
_ within interstream divide
other:
Soil series: f?„ 1�.; cnt
_ predominantly organic - humus, muck, or
peat
,f predominantly mineral - non-sandy
_ predominantly sandy
Hydraulic factors
steep topo�raphy
ditched or channelized
total wetland width>_ 100 feet
Date L#��?�.`rr'".C�;S"
Adjacentland use
(within Ys mile upstream, upslope, or radius)
�% forested/naturai vegetation 9� %
_ agriculture, urban/suburban %
� impervious surfaee �_%
bom)'nant vegetation
��) I��lG!t�tt�t,�U •�„}�,� —
�Z)
(3)
Flooding and wetness
semipermanently to permanently flooded or
inundated
seasonally flooded or inundated
� intermittently flooded or temporary surface �vater
_ no evidence of flooding or surface water
Wedand ty,ne (select one)"
�Bottomland hardwood forest Pine savanna
Headwater forest Freshwater marsh
Swamp forest Bog/fen
Wet flat _ Ephemeral wetland
Pocosin Carolina bay
_ Bog forest _ Other: _
` The rating system cannot be applied to salt or brackish marshes or stream chume(s
R Water storage
A Bank/Shoreline stabilization
T Pollutant removal
1 Wildlife habiYat
�
Aquatic life value
x 4.00 =
_�___ x 4.00 = �
__� �' x 5.00 = �
�_x2.00= Q
� x 4.00 = �
Wetland
rating
��`
G RecreaCion/Education ',�� x 1.00 = �
** Add I point if in sensitive watershed and >I U% nonpoint source disturbance within '/n mile upstream, upslope, or radius

'�
,
�.�
WETIAND DETERMINATION DATA FORM - Eastern Mountaios and Piedmont Region �,�� �� � ��_�r--
ProjecUSite: �'����� CirylCounry: t-�i1Sbi1 Sampling Da1e:=,�±;::z:'r`.��L�:��"�
r
ApplfcanVOwner j�,� �`3"2�`'S _ State: eSi'_- Sampling PoinC '..;.--- ���'ax ;i
Investigator(s): � ;, �,-�-�':, � �.�.�-,a.,-b%,y;'.. SecGon. Township. Range > -� ' `z,`,.�,".� .3 � ��iL'
n
Landform (hiilslope, terrace, etc J^ Local relief (concave, convex,f�or�e)1 Slope (°,G):{`7.� ?:s
Subregion(LRROrMIRA): `�..�.�'�,� � Lat: �`���,'`�f�^? Long: -I� `;"`� -°•;� Datum: �
Soil Map Unit Name: �l.rvr +�'�;� NWI classifcatlom "� (i°.�.-i��,
Are climatic / hydrologic conditions on the site typical for this time of year� Yes � No _, (if no, explain in RemarksJ
Are Vegetation _, Soil _, or Hydrology _ significantly disturbed? �j} p Are "NOrmal Circumstances" present? Yes _y� No _
Are Vegetation _, Soii �, or Hydrology __ naturally problematic7 rj 0 pf needed, expiain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes
Hydric Soil Present? Yes
Wetland Hvdroloav Presenl? Yes
HYDROLOGY
No Is the Sampled Area
No within a WeHand? Yes � No
No
WeUand Hydrology Indicators: Second� Indlcarors fminimum of two requiredl
Prim r Indicarors mini f ne is r uir d� check I � Surtace Soil Cracks (66)
� Surface Water (A1) �, True Aquatic Plants (614j � Sparsely VegeW[ed Concave Surface (88)
u'High Water Table (A2) __ Hydrogen Sulfide Odor (Cl) _ Drainage Pattems (610)
uF Saturation (A3) _ Oxidized Rhizospheres on Living Roots {C3) _ Moss Trim lines (616)
Water Marks (81) ` Presence of Reduced Iron (CA) ,_,.. Dry�Season Water Tahle (C2)
Sediment Deposits (62) _ Recent Iron Reductlon in Tilled Soils (C6) � Cra�sh Burrows (C8)
Drift Deposits (83) _ Thin Muck Surtace (C7) � Saturation Visible on Aetial Imagery (C9)
Algal Mat or Crust (B4) _ Other (Expiain in Remarks) _ Stunted or SVessed Piants (Dt)
Iron Deposits (65) _ Geomorphic Position (D2)
Inundation Visibie on Aerial Imagery (67) _ Shaliow Aquitard (D3)
� Water-Stained Leaves (69) Microtopogrephic Relief (04)
_ Aquatic Fauna (813) "`� FAC-NeuVal Test (D5)
Field Observations: /
Sur(ace Water Present? Yes ✓ No _ Depth (inches): �"�" _
Water Table Present? � Yes ✓ No Depth (inches): �
Saturation Present? Yes � No _ Depth {inches): � WeUand Hydrology Present? Yes � No
includes ca illa frin e)
Describa Recorded Data (stream gauge, monitoring well. aerial photos, previous inspections), if availab!e:
Remarks:
US Army Corps of Engineers Easlern Mountains and Piedmont - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: 'y � t,u
� Nosowte uomman[ maicator uommance ies[woncsnee�:
Tr e S rafum (Plot size: ��;('� ) %n Cnover Snecies? ta u Number of Dominant Species
1 t�.Jt�taz`, rnh�r��4m,��{-,�. ,�� _�_ � ThatAre06L.FACW.orFAC: � (A)
7
� � , J.v = Total Cover
50% of total cover: ��,' 20°!0 of tofal cover. L?
Saolinq/Shrub Stratum (Plot
1.
5.
6.
7.
9
9.
= Total Cover
50 h of totai cover: 20°h of total cover:
-Her,b� �Stratum (Plot size: `�D{ }
1 t�Y ^dir��> >r2r ;� , . �.ar.�a7xs � ) _ � � : !r�
p v e
2 ��t1y' 13I)f,A! =_n(h � ���g� � ��.�-�bgf�,�j
3. � fAt, ��"a`I1 rin _{i'h �'"SC _` LL— �"�"
4 3 1 i
4.'StN ' ?��°.;.f'-.f>. tfJ i .
F
11
Total Number of Dominant
Species Across All Streta: � (B)
Percent of Dominant Species t r_,,,.3
That Are OBL, FACW, or FAG , t 1� r (AIB)
Total °k Cover of: Muiliolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
fACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
1- Rapid Test for Hydrophylic Vegetation
� 2 - Dominance Test is >SD%
3- Prevalence Index is s3.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separale sheeq
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators ot hydric soil and wetland hydrology must
be present, unless disturbetl or problematic.
Tree - Woody planls, excluding vines, 3 in. (7.8 cm) or
— more in diameter at breast height (D8H), regardless of
height.
_�i� =TotalCover
50°/a of total cover. "x��°� 20% of total wvee. y�i.
Woodv Vine Stratum (Plot size: )
1. —
.
2. —
3. —
4. —
= Total Cover
50% of to�al cover. 20% of total cover:
:re nere or on a sep
SaplinglShrub - Wootly plants, exclu0ing vines, less
than 3 in. D8H and greater than or equal to 3.28 ft(7
m) tall.
Herb - All herbaceous (non-woody) piants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vfne - All woody vines greater than 328 R in
Hydrophytic f,.
VegeWtion
Present4 Yea � No
US Army Corps of Engineers Eastem Mountains and Piedmont-Version 2.0

301L Sampiing Point:�'�1,.�1��1�
Profile Description: �Describe to the depth needed to documant the indicator or conflrm the absence of Indicators.)
Depth Matrix Retlox Features
(inchesl C.�o°lor (moist) °lo Color (moistl %a Tvoe L Textare Remarks
ij��! �.S }�:) ��r, ,)l7 !.''v�; 1 , �— 1� L
_ �l� .. .J t_
1 �p
� '� �' i,`� �� � � z°i 7 � `+�� 'f� �..%i- �✓� rv� t
�e�� � ��
.� j '4' w �,. 1,'�i ,( ..�t n� � .. _ _ F'1''f'�"'�
1 � P
'T e� C=Concentration, D=De letioq RM=Reduced Matnx, MS=Masked Send Greins. 'LOCatlon: PL=Pore Lining, M=Matnx.
Hydric Soil Indicators: Indicators for Problematic Hydric Su�ls':
Histosoi (Ai} � Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Potyvalue Below SuAace (S8) (MLRA 147, 148j _ Coast Prairie Redox (A16)
Black Histic (A3) Thin Dark Surface (S9) (MLRA 147, 748) (MLF2A �47, 148)
_ Hydrogen SulFlde (A4) Loamy Gleyetl Matrix (F2) _ Piedmont Floodplain Soils (Ft9)
Shatified layers (AS) ,i/ Depleted Matrix (F3) (MLRA 136, 147)
2 cm Muck (A10) (LRR N) Redox Oark Sudace (P6) Very Shallow Dark Su�face (TFt2)
� Depieted Below Dark Sudace (A11) Depleted Dark Sudace (F7) _ Other (Explal� in Remarks)
Thick Dark Surface (Al2) _ Redox Depressions (F8)
Sandy Mucky Mineral (S7 ) �LRR N, _ Iron-Manganese Masses (Ft2) (lRR N,
MLRA 147, 148) MLRA 136)
Santly Gleyetl Matrix (S4) _ Umbric SuAace (Ft3) (MI.RA 136, 122) 'Indicators ot hydrophytic vegetation and
Sandy Redox (S5) Piedmont Floodplaln Soils (Ft9) (MIRA 148) wetiand hydrology must be present,
Stripped Metrix (S6) Retl Pamnt Material (F21) �ML(2A 127, 147) unless disturbetl or problematic.
Restrictive Layer pf observed): � �
Type:
Depth (inches): Nydric Soii Present? Yes „� No
Remarks:
US Army Corps of Engineers Eastem Mountains and Piodmont — Version 2.0

`'..i,.`� ;. ��r
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
ProjecUSite: {'7ni. � {i (a Ciry/COUory: �-tj`�4:'>!'1 Sampling Date:�;�>?°_i"�r'��,�
ApplicantlOwner: i�i(��,j7�}� t� _ State:�C._ SamplingPantl�d��E�? ��Si„�rn�t
Irnestigator(s): 1}'� r�:^%�s-� "�`� , k�,. €., - .;-,�-'�� _ SecUOn, Township, Range � r'.r-� �7�= i� P.
Landform (hillsbpe, terrece, etc )� '� � Local relief (concave, conve�none); � Slope (%) '.' � �� ���.��
Subregion(LRROrMLRA): �,k�-.�*s Lac ���7�,��Pi Long: �},.�`°� '���? Uta�Nm: "�'
Soii Map Unil Name r'' r�i �"�.f �!i. NWI classlficaGon: ��k�t'�
Are climalic! hydrologic condiuons on the site rypical for this time ot year? Yes � No �(If no, explain in Remarks.)
Are Vegetation _, Soil _, or Hydrology, significanqy disturbed? (�„� Are "NOrmal Circumstances" presen[? Yes �% No _
Are Vegetation _, Soii _, or Hytlrology _ nalurally problemalic? f�� pf needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampiing point locations, transects, important features, etc.
Hydrophylic Vegetation Present? Yes
Hytlric Sail Presenl? Yes
WeUand Hydrology Present7 Yes
HYDROLOGY
No �s tNe Sampied Area
No� within a Wetland? Yes No „�
NO
WeHand Hydrology Indicalors: Ser,ondar,�ndicators (minimum of two re uired
Primary Indicators frninimum of one is reguired� check all that applyl � Sudace Soil Crecks (B6)
SuAace Water (At) _ True Aquadc Plants (B14) � Sparsely Vegetated Concave Surface (Ba)
_ High Wa[er Table (A2) _. Hydrogen Suifde Odor (Ci) _ Orainage Patterns (810)
Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (016)
Water Marks (Bt) _ Presence of Reduced Iron (C4) _ Dry�Season WaterTable (C2)
Y Sediment Deposi[s (62) � Recent Iron Reductlon in Tilled Soils (C6) � Cra�sh Burrows (C8)
Drift Deposits (B3) _ Thin Muck Surface (C7) _ SaturaUOn Visihle on Aerial Imagery (C�3)
Algal Mat or Crust (64) _ Other (Explain in Remarks) ,_ Stunted or SVessed Plants @t)
� Iron Deposils (65) _ Geomorphic Positiun (D2)
InundaUon Visible on Aerial Imagery (67} _ Shallow Aquitard (03)
WaterStained Leaves (6s) Microropographic Reliet (D4)
_ Aqua[ic Fauna (873) �FAC-Neuval Test (DS)
Pield Observations: � !
Surface Water Present? Yes, No �/ Depth (inches):
Wa[er Table Present7 Yes � No �� Depth (inchesJ: /
Saturation Present? Yes _ No �,_ �epth (inches): Wetland Nydrology Present7 Yes ______ No 'f
(includes ca illa frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspec0ons), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 20

VEGETATION (Four Strata) — Use scientific names of plants. Sampiing Point: �L' � 4=�
�
�i r�osomie uominanc mmcaior uoimim�ma iva�wv��a��w..
Trere- �Stratum (Plol size: 3 ) /o Cover S ecie ? Status Numher oi Dominant Species
1. #YCtT�X ���[,� ��1i + E �;:�a ;1` � ii ��� � f �9i_ l�w� That Are OBL. FACW, or FAC: �(A)
2.t 10' ����2�rrC i`�a°= r '`T ' Y�.
�— � �' Total Nomber of Domi�ant �
3. — Species Across All Strata: �. (8)
4. n
5• — Tha Are OBL, FACW, oe FAQ � G} �-/ (A/B)
7. _
�{i =TOtaiCover
50%aofa total cover: �'-;r 20% of total cover.�
Sa li Shr bStratum (Plots2e �:a�.`4� )
' ki % l P ! �'fY <�
1 (fr.x, s,,., ('[r ``}�jyar.^�,r..,a (� � t�•�...
2�( ,nrA "'cr.C.C�' r-:}".F.'[a. _ •i �-'p� �,l^�
3. �if1,' Pr ^.v,: ` ,•C's ••-te .,
r�
k i? = Total Cover
50°h oi totai cover. (�j_ 20°h of rotal cover.�
Herb Stratum (Plot size: )
11
50% Of tolal Cover: ,
Woodv Vine Stratum (Plot size: )
1.
2. �
3. �
4.
5.
50% of total cover.
:rs here or on a se[
Total % Covef Of: MultiDlY bY:
OBL species x 1 =
FACW species x 2 =
FAC SpeCies x 3 =
FACU species x 4 =
UPL species x 5 = �_
Column Totals: (A) (B)
Prevalence Indez = B/A =
1- Rapid Test for Hydrophytic Vegetation
� 2 - Dominance Test is >50°.5
3- Prevalence Index is s3.0'
_ 4 - Mofphological Atlaptations' (Provide supporting
data in Remarks or on a separate sheeq
� Problematic Hydmphytic Vegetatioo' (EUplain)
—'Indicators oi hydric soil and welland hydrology must
— be present, unless disturbed or pro6lematic.
[]efinitions of Four Veaefation Streta:
Tree– Woody plants, excluding vines, 3 in. (7.6 cm) or
— more in diameter at breast height (DBH), regartlless of
! height.
— Saplingl5hrub – Wootly plants, exGUtling vines, less
_ than 3 in. DBH antl greater than or equal to 3.28 ft(1
m) tali.
Herb–All herbaceous (non-woody) planis, regardless
u= 7otal Cover oi size, and woody plants less than 3.28 ft tall.
20% of total cover: yyaody vine– All woody vines greafer than 328 ft in
— — Hydrophytic
_ _ Vegetation
= l'otal Cover P�SeO�� Y� � No �
20% of total cover:
US Army Corps of Engineers Eastern Mountains and Pietlmont – Version 2.0

. i i�
SOIL Sampling Point: �+��L?
Proflle Description: (Describe to the depth needad to doeument the indicator or confirm the absenes ot Indieators.)
Depth MaUix Redox Features
(inchesl _ Golor (moistL %_ Cobr (moistl % 7yg�_�r Te�Rure Remarks
� .. �,'�
� '"<< y�. :iti "-�"= � — --- y'�
—"' l� „"�' � — — ����
1
'Type: C=Concentration D=Depletion RM=Reduced Matrix MS=Masked Santl Grefns. 'LOCation: PL=POre lining, M=Mairix.
HydAc Soil Indicators: Indicators for ProDlemalic Hydric Solls':
Histosol (Ai ) _ Dark SuAace (S7) � 2 cm Muck (A10) (MLRA 147)
Hisfic Epipedon (A2) _ Polyvalue Below Surfaca (S8) (MIRA 747,148) _ Coas[ Pralrie Redox (At6)
Black Histic (A3) Thin Dark Surtace (S9) (MLRA 147, 148) (MLRA 747, 148)
_ Nydrogen Suifide (A4) � Loamy Gleyed Matrix (F2) Pietlmont Flootlplain Soils (Ft9)
Stratifietl layers (A5) Depletetl Matrix (F3) � (MLRA 136, 147)
2 cm Muck (A10) (LRR N) Retlox Dark Surface (F6) Very Sha�low Dark Surtace (TF12)
Oepleted Beiow Dark Surtace (A11) Depleted Dark Sudace (F7) _ Other (Explain in Remarks)
Thick Dark Surtace (Al2) Redox Depressions (F8)
Santly Mucky Mineral (St) (LRR N, _ Iron-Manganese Masses (F12) (LRR N,
MLRR 147, 746) MLRA 136)
Sandy Gieyed Mahix (S4) Umbnc Surface (F73) (MLRA 136, 122) 'Indicators of hydrophytic vegetation and
Sandy Redox (S5) T Piedmont Floodplain Soils (F�9) (MLRA 148) we0and hydrology must be present,
Stripped Mairiz (SB) � Red Parent Material (F21) (MLRA 127, 147� unle5s disWrbed or problematic.
RestrictWe Layer (tf observed):
TYPQ' _—
Depih (inches): Hydric Soil Present? Yes No �
Remarks: J ��
US Army Corps of Engineers Eastern Mountains and Piadmont – Version 2.0

1,-;j 1�_�r ��.1(� , lJ�; rt-".
WETLAND RATING WORKSH�ET Fourth Version
ProjectName � � �.�-''(>> Nearest Road '`ar<' - '6>;�
County An'.SD ('� Wetiand area �°�""� acres Wet(and width �� feet
Name of evaluator t� '''� t � � i�'✓ � � �, !� � __ �1 � DaYe '' � �! %'�,��.;
Wetland Iocation
on pond or lake
�on perennial stream
on intermittent stream
within inteismeam divide
other:
'�m
Soilseries: �,�.e;��7:f�ie,s�
_ predominantly organic - humus, muck, or
peat
� predorninantly mineral - non-sandy
_ predominantly sandq
Hydraulic factors
steep topography
ditched or• channelized
lotal wetland width> l00 feet
Wetland pe (setect one)'
�}3ottomland hardwood forest
Headwater forest
Swamp forest
Wet flat
Pocosin
_ Bog forest
Adjacent land use
(within %2 mile upstream, upslope, or radius)
� forested/natural vegeCation �/o
_ agriculture, urban/suburban %
� impervious surface �_%
Domi ant vegetation
�
(1) �zn�� ��,�r�.;�e�m,v�r�?
�2� i�-/�r nii:.�!'�bt(�Ffh -.�;far,-���_.—
�3) - .. v -
Flooding and wetnsss
__ semipermanent(y to permanently flooded or
inundated
seasonally flooded or inundated
� intermittently flooded or tempora�y surface water
_ no evideuce of flooding ar surface water
Pinesavanna
� Freshwatec marsh
BogJfen
_ Ephemeral wetland
Carolina bay
Other:
' The rating system cannot be applied to salt or brackish marshes or stream channels
g Water storage �., x 4.00 =��
A Bank/Shoreline stabilization �__ x h.00 = L-? �'�'etland
rahng
� Pollutant removal � "x 5.00 = ��
1 W ildlife habitat �_ _ x 2.00 = n �t'�H '
1V Aquatic life value _� x 4.00 = �'�,
G Recreation/Education �, _ x 1.00 = �
** Add 1 point if in sensitive watershed and>10%nonpoint source disturbance within %x mile upstream, upslope, or radius

?� �.' ,, : ,
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
ProjecUSite: �� �. � �: u _ City/County: �` ,n4 �'>�_ Sampling Date: �� �'' `�� �1'�'i�� *,
ApplicanUOwner. fiir t.%(=�.� Stete: �`' SamplingPOlnt: -� ."f ���?�'3
r F
Investigator(s): �`� , �+�,.� t 3 � � . �-. � C � � ",_ ! � Section, Townshlp, Range F � M , �w . �,_,.��ti� i i �,
Landform (hiilslope, terrace, atc ) �; r Local relief (concave, convex none � Slope (h) �' Y�
rt-
r� r
Subregion(lRROrMLRA); ;.��-�.��4\} LaC �J�. �t�'J ^� r�. l.ong: °��.�.�7`_r �g>�`� Datum: �
Soil Map Unit Name: �.-�^� `�.�; 1'\ NWI classi8cation: �� r'7:;..�.
Are climatic / hytlrologic contlitions on the site typical �or this time of year? Yes � No" (If no, explain in RemarksJ
J
Are Vegetation _, Soil _, or Hydrology _ significantly disturbed? ��?J Are "Normal Circumstances" present? Yes "�° No _
Are VegelaUon _J Soil _, or Hydrology _ naturalty problematic? tJ7J (If needed, explain any answers in RemarksJ
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, eic.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
HYDROLOGY
Yes__� No
Yes _,,�, No
Yes,�;!� No
Is the Sampled Area t`�
within a WetlandT Yes No
WeUand Hydrology Indicators: Secondarv Indicators (minimum of two requiredl
Prim r Intlicators mmimum of one is required� check all that a�) _ Surface Soil Cracks (B6)
�ur(ace Water (At) _ True Aquatic Plan[s (Bl4) _ Sparsely Vegetated Concave Surtace (BB)
High Water Table (A2) __ Hydrogen Sulfide Odor (C1) � Drainage Pat[ems (B10)
� aturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
Water Marks (Bt) _ Presence of Reduced Iron (C4) __ Dry-Season Wa[er Tabie (C2)
Sedimen[ Deposits (62) _ Recent Iron Reduction in Tilled Soils (C6) _ Cray(ish Burrows (C8)
DriR Deposits (63) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (64) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (Dt)
Iron �eposits (65) _ Geomorphic Position (D2)
/,7nundation Visibie on Aerial Imagery (BI) _ Shallow Aquilard (D3)
V Waler�Stained Leaves (69) _ /Microropographic Relief (D4)
_ Aquatic Fauna (813) K FAC�Neutral Test (DS)
Field ObservaHons: . (
Surface Water Present? Yes �- No _ Depth (inches): Y�
Water Table Present? Yes �f No _ Depth (inches):�_
SaWretion Present? Yes � No _ Depth (inches):� Wetland Hydrology Present? Ves w� No
includes ca illar frin e
Describe Recorded Da�a (slream 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
---�- --......_.... °°. --- — ___ —
Tree Stratum (Plot size: ��' t ) % Cover S ecie ? Statya Number of Dominant Species
1, i"CnXi?°iS�.�� k�rrr�7yi� ,::t.8�, s�_� �.�� ThatAreOBL,FACW,orFAC:
r
� �n �,��
�.� �
— Total Number of Dominant
� Species Across All Strata: (B)
— Percent of Dominant Speoies � �-� �
— That Are OBL, FACW, Qr FAC: �,,,_r+. �/r (AIB)
7. ' _
�= Total Cover
50°k of tota�l cover: � 20% of total cover: ri
Sao6nqlShrp�bSiraWm (Plotsize Z,r%, � _) ��p
1(� x'��lkm �}�}-s�,C s�,.�ad't�'�,i��? .� £`� � ��'s--��e�
T-�
� �
_� = Total Cover
50% of total wver. �`, _ 20°k of total cover.
Herb Stratum (Pbt size: y�t� � ) � % 5
1. ,t."�D, .y('' Y's' h Gr f/�t t 3^'�Z "-y�-i_ `i _ f-;�:.c
2. � �
7
Total % Cover qt: Multiolv b,.+.'.,
OBL species x 1 =
FACW species x 2 =
FAC species ,__, x 3 = �._
FACU species x 4 =
UPl species __ x 5 = _
ColumnTotals: (A) (B)
Prevalence Index = B1A =
1- Rapitl Test for Hytlrophytic Vegetation
� 2 - Dominance Test is >50%
3- Prevalence Index is 53.0'
_ 4 - Morphological Adaptatlons' (Provide supporting
data in Remarks or on a separate sheeq
_ Problematic Hytlrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be presenf, unless disturbetl or problematic.
7ree - Woody planis, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless o(
height.
� � - -'-" SaplinglShru4 - Woody plants, 9xcluding vinee, lass
9. _ __�_. _ than 3 in. D8H and greater than or equal to 328 ft(1
7 0. _ m) iall.
� �� — Herp - All her6aceous (non-wootly) plants, regzrdless
o-. `', = Total Cover �.,.. of size, and wootly piants less than 3.28 it tali.
50°h oftotai cover. ��,.}.�`a 20% oftotal wver.
Woody vine - All woody vines greafer than 3.28 ft in
Woody Vine Siratum (Plot size: )
1.
2.
3. ���..,
4. �
photo
50% oflotalcover:
rs nere or on a sep
— -- Hydrophytie
, _ Vegetatfon f �
=TOtalCover Prosent7 V0s `� No
20% of tolal COVet:
US Army Corps of Engineers Eastern Mountains and Pietlmont - Verslon 2.0

1J� {�..:;t+.yr'�..
SOIL Sampling Point:
Profile Descriptlon: (Describo to the depth needed to document the indicator or contirm the absence of indicators.)
Depth Matrix Redox Features
Sinchesj Cobr fmoisfl % Color (moisq % _yT p�ocL Te#ure Remarks
i%--�/ ,_� r.� ��iJ '�; Y� %� � C�_ a✓� �° � t<
f �
`-�_. - �. � 3 �K � "� i l r? �e,,�£ .�'n �_ �_ !_tF c ,,,r t":..
� __
'T e: C=Concentration, D=Depletion, RM=Reduced Matriz, MS=Masked Sand Grains. 'LOCation: Pl=Pore LiNn , M=Matrix.
Hytlr7c Soil indicators: Indicators for Problematie Hydrie Soils':
Histosol (A1) Dark Surtace (57) 2 cm Muck (A10) (MLRA 147)
Histic Epipetlon (A2) _ Polyvalue Below Surface (S8) (MLRA 747, 948) � Coasl Prairie Redox (A16)
Black Histic (A3) Thin Dark Surtace (S9) (MIRA 147, 148) (MLRA 747, 148)
_ Hydrogen Sulfide (A4) _}.oamy Gleyetl Matrix (F2) _ Piedmont Floodplain Soils (f 19)
Stratifed Layers (A5} ✓Depleted Matrix (F3) (MLRA 136, 147)
2 cm Muck (A10) �LRR N) Redox Dark Surface (F6) Very Shaliow Dark 5urtace (TF12)
Depleted Below Dark Surface (A11) _ Depleted Dark Surface {P7) _ Other (Explain in Remarks)
Thick Dark Surface (Ai2) _ R2dox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N, _ Iron-Manganese Masses (F72) (lRR N,
MLRA 147,'148) MLRA 136)
Sandy Gleyed Matrix (S4) ._ Umbric Surtace (F�3) (MLF2A 13@, 122) 'Indicators of hydrophytic vegetatlon and
Sandy Redox (S5) Piedmont Fbodplain Soils (F19) (MLRA 148) wetland hydrology must be Rresent,
Siripped Matrix (S6) Red Parent Material (F2�) (MLRd �27, 147) unless disturbed or problemalic.
Restricttve LayBr {if o6served): —��---�� v .
Type:
Depth (inches): Hydric Soil Present? Yos No _
Remarks: ��
US Army Corps of Engineers Eastern Mounteins and Pietlmont — Ver�ion 2.0

� 'r :f�/�
WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Pra ecUSite: � ��` F� r�
� � t� CitylCou�ry: f�A`,P`,�P'> SamplfngDate: �_�� ri�f)=�1 t
ApplicanUOwner f i{ , State: .'' 1;�... Sempling PoinC � i� �� i� ,)
r,�
Inves(igator(s) `fa "�iv�.,�.1��� , ,_ � s S �-_',��;� Section,Township,Renge :��" r � �':.'.�:{ , .:�li-
.,�t
Landform (hilislope, terrace, etc.p � � " ° �� '�� Local relief (concave, convexrnone�; Slope (%): " �
Subregion (LRR or MLRAI: � -��»'.�r'� LaC ��r"`�i � �?in`�'� �� Long: > i . ��' `'• ����-k Datum: °..
Soil Map Unit Name: � '?�.C�f�i NWI dassifcation:
Are climatic I hydrologic conditions on the site rypical for this time of yeaY? Yes � No _, Uf no, explain in RemarksJ r
Are Vegetation _, 5oil � or Hydroloyy _ signiticantly disturbed7 ,�0 Are "NOrmai Circumstances" presentl Yes ����'' No __,_
Are Vegetation __, Soil __, or Hydrology, naturally problematic? NU Qf needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetatioo Present?
Hydric Soil Present?
Wetland Hydrology Present?
HYDROLOGY
Yes � No �s the Sampled Area
Yes No ✓ within a Wetland? Yes No ��
Yes _ No ,�
Wepand Hydrology indicators: Secondarv Indicamrs (minimum of two required)
Primarp Indicators (minimum of one is reauired� check all that applyj _ Surface Soil Cracks (B6)
Surface Waler (A1) _ True Flquatic Plants (814) _ Sparsely Vegelated Concave SurFace (68)
_ High Water Tabie (A2) _ Hydrogen Sulfide Odor (C7j _ Drainage Patterns (B10)
Saturation (A3) _ Oxidized Rhizospheres on Living Ron[s (C3) _ Moss Trim Lines (816)
Water Marks (B7 ) _ Presence ot Reduced Iron (C4) _ Dry-Season Water Table (C2)
Sediment Deposits (62) _ Recent Iron Reduction in Tiiled Soils (C6) � Cra�sh Burrows (C8)
Drift Deposits (83) _ Thin Muck Surface (CT) _ Saturation Visible on Aerial Imagery (C9)
A!gal Mat or Crust (84) _, Other (Explain in Remarks) _� Stuoted or Saessed Piants (D�)
Iron Deposits (65) _ Geomorphic Position (D2)
Inundatlon Visible on Aerial Imagery (67) _ Shallow Aquitard (�3)
Water-Stained Leaves (B9) �r Microropographic Relief (D4)
_ Aquatic Fauna (613) ✓° FAC-NeuVal Tesl (D5)
Field Observffiions:
Surface Water Present? Yes _ No � Depth (inches):
Water Table Present? Yes Na � Depth (inches): /
Saturation Presenl? Yes _ No � Depth (inches): Wetland Hydrology Present? Yes _ No �/
(includes ca il�ar frin e
Oescribe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspectioos), if available:
Remarks:
US Army Corps of Engineers Eas[em Mountains and Piedmont - Version 2A

VEGETATION (FOUr Strata) - Use scientific names of plants.
""�' ;.�.t)
Sampiing Point:
___._._ __......_......_._.- --
Tree Stretum (Pbt size: ��? ) % Caver Soedes? S�niu Numher of Dominant Species ,,. -�-
� n,
q � „t (r a�. �; �°rfi F; �� <-:�} �"� _ ��`�.3v�,� That Are OBL, FACW, or FAC: (A)
7. --- �
�.{�1 = Total Cover
50% of total cover. F i.) 20% of total cover:�_
i
Saolino/Shmb Slratum (Plot size: ��] )
1 �,:r(1;���.��.:r� ':2f �� �:u',t�. _ .:��f *f� ���:+✓
2! i a� ` �at 9�F� i �� i=r{��s�� '- 5° t�/ a�.i,.-
3 �i. '}�i",\r '�a�.'n� . !� v' .lk'�,yi
4. _
7
�'== Tolal Cover
50°h of tolai cover. 4�,�_ 20% oi total cover.�
Herb Stratum (Plot size: 'ZrY )
1.�f.rn;-� .�. f�'!x h (Pr'•���_� �'-m-i-� � �...,�a.!
� ` ..
�� = Total Cover
5�% of total covec ._� 20% of total wver: � i�
Woodv Vine Siretum (Plot size: )
t. _
4.
5._ _ -
50% oftotalcover:
nUmberS here Or on a SeK
= Total Cover
20% of total cover._
Total Number ot Dominant
Species Across All Strafa: (B)
Percent oi Dominant Species
That Are OBL, FACW, or FAC: �`�� ���' (A/B)
Totai % Cover of: Multiolv bv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU spedes x 4 =
UPl species x 5 =
Column Totals: (A) (B)
Prevalence Index = B!A =
�• Rapid Test for Hydrophyflc Vegetation
�2 - Oominance Test is >50%
3- Prevalence Index is s3.0'
_ 4 • Morphoiogical Adaptations' (Provide supporting
data in Remarks or on a separate sheeq
__ Problematic Hytlrophytic Vegeta�ion' (EZplain)
'Indicators of hydric soil and wetland hydrology must
be presenl, unless disWrbed or problematic.
Tree - Wootly plants, exclutling vines. 3 in. (7.6 cm) or
more in diameter at breast heigM (DBH), regartlleas ot
height.
SaplinglShrub-- Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Her6-All herbaceous (non-wootly) planls, regardless
of size, and wootly planis less tha� 3.28 ft tall.
vins- All woody vines greater than 3.28 ft in
Hydrophytic
Vegetation
Presont7 Yes °� No ��
US Army Corps of Engineers Easlern Mounlains and Pietlmont- Version 2.0

SOIL
Sampling Point:
G/'';.
Profile Doscription: (Descri6e to tho depth needed to document the indicator or conffrm the a6sence of indicators.)
Depth Matriz Redox Features
(inchesl Cobr /mois0 _°� _ Color (moisU '� Tvoe Loc� Tezlure Remarks
s,-r— p
i.�' �t '7�'3��� ��`'. � — — � (i�.0.4� �jL,xh
L�'�i �''yC��� �IL: j��i "� _____— Sf,�#�'w/�l N°, _
'T e: C=Concentration, D=De letion, RM=Reduced Mainx, MS=Masked Sand Greins. 'LOCafion: PL=Pore Linin , M=Matrix.
Hydric Soil Indicators: Indicators tor Problematic Hydric Soils':
Histosol (At) _ Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvaiue Below Surface (SS) (MLRA 147, 148) _ Coast Prairie Redox (A16)
Black Histic (A3) Thin �ark Sudace (S9) {MLRA 147, 748� (MLRA 147, 146)
_ Hydrogen Suiflde (A4) � Loamy Gleyed Matrix (F2) _ Pietlmont Floodplain Soils (Ft9)
Stratifed Layers (A5) _ Depleted Matrix (F3) (MLRA 136, 147i
2 em Muck (A10) (LRR N) Retlox Dark SuAace (F6) Very Shallow Dark Sudace (TF12)
Depieted Beiow Dark Surtace (A11) Depleted Dark Sudace (F7) _ Other (Explain in Remarks)
Thick Dark Surface (A72) _ Redox Depressions (F8)
Sandy Mucky Mineral (Si )(LRR N, � Iron-Manganese Masses (Ft2) (LRR N,
MLRA 147, 148) MLRA 136)
Sandy Gleyatl Matrix (54) Um6ric Surface (F13) (MLRA 736, 122) 'Intlicators of hydrophytic vegetation antl
Sandy Redox (S5) Piedmonl Floodplaln Soils (F19) (MLRA �48) wetland hydrology must be present,
Slripped Matrix (S6) Retl Parent Material (F21) (MLRA 727, 747) unless dismrbed or problematic.
Re�tdctive Layar (if observed):�v �
Type: /j
Depth (inches): _____ Hydric Soll Present? Yes _ No �!
Remarks:
�
— �
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

�
l�J Cx a ��,1 r�.
WETLAND RATING WOItKSTiEET Fourth Version
Project Name `�, �, a t��? Nearest Road ,'? - i t,� "1
County �r��„�.; �, __ Wetland area .� �t`- acres Wetland width �t � feet
Name of evaluator� �, �, •�,� �. ''� � ���_ �s G��f Date �-j.Jta� ; f�'�(; i�;"
Wetland location
on pond or lake
�on perennial stream
__ on intennittent stream
_ within interstream divide
other:
8oil series: � 1�,p�ac�r}ai
� predominantly organic - humus, muck, or
peat
,% predominantly mineral - non-sandy
_ predominantly sandy
Hydraulic factors
steep topography
ditched or chamielized
total wetland width? 100 feet
Wetland type (select one)�
Bottomland hazdwood forest
� F-Ieadwater foresY
Swamp forest
Wet flat
Pocosin
_ Bog forest
Adjacent land use
(within %z mile upstream, upsiope, or radius)
✓ forestedlnatural vegetation � : %
_ agriculture, urban/suburban %
� impervious surface 5 %
Dominant vegeYation
�
(1) �('FnxihV^�r "�,�1i'���r,r`-;, @.
z '
( ).1�`a�„��,��.;� �.,�,Xt�r��'.�'�1�_
�
(3}
Flooding and wetness
_ semipermanently to pernianently flooded or
inundated
seasonally flooded or immdated
_� intermittently flooded or temporary suriace water
no evidence of flooding or surface water
Pine savanna
Freshwater marsh
Bog/fen
_ Ephemeral wetland
_ Carolina bay
Other:
' The rating system cannot be applied to salt or brackish marshes or stream channels
R
A
T
I
N
C
"* Add
Water storage � x 4.00 = �_ �
Bank/Shoreline stabilization �__ x 4.00 = � ��'eflan�i
«� r 1'aiifl�;
Pollutant removal __� x 5.00 = (_��
Wildlifehabitat � x2.00— � ��,,,� ��
- ��
AquaCic life value ��_� x 4.00 =��
RecreationlEducation '��' -�1
-- �'�` _ x 1.00 =_ �—_�-�I
pOiq[ if itl Sensitive wafershed and � 10% nunpoint soiu-ce disturUancc within %, mile upstreflm, opslope, or rudius