20230888 Ver 1_PCN Submittal Package_Baker Park Site_Guilford County_NC_6-17-23_20230617

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'tee auwv *"k
NORTH CAROLINA
Environmental Quality
Water Resources
Office Use Only
Corps Action ID no. [Click to enter.] Date received: [Click to enter.]
DWR project no. [Click enter.] Date received: [Click to enter.]
Site Coordinates:
Latitude (DD.DDDDDD): 35.935771
Longitude (DD.DDDDDD): 79.962714
Form Version 4.3, April 20, 2022
Pre -Construction Notification (PCN) Form
(Ver. 4.2, January 31, 2022))
For Nationwide Permits and Regional General Permits and corresponding Water Quality Certifications
Please note: fields marked with a red asterisk are required. The form is not considered complete until all
mandatory questions are answered.
The PCN help document may be found at this link:
https:Hedocs. deg. nc. gov/WaterResou rces/DocView. aspx?dbid=0&i d=2196924&cr=1
Please ensure you have submitted a pre -filing meeting request at least 30 days prior to submitting this
form, as DWR will not be able to accept your application without documentation of this important first step.
The Division has developed a Pre -filing Meeting Request email address 401 Pre File(a)-ncdenr.gov to accept
the federally required pre -filing meeting request and provide confirmation receipt of submittal . This receipt
or similar documentation will satisfy 40 C.F.R. Section 121.4(a) which states "At least 30 days prior to
submitting a certification request, the project proponent shall request a pre -filing meeting with the certifying
agency." In accordance with 40 C.F.R. Section 121.5(b)(7), and (c)(5), all certification requests must
include documentation that a pre -filing meeting request was submitted to the certifying authority at least 30
days prior to submitting the certification request.
Attach documentation of Pre -Filing Meeting Request to this Application.
Date of Pre -filing Meeting Request (MM/DD/YYYY) : 1/11/2023
Pagel of 22 PCN Form Version 4.3- April 20, 2022

A. Processing Information
County (counties) where project is located:
Guilford Additional (if needed).
Is this an ARPA project?
❑ Yes ❑x No
If yes, ARPA project number:
" The project number can be found on the "Letter of Intent to Fund"
(LOIF) or "Offer and Acceptance Letter". If you are unable to locate
Click or tap here to enter text.
your DWI ARPA Funding Project Number, please contact Corey
Basinger at core y.basingeramcdenr.gov for further assistance.
Is this a NCDMS project?
(Click yes only if NCDMS is the applicant or co-
❑ Yes ❑x No
applicant)
Is this a public transportation project?
(Publicly funded municipal, state, or federal road, rail,
❑ Yes ❑x No
or airport project)
Is this a NCDOT project?
❑ Yes ❑x No
If yes, NCDOT TIP or state project number:
N/A
If yes, NCDOT WBS number:
N/A
❑x Section 404 Permit (wetlands, streams, waters,
Clean Water Act)
la. Type(s) of approval sought from the Corps:
❑ Section 10 Permit (navigable waters, tidal
waters, Rivers and Harbors Act)
Has this PCN previously been submitted?
❑ Yes ❑x No
Please provide the date of the previous submission.
Click tn antar a Anti-
❑x Nationwide Permit (NWP)
1 b. What type(s) of permit(s) do you wish to seek
❑ Regional General Permit (RGP)
authorization?
❑ Standard (IP)
This form may be used to initiate the standard/ individual permit
process with the USACE. Please contact your Corps
representative concerning submittals for standard permits. All required items can be included as attachments and
submitted with this form.
1 c. Has the NWP or GP number been verified by the Corps?
❑ Yes ❑x No
NWP number(s) (list all numbers):
NWP 29
RGP number(s) (list all numbers ):
N/A
Are you a federal applicant?
❑ Yes ❑x No
If yes, please provide a statement concerning compliance with the Coastal Zone Management Act
N/A
1 d. Type(s) of approval sought from DWR (check all that apply):
❑x 401 Water Quality Certification — Regular
❑ 401 Water Quality Certification— Express
❑ Non-404 Jurisdictional General Permit
❑ Riparian Buffer Authorization
❑ Individual 401 Water Quality Certification
Is this a courtesy copy notification
❑ Yes ❑x No
Page 2 of 22 PCN Form Version 4.3- April 20, 2022

1 e.
Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification:
❑ Yes
❑x No
For the record only for Corps Permit:
❑ Yes
❑x No
1f.
Is this an after -the -fact permit/certification application?
❑ Yes
❑x No
1 g.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts?
® Yes
❑ No
If yes, attach the acceptance letter from mitigation bank or in -lieu fee program.
1 h.
Is the project located in any of NC's twenty coastal counties?
❑ Yes
❑x No
1 i.
Is the project located within an NC DCM Area of Environmental
Concern (AEC)?
❑ Yes
❑x No ❑ Unknown
1j.
Is the project located in a designated trout watershed?
❑ Yes
❑x No
If yes, you must attach a copy of the approval letter from the appropriate Wildlife Resource Commission Office.
Trout information may be found at this link: http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Agency-Coordination/Trout.aspx
Page 3 of 22 PCN Form Version 4.3- April 20, 2022

B. Applicant Information
1 a.
Who is the primary contact?
S. Paul Pettgout
1 b.
Primary Contact Email:
[e-mail]
1 c.
Primary Contact Phone: (###)###-####
803-992-0910
1 d.
Who is applying for the permit/certification? (check
all that apply)
® Owner ❑ Applicant (other than owner)
1 e.
Is there an agent/consultant for this project?
® Yes ❑ No
2.
Landowner Information
2a.
Name(s) on Recorded Deed:
High Point Bowman, LLC
2b.
Deed Book and Page No.:
DB 008561 PG 02569; DB 008614 PG 03007;
DB 008649 PG 02051
2c.
Contact Person (for corporations):
Robert (Nate) Bowman
2d.
Address
Street Address:
13815 Cinnabar Place
Address line 2:
Click to enter.
City:
Huntersville
State/ Province/ Region:
NC
Postal/ Zip Code:
28078
Country:
USA
2e.
Telephone Number: (###)###-####
[phone]
2f.
Fax Number: (###)###-####
N/A
2g.
Email Address:
[e-mail]
3.
Applicant Information (if different from owner)
3a.
Name:
Robert (Nate) Bowman
3b.
Business Name (if applicable):
High Point Bowman, LLC
3c.
Address:
Street Address:
13815 Cinnabar Place
Address line 2:
UlICK to enter.
City:
Huntersville
State/ Province/ Region:
NC
Postal/ Zip Code:
28078
Country
USA
3d.
Telephone Number: (###)###-####
[phone]
3e
Fax Number: (###)###-####
N/A
Page 4 of 22 PCN Form Version 4.3- April 20, 2022

3f. Email Address: [e-mail]
4. Agent/ Consultant (if applicable)
4a. Name: *
S. Paul Petitgout
4b. Business Name:
Lowrys Environmental & Ecological Services, LLC
4c. Address: *
Street Address:
1823 Quinn Road
Address line 2:
Click to enter.
City:
Chester
State/ Province/ Region:
SC
Postal/ Zip Code:
29706
Country:
USA
4d. Telephone Number: (###)###-####
[phone]
4e Fax Number: (###)###-####
N/A
4f. Email Address: *
[e-mail]
Agent Authorization Letter:
Attach a completed/signed agent authorization form or letter. A sample form may be found at this link:
https://www.saw. usace.a rmy. mi I/Missions/Reg u latory-Permit-Prog ram/Permits/2017-N ationwide-Permits/Pre-
construction-Notification/
Page 5 of 22 PCN Form Version 4.3- April 20, 2022

C. Project Information and Prior Project History
1. Project Information
1 a. Name of project:
Baker Park
1 b. Subdivision name (if appropriate):
Baker Park
1 c. Nearest municipality/town: *
High Point, NC
2.
Project Identification
2a.
Property identification number (tax PIN or parcel ID):
7719469867; 7719477622; 7719479385;
7719575523; 7719663974
2b.
Property size (in acres):
±72-ac
2c.
Project Address:
Street Address:
Baker Road/Summey Avenue
Address line 2:
Click to enter.
City:
High Point
State/ Province/ Region:
NC
Postal/ Zip Code:
27263
Country:
USA
2d.
Site coordinates in decimal degrees (using 4-6 digits
after the decimal point):
Latitude (DD.DDDDDD): 35.935771
Longitude (-DD.DDDDDD):-79.962714
3. Surface Waters
3a. Name of nearest body of water to proposed project:
UT to Mile Branch
3b. Water Resources Classification of nearest receiving
WS-IV
water:
The Surface Water Classification map may be found at this link:
https:Hncden r. maps. arcg is.com/apps/webappviewer/index. html?id=6e 125ad7628f494694e259c8Odd64265
Cape Fear
3c. In what river basin(s) is your project located? *
Choose additional (if needed)
3d. Please provide the 12-digit HUC in which the project is
030300030103
located:
The Find Your HUC map may be found at this link:
https:Hncdenr.maps.arcgis.com/apps/Publiclnformation/index.html?appid=ad3a85aOc6d644aOb97cd069db238ac3
Page 6 of 22 PCN Form Version 4.3- April 20, 2022

4.
Project Description and History
4a.
Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of
this application:
NC Land Cover Categories that generally occur on site: (1) Forest Land — Needleleaf Coniferous Forest Land —
Loblolly-Slash Pine Forests; (2) Forest Land — Broadleaf Deciduous Forest — Oak -Hickory Forest; (3)
Herbaceous Cover and Shurbland - Unmanaged Herbaceous Cover - Other Unmanaged Herbaceous Cover
(clear-cut areas); (4) Water Bodies - Linear Drainage and Inland Water Bodies(wetland and streams). NC Land
Use Categories that occur on site: (1) Active Forest Management and Harvesting — Actively Managed Forest
Stands (2) Water Bodies — Non -Used or Passively Used Water Bodies; (3) Human Induced Bare Land - Altered
Lands. Current Site Conditions: The subject property is currently comprised of a of a site that we believe has
been managed for timber purposes. The majority of the site was clear-cut in late 2019-early 2020. Jurisdictional
waters of the US on site were classified according to USACE and NCDWR guidance. The results of the
jurisdictional determination investigation indicated that there were four jurisdictional streams present within the
subject property (SA, SB. SC and SD/SE/SF). Stream SA is a perennial unnamed tributary that eventually flows
into Mile Branch. Stream SB is an intermittent unnamed tributary that flows into the perennial UT to Mile Branch.
Stream SC is also an intermittent unnamed tributary that flows into the perennial UT to Mile Branch. Stream
SD/SE/SF is a perennial unnamed tributary (that becomes intermittent in its headwaters) that flows into the
perennial UT to Mile Branch. In addition to the four jurisdictional tributaries, there was seven jurisdictional
wetlands located within the project area. Wetlands WA, WB, WC/WD, and WE have been clear-cut and the forest
cover removed except for areas near Stream SA (stream buffer). Wetlands WG, WH and WJ are all forested
wetland areas. Wetlands WA, WB, WE, WG, and WH will not be impacted by the project. The project area is
within the Cape Fear River Basin (HUC#03030003)(USGS 1974). Land use in the vicinity of the project consists
of mainly residential and commercial/industrial land with some undeveloped areas still present.
4b.
Have Corps permits or DWR certifications been obtained for this
❑ Yes ❑x No ❑ Unknown
project (including all prior phases) in the past?
If yes, please give the DWR Certification number and/or Corps
[Click to enter.]
Action ID (ex. SAW-0000-00000):
jClick to enter.]
Attach any pertinent project history documentation
02.
Is any portion of the work already complete?
❑ Yes ❑x No
If yes, describe the completed work.
N/A
4c.
List of other certifications or approvals/denials received from other federal, state or local agencies for work
described in this application not related to the 404 or 401.
None
4d.
Attach an 8'h x 11" excerpt from the most recent version of the USGS topographic map indicating the location of
the project site.
4e.
Attach an 8'h x 11" excerpt from the most recent version of the published County NRCS Soil Survey map
depicting the project site.
4f.
List the total estimated acreage of all existing wetlands on the
±1 acres
property:
4g.
List the total estimated linear feet of all existing streams (intermittent
±5,100 linear feet
and perennial) on the property:
4g1.
List the total estimated acreage of all existing open waters on the
0.0 acres
property:
4h.
Explain the purpose of the proposed project:
The overall purpose of the proposed project is to construct a residential subdivision to meet the growing need for
housing in this portion of the greater Triad metropolitan area (High Point -Greensboro -Winston Salem).
Page 7 of 22 PCN Form Version 4.3- April 20, 2022

4i. Describe the overall project in detail, including the type of equipment to be used: *
The overall project includes the proposed construction of Phase 3 of the Baker Park residential subdivision. The
overall residential subdivision will consist of approximately 106 single family residential lots. Three impact areas
are proposed for this site in order to facilitate sufficient access to the site. Impact #1 contains both a wetland
and stream impact for a road crossing and some lot fill (permanent wetland fill impact = 0.044-acre; permanent
stream fill impact = 54.35 LF (0.005-acre); temporary stream impact = 5 LF (0.0004-acre)). Impact #2 consists of
a wetland fill area for a road crossing (permanent wetland fill impact = 0.424-acre). Impact # 3 is a bottomless
culvert road crossing that will have a shading impact on the stream reach (permanent stream shading impact =
74.2 LF(0.01-acre). To facilitate the development of the site, clearing and grading the site is necessary. Graders,
haulers, excavators and other heavy equipment will be used during grading and construction of the site.
4j. Attach project drawings/site diagrams/depictions of impact areas for the proposed project.
4k. Will this activity involve dredging in wetlands or waters?
❑ Yes ❑x No
If yes, describe the type of dredging, the composition of the dredged material, and the locations of disposal area.
N/A
Page 8 of 22 PCN Form Version 4.3- April 20, 2022

5.
Jurisdictional Determinations
5a.
Have the wetlands or streams been delineated on
the property or in
® Yes ❑ No ❑ Unknown
proposed impact areas?
Comments:
GIICK to enter text
5b.
If the Corps made a jurisdictional determination,
❑ Preliminary ❑ Approved ❑ Emailed concurrence
what type of determination was made?
❑x Not Verified ❑ Unknown ❑ n/a
Corps AID number (ex. SAW-0000-00000):
-dirk +n an+a
Name (if known): S. Paul Petitgout
5c.
If 5a is yes, who delineated the jurisdictional
Agency/Consultant Company: Lowrys Environmental &
areas?
Ecological Services, LLC
Other: ';lickto enter
5d.
List the dates of the Corps jurisdictional determination or State determination if a determination was made by
either agency.
Click to enter.
5d1.
Attach jurisdictional determinations.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑x No
6b. If yes, explain.
N/A
Are any other NWP(s), regional general permit(s), or individual permit(s) used, or intended to be used, to
authorize any part of the proposed project or related activity? This includes other separate and distant crossings
for linear projects that require Department of the Army authorization but don't require pre -construction
notification.
N/A
7. Addresses of adjoining property owners, lessees, etc. whose property adjoins the waterbody (if more than can be
entered here, please attach a supplemental list)
Attached
8. Scheduling of activity:
Activities are scheduled to begin as soon as all applicable permits have been acquired and all conditions of those
permits have been met.
Page 9 of 22 PCN Form Version 4.3- April 20, 2022

D. Proposed Impacts Inventory
Impacts Summary
❑x Wetlands
1 a. Where are the impacts associated with your project ❑ Buffers
(check all that apply):
❑ Pond Construction
❑x Streams - tributaries
❑ Open Waters
2. Wetland Impacts
If there are wetland impacts proposed on the site, complete this table for each wetland area impacted.
2a.
Site #
2a1.
Impact
Reason/Type
2b.
Impact
Duration
2c.
Wetland Type
2d.
Wetland Name
2e.
Forested
?
2f.
Jurisdiction
Type
2g.
Impact Area
(ac)
W1
Fill (Incl.
Riprap)
Permanent
Headwater
Forest
Wetland WJ
Yes
Both
0.044
W2
Fill (Incl.
Riprap)
Permanent
Unknown
Wetland WC/WD
No
Both
0.424
W3
Choose one
Temp/ Perm
Choose one
.;lick to enter
Y/N
Choose one
Click to enter
W4
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W5
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W6
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W7
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W8
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W9
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W10
Choose one
Temp/ Perm
Choose onE
Click to enter
Y/N
--hoose one
Click to enter
W11
Choose one
Temp/ Perm
Choose onE
Click to enter
Y/N
--hoose one
Click to enter
W12
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W13
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W14
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
W15
Choose one
Temp/ Perm
Choose one
Click to enter
Y/N
Choose one
Click to enter
2g1. Total temporary wetland impacts
0 ac
2g2. Total permanent wetland impacts
0.468 ac
2g3. Total wetland impacts
0.468 ac
2h. Type(s) of material being discharged and the amount of each type in cubic yards:
Clean fill dirt ±1,000 cubic yards
2i. Comments:
W2 (Wetland WCMID) was clearcut 3-5 years ago and is undergoing primary succession.
Page 10 of 22 PCN Form Version 4.3- April 20, 2022

3. Stream Impacts
If there are perennial or intermittent stream/ tributary impacts (including temporary impacts) proposed on the site,
complete this table for all stream/ tributary sites impacted.
** All Perennial or Intermittent streams must be verified by DWR or delegated local government
3a
3b.
3c.
3d.
3e.
3f.
3g.
3h.
Site #
Impact
Impact
Impact
Stream Name
Stream
Jurisdiction
Stream Width
Impact length
Reason
Duration
Type
Type
Type
(avg ft)
(linear ft)
S1
Road Crossing
Permanent
Fill (Incl.
Stream SF
Intermittent
Both
4
54.3
Riprap)
S1
Road Crossing
Temporary
Other
Stream SF
Intermittent
Both
4
5
S2
Road Crossing
Permanent
Other
Stream SD
Perennial
Both
6
74.2
S3
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S4
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S6
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S7
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S8
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S9
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S10
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S11
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S12
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S13
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S14
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S15
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S16
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S17
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S18
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S19
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
S20
Click to enter
Temp/ Perm
Choose one
Click to enter
Per/Int
Choose one
Click to enter
Click to enter
3i1. Total jurisdictional ditch
0 linear ft
impact:
3i2. Total permanent stream
54.3 linear ft
impacts:
36. Total temporary stream
5 linear ft
impacts:
3i4. Total stream and ditch
59.3 linear ft
impacts:
3j. Comments:
Impact S1 (Stream SF) 54.3 LF (0.005-ac) Permanent Impact — Fill for road
Impact S1 (Stream SF) 5 LF (0.0004-ac) Temporary Impact — Temporary Construction Impact — will be returned
to pre -construction contours and revegetated at the completion of construction.
Impact S2 (Stream SD) 74.2 LF (0.01-ac) Installation of a bottomless culvert (Permanent Shading Impact)
Page 11 of 22 PCN Form Version 4.3- April 20, 2022

Page 12 of 22 PCN Form Version 4.3- April 20, 2022

4.
Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other
open water of the U.S., individually list all open water impacts in the table below.
4a.
Site #
4a1.
Impact Reason
4b.
Impact
Duration
4c.
Waterbody Name
4d.
Activity Type*
4e.
Waterbody
Type
4f.
Impact area
(ac)
01
;lick to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
02
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
03
dick to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
04
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
05
Click to enter.
Temp/ Perm
Click to enter.
Choose one
Choose one
Click to enter.
4g.
Total temporary open water impacts
0 ac
4g.
Total permanent open water impacts
0 ac
4g.
Total open water impacts
0 ac
4h.
Comments:
N/A
5.
Pond or Lake Construction
If pond or lake construction is proposed, complete the table
below. (*This
does NOT include
ofFline stormwater
management ponds.)
5a.
5b.
5c.
5d.
5e.
Pond ID
Proposed use or
Wetland Impacts
(ac)
Stream
Impacts (ft)
Upland
#
purpose of pond
Impacts (ac)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
Click tc
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
P2
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
P3
Choose one
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5f.
Total
Click to
Click to
Click to
Click to
Click to
Click to
Click to
enter.
enter.
enter.
enter.
enter.
enter.
enter.
5g.
Comments:
N/A
5h.
Is a dam high hazard permit required?
❑ Yes ❑ No
If yes, permit ID no.:
Click to enter.
5i.
Expected pond surface area (acres):
Click to enter.
5j.
Size of pond watershed (acres):
Click to enter.
5k.
Method of construction:
N/A
Page 13 of 22 PCN Form Version 4.3- April 20, 2022

6. Buffer Impacts (DWR requirement)
If project will impact a protected riparian buffer, then complete the chart below. Individually list all buffer impacts.
6a. Project is in which protected basin(s)?
(Check all that apply.)
❑ Neuse ❑ Tar -Pamlico ❑ Catawba
❑ Jordan ❑ Goose Creek ❑ Randleman
❑ Other: Click to enter.
Site #*
6b.
Impact Type*
6c.
Impact Duration*
6d.
Stream Name*
6e.
Buffer
Mitigation
Required?*
6f.
Zone 1 Impact*
(sq ft)
6g.
Zone 2 Impact*
(sq ft)
131
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
132
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
133
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
134
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
135
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter.
Click to enter.
136
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
137
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
138
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
139
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B10
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
1311
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B12
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B13
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B14
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B15
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B16
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B17
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B18
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B19
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
B20
Choose one
Temp/ Perm
Click to enter.
Y/N
Click to enter
Click to enter.
6h. Total temporary impacts:
Zone 1: 0 sq ft
Zone 2: 0 sq ft
6h. Total permanent impacts:
Zone 1: 0 sq ft
Zone 2: 0 sq ft
6h. Total combined buffer impacts:
Zone 1: 0 sq ft
Zone 2: 0 sq ft
6i. Comments:
N/A
Please attach supporting documentation (impact maps, plan sheets, etc.) for the proposed project.
Page 14 of 22 PCN Form Version 4.3- April 20, 2022

E. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts through project design:
The project was initially designed to have three impact areas (one traditional culverted crossing (Impact #3), and
two fill impacts for crossings (Impact #'s 1 and 2). The project was re -designed to eliminate the one tractional
culverted crossing and replace it with a bottomless culverted crossing, eliminating the permanent fill impact
associated with the traditional culveted crossing proposed (no loss of waters at the bottomless culverted
crossing).
1 b. Specifically describe measures taken to avoid or minimize proposed impacts through construction techniques:
As mentioned above, utilizing a bottomless culvert for the culverted crossing reduces the overall loss of waters of
the US (although there still is a shading impact). Additionally, all slopes adjacent to jurisdictional areas were
steepened to reduce impacts while still maintaining safe slopes as required by the local governing authority.
2. Compensatory Mitigation for Impacts to Waters of the U.S., Waters of the State, or Riparian Buffers
2a. If compensatory mitigation is required, by whom is it required? ❑x DWR ❑x Corps
(check all that apply)
2b. If yes, which mitigation option(s) will be used for this ❑ Mitigation Bank
project? * (check all that apply) ❑x In Lieu Fee Program
❑ Permittee Responsible Mitigation
3. Complete if using a Mitigation Bank
(Must satisfy NC General Statute143-214.11 (d1).)
3a. Name of mitigation bank:
N/A
3b. Credits purchased/requested:
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Type: Choose one
Quantity Click to enter.
Attach receipt and/or approval letter.
3c. Comments:
N/A
4.
Complete if Using an In Lieu Fee Program
4a.
Attach approval letter from in lieu fee program.
4b.
Stream mitigation requested:
0 linear feet
4c.
If using stream mitigation, what is the stream temperature:
warm
NC Stream Temperature Classification Maps can be found under the Mitigation Concepts tab on the Wilmington
District's RIBITS website: (Please use the filter and select Wilmington district)
https://ribits.usace.army.mil/ribits apex/f?p=107:27:2734709611497::NO: RP:P27 BUTTON KEY:O
4d.
Buffer mitigation requested (DWR only):
0 square feet
4e.
Riparian wetland mitigation requested:
0.424 acres
4f.
Non -riparian wetland mitigation requested:
0 acres
Page 15 of 22 PCN Form Version 4.3- April 20, 2022

4g. Coastal (tidal) wetland mitigation requested: 0 acres
4h. Comments:
Riparian Wetland Mitigation will be coming from NCDMS as there are no private mitigation banks that service the
project area that have riparian wetland credits available
5. Complete if Providing a Permittee Responsible Mitigation Plan
5a. If proposing a permittee responsible mitigation plan, provide a description of the proposed mitigation plan,
including mitigation credits generated.
N/A
5b. Attach mitigation plan/documentation.
6.
Buffer Mitigation (State Regulated Riparian Buffer Rules) — DWR requirement
6a.
Will the project result in an impact within a protected riparian buffer
❑ Yes ❑ No
that requires buffer mitigation?
If yes, please complete this entire section — please contact DWR for more information.
6b.
If yes, identify the square feet of impact to each zone of the riparian buffer that requires
mitigation. Calculate the
amount of mitigation required in the table below.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
Click to enter.
Click to enter.
Choose one
Click to enter.
Zone 2
.;lick to enter.
Click to enter.
Choose one
Click to enter.
6f. Total buffer mitigation required
Click to enter.
6g.
If buffer mitigation is required, is payment to a mitigation bank or
❑ Yes ❑ No
NC Division of Mitigation Services proposed?
6h.
If yes, attach the acceptance letter from the mitigation bank or NC Division of Mitigation Services.
6i.
Comments:
N/A
Page 16 of 22 PCN Form Version 4.3- April 20, 2022

F. Stormwater Management and Diffuse Flow Plan (DWR requirement)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers
❑ Yes ❑x No
identified within one of the NC Riparian Buffer Protection Rules?
1 b. All buffer impacts and high ground impacts require diffuse flow or other form of stormwater treatment. If the
project is subject to a state implemented riparian buffer protection program, include a plan that fully documents
how diffuse/dispersed flow will be maintained.
All Stormwater Control Measures (SCM) must be designed in accordance with the NC Stormwater Design
Manual(https://deg.nc.gov/about/divisions/energv-mineral-land-resources/energv-mineral-land-permit-
guidance/stormwater-bmp-manual).
Associated supplement forms and other documentation must be provided.
❑ Level Spreader
What Type of SCM are you
❑ Vegetated Conveyance (lower seasonal high water table- SHWT)
providing?
❑ Wetland Swale (higher SHWT)
(Check all that apply)
❑ Other SCM that removes minimum 30% nitrogen
❑ Proposed project will not create concentrated stormwater flow through the
buffer
For a list of options to meet the diffuse flow requirements, click here.
Attach diffuse flow documentation.
2.
Stormwater Management Plan
2a.
Is this an NCDOT project subject to compliance with NCDOT's
Individual NPDES permit NCS000250?
❑ Yes ❑x No
2b.
Does this project meet the requirements for low density projects as
defined in 15A NCAC 02H .1003(2)?
❑ Yes ❑x No
To look up low density requirements, click here:
http://reports.oah.state. nc.us/ncac/title%2015a%20-%20environmental%20guality/chapter%2002%20-
%20environmental%20management/subchapter%20h/15a%20ncac%2002h%20.1003.pdf
2c.
Does this project have a stormwater management plan (SMP)
❑x Yes ❑ No
reviewed and approved under a state stormwater program or state -
approved local government stormwater program?
❑ n/a — project disturbs < 1 acre
Note: Projects that have vested rights, exemptions, or grandfathering from state or locally implemented
stormwater programs or projects that satisfy state or locally -implemented stormwater programs through use of
community in -lieu programs should answer "no" to this question.
2d.
Which of the following stormwater management program(s) apply?
❑x Local Government
(Check all that apply.)
❑x State
If you have local government approval, please include the SMP on their overall impact map.
❑x Phase II ❑ USMP
Local Government Stormwater Programs
❑ NSW ❑ Water Supply
Page 17 of 22 PCN Form Version 4.3- April 20, 2022

Please identify which local government stormwater program you are using.
Huntersville, NC
State Stormwater Programs I 0 Phase II ElHQW or ORW
❑ Coastal Counties ❑ Other
Comments:
A copy of the stormwater plan can be provided upon request.
Page 18 of 22 PCN Form Version 4.3- April 20, 2022

G. Supplementary Information
1. Environmental Documentation
1 a. Does the project involve an expenditure of public (federal/state/local)
❑ Yes ❑x No
funds or the use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require
preparation of an environmental document pursuant to the
requirements of the National or State (North Carolina) Environmental
❑ Yes ❑ No
Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been
finalized by the State Clearing House? (If so, attach a copy of the
❑ Yes ❑ No
NEPA or SEPA final approval letter.)
Comments:
N/A
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A
NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300),
Federally Non -Jurisdictional Wetlands /Classified Surface Waters
❑ Yes ❑x No
(15A NCAC 2H. 1400) DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. If you answered "yes" to the above question, provide an explanation of the violation(s):
N/A
3. Cumulative Impacts (DWR Requirement)
3a. Will this project (based on past and reasonably anticipated future
impacts) result in additional development, which could impact nearby
❑ Yes ❑x No
downstream water quality?
3b. If you answered "no", provide a short narrative description:
Click to enter.
3c. If yes, provide a qualitative or quantitative cumulative impact analysis in accordance with the most recent DWR
policy. (Attach .pdo
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project? ® Yes ❑ No ❑ N/A
Page 19 of 22 PCN Form Version 4.3- April 20, 2022

4b. If yes, describe in detail the treatment methods and dispositions (non -discharge or discharge) of wastewater
generated from the proposed project. If the wastewater will be treated at a treatment plant, list the capacity
available at that plant.
Sewage disposal will be completed by tapping into existing sewer located near the site (no additional impacts
required). The treatment capacity at the local sewage treatment plant is not known, but can be requested, if
needed.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected
❑ Yes ❑x No
species or habitat? (IPAC weblink: https://www.fws.gov/ipac/ ffws.govl)
5b. Have you checked with the USFWS concerning Endangered Species
® Yes ❑ No
Act impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Raleigh
5d. Is another federal agency involved?
❑ Yes ❑x No ❑ Unknown
If yes, which federal agency?
N/A
5e. Is this a DOT project located within Divisions 1-8?
❑ Yes ❑x No
5f. Will you cut any trees in order to conduct the work in waters of the
U.S.?
® Yes ❑ No
5g. Does this project involve bridge maintenance or removal?
❑ Yes ❑x No
5g1. If yes, have you inspected the bridge for signs of bat use such as
staining, guano, bats, etc.? Representative photos of signs of bat use
❑ Yes ❑ No
can be found in the NLEB SLOPES, Appendix F, pages 3-7.
Representative photos of signs of bat use can be found in the NLEB SLOPES, Appendix F, pages 3-7. Link to
NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed NLEB-SLOPES&apps.pdf
If you answered yes to 5g1, did you discover any signs of bat use?
❑ Yes ❑ No ❑ Unknown
If yes, please show the location of the bridge on the permit drawings/ project plans
5h. Does this project involve the construction/ installation of a wind
turbine(s)?
❑ Yes ❑x No
If yes, please show the location of the wind turbine(s) on the permit drawings/ project plans (attach .pdo
5i. Does this project involve blasting and /or other percussive activities
that will be conducted by machines, such as jackhammers,
❑ Yes ❑x No
mechanized pile drivers, etc.?
If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this
activity on the property (attach .pdo
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated
Critical Habitat?
USFWS iPac Species List
NCNHP Database Search
Attach consultation documentation.
Page 20 of 22 PCN Form Version 4.3- April 20, 2022

6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as
an Essential Fish Habitat?
❑ Yes ❑x No
Is there submerged aquatic vegetation (SAV) around
the project vicinity?
El Yes ❑x No El Unknown
Will this project affect submerged aquatic vegetation?
❑ Yes ❑x No ❑ Unknown
Explain: N/A
6b. What data source(s) did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Inland EFH Mpper (2023)
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data):
hftp://qis.ncdcr.gov/hpoweb/
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural
preservation status (e.g., National Historic Trust designation or
❑ Yes ❑x No
properties significant in North Carolina history and archaeology)?
7b. What data source(s) did you use to determine whether your site would impact historic or archeological
resources?
HPOWEB 2.0 for NCDOT and Consultants — Please note that this database does not contain any archaeological
information.
7c. Attach historic or prehistoric documentation.
8. Flood Zone Designation (Corps Requirement)
Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search
8a. Will this project occur in a FEMA-designated 100-year floodplain? *
® Yes ❑ No
8b. If yes, explain how the project meets FEMA requirements.
The engineer of record has been working with the local floodplain administrator to eliminate impacts to the 100
year floodplain. This has been accomplished through the use of a bottomless culvert, which alleviates all
impacts within the 100 year floodplain. With the use of this bottomless culvert, there are no impacts to the 100
year floodplain for this project.
8c. What source(s) did you use to make the floodplain determination?
FEMA FIRM Panel No. 3710771900K effective 1/2/2008
H. Miscellaneous
Comments:
Click to enter.
Attach pertinent documentation or attachments not previously requested
Page 21 of 22 PCN Form Version 4.3- April 20, 2022

I. Signature *
x❑ By checking the box and signing below, I, as the project proponent, certify to the following:
• The project proponent hereby certifies that all information contained herein is true, accurate, and complete, to
the best of my knowledge and belief;
• The project proponent hereby requests that the certifying authority review and take action on this CWA 401
certification request within the applicable reasonable period of time;
• The project proponent hereby agrees that submission of this PCN form is a "transaction" subject to Chapter
66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby agrees to conduct this transaction by electronic means pursuant to Chapter 66,
Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• The project proponent hereby understands that an electronic signature has the same legal effect and can be
enforced in the same way as a written signature; AND
• As the project proponent, I intend to electronically sign and submit the PCN/online form.
Full Name: S. Paul Petitgout
Signature: 175 lodzd
Date: 6/17/2023
Page 22 of 22 PCN Form Version 4.3- April 20, 2022

Lowrys Environmental &
Ecological Services, LLC
1823 Quinn Road
Chester, South Carolina 29706
Phone [phone]
May 30, 2023
US Army Corps of Engineers
Regulatory Branch
Raleigh Field Office
North Carolina Division of Water Resources
401 and Buffer Permitting Branch
Winston-Salem Regional Office
RE: Baker Park Development
Nationwide Permit 29 (NCDWR Certification No. 4256)
City of High Point, Guilford County, North Carolina
Lowrys Environmental & Ecological Services, LLC (LEES) has prepared a permit application
for the use of Nationwide Permit 29 (NCDWR Certification No. 4256) in order for the applicant
to construct a new residential development. The project area is located at the intersection of
Summey Road and Baker Road in the City of High Point, Guilford County, North Carolina.
The following documents, figures, etc. are provided to aid in your review of the project. Should
you have any questions regarding the project, please do not hesitate contacting me. We look
forward to working with you on this project.
Sincerely yours,
S. Paul Petitgout
President/Managing Member
Attachments

TABLE OF CONTENTS
30-Day Pre -Filing Documentation
Property Ownership Information
Agent Authorization and Right of Entry Documentation
General Location Figures
Engineering Figures
NCDMS Mitigation Acceptance Letter
Cultural Resources (NC HPO) Documentation
Threatened and Endangered Species Documentation
Adjacent Land Owners Information
Preliminary Jurisdictional Determination Package

30-DAY PRE -FILING DOCUMENTATION

MGmaif Paul Petitgout<[e-mail]>
401/Buffer Pre -filing Meeting Request - Baker Park Site, Guilford County, NC
1 message
Paul Petitgout <[e-mail]> Wed, Jan 11, 2023 at 10:19AM
To: 401 [e-mail]
Please fill out the following information:
Project Name: Baker Park
County: Guilford
Applicant Name: High Point Bowman, LLC
Applicant Email: [e-mail]
**Please note that multiple projects may be submitted within the same email by supplying all the above information for each project.
***In the event your email is not allowing auto -responses, please save a copy of your sent email for your records and if necessary use that copy in application/form submittal.
S. Paul Petitgout
President/Managing Member
Lowrys Environmental & Ecological Services, LLC
1823 Quinn Road
Chester, South Carolina 297o6
Phone: [phone]
Email:

PROPERTY OWNERSHIP INFORMATION

4/10/23, 10:51 AM
Property Summary
Tax Year: 2023
180691
REID
PIN
1308
38 NEAR BAKER
Location
property
RD
Address
Description
Print Property Info
7719-46-9867
HIGH POINT BOWMAN
Property Owner
LLC
BALANCE IN 18
13815 CINNABAR PL
Owner's Mailing
TOWNSHIP
HUNTERSVILLE NC
Address
28078
Administrative Data
Transfer Information
Plat Book & Page
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
40.27
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Photograph
Building Summary
Property Value
5/12/2022
Total Appraised Land Value
$323,300
008614
Total Appraised Building Value
03007
Total Appraised Misc
Improvements Value
$600
Total Cost Value
$323,300
Total Appraised Value -valued By
$323,300
Cost
5/12/2022
Other Exemptions
$300,000
Exemption Desc
Use Value Deferred
Historic Value Deferred
0
Total Deferred Value
0
Total Taxable Value
$323,300
0
0
No Photo Found
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180691 1 /2

4/10/23, 10:51 AM
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Land Summary
Print Property Info
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
Land Class: RESIDENTIAL Deeded Acres: 40.48
Zoning Soil Class Description Size Rate
R-5 0110-SINGLE-FAM-R RA 40.27 BY THE ACRE PRICE $13,000
Total Land Value Assessed: $323,300
Ownership History
Calculated Acres: 40.48
Size Adj. Factor Land Adjustment Land Value
0.95 TOPOGRAPHY-65.00 $323,300
Owner Name
Deed Type
% Ownership
Stamps Sale Price
Book
Page
Deed Date
Current HIGH POINT BOWMAN LLC
SPEC. WARRANTY DEED
100
600 $300,000
008614
03007
5/12/2022
1 Back GILLIAM, FREDERICK KEENE JR
ERROR
100
0
000000
00000
1/1/1900
Notes Summary
Building Card
No Data
Date
Line
Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180691 2/2

4/10/23, 10:52 AM
Property Summary
Tax Year: 2023
REID 180697 PIN
Location 706 SUMMEY property
AVE
Address Description
Print Property Info
7719-47-7622
Property Owner
SEE DEED L01 PL210-
Owner's Mailing
31
Address
Administrative Data
Transfer Information
Plat Book & Page
210-31
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
7.75
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Photograph
Building Summary
HIGH POINT BOWMAN
LLC
13815 CINNABAR PL
HUNTERSVILLE NC
28078
Property Value
12/29/2021
Total Appraised Land Value
$158,200
008561
Total Appraised Building Value
02569
Total Appraised Misc
Improvements Value
Total Cost Value
$158,200
Total Appraised Value -valued By
$158,200
Cost
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
0
Total Deferred Value
0
Total Taxable Value
$158,200
0
0
No Photo Found
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=242754 1 /2

4/10/23, 10:52 AM
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Land Summary
Print Property Info
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
Land Class: RESIDENTIAL Deeded Acres: 7.75
Zoning Soil Class Description Size
R-5 0100-SINGLE FAM RES 7.75 BY THE ACRE PRICE
Total Land Value Assessed: $158,200
Ownership History
Calculated Acres: 7.75
Rate Size Adj. Factor Land Adjustment Land Value
$13,000 SIZE-157.00 $158,200
Owner Name Deed Type % Ownership Stamps Sale Price Book Page Deed Date
Current HIGH POINT BOWMAN LLC SPEC. WARRANTY DEED 100 0 008561 02569 12/29/2021
Notes Summary
Building Card
No Data
Date
Line
Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=242754 2/2

4/10/23, 10:52 AM
Print Property Info
Property Summary
Tax Year: 2023
REID 180696 PIN 7719-47-9385 Property Owner HIGH POINT BOWMAN LLC
708 SUMMEY AVE SEE DEED 13815 CINNABAR PL
Location Address Property Description Owner's Mailing Address HUNTERSVILLE NC 28078
Administrative Data
Transfer Information
Plat Book & Page
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
2.49
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Building Summary
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Photograph
12/29/2021
008561
02569
$244
12/29/2021
$40,667
No Photo Found
Property Value
Total Appraised Land Value
$40,800
Total Appraised Building Value
Total Appraised Misc
Improvements Value
Total Cost Value
$40,800
Total Appraised Value -valued By
$40,800
Cost
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
Total Deferred Value
Total Taxable Value
$40,800
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180696 1 /2

4/10/23, 10:52 AM Print Property Info
Land Summary
Land Class: RESIDENTIAL Deeded Acres: 0 Calculated Acres: 2.49
Zoning Soil Class Description Size Rate Size Adj. Factor Land Adjustment Land Value
R-5 0100-SINGLE FAM RES 2.51 BY THE ACRE PRICE $13,000 ACCESS-50.00 $40,800
SIZE-250.00
Total Land Value Assessed: $40,800
Ownership History
Owner Name
Deed Type
Current
HIGH POINT BOWMAN LLC
SPEC.
WARRANTY
DEED
1 Back
BIRCH ISLAND LLC/TUMLIN, RONALD W/
CORR DEED
TUMLIN, DAPHNE B
2 Back
BIRCH ISLAND LLC T/C/ TUMLIN, RONALD W
SPEC.
T/C/TUMLIN, DAPHNE BT/C
WARRANTY
DEED
3 Back
BIRCH ISLAND LLC
SPEC.
WARRANTY
DEED
4 Back
TUMLIN LIVING TRUST/ TUMLIN, LAVERNE L
WARRANTY
TRUSTEE/TUMLIN, RONALD W/TUMLIN,
DEED
DAPHNE B
5 Back
TUMLIN JAMES E &amp; LAVERNE L OF
WARRANTY
TUMLIN LIVINGTRUST &amp; RONALD W
DEED
&amp; DAPHNE B TUMLIN
Notes Summary
Building Card Date
No Data
Stamps Sale Book Page Deed Date
Ownership Price
100 244 $40,667 008561 02569 12/29/2021
64,36
0
007580
01805
3/14/2014
100
0
007430
02259
12/28/2012
100
0
007430
02259
12/28/2012
64.2, 35.8
0
006632
00210
11 /16/2006
100
0
006632
00210
11/16/2006
Line Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180696 2/2

4/10/23, 10:52 AM
Property Summary
Tax Year: 2023
180694
REID
PIN
730 SUMMEY
Location
property
AVE
Address
Description
Print Property Info
7719-57-5523 HIGH POINT BOWMAN
Property Owner LLC
BK2716-483 BAL IN 15 L01 13815 CINNABAR PL
PL54-22 Owner's Mailing HUNTERSVILLE NC
Address 28078
Administrative Data
Transfer Information
Plat Book & Page
54-22
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
8.45
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Photograph
Building Summary
Property Value
12/29/2021
Total Appraised Land Value
$57,700
008561
Total Appraised Building Value
02569
Total Appraised Misc
Improvements Value
$244
Total Cost Value
$57,700
Total Appraised Value -valued By
$57,700
Cost
12/29/2021
Other Exemptions
$40,667
Exemption Desc
Use Value Deferred
Historic Value Deferred
0
Total Deferred Value
0
Total Taxable Value
$57,700
0
0
No Photo Found
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180694 1 /2

4/10/23, 10:52 AM
Print Property Info
Misc Improvements Summary
Card Unit Base Eff
Phys Depr (%
Econ Depr (%
Funct Depr (% Common Interest
(%
Measure Type
Value
# Quantity Price Year
Bad)
Bad)
Bad)
Good)
No Data
Total Misc Improvements Value Assessed:
Land Summary
Land Class: RESIDENTIAL Deeded Acres: 8.07
Calculated
Acres: 8.07
Zoning Soil Class Description Size
Rate Size Adj. Factor
Land Adjustment Land Value
R-5 0100-SINGLE FAM RES 8.45 BY THE ACRE PRICE $13,000
ACCESS-42.32
$57,700
FLOOD PLAIN-82.70
SIZE-150.00
Total Land Value Assessed: $57,700
Ownership History
%
Sale
Owner Name
Deed Type
Stamps
Book
Page Deed Date
Ownership
Price
Current HIGH POINT BOWMAN LLC
SPEC.
100
244
$40,667 008561
02569 12/29/2021
WARRANTY
DEED
1 Back BIRCH ISLAND LLC/TUMLIN, RONALD W/
CORR DEED
64,36
0
007580
01805 3/14/2014
TUMLIN, DAPHNE B
2 Back BIRCH ISLAND LLC T/C/ TUMLIN, RONALD W
SPEC.
100
0
007430
02259 12/28/2012
T/C/TUMLIN, DAPHNE BT/C
WARRANTY
DEED
3 Back BIRCH ISLAND LLC T/C/ TUMLIN, RONALD W
SPEC.
100
0
007430
02259 12/28/2012
T/C/TUMLIN, DAPHNE BT/C
WARRANTY
DEED
4 Back BIRCH ISLAND LLC
SPEC.
100
0
007430
02259 12/28/2012
WARRANTY
DEED
5 Back TUMLIN LIVING TRUST/TUMLIN, LAVERNE L
WARRANTY
64.2, 35.8
0
006632
00210 11/16/2006
TRUSTEE/TUMLIN, RONALD W/TUMLIN,
DEED
DAPHNE B
6 Back TUMLIN JAMES E &amp; LAVERNE L OF
WARRANTY
100
0
006632
00210 11/16/2006
TUMLIN LIVINGTRUST &amp; RONALD W
DEED
&amp; DAPHNE B TUMLIN
Notes Summary
Building Card Date
No Data
Line Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180694 2/2

4/10/23, 10:53 AM
Print Property Info
Property Summary
Tax Year: 2023
157946
7719-66-3974
HIGH POINT BOWMAN
REID PIN
Property Owner
LLC
741 SUMMEY
MCKINNEY L01-11
PL16-
13815 CINNABAR
PL
Location Property
Owner's Mailing
AVE
46
HUNTERSVILLE
NC
Address Description
Address
28078
Administrative Data
Transfer Information
Property Value
Plat Book & Page 16-46
Deed Date
8/17/2022
Total Appraised Land Value
$76,400
Old Map #
Deed Book
008649
Total Appraised Building Value
$35,800
Market Area 77191321
Deed Page
02051
Total Appraised Misc
Improvements Value
Township 15-JAMESTOWN
Revenue Stamps
Total Cost Value
$112,200
Planning Jurisdiction HP -HIGH POINT
Package Sale Date
12/15/2001
Total Appraised Value -valued By
$112,200
City High Point
Package Sale Price
$255,000
Cost
Fire District
Land Sale Date
Other Exemptions
Spec District
Land Sale Price
Exemption Desc
Land Class RESIDENTIAL
Use Value Deferred
History REID 1
Improvement Summary
Historic Value Deferred
History REID 2
Total Buildings
1
Total Deferred Value
Acreage 13.37
Total Units
0
Total Taxable Value
$112,200
Permit Date
Total Living Area
1,187
Permit #
Total Gross Leasable Area
0
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=157946 1 /3

4/10/23, 10:53 AM
Building Summary
Card 1 741 SUMMEYAVE
Building Details
Bldg Type
Units
Living Area (SQFT)
Number of Stories
Style
Foundation
Frame
Exterior
Const Type
Heating
Air Cond
Baths (Full)
Baths (Half)
Extra Fixtures
Total Plumbing
Fixtures
Bedrooms
Floor
Roof Cover
Roof Type
Main Body (SQFT)
Addition Summary
Story
1.00
Building Sketch
Print Property Info
Building Description
01-SFR- Year Built 1947 Effective Year 1964
CONST
Additions 1 Remodeled 0
1
Interior Adj
1187
Other Features
1.00
1.0 STORY
CONTFOOT
CONC BLOCK
NONE
NONE
1
0
0
3
3
1187
Type Code
Stoop STPO
Photograph
Building Total & Improvement Details
C-5
Grade
95%
Percent Complete
100
Total Adjusted Replacement
$83,344
Cost New
Physical Depreciation (% Bad)
A 57%
Depreciated Value
$35,838
Economic Depreciation (%
0
Bad)
Functional Depreciation (%
0
Bad)
Total Depreciated Value
$35,838
Market Area Factor
1
Building Value
$35,800
Misc Improvements Value
Total Improvement Value
$35,800
Assessed Land Value
Assessed Total Value
Area
86
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=157946 2/3

4/10/23, 10:53 AM
Print Property Info
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Land Summary
No Photo Found
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
Land Class: RESIDENTIAL Deeded Acres: 3.84
Zoning Soil Class Description Size Rate
R-5 0110-SINGLE-FAM-R RA 13.37 BY THE ACRE PRICE $6,000
Total Land Value Assessed: $76,400
Ownership History
Owner Name
Current HIGH POINT BOWMAN LLC
1 Back NORTH CAROLINA DEPARTMENT OF
TRANSPORTATION
Notes Summary
Building Card
No Data
Calculated Acres: 3.84
Size Adj. Factor Land Adjustment Land Value
1.27 ACCESS-75.00 $76,400
Deed Type % Stamps Sale Book Page Deed Date
Ownership Price
DEED 100 0 008649 02051 8/17/2022
WARRANTY 100 510 $255,000 005398 01578 12/21/2001
DEED
Date Line Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=157946 3/3

AGENT AUTHORIZATION AND RIGHT OF
ENTRY DOCUMENTATION

PROJECT NAME: Baker Park
PARCEL ID: 7719-46-9867; 7719-47-7622; 7719-47-9385; 7719-57-5523 & 7719-66-3974
PROJECT STREET ADDRESS: Summey Road Winston Salem, Guilford County, NC
APPLICANT: High Point Bowman, LLC
APPLICANT'S ADDRESS: 13815 Cinnabar Place Huntersville, NC 28078
APPLICANT'S EMAIL: mayesbowmanl [e-mail]
AGENT AUTHORIZATION
The undersigned, registered property owner(s) of the above noted property, do hereby authorize
S. Paul Petit2out, of Lowrys Environmental & Ecological Services, LLC,
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
Jurisdictional Determination, Permit or Certification and any and all standard and special conditions attached.
RIGHT OF ENTRY AUTHORIZATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) and/or NC Division of Water Resources (NCDWR) to enter upon the property herein described
(accompanied by the authorized agent) for the purpose of conducting on -site investigations, if necessary, and
issuing a jurisdictional determination and/or permit pursuant to Section 404/401 of the Clean Water Act
and/or Section 10 of the Rivers and Harbors Act of 1899. I, the undersigned, am a duly authorized owner of
record of the property identified herein.
I hereby certify the information submitted in this jurisdictional determination/application is true and
accurate to the best of our knowledge.
AUTHORIZED SIGNATURE:
DATE: 5-11-23 a���% IV• O�)'+'1141�

GENERAL LOCATION FIGURES

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Drawn By: SPP Date: 12-5-22 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: 1:24,000 Sheet: 1 803-992-0910

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Disclaimer The information depicted on this figure is for a
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Baker Park Site Lowrys Environmental
City of High Point, Guilford County, North Carolina
Guilford County, NC GIs Aerial Map Ecological Services, LLC
Drawn By: SPP Date: 12-5-22 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: Not to Scale Sheet: 2 803-992-0910

Baker Park Site
City of High Point, Guilford County, North Carolina
USDA NRCS Soil Survev Map
Drawn By: SPP Date: 12-5-22 Rev.
Project Mgr. SPP Scale: 1:12,000 Sheet: 3
Lowrys Environmental 8,
Ecological Services, LLC
1823 Quinn Road
Chester, South Carolina 29706
803-992-0910

A 7U.S. Fish and Wildlife Service
P tioW_
Wetlands Freshwater Emergent Wetland
Estuarine and Marine Deepwater ❑ Freshwater Forested/Shrub Wetland
Estuarine and Marine Wetland Freshwater Pond
Baker Park Site
Scale: As Shown
Source: USFWS NWI Mapper(2022)
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
Baker Park Site
City of High Point, Guilford County, North Carolina
USFWS National Wetlands Inventory Map
Drawn By: SPP I Date: 12-5-22 1 Rev. I
Project Mgr. SPP I Scale: As Shown I Sheet: 4
Wetlands
Lowrys Environmental 8,
Ecological Services, LLC
1823 Quinn Road
Chester, South Carolina 29706
803-992-0910

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©

NCDMS ACCEPTANCE LETTER

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
MARC RECKTENWALD
Director
Robert Bowman
High Point Bowman
13815 Cinnabar Place
Huntersville, NC 28078
Project: Baker Park
NORTH CAROLINA
Environmental Quality
May 18, 2023
Expiration of Acceptance: 11/18/2023
County: Guilford
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to
accept payment for compensatory mitigation for impacts associated with the above referenced project as
indicated in the table below. Please note that this decision does not assure that participation in the DMS in -
lieu fee mitigation program will be approved by the permit issuing agencies as mitigation for project impacts.
It is the responsibility of the applicant to contact permitting agencies to determine if payment to the DMS will
be approved. You must also comply with all other state, federal or local government permits, regulations or
authorizations associated with the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification within this time frame, this acceptance will
expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS receives a copy
of the permit(s) an invoice will be issued based on the required mitigation in that permit and payment must
be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an applicant is
calculated based upon the Fee Schedule and policies listed on the DMS website.
Based on the information supplied by you in your request to use the DMS, the impacts for which you are
requesting compensatory mitigation credit are summarized in the following table. The amount of mitigation
required and assigned to DMS for this impact is determined by permitting agencies and may exceed the
impact amounts shown below.
River Basin
Impact Location
8-di it HUC
Impact Type
Impact Quantity
Cape Fear
03030003
Riparian Wetland
0.468
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The
mitigation will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010.
Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any questions or need
additional information, please contact [e-mail].
Sincerely,
/ kv�t_ /� ,
�-�
FOR James B. Stanfill
Deputy Director
cc: Paul Petitgout, agent
North Caraltna Department of Environmental Quality I Division of Mitigation Services �Aw
217 West Jones Street l 1652 Mail Service Center I Raleigh. North Carolina 27699-1652
oeoaiunen�mEmsrommeri n 919,707.8976

CULTURAL RESOURCES (NC HPO)
DOCUMENTATION

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THREATENED & ENDANGERED SPECIES
DOCUMENTATION

LOWRYS ENVIRONMENTAL &
ECOLOGICAL SERVICES, LLC
1823 Quinn Road
Chester, South Carolina 29706
Phone [phone]
May 15, 2023
Mr. David Bailey
US Army Corps of Engineers
8430 University Executive Park Drive
Suite 615
Raleigh, North Carolina 28262
RE: Baker Park Development
Federal Threatened and Endangered Species Evaluation
City of High Point, Guilford County, North Carolina
Dear Mr. Bailey:
Lowrys Environmental & Ecological Services, LLC (LEES), has conducted an investigation for the
potential of federally listed threatened and endangered species or their associated habitats within an
approximate 72-acre tract located near the intersection of Summey Road and Baker Road, in the City of
High Point, Guilford County, North Carolina.
Federal and State Threatened and Endangered Species Evaluation
The USFWS iPac official species list indicates species with the potential to inhabit the Baker Park site.
The official iPac Species List identified two species that are considered either Federally Threatened or
Endangered. Those two species are Schweinitz's sunflower (Helianthus schweinitzii) and small whorled
pogonia (Isotria medeoloides). Two other species occur on the list Tri-colored bat (Perimyotis subflavus)
and Monarch butterfly (Danaus plexippus), but do not require consideration currently as they are listed as
"Proposed Endangered" and "Candidate" species, respectively (no consultation required, currently). LEES
evaluated the project study area for potential habitat for the two federally listed Threatened (T) or
Endangered (E) species that occur on the official species list from the USFWS iPac system. The habitat
evaluations took place during the delineation of the site in late October.
Schweinitz' sunflower (E) tends to grow in soils that are thin, and generally occur on upland interstream
flats or gentle slopes, on soils that are clayey in texture, and, when weathered from metasedimentary rocks,
often contain large quantities of slaty rock fragments. This species also inhabits generally open areas, with
abundant sunlight and little competition from other vegetation.
The majority of the project site was forested prior to late 2019 and had been for many years. Sometime in
late 2019-early 2020, the site was clearcut, except for the stream buffers and the site is now going through
primary succession. Habitat potential for Schweinitz's sunflower would be considered low for this area,
due to the forest habitat present pre-2020 and the successional state the tract is currently in. The review of
the project area during the habitat evaluations revealed no individuals of Schweinitz' sunflower present on
site. NCNHT records review indicates that there are no populations that occur within a one -mile radius of
the subject property. Since the habitat potential is low and no individuals were observed on site during the
delineation effort, we would propose a biological conclusion of No Effect.
Biological Conclusion: No Effect

LOWRYS ENVIRONMENTAL & ECOLOGICAL SERVICES, LLC
May 15, 2023
Page 2
Small Whorled Pogonia (T) tends to occur in upland areas with older mixed hardwood forests or mixed
pine -hardwood forests as the dominate overstory components. Ground cover can be sparce or somewhat
crowded. Canopy openings are important for thriving populations. Soils within existing populations are
generally poor and acidic and can have high moisture contents.
The majority of the project site was forested prior to late 2019 and had been for many years. Sometime in
late 2019-early 2020, the site was clearcut, except for the stream buffers and the site is now going through
primary succession. Habitat potential for small whorled pogonia would be considered low for this area,
due to the the successional state the tract is currently in. The review of the project area during the habitat
evaluations revealed no individuals of small whorled pogonia present on site. NCNHT records review
indicates that there are no populations that occur within a one -mile radius of the subject property. Since
the habitat potential is low and no individuals were observed on site during the delineation effort, we
would propose a biological conclusion of No Effect.
Biological Conclusion: No Effect
Summary
Habitat for Schweinitz's sunflower and small whorled pogonia would be considered low due to the
presence of early successional state of the tract. These low -quality areas were evaluated and no individuals
were found during those evaluations. LEES would not recommend additional survey work for any of the
species listed.
Lowrys Environmental & Ecological Services, LLC, appreciates the opportunity to provide you with this
report and we look forward to your review of the information in the near future. Should you have any
questions or comments, or need any additional information, please feel free to contact me at (803) 992-
0910.
Sincerely,
Lowrys Environmental & Ecological Services, LLC
S. Paul Petitgout
President/Managing Member
Attachments

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:
Project Code: 2023-0067087
Project Name: Baker Park
e x
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April 10, 2023
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

04/10/2023
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/pdf/TOC-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.gov/birds/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.gov/birds/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.gov/birds/policies-and-regulations/
executive-orders/e0-13186. php.

04/10/2023
3
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

04/10/2023
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]

04/10/2023
PROJECT SUMMARY
Project Code: 2023-0067087
Project Name: Baker Park
Project Type: New Constr - Above Ground
Project Description: Summey Road at Baker Road High Point, NC; ±56-acres; Residential
Development; ASAP
Project Location:
The approximate location of the project can be viewed in Google Maps: https:
www. google.com/maps/(a)35.9368981,-79.96182554656178,14z
Al le n
Joey Park
Mile ell inch
Counties: Guilford County, North Carolina

04/10/2023 3
ENDANGERED SPECIES ACT SPECIES
There is a total of 4 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
Fisheriesi, 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
Tricolored Bat Perimyotis subflavus
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/10515
INSECTS
NAME
Monarch Butterfly Danaus plexippus
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/9743
FLOWERING PLANTS
NAME
Schweinitz's Sunflower Helianthus schweinitzii
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/3849
Small Whorled Pogonia Isotria medeoloides
Population:
No critical habitat has been designated for this species.
Species profile: https:Hecos.fws.gov/ecp/species/1890
STATUS
Proposed
Endangered
STATUS
Candidate
STATUS
Endangered
Threatened

04/10/2023
CRITICAL HABITATS
THERE ARE NO CRITICAL HABITATS WITHIN YOUR PROJECT AREA UNDER THIS OFFICE'S
JURISDICTION.

04/10/2023
MIGRATORY BIRDS
Certain birds are protected under the Migratory Bird Treaty Act! and the Bald and Golden Eagle
Protection Actz.
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 Treat. 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.
NAME
BREEDING SEASON
Chimney Swift Chaetura pelagica Breeds Mar 15 to Aug 25
This is a Bird of Conservation Concern (BCC) throughout its range in the
continental USA and Alaska.
PROBABILITY OF PRESENCE SUMMARY
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 (■)

04/10/2023
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

04/10/2023
Chimney Swift
BCC Rangewide
(CON) ---
Additional information can be found using the following links:
• Birds of Conservation Concern https://www.fws.gov/program/migratory-birds/species
• Measures for avoiding and minimizing impacts to birds https://www.fws.gov/library
collections/avoiding-and-minimizing-incidental-take-migratory-birds
• Nationwide conservation measures for birds https://www.fws.gov/sites/default/files/
documents/nationwide-standard-conservation-measures.
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.
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
(BCQ 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?

04/10/2023 4
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
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.

04/10/2023 5
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 Lorin.
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
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.

04/10/2023
IPAC USER CONTACT INFORMATION
Agency: Lowrys Environmental & Ecological Services, LLC
Name: Paul Petitgout
Address: 1823 Quinn Road
City: Chester
State: SC
Zip: 29706
Email [e-mail]
Phone: [phone]

Roy Cooper, Governor
9" 0 INC DEPARTMENT OF
""i ■
WMk.M 1 NATURAL AND CULTURAL RESOURCES
■-000
March 15, 2023
Paul Petitgout
Lowrys Environmental & Ecological Services, LLC
1823 Quinn Road
Chester, SC 29706
RE: Baker Park Site; 21065.02
Dear Paul Petitgout:
13. Reid Wilson, Secretary
Misty Buchanan
Deputy Director, Natural Heritage Program
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide
information about natural heritage resources for the project referenced above.
Based on the project area mapped with your request, a query of the NCNHP database indicates that
there are no records for rare species, important natural communities, natural areas, and/or
conservation/managed areas within the proposed project boundary. Please note that although there
may be no documentation of natural heritage elements within the project boundary, it does not
imply or confirm their absence; the area may not have been surveyed. The results of this query
should not be substituted for field surveys where suitable habitat exists. In the event that rare
species are found within the project area, please contact the NCNHP so that we may update our
records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that
have been documented within a one -mile radius of the property boundary. The proximity of these
records suggests that these natural heritage elements may potentially be present in the project area
if suitable habitat exists. Tables of natural areas and conservation/managed areas within a one -mile
radius of the project area, if any, are also included in this report.
If a Federally -listed species is found within the project area or is indicated within a one -mile radius of
the project area, the NCNHP recommends contacting the US Fish and Wildlife Service (USFWS) for
guidance. Contact information for USFWS offices in North Carolina is found here:
httr)s://www.fws.gov/offices/Directory/ListOffices.cfm?statecode=37.
Please note that natural heritage element data are maintained for the purposes of conservation
planning, project review, and scientific research, and are not intended for use as the primary criteria
for regulatory decisions. Information provided by the NCNHP database may not be published
without prior written notification to the NCNHP, and the NCNHP must be credited as an information
source in these publications. Maps of NCNHP data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a
Dedicated Nature Preserve, Registered Heritage Area, Land and Water Fund easement, or Federally -
listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance,
please contact Rodney A. Butler at rod ney.butler�ncdcr.gov or 919-707-8603.
Sincerely,
NC Natural Heritage Program
DEPARTMENT OF NATURAL AND CULTURAL RESOURCES
121 1N. JON S STREET, RALEIGI I_ NC 27603 - 16Sl MAOL SERVICE CENTER. PAL EIGH. rkc 276�0
OFC 919.707.9120 • FAK 919.707.9421

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ADJACENT LAND OWNERS
INFORMATION

HUDSON, RALPH FRANKLIN AND
BARTLETT, EDYTH H
1306 BAKER RD
HIGH POINT, NC 27263
HUDSON, PATRICK H
PO BOX 4222
ARCHDALE, NC 27263
SPRINGFIELD RD BAPT CHURCH
1328 BAKER RD
HIGH POINT, NC 27263
WATTS, DONALD RAY AND WATTS,
JANICE L
710 SUMMEY ROAD
HIGH POINT, NC 27263
KEENE, RICKY A AND KEENE VERA
DENISE
712 SUMMEY ROAD
HIGH POINT, NC 27263
KELLY, DEBORAH J
714 SUMMEY ROAD
HIGH POINT, NC 27263
RIHP LLC & RONALD DARBY CROWDER
& SHARON D
PO BOX 6322
HIGH POINT, NC 27262
FRIENDSHIP MISSIONARY BAPTIST
CHURCH
715 W WILLIS AVE
HIGH POINT, NC 27260
OREA, KARLA IVETTE CAZARIN AND
ROSA, VIOSERGY F
1119 E SPRINGFIELD RD
HIGH POINT, NC 27263
GRIGGS, JOHN D
5923 NC HIGHWAY 22
CLIMAX, NC 27233
HAMILTON GROUP OF HIGH POINT LLC
10804 N MAIN ST
ARCHDALE, NC 27263
RAYMOND W CHAMBERS JR REAL
ESTATE HOLDINGS LLC
1708 HEATHCLIFF RD
HIGH POINT, NC 27262
CITY OF HIGH POINT
PO BOX 230
HIGH POINT, NC 27261
SP MASTER CAPITAL LLC
1947 N FAYETTEVILLE ST
ASHEBORO, NC 27203

PRELIMINARY JURISDICTIONAL
DETERMINATION PACKAGE

Preliminary ORM Data Entry Fields for New Actions
ACTION ID 4: SAW -
Prepare file folder ❑
1. Project Name [PCN Form A2a]: Baker Park
Begin Date (Date Received):
Assign Action ID Number in ORM ❑
2. Work Type: ❑✓ Private ❑Institutional ❑Government ❑ Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
Residential Development
4. Property Owner / Applicant [PCN Form A3 or A4]: High Point Bowman, LLC
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
S. Paul Petitgout - Lowrys Environmental & Ecological Services, LLC
6. Related Action ID Number(s) [PCN Form 135b]: N/A
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
Summey Road High Point, NC 35.935771 N-79.962714 W
8. Project Location —Tax Parcel ID PCN Form Bla]: 7719469867; 7719477622; 7719479385;
7719575523; 7719663974
9. Project Location — County [PCN Form A2b]: Guilford County, NC
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: High Point, NC
11. Project Information — Nearest Waterbody [PCN Form 132a]: UT to Mile Branch
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: Cape Fear/03030003
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
Standard Permit
Nationwide Permit 4
Regional General Permit 4
L✓J Jurisdictional Determination Request
Section 10 and 404 ❑
Pre -Application Request
Unauthorized Activity
Compliance
No Permit Required
Revised 20150602

urisdictional Determination Reauest
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.aimy.mil/Missions/Re ul�atoiyPermitProi4ram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Summey Road
City, State: High Point, NC
County: Guilford
Parcel Index Number(s) (PIN): 7719469867; 7719477622;
7719479385;7719575523;7719663974
B. REQUESTOR INFORMATION
Name: S. Paul Petitaout
Mailing Address: 1823 Quinn Road
Telephone Number:
Electronic Mail Address
Select one:
Chester, SC 29706
803-992-0910
[e-mail]
I am the current property owner.
I am an Authorized Agent or Environmental Consultanti
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: High Point Bowman, LLC
Mailing Address: 13815 Cinnabar Place
Huntersville, NC 28078
Telephone Number: 704-875-9704
Electronic Mail Address: [e-mail]
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
S. Paul Petitgout - Lowrys Environmental & Ecological Services, LLC
Print Name
Capacity: ❑ Owner ❑✓ Authorized Agents
5/30/23
Date
�`�T, A
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a projector perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a projector perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑✓ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
' For NCDOT requests following the current NCDOT/USAGE protocols, skip to Part E.
a If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERNIINATION (JD) TYPE (Select One)
7 I am requesting that the Corps provide a preliminM JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
Size of Property or Review Area ±62 acres.
❑✓ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude:
35.935771 N
Longitude:-79.962714 W
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than I Ix17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. hM2://www.saw.usace.4rmy.mil/Missions/Regulatoly-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
F4Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDS• please complete an Approved Jurisdictional Determination Form'.
Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
hJ Other Assessment Forms
' www.saw.usace.4rmy.mil/Portals/59/docs/regulatory/readocs/JD/RGL 08-02_App A Prelim _JD_Form fillable.pdf
8 Please see hM2://www.saw.usace.4M.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federaljurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: DATE
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Lowry Environmental & Ecological Services, LLC, S.
Paul Petitgout, 1823 Quinn Road ,Chester, SC 29706
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Baker Park, FILE NUMBER
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: Summey Road High Point, NC
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Guilford City: High Point
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.935771 N Longitude:-79.962714 W
Universal Transverse Mercator:
Name of nearest waterbody: Mile Branch
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES INREVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Estimated amount of
Geographic authority to
Type of aquatic
Latitude (decimal
Longitude (decimal
aquatic resources in
resources (i.e.,
which the aquatic resource
Site Number
review area (acreage
"may be" subject (i.e.,
degrees)
degrees)
wetland vs. non
and linear feet, if
Section 404 or Section
wetland waters)
applicable
10/404)
±2 400 LF
Non-Wetland
Stream SA
35.935288 N
-79.963121 W
Section404
(±0.275-ac)
Waters
±80 LF
Non-Wetland
Stream SB
35.935872 N
79.964983 W
Section404
(±0.004-ac)
Waters
±100 LF
Non-Wetland
Stream SC
35.935110 N
-79.963027 W
Section404
(±0.005-ac)
Waters
Stream
±600 LF
35.963463 N
-79.960666 W
Wetland
Section 404
SD/SE
(±0.028-ac)
Wetland
35.935739 N
-79.966861 W
±0.20-ac
Wetland
Section 404
WA
Wetland
35.935854 N
-79.966187 W
±0.10-ac
Wetland
Section 404
WB
Wetland
35.936133 N
-79.965695 W
±0.85-ac
Wetland
Section 404
WC/WD
Wetland
35.935022 N
-79.963217 W
±0.03-ac
Wetland
Section 404
WE
Wetland
35.937470 N
-79.961568 W
±0.08-ac
Wetland
Section 404
WG
Wetland
35.938379 N
-79.962573 W
±0.05-ac
Wetland
Section 404
WH

Wetland
35.938075 N
-79.964167 W
±0.05-ac
Wetland
Section 404
WJ
1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review
area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an
approved JD (AJD) for that review area based on an informed decision after having discussed the
various types of JDs and their characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General
Permit (NWP) or other general permit verification requiring "pre- construction notification" (PCN), or
requests verification for a non -reporting NWP or other general permit, and the permit applicant has
not requested an AJD for the activity, the permit applicant is hereby made aware that: (1) the permit
applicant has elected to seek a permit authorization based on a PJD, which does not make an official
determination of jurisdictional aquatic resources; (2) the applicant has the option to request an AJD
before accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AID could possibly result in less compensatory mitigation being required or
different special conditions; (3) the applicant has the right to request an individual permit rather than
accepting the terms and conditions of the NWP or other general permit authorization; (4) the applicant
can accept a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without requesting an AJD
constitutes the applicant's acceptance of the use of the PJD; (6) accepting a permit authorization (e.g.,
signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a PJD constitutes agreement that all aquatic resources in the review area
affected in any way by that activity will be treated as jurisdictional, and waives any challenge to such
jurisdiction in any administrative or judicial compliance or enforcement action, or in any
administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AID
or a PJD, the JD will be processed as soon as practicable. Further, an AID, a proffered individual
permit (and all terms and conditions contained therein), or individual permit denial can be
administratively appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic jurisdiction exists over
aquatic resources in the review area, or to provide an official delineation of jurisdictional aquatic
resources in the review area, the Corps will provide an AID to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in the
review area that could be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Delineation Concurrence Map
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: USGS 1:24,000 High Point East (2022)
® Natural Resources Conservation Service Soil Survey. Citation: Web Soil Survey (2023)
National wetlands inventory map(s). Cite name: NWI Mapper (2023)
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
® Photographs: ®Aerial (Name & Date): Guilford County, NC GIS Aerial (2022)
or ❑Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corps and should not be relied upon for later Jurisdictional determinations.
Signature and date of Regulatory
staff member completing PJD
DATE
5/30/23
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an
action.

PROJECT NAME: Baker Park
PARCEL ID: 7719-46-9867; 7719-47-7622; 7719-47-9385; 7719-57-5523 & 7719-66-3974
PROJECT STREET ADDRESS: Summey Road Winston Salem, Guilford County, NC
APPLICANT: High Point Bowman, LLC
APPLICANT'S ADDRESS: 13815 Cinnabar Place Huntersville, NC 28078 APPLICANT'S
EMAIL: mayesbowmanl [e-mail]
AGENT AUTHORIZATION
The undersigned, registered property owner(s) of the above noted property, do hereby authorize
S. Paul Petit2out, of Lowrys Environmental & Ecological Services, LLC,
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
Jurisdictional Determination, Permit or Certification and any and all standard and special conditions attached.
RIGHT OF ENTRY AUTHORIZATION
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) and/or NC Division of Water Resources (NCDWR) to enter upon the property herein described
(accompanied by the authorized agent) for the purpose of conducting on -site investigations, if necessary, and
issuing a jurisdictional determination and/or permit pursuant to Section 404/401 of the Clean Water Act
and/or Section 10 of the Rivers and Harbors Act of 1899. I, the undersigned, am a duly authorized owner of
record of the property identified herein.
I hereby certify the information submitted in this jurisdictional determination/application is true and
accurate to the best of our knowledge.
AUTHORIZED SIGNATURE:
DATE: 5-11-23 a���% IV• O�)'+'1141�

4/10/23, 10:51 AM
Property Summary
Tax Year: 2023
180691
REID
PIN
1308
38 NEAR BAKER
Location
property
RD
Address
Description
Print Property Info
7719-46-9867
HIGH POINT BOWMAN
Property Owner
LLC
BALANCE IN 18
13815 CINNABAR PL
Owner's Mailing
TOWNSHIP
HUNTERSVILLE NC
Address
28078
Administrative Data
Transfer Information
Plat Book & Page
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
40.27
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Photograph
Building Summary
Property Value
5/12/2022
Total Appraised Land Value
$323,300
008614
Total Appraised Building Value
03007
Total Appraised Misc
Improvements Value
$600
Total Cost Value
$323,300
Total Appraised Value -valued By
$323,300
Cost
5/12/2022
Other Exemptions
$300,000
Exemption Desc
Use Value Deferred
Historic Value Deferred
0
Total Deferred Value
0
Total Taxable Value
$323,300
0
0
No Photo Found
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180691 1 /2

4/10/23, 10:51 AM
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Land Summary
Print Property Info
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
Land Class: RESIDENTIAL Deeded Acres: 40.48
Zoning Soil Class Description Size Rate
R-5 0110-SINGLE-FAM-R RA 40.27 BY THE ACRE PRICE $13,000
Total Land Value Assessed: $323,300
Ownership History
Calculated Acres: 40.48
Size Adj. Factor Land Adjustment Land Value
0.95 TOPOGRAPHY-65.00 $323,300
Owner Name
Deed Type
% Ownership
Stamps Sale Price
Book
Page
Deed Date
Current HIGH POINT BOWMAN LLC
SPEC. WARRANTY DEED
100
600 $300,000
008614
03007
5/12/2022
1 Back GILLIAM, FREDERICK KEENE JR
ERROR
100
0
000000
00000
1/1/1900
Notes Summary
Building Card
No Data
Date
Line
Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180691 2/2

4/10/23, 10:52 AM
Property Summary
Tax Year: 2023
REID 180697 PIN
Location 706 SUMMEY property
AVE
Address Description
Print Property Info
7719-47-7622
Property Owner
SEE DEED L01 PL210-
Owner's Mailing
31
Address
Administrative Data
Transfer Information
Plat Book & Page
210-31
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
7.75
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Photograph
Building Summary
HIGH POINT BOWMAN
LLC
13815 CINNABAR PL
HUNTERSVILLE NC
28078
Property Value
12/29/2021
Total Appraised Land Value
$158,200
008561
Total Appraised Building Value
02569
Total Appraised Misc
Improvements Value
Total Cost Value
$158,200
Total Appraised Value -valued By
$158,200
Cost
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
0
Total Deferred Value
0
Total Taxable Value
$158,200
0
0
No Photo Found
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=242754 1 /2

4/10/23, 10:52 AM
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Land Summary
Print Property Info
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
Land Class: RESIDENTIAL Deeded Acres: 7.75
Zoning Soil Class Description Size
R-5 0100-SINGLE FAM RES 7.75 BY THE ACRE PRICE
Total Land Value Assessed: $158,200
Ownership History
Calculated Acres: 7.75
Rate Size Adj. Factor Land Adjustment Land Value
$13,000 SIZE-157.00 $158,200
Owner Name Deed Type % Ownership Stamps Sale Price Book Page Deed Date
Current HIGH POINT BOWMAN LLC SPEC. WARRANTY DEED 100 0 008561 02569 12/29/2021
Notes Summary
Building Card
No Data
Date
Line
Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=242754 2/2

4/10/23, 10:52 AM
Print Property Info
Property Summary
Tax Year: 2023
REID 180696 PIN 7719-47-9385 Property Owner HIGH POINT BOWMAN LLC
708 SUMMEY AVE SEE DEED 13815 CINNABAR PL
Location Address Property Description Owner's Mailing Address HUNTERSVILLE NC 28078
Administrative Data
Transfer Information
Plat Book & Page
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
2.49
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Building Summary
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Photograph
12/29/2021
008561
02569
$244
12/29/2021
$40,667
No Photo Found
Property Value
Total Appraised Land Value
$40,800
Total Appraised Building Value
Total Appraised Misc
Improvements Value
Total Cost Value
$40,800
Total Appraised Value -valued By
$40,800
Cost
Other Exemptions
Exemption Desc
Use Value Deferred
Historic Value Deferred
Total Deferred Value
Total Taxable Value
$40,800
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180696 1 /2

4/10/23, 10:52 AM Print Property Info
Land Summary
Land Class: RESIDENTIAL Deeded Acres: 0 Calculated Acres: 2.49
Zoning Soil Class Description Size Rate Size Adj. Factor Land Adjustment Land Value
R-5 0100-SINGLE FAM RES 2.51 BY THE ACRE PRICE $13,000 ACCESS-50.00 $40,800
SIZE-250.00
Total Land Value Assessed: $40,800
Ownership History
Owner Name
Deed Type
Current
HIGH POINT BOWMAN LLC
SPEC.
WARRANTY
DEED
1 Back
BIRCH ISLAND LLC/TUMLIN, RONALD W/
CORR DEED
TUMLIN, DAPHNE B
2 Back
BIRCH ISLAND LLC T/C/ TUMLIN, RONALD W
SPEC.
T/C/TUMLIN, DAPHNE B T/C
WARRANTY
DEED
3 Back
BIRCH ISLAND LLC
SPEC.
WARRANTY
DEED
4 Back
TUMLIN LIVING TRUST/ TUMLIN, LAVERNE L
WARRANTY
TRUSTEE/TUMLIN, RONALD W/TUMLIN,
DEED
DAPHNE B
5 Back
TUMLIN JAMES E &amp; LAVERNE L OF
WARRANTY
TUMLIN LIVINGTRUST &amp; RONALD W
DEED
&amp; DAPHNE B TUMLIN
Notes Summary
Building Card Date
No Data
Stamps Sale Book Page Deed Date
Ownership Price
100 244 $40,667 008561 02569 12/29/2021
64,36
0
007580
01805
3/14/2014
100
0
007430
02259
12/28/2012
100
0
007430
02259
12/28/2012
64.2, 35.8
0
006632
00210
11 /16/2006
100
0
006632
00210
11/16/2006
Line Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180696 2/2

4/10/23, 10:52 AM
Property Summary
Tax Year: 2023
180694
REID
PIN
730 SUMMEY
Location
property
AVE
Address
Description
Print Property Info
7719-57-5523 HIGH POINT BOWMAN
Property Owner LLC
BK2716-483 BAL IN 15 L01 13815 CINNABAR PL
PL54-22 Owner's Mailing HUNTERSVILLE NC
Address 28078
Administrative Data
Transfer Information
Plat Book & Page
54-22
Deed Date
Old Map #
Deed Book
Market Area
77191323
Deed Page
Township
18-HIGH POINT
Revenue Stamps
Planning Jurisdiction
HP -HIGH POINT
Package Sale Date
City
High Point
Package Sale Price
Fire District
Land Sale Date
Spec District
Land Sale Price
Land Class
RESIDENTIAL
History REID 1
Improvement Summary
History REID 2
Total Buildings
Acreage
8.45
Total Units
Permit Date
Total Living Area
Permit #
Total Gross Leasable Area
Photograph
Building Summary
Property Value
12/29/2021
Total Appraised Land Value
$57,700
008561
Total Appraised Building Value
02569
Total Appraised Misc
Improvements Value
$244
Total Cost Value
$57,700
Total Appraised Value -valued By
$57,700
Cost
12/29/2021
Other Exemptions
$40,667
Exemption Desc
Use Value Deferred
Historic Value Deferred
0
Total Deferred Value
0
Total Taxable Value
$57,700
0
0
No Photo Found
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180694 1 /2

4/10/23, 10:52 AM
Print Property Info
Misc Improvements Summary
Card Unit Base Eff
Phys Depr (%
Econ Depr (%
Funct Depr (% Common Interest
(%
Measure Type
Value
# Quantity Price Year
Bad)
Bad)
Bad)
Good)
No Data
Total Misc Improvements Value Assessed:
Land Summary
Land Class: RESIDENTIAL Deeded Acres: 8.07
Calculated
Acres: 8.07
Zoning Soil Class Description Size
Rate Size Adj. Factor
Land Adjustment Land Value
R-5 0100-SINGLE FAM RES 8.45 BY THE ACRE PRICE $13,000
ACCESS-42.32
$57,700
FLOOD PLAIN-82.70
SIZE-150.00
Total Land Value Assessed: $57,700
Ownership History
%
Sale
Owner Name
Deed Type
Stamps
Book
Page Deed Date
Ownership
Price
Current HIGH POINT BOWMAN LLC
SPEC.
100
244
$40,667 008561
02569 12/29/2021
WARRANTY
DEED
1 Back BIRCH ISLAND LLC/TUMLIN, RONALD W/
CORR DEED
64,36
0
007580
01805 3/14/2014
TUMLIN, DAPHNE B
2 Back BIRCH ISLAND LLC T/C/ TUMLIN, RONALD W
SPEC.
100
0
007430
02259 12/28/2012
T/C/TUMLIN, DAPHNE B T/C
WARRANTY
DEED
3 Back BIRCH ISLAND LLC T/C/ TUMLIN, RONALD W
SPEC.
100
0
007430
02259 12/28/2012
T/C/TUMLIN, DAPHNE B T/C
WARRANTY
DEED
4 Back BIRCH ISLAND LLC
SPEC.
100
0
007430
02259 12/28/2012
WARRANTY
DEED
5 Back TUMLIN LIVING TRUST/TUMLIN, LAVERNE L
WARRANTY
64.2, 35.8
0
006632
00210 11/16/2006
TRUSTEE/TUMLIN, RONALD W/TUMLIN,
DEED
DAPHNE B
6 Back TUMLIN JAMES E &amp; LAVERNE L OF
WARRANTY
100
0
006632
00210 11/16/2006
TUMLIN LIVINGTRUST &amp; RONALD W
DEED
&amp; DAPHNE B TUMLIN
Notes Summary
Building Card Date
No Data
Line Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=180694 2/2

4/10/23, 10:53 AM
Print Property Info
Property Summary
Tax Year: 2023
157946
7719-66-3974
HIGH POINT BOWMAN
REID PIN
Property Owner
LLC
741 SUMMEY
MCKINNEY L01-11
PL16-
13815 CINNABAR
PL
Location Property
Owner's Mailing
AVE
46
HUNTERSVILLE
NC
Address Description
Address
28078
Administrative Data
Transfer Information
Property Value
Plat Book & Page 16-46
Deed Date
8/17/2022
Total Appraised Land Value
$76,400
Old Map #
Deed Book
008649
Total Appraised Building Value
$35,800
Market Area 77191321
Deed Page
02051
Total Appraised Misc
Improvements Value
Township 15-JAMESTOWN
Revenue Stamps
Total Cost Value
$112,200
Planning Jurisdiction HP -HIGH POINT
Package Sale Date
12/15/2001
Total Appraised Value -valued By
$112,200
City High Point
Package Sale Price
$255,000
Cost
Fire District
Land Sale Date
Other Exemptions
Spec District
Land Sale Price
Exemption Desc
Land Class RESIDENTIAL
Use Value Deferred
History REID 1
Improvement Summary
Historic Value Deferred
History REID 2
Total Buildings
1
Total Deferred Value
Acreage 13.37
Total Units
0
Total Taxable Value
$112,200
Permit Date
Total Living Area
1,187
Permit #
Total Gross Leasable Area
0
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=157946 1 /3

4/10/23, 10:53 AM
Building Summary
Card 1 741 SUMMEYAVE
Building Details
Bldg Type
Units
Living Area (SQFT)
Number of Stories
Style
Foundation
Frame
Exterior
Const Type
Heating
Air Cond
Baths (Full)
Baths (Half)
Extra Fixtures
Total Plumbing
Fixtures
Bedrooms
Floor
Roof Cover
Roof Type
Main Body (SQFT)
Addition Summary
Story
1.00
Building Sketch
Print Property Info
Building Description
01-SFR- Year Built 1947 Effective Year 1964
CONST
Additions 1 Remodeled 0
1
Interior Adj
1187
Other Features
1.00
1.0 STORY
CONTFOOT
CONC BLOCK
NONE
NONE
1
0
0
3
3
1187
Type Code
Stoop STPO
Photograph
Building Total & Improvement Details
C-5
Grade
95%
Percent Complete
100
Total Adjusted Replacement
$83,344
Cost New
Physical Depreciation (% Bad)
A 57%
Depreciated Value
$35,838
Economic Depreciation (%
0
Bad)
Functional Depreciation (%
0
Bad)
Total Depreciated Value
$35,838
Market Area Factor
1
Building Value
$35,800
Misc Improvements Value
Total Improvement Value
$35,800
Assessed Land Value
Assessed Total Value
Area
86
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=157946 2/3

4/10/23, 10:53 AM
Print Property Info
Misc Improvements Summary
Card Unit Base
# Quantity Measure Type Price
No Data
Total Misc Improvements Value Assessed:
Land Summary
No Photo Found
Eff Phys Depr (% Econ Depr (% Funct Depr (% Common Interest (% Value
Year Bad) Bad) Bad) Good)
Land Class: RESIDENTIAL Deeded Acres: 3.84
Zoning Soil Class Description Size Rate
R-5 0110-SINGLE-FAM-R RA 13.37 BY THE ACRE PRICE $6,000
Total Land Value Assessed: $76,400
Ownership History
Owner Name
Current HIGH POINT BOWMAN LLC
1 Back NORTH CAROLINA DEPARTMENT OF
TRANSPORTATION
Notes Summary
Building Card
No Data
Calculated Acres: 3.84
Size Adj. Factor Land Adjustment Land Value
1.27 ACCESS-75.00 $76,400
Deed Type % Stamps Sale Book Page Deed Date
Ownership Price
DEED 100 0 008649 02051 8/17/2022
WARRANTY 100 510 $255,000 005398 01578 12/21/2001
DEED
Date Line Notes
https://taxcama.guilfordcountync.gov/camapwa/PrintPRC.aspx?PARCELPK=157946 3/3

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City of High Point, Guilford County, North Carolina
USGS 1:24,000 Topographic Map Ecological Services, LLC
Drawn By: SPP Date: 12-5-22 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: 1:24,000 Sheet: 1 803-992-0910

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Disclaimer: The information depicted on this figure is for
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Baker Park Site Lowrys Environmental 8�
City of High Point, Guilford County, North Carolina
Guilford County, NC GIS Aerial Map Ecological Services, LLC
Drawn By: SPP Date: 12-5-22 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: Not to Scale Sheet: 2 803-992-0910

Baker Park Site
City of High Point, Guilford County, North Carolina
USDA NRCS Soil Survev Map
Drawn By: SPP Date: 12-5-22 Rev.
Project Mgr. SPP Scale: 1:12,000 Sheet: 3
Lowrys Environmental 8,
Ecological Services, LLC
1823 Quinn Road
Chester, South Carolina 29706
803-992-0910

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Baker Park Site
Scale: As Shown
Source: USFWS NWI Mapper(2022)
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
Baker Park Site
City of High Point, Guilford County, North Carolina
USFWS National Wetlands Inventory Map
Drawn By: SPP I Date: 12-5-22 1 Rev. I
Project Mgr. SPP I Scale: As Shown I Sheet: 4
Wetlands
Lowrys Environmental 8,
Ecological Services, LLC
1823 Quinn Road
Chester, South Carolina 29706
803-992-0910

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WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: Baker Park City/County: High Point/Guilford Sampling Date: 12/6/22
Applicant/Owner: High Point Bowman, LLC State: NC Sampling Point: U1
Investigator(s): Petitgout Section, Township, Range:
Landform (hillside, terrace, etc.): Hillside Local relief (concave, convex, none): Convex Slope (%): 1%
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.963874 Long:-79.965973 Datum:
Soil Map Unit Name: Enon Clay Loam 6-10% Slope NWI classification:
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 No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
_Surface Soil Cracks (B6)
_Surface Water (Al) _True
Aquatic Plants (B14)
_Sparsely Vegetated Concave Surface (B8)
—High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (B10)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (B16)
—Water Marks (B1) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (B2) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_Iron Deposits (B5)
_Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
_Shallow Aquitard (D3)
—Water-Stained Leaves (B9)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland
Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available
Remarks:
Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: U1
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover Species?
Status
Dominance Test worksheet:
1
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 1 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 3 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 33.3% (A/B)
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15
)
FACW species 0 x 2 = 0
1. Liquidambar styraciflua
10 Yes
FAC
FAC species 10 x 3 = 30
2.
FACU species 15 x 4 = 60
3.
UPL species 0 x 5 = 0
4.
Column Totals: 25 (A) 90 (B)
5.
Prevalence Index = B/A = 3.60
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
10 =Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
5 20% of total cover:
2
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
-Problematic Hydrophytic Vegetation' (Explain)
1. Rubus argutus
10 Yes
FACU
Indicators of hydric soil and wetland hydrology must be
2.
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
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. Lonicera japonica
5 Yes
FACU
2.
3.
4.
5.
Hydrophytic
5 =Total Cover
Vegetation
50% of total cover:
3 20% of total cover:
1
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
Area was recently clear-cut (within the last 1-3 years. Lots of logging slash present, not much vegetation
Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.

SOIL Sampling Point: U1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type Loc2 Texture Remarks
0-2 10YR 4/2 100 Loamy/Clayey
2-8 10YR 5/4 100 Loamy/Clayey
8-20 10YR 5/8 100 Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_2 cm Muck (A10) (MLRA 147)
_Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
_Black Histic (A3)
_Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
—Hydrogen Sulfide (A4)
—Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
—Depleted Matrix (F3)
(MLRA 136, 147)
_2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
—Depleted Below Dark Surface (A11)
—Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_Redox Depressions (F8)
_Very Shallow Dark Surface (F22)
_Sandy Mucky Mineral (S1)
_Iron -Manganese Masses (F12) (LRR N,
_Other (Explain in Remarks)
—Sandy Gleyed Matrix (S4)
MLRA 136)
_Sandy Redox (S5)
Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_Stripped Matrix (S6)
_Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: Baker Park City/County: High Point/Guil Sampling Date: 12/6/22
Applicant/Owner: High Point Bowman, LLC State: NC Sampling Point: W 1
Investigator(s): Petitgout Section, Township, Range:
Landform (hillside, terrace, etc.): lower slope Local relief (concave, convex, none): concave Slope (%): <1%
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.936133 Long:-79.965695 Datum:
Soil Map Unit Name: Enon Clay Loam 6-10 % Slope NWI classification:
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 (B6)
_Surface Water (Al) _True
Aquatic Plants (B14)
_Sparsely Vegetated Concave Surface (B8)
X High Water Table (A2) _Hydrogen
Sulfide Odor (C1)
_Drainage Patterns (B10)
X Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (B16)
—Water Marks (B1) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (B2) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_Iron Deposits (B5)
_Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (67)
_Shallow Aquitard (D3)
—Water-Stained Leaves (B9)
_ Microtopographic Relief (D4)
Aquatic Fauna (613)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes X No
Depth (inches): 6
Saturation Present? Yes X No Depth (inches): 1 Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: W1
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover Species?
Status
Dominance Test worksheet:
1
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 4 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 4 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15
)
FACW species 10 x 2 = 20
1. Liquidambar styraciflua
5 Yes
FAC
FAC species 10 x 3 = 30
2. Acer rubrum
FAC
FACU species 0 x 4 = 0
3.
UPL species 0 x 5 = 0
4.
Column Totals: 20 (A) 50 (B)
5.
Prevalence Index = B/A = 2.50
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is :53.0'
5 =Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
3 20% of total cover:
1
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
-Problematic Hydrophytic Vegetation' (Explain)
1. Juncus effusus
5 Yes
FACW
Indicators of hydric soil and wetland hydrology must be
2. Scirpus cyperinus
5 Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
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. Toxicodendron radicans
5 Yes
FAC
2.
3.
4.
5.
Hydrophytic
5 =Total Cover
Vegetation
50% of total cover:
3 20% of total cover:
1
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
Area was recently clear-cut (1-3 years prior). No overstory present. Lots of logging slach present with not much vegetation
Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.

SOIL
Sampling Point: W1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
(inches)
Color (moist)
%
Color (moist) % Type
Loc2
Texture
Remarks
0-2
10YR 3/2
100
Loamy/Clayey
2-8
10YR 4/2
70
10YR 4/6 30 C
PL/M
Loamy/Clayey
Prominent redox concentrations
8-14
10YR 4/2
60
10YR 5/6 40 C
PL/M
Loamy/Clayey
Prominent redox concentrations
14-20
10YR 5/2
50
10YR 5/6 50 C
PL/M
Loamy/Clayey
Prominent redox concentrations
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_2 cm Muck (A10) (MLRA 147)
_Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
_Black Histic (A3)
_Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_Hydrogen Sulfide (A4)
_Loamy Gleyed Matrix (F2)
? Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
_2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
X Depleted Below Dark Surface (A11)
_Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
? Redox Depressions (F8)
_Very Shallow Dark Surface (F22)
_Sandy Mucky Mineral (S1)
_Iron -Manganese Masses (F12) (LRR N,
_Other (Explain in Remarks)
—Sandy Gleyed Matrix (S4)
MLRA 136)
_Sandy Redox (S5)
Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_Stripped Matrix (S6)
_Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.

NC DWO Stream Identification Form Version 4.11
Date: �117-
Project/Site:
Latitude: N
Evaluator: ��
County:
Longitude: tri
Total Points:
Stream is at least intermittent
Stream Determination (circle -one )
Other (kNt,_1~ F ,
if >_ 19 or perennial if;! 30`
Ephemeral Intermitten Perennia
e.g. Quad Name:
A. Geomorphology (Subtotal =i_)
Absent
Weak
Moderate
Strong
,a, Continuity of channel bed and bank
0
1
2
2. Sinuosity of channel along thalweg
0
1
2 "
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
0
1
3
4. Particle size of stream substrate
0
1
2
5. Active/relict floodplain
0
1
2
6. Depositional bars or benches
0
1
2
7. Recent alluvial deposits
0
1
2
8. Headcuts
0
1
3
9. Grade control
0
0.5
1
10. Natural valley
0
0.5
1
11. Second or greater order channel
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdrologv (Subtotal = I U I )
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1 1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5 J
�`__Yr
1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high water table?
No = 0
;- 'Yes
C. Biolow (Subtotal = A6 )
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1
0 ;
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
t
1.5
23. Crayfish
0'tl
5 f
1
1.5
24. Amphibians
`-ff.5
1
1.5
25. Algae
77
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5
Ct
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

NC DWO Stream Identification Form Version 4.11
Date: 12. Zi
Project/Site: 1SqLc'q
Latitude:; ,1 335 n
Evaluator:
� (.a
County:
E7cxLF=�G
Longitude: - ?� , o
Total Points:
Stream Determi tion (circle one)
Other N16f4 �t!t,7,e
Stream is at least intermittent 21
if 2: 19 or perennial if>_ 30* I r
Ephemera n rmitten Perennial
e.g. Quad Name:
A. Geomorphology (Subtotal = 1 )
Absent
Weak
Moderate
Strong
1' Continuity of channel bed and bank
0
1
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
2
3
4. Particle size of stream substrate
0
1
3
5. Active/relict floodplain
0
1
3
6. Depositional bars or benches
0I
2
3
7. Recent alluvial deposits
0
i!:10
2
3
8. Headcuts
0
1 '
3
9. Grade control
0
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
o = 0':
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hvdrologv (Subtotal = ( ,.✓ )
12. Presence of Baseflow
0
e
2
3
13. Iron oxidizing bacteria
p-
1
2
3
14. Leaf litter
1.5
1 _
0.5
0
15. Sediment on plants or debris
0
,5
1
1.5
16. Organic debris lines or piles
0
0.5
+' 1 .=
1.5
17. Soil -based evidence of high water table?
No = 0
t> € 3°`
C. Biologv (Subtotal = - )
18. Fibrous roots in streambed
3
2'
0
19. Rooted upland plants in streambed
3
2
' 1..
0
20. Macrobenthos (note diversity and abundance)
,,;
1
2
3
21. Aquatic Mollusks""0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0,
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 .att5er
*perennial streams may also be identified using other methods. See p. 35 of manual.
-
Notes:
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date: G%Z�
Project/Site. EAICK j�,r< I.
Latitude: 36,9 651
Evaluator:
:0'-"- County,
Longitude:
Total Points:
Stream Determination (circle one)
Other W1ta'o�r`
Stream is at least intermittent
Ephemeral ritermi Perennial
e.g. Quad Name:
if _a 19 orperennial if ? 30* [ r
A. Geomorphology (Subtotal 4 )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
2
3
2. Sinuosity of channel along thalweg
0
V1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
3
4. Particle size of stream substrate
0
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
-2
3
7. Recent alluvial deposits
0
1
2 .-
3
8. Headcuts
0
1
2 >
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
1
1.5
11. Second or greater order channel
= ¢
Yes = 3
CIRMUCI UIlU11CJ GIc 1IUl IAIcu, bvv UTAI:Uz JwulIJ III IIIGIIuG1
B. Wdrolociv (Subtotal = -7 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
s = 3
C. Biology (Subtotal = Z )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
129
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5-
er = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:

NC DWO Stream Identification Form Version 4.11
Date: rz (-
Project/Site:
Latitude: :�5QbsL4t,5 0
Evaluator: �-C� d
County: (
Longitude:- JV,')
Total Points: �.
Stream Determination (cir le ne
Otherl }(O* (f O(Nr -
Stream is at least intermittent >~.
if>_ 19 or perennial if 30"
Ephemeral Intermitten Perennial)
e.g. Quad Name:
A. Geomorphology (Subtotal = '�,� )
Absent
Weak
Moderate
Strong
1 a+ Continuity of channel bed and bank
0
1
2
2. Sinuosity of channel along thalweg
0
1
727_7
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
r
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discuss ons in manual
B. Hvdrologv (Subtotal = 1o,4 )
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
0
1
3
14. Leaf litter
1.5
IN
0.5
0
15. Sediment on plants or debris
0
0.5
r 1->
1.5
16. Organic debris lines or piles
0
0.5
1
.5
17. Soil -based evidence of high water table?
No = 0
Yes ; 3 -
C. Biologv (Subtotal = ti
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
16-51
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
.0
0.5
1
1.5
26, Wetland plants in streambed
FACW = 0.75; OBL
`perennial streams may also be identified using other methods. See p. 35 of manual.
Y.
Notes: 5W Arw-
Sketch:

NC DWO Stream Identification Form Version 4.11
Date: [� & t 2�
Project/Site: �� �Rc,t-
Latitude:
Evaluator: �}.
County: �Ui� ��
Longitude: 111 n ®!
Total Points:
Stream Determination (circle one)
Other Htt,H Pp,,•,- C ,
Stream is at least intermittent
if > 19 or perennial if >_ 30'
Ephemeral ntermi a erennial
e.g. Quad Name:
A. Geomorphology (Subtotal = (�)
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1 :
2
3
2. Sinuosity of channel along thalweg
0
'l
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
�1
2
3
4. Particle size of stream substrate
0
1
.2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1:
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0
d.E;
1
1.5
11. Second or greater order channel
o = 7
Yes = 3
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = �, )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5
1 -
AID
0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
es =
C. Biologv (Subtotal = Z )
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos (note diversity and abundance)
/ )
1
3
21. Aquatic Mollusks
Iota
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24, Amphibians
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5''�er
= Q,•g
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: