20231365 Ver 1_Princeton_BeaverdamCrk_PJD_Package_20231002

Preliminary ORM Data Entry Fields for New Actions
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Town of Princeton - Beaverdam Creek Rehabilitation
2. Work Type: ❑Private ❑Institutional ❑✓ Government ❑ Commercial
3. Project Description / Purpose [PCN Form B3d and B3e]:
Bank stabilization and removal of accumulated sediment within a portion of Beaverdam Creek to repair storm damage from Hurricane
Matthew and ongoing bank failures adjacent to the Town of Princeton wastewater treatment facility and to reduce adjacent and nearby
sedimentation and flooding issues.
4. Property Owner / Applicant [PCN Form A3 or A4]: Town of Princeton
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Axiom Environmental, c/o Scott Davis
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location— Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
Princeton, NC -- adjacent to Wastewater Treatment Plant at 103 Pineview Street Princeton, NC 27569
Lat. 35.460972°, Long.-78.153938'
8. Project Location— Tax Parcel ID [PCN Form Bla]: N/A
9. Project Location — County [PCN Form A2b]: Johnston
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Princeton
11. Project Information — Nearest Waterbody [PCN Form 132a]: Beaverdam Creek
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03020201
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
❑ Nationwide Permit #
Regional General Permit #
✓ 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.army.mil/Missions/Re.ug latoryPennitPro,gram/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: Town of Princeton
City, State:
County:
Princeton, NC
Johnston
Parcel Index Number(s) (PIN): Multiple -see attachment
B. REQUESTOR INFORMATION
Name:
Scott Davis
Mailing Address:
218 Snow Ave
Raleigh NC, 27603
Telephone Number:
919-696-3045
Electronic Mail Address:
[e-mail]
Select one:
❑ I am the current property owner.
ZI am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Town of Princeton
Mailing Address:
503 Doctor Donnie H. Jones Jr Blvd. V�
Princeton, NC 27569
Telephone Number:
919-936-8171
Electronic Mail Address:
[e-mail]
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on -
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
Scott Davis
Print Name
Capacity: ❑ Owner Z Authorized Agents
4-12-2023
Date Ste_
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a project or 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 project or 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/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
❑ Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 4.70 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
aProject Coordinates (Decimal Degrees): Latitude:
Longitude
35.460972
-78.153938
F7A 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.
F] Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace.grmy.mil/Missions/Re ug latory-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
zCompleted 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
✓0 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)
NCWAM and/or NCWAM Assessment Forms and Rating Sheets
❑✓ NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/re2ulatorL/regdocs/JD/RGL 08-02 Ann A Prelim JD Form fillable.pdf
' Please see http://www.saw.usace.ariny.mil/Missions/Re ug latory-Permit-Proaram/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Parcel Owners adjoining project area:
Owner Name
Parcel Number
TOWN OF PRINCETON
265213-13-9490
NC Department of Transportation
N/A
WATERS, RONALD E
265214-22-6884
J&N DEVELOPERS LLC
265213-13-6312
ORMOND, WILLIAM EARLJR
265213-23-3637

ATTACHMENT
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Scott Davis, Axiom Environmental
218 Snow Avenue, Raleigh, NC 27603
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Town of Princeton- Beaverdam Creek Rehabilitation Project
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State: North Carolina County/parish/borough: Johnston County City:
Princeton
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.460972°, Long.-78.153938
Name of nearest waterbody: Beaverdam Creek
Identify (estimate) amount of waters in the review area -
Non -wetland waters: 1927 linear feet: 2-8 width (ft)
Cowardin Class: R4SB4/5 & R3UB1/2
Stream Flow: Perennial/Intermittent
Wetlands: 0.238 acres
Surface waters: 0 acres
Cowardin Class: PFO
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: 0
Non -Tidal: 0
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
1

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

SUPPORTING DATA. Data reviewed for preliminary JD (check all that apply
- checked items should be included in case file and, where checked and
requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the
applicant/consultant:
® Data sheets prepared/submitted by or on behalf of the
applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: Princeton, NC
(1974) 7.5-minute topographic quadrangle.
® USDA Natural Resources Conservation Service Soil Survey. Citation:
Web Soil Survey (online at http://websoilsurvey.nres.usda.gov), and Soil
Survey of Johnston County (1994)
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100-year Floodplain Elevation is: (National Geodetic Vertical Datum
of 1929)
® Photographs: ® Aerial (Name & Date): NC OneMap 2021 Orthoimagery.
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not
necessarily been verified by the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
Sc 1�2= 4-12-2023
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)
3

Site number
Latitude
Longitude
Cowardin
Class
Estimated amount
of aquatic resource
in review area
Class of
aquatic
resource
1. Beaverdam
Creek
35.460854
-78.153868
R3UB1/2
1788 ft
Non -section
10—non-
wetland
2. Stream SA
35.460126
-78.153312
R4SB4/5
59 ft
Non -section
10 — non -
wetland
3. Stream SC
35.463196
-78.155092
R3UB1/2
80 ft
Non -section
10 — non -
wetland
4. Wetland WA
35.459087
-78.152861
PFO
0.238 acre
Non -section
10 — wetland

r
,rrA
WILSON ' I- i #
Hson's �-� ' —� ! , r� ` �r �_ _ '� N Pearl St Edwards Rd'
�� "I.._.
1
Mills
JOHNSTON
Micro.
WAYNE
ArIR
'"
M r
■ e 1
e
Axiom Ewmnmenln I. lw.
f` .•301'
���i1♦4'
-, - ~
L i
«
Frem
.er Smithfield Ping Laval\N,
c ikaMlil . Fes'
"
�F�
�, ;: :.
1 ; y
1
Town of
aMdlR7pr`��Fr'ncr ,a
a
70 1 kw�
r
w Sf
i sir
o'ty
dr
• _ .as F
�k
�, ,
Princeton
'•
�' 1
cc n
s 5�'.
_
di/moo
�' ,'''� �
Ll
,k�s
%11'•: r
�w
�Zr
Project:
.,�4g5d
Yj/ �o G
qp . !a° ❑� Mav A... 'l`R t..� haC.
y7
`
���7Ps� ♦ : ��' .��'' is
e° Goldsboro
w`
Princeton
Beaverdam Creek
�.•
_
,
-�;=,
Rehabilitation
f r[i
171
ti
c
Johnston County
1
1
'-.i
'•
i•
,:
yw
/R
a
Title:
wf
�
Princeton
SITE LOCATION
.. .-n Prin
@X
,
`
ti — .•. '
-
die
�r
Notes:
1.13ackground imagery source:
2021 aerial photography provided
by the NC OneMap program
(online, supported by the NC
' �. ['}
` t "' �♦ Fw.
'JOHNSTON
Geographic Information
Coordination Council).
r WAYNE'SV/
• B.
/1/Q�I�,
Date: Apr. 2023
Scale: 1:5000
Legend
yy
Project No: 23-005
Study Area
'gam _
Drawn by: MLA
NCDOT Roads
ds _
,
0 200 400
800 1,200
1,600 2,000 2,400
Figure
Feet

Axiom En�ironmenla 1, Inc.
' +
FFa� _
.
F ~
C` aas s F
,
�_�
as
o�
es✓r
'
���es,, -�
L%o
F
Town of
Princeton
/�
,stS
�
Project:
Princeton
.�
F
,FsPc� Q,��` • /.
•IL
c41e
Beaverdam Creek
Rehabilitation
w
o�'
Johnston County
a�
�
iF
Title:
PROJECT
Sey
J
MAPPING
•
A;h
�r
Notes:
Isp
1.13ackground imagery sources:
Princeton, NC (1974)
\St
7.5 minute topographic quadrangle
provided by the U.S. Geological
—
p
ti ■ -�
Survey (USGS)
O
y
�
q.
S
-
Soil Survey of Johnston County
%
(1994), Sheet No.12 of 16
provided by the Natural Resources
Conservation Service (NRCS)
�a
4
Date: Apr. 2023
Scale: 1:4000
■
Project No: 23-005
Drawn by: MLA
Legend
0 Study Area
0
0 100 200 400 600
800
Figure
NCDOT Roads
Feet �
2
+

Axiom En�ironmenla 1, Inc.
Town of
Princeton
Project:
Princeton
Beaverdam Creek
Rehabilitation
Johnston County
Title:
POTENTIAL
JURISDICTIONAL
FEATURES
Notes:
1.13ackground imagery source:
2021 aerial photography provided
by the NC OneMap program
(online, supported by the NC
Geographic Information
Coordination Council).
Date: Apr. 2023
Scale:
1:2500
Project No:
23-005
Drawn bv:
MLA
Figure
3

-
N
:AJ7
S
.•. Ao-
,,' i
Axiom Ernironmenla 1, Inc.
NNW
Town of
Princeton
q�
Project:
-
I
4.
Princeton
Beaverdam Creek
Rehabilitation
'
Johnston County
keys
��
Title:
}
i f
' -
`
R
t + ►
POTENTIAL
:r
+
JURISDICTIONAL
FEATURES
Notes:
1.13ackground imagery source:
h
{
2021 aerial photography provided
by the NC OneMap program
,', ^ :'. �: •
���
�c
� .. • .-•
(online, supported by the NC
Geographic Information
Coordination Council).
•
L
-
s
r
Le end
9
Date: Apr.2023
Scale: 1:800
w'
a
0 Study Area
Potential non -wetland waters (perennial)
- Project No. 23 005
g'D'
`
Potential non waters (intermittent)
Drawn by: MLA
e,-wetland
0 25 50
100
150 200
250 300
`-_ �� 'J.
NCDOT Roads
Direction
Figure
Fee
-.,_.;
of Flow
3A

NC DWO Stream Identification Form Version 4.11
Date: / 23
Project/Site: j 5
Latitude: 35,460117
Evaluator: 570,Wf
County: vh n 5 t-0^
Longitude: _7 g, 6331
Total Points:
Stream is at least intermittent
Stream Determir)atiorr ircle one)
Ephemeral Inta3`nmitterW Perennial
n ��
Other �X.1d� Pry C"I"
e.g. Quad Name:
if Z 19 orperennial if z 30* o
j9 7Y
A. Geomo hol Subtotal =_ I v )
Absent
Weak
Moderate
Strong
18. Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
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 `
1
2
3
9. Grade control
0
04:
1
1.5
10. Natural valley
0
0.5,-
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
arunciai aucnns aro nvi FURM, sed aisassivns M manual
B. Hvdrolociv (Subtotal = 7-<' )
12. Presence of Baseflow
0
/ �1 2
3
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
T.5
0.5
0
15. Sediment on plants or debris
0
0.5
5.
16.Organic debris lines or piles
0
1 0.5 1
17. Soil -based evidence of high water table?
No = 0 I Yes 3
C. Biolocly (Subtotal = 1 3 ] T
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
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. Wetiand plants in streambed
FACW = 0.75; OBL = 1.5 Other,= Q-
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
r
i
tiKrF
(e A

N(` nWn Rfrpam idanfifirafinn Fnrm Version 4.11 5411ftI" -5"C
Date: I III I23
Project/Site: W--C 6
Latitude:3� , 46
Evaluator. S� �
County: Z-Okokstm
Longitude:
Total Points:
is least intermittent
Stream Determination (circle one)
Other (�� I • �; ,7ce*on
Stream at �'L.�
Ephemeral Intermittent Perennial
e.g. Quad Name: �Q%�
if is 19 or perennial if a 30*
A. Geomorphology (Subtotal = -7 j
Absent
Weak
Moderate
Strong
ie Continuity of channel bed and bank IA
0
1
2
3
2. Sinuosity of channel along thalweg
0
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
O
2
3
4. Particle size of stream substrate
0
1
3
5. Active/relictfloodplain
1
2
3
6. Depositional bars or benches
1M
3
7. Recent alluvial deposits
0
2
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
-
Yes = 3
anmam aiwncs 111C nu ioLoU, xc UIoUU aww a .nu uu
Q I.J..A r..l'r 5
12..Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
.5
1
E�
17. Soil -based evidence of high water table?
No = 0laz-a-1
r, 1zi^1f% ICE ihtn4al =
ML
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
CLIO
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 =
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: -S+naVw (JA5
-- p0j'e*fons
- C'O'Abo v a
�attdlt�j {'>D 0L
a5 a ova t-A01C
(2�
nxi-Iro
f-fA+re.,
t
sC
y
"

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
ProjectlSite:®�1 � 7�°' �CAC j(►M C(CtV City/County: Y��rLt�r' � Ohn} i�^ Sampling Date: 1-1_1- 2s
Applicant/Owner: / 04-1 ��` a '`�' �'_ ' "r"'` �.,% State: fJ C Sampling Point: IWA34? w
Investigator(s): 0A'fi4 IM rLo.liY, - n ' - T-OVIV l Section, Township, Range: G&Omil Tvon5 ht'P
Landform (hillslope, terrace, etc.): Rood P lay^ Local relief (concave, convex, none): GonCc1J� Slope (%): G 2-
Subregion (LRR or MLRA): M LM 1534 Lat: Z5. LLS9 08-1 Long: —7 2.1 Ci7"k� I Datum: W037;�;
Soil Map Unit Name: �b'Q:V� 6ranaj I OAM 0 fe rF,-4-Sion, C2OL, F(0o4PL NWI classification: ?Fd
Are climatic / hydrologic conditions on the site typical for this time of year? Yes __)< _ No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes K 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?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks:
HYDROLOGY
Yes N, No Is the Sampled Area
Yes_ No within a wetland? Yes JS_ No
Yes _� No
Primary Indicators (minimum of one
is required; check all that apply)
_ Surface Water (At)
_ Aquatic Fauna (813)
High Water Table (A2)
_ Marl Deposits (615) (LRR U)
_ Saturation (A3)
Hydrogen Sulfide Odor (C1)
Water Marks (81)
_Z--Oxidized Rhizospheres along Living Roots (C3)
— Sediment Deposits (B2)
_ Presence of Reduced Iron (C4)
_ Drift Deposits (B3)
_ Recent Iron Reduction in Tilled Sails (C6)
_ Algal Mat or Crust (134)
_ Thin Muck Surface (C7)
Iron Deposits (85)
_ Other (Explain in Remarks)
Inundation Visible on Aerial Imagery (B7)
_ Water -Stained Leaves (B9)
Field Observations:
Surface Water Present? Yes
Water Table Presets? Yes
Saturation Present? Yes
No Depth (inches):
No 07 0 Depth (inches): /t
No:z Depth (inches): %f"aor
Surface Soil Cracks (86)
_ Sparsely Vegetated Concave Surface (138)
Drainage Patterns (B10)
_ Moss Trim Lines (B16)
_ Dry -Season Water Table (C2)
Crayfish Burrows (C8)
_ Saturation Visible on Aerial Imagery (C9)
_ Geomorphic Position (132)
Shallow Aquitard (D3)
�FAC-Neutral Test (D5)
-_,_ Sphagnum moss (D8) (LRR T, U)
Wedand Hydrology Present? Yes / No
gauge, monitoring well, aerial photos, previous inspections), if
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: Wlor-'203W
�'�
Absolute Dominant Indicator
Dominance Test vvorkshest:
Tree Stratum (Plot size: )
% Cover Suedes? Status
Number of Dominant Species 3
1.
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant
3.
Species Across All Strata: (B)
4.
Percent of Dominant Species
�d d
5
That Are OBL, FACW, or FAC: (AS)
6.
Prevalence Index worksheet:
7
Total % Cover of: Multiohr bv:
8
OBL species x 1 =
= Total Corer
50% of total cover:
ZO% of trial cover.
FACW species x 2 =
Sedinn/Shrub
Stratum (Plot size: � '1r•
)
FAC spades x 3 =
FF}G
FACU spades x 4 =
UPL species x 5 =
2
Column Totals: (A) (B)
3
Prevalence Index = B/A=
4.
5.
Hydrophytic Vegetation Indicators:
s•
1 - Rapid Test for Hydrophytic Vegetation
7.
2 -Dominance Test Is >50%
3 - Prevalence Index is <_3.0'
8.
5d = Total Cover
_
Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
y t7 20% of total cover.
_
Herb Stratum (Plot size: 1 )
'Indicators of hydric soil and wetland hydrology must
1,
be present, unless disturbed or problematic.
2.
Definitions of Four Vegetation Strata:
3.
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
4.
more in diameter at breast height (DBH), regardless of
5
height.
S.
Sapling/Shrub —Woody plants, excluding vines, less
7
/
than 3 in. DBH and greater than 3.28 ft (1 m) tali.
8.
Herb —Ali herbaceous (non -woody) plants, regardless
of size, and woody plants less then 3.28 ft tall.
Woody vine — All woody vines greater than 3.28 ft in
g,
10.
11.
height.
12.
= Total Cover
500A of total cover:
20% of total cover.
Woo
Vine Stratum (Plot size: 30 )
1.
Vors r0+0AatfVI►a
2_f L
2.
3.
4.
5.
Hydrophytic
Total Cover
Vegetation x
50% of total cover:
15 20% of total cover. (p
Present? Yes Nv
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

SOIL
Profile Description: (Describe to the depth needed to document the Indicator or confirm
Depth Matrix Redox Features
(inches) Color (moist) Color (mast) _ % Tvoe Loci
once
Sampling Point: W�3
fore,(
►l ll[:I�i
'Twe: C=Concentration D=De letion RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining,M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Si
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (LRR S, T, U) _
1 cm Muck (A9) (LRR O)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U) _
2 cm Muck (A10) (LRR S)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F7) (LRR O) _
Reduced Vertic (Ff 8) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2) _
Piedmont Floodplain Sails (F19) (LRR P, S, T)
_ Stratified Layers (AS)
Depleted Matrix (F3) _
Anomalous Bright Loamy Soils (F20)
_ Organic Bodies (A6) (LRR P, T, U)
_ Redox Dark Surface (F6)
(MLRA 153B)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Depleted Dark Surface (F7) _
Red Parent Material (TF2)
_ Muck Presence (A8) (LRR U)
_ Redox Depressions (F8) _
Very Shallow Dark Surface (TF12)
1 cm Muck (A9) (LRR P, T)
_ Marl (1`10) (LRR U) _
Other (Explain in Remarks)
_ Depleted Below Dark Surface (All)
_ Depleted Ochdc (F11) (MLRA 151)
_ Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
31ndicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
Sandy Mucky Mineral (Si) (LRR O, S)
Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
_ Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 150B)
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (1`19) (MLRA 149A)
_ Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A,153C, 153D)
_ Dark Surface (S7) (LRR P, S, T, U)
Type:
Depth (inches):
Hydric Soil Present? Yes A No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: '�� ��� "U` CJ�+M L+ ` City/County: e8rn4-6 f)/ h✓fS to7 Sampling Date: ��Z3
ApplicantfOwner. TO.',/ �� I vrGf �^� State: ! C Sampling Point: A�,I� 2--Z-3 te
Investigator(s): 'Tek' S. M MAMY —A"iOm �r1��r°�0'�✓t�►ISection, Township, Range: goon tti !( ���1Sti tfP
p
Landform (hillslope, terrace, etc.): F1oodFI CU &i Local relief (concave, convex, none): (jl��d` Slope M GZ. �
Subregion (LRR or MLRA): MLA'il- 13 314 Lat: 35 ,'fsq 0 $ 7 Long: —7 9. 15 2f ii 1 Datum: tr)G.'5
Soil Map Unit Name: _ Bib b l /* d 12 r&114— f Io _ �Flcvd4� NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year? Yes 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.
Hydrophyfic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Remarks:
HYDROLOGY
Yes X No
Yes No
Yes No
Is the Sampled Area
within a Wetland?
Primary Indicators Iminimum of one is_reguired: check all that
Surface Water (Al)
_ Aquatic Fauna (B13)
_ High Water Table (A2)
_ Marl Deposits (B15) (LRR U)
_ Saturation (A3)
._ Hydrogen Sulfide Odor (01)
Water Marks (B1)
_ Oxidized Rhizospheres along Living Roots (C3)
_ Sediment Deposits (132)
_ Presence of Reduced Iron (C4)
— Drift Deposits (B3)
_ Recent Iron Reduction in Tilled Soils (C6)
Algal Mat or Crust �*4)
_ Thin Muck Surface (C7)
_ Iron Deposits (B5)
_ Other (Explain in Remarks)
Inundation Visible on Aerial Imagery (B7)
— Water -Stained Leaves (139)
Field Observations:
Surface Water Present? Yes
Water Table Present? Yes
Saturation Present? Yes
(includes capillary frinoel
Remarks:
No Depth (inches): .i
No Depth (inches): _ /6
No = Depth (inches): �df
gauge, monitoring well, aerial photos,
_, Surface Soil Cracks (86)
_ Sparsely Vegetated Concave Surface (88)
_ Drainage Patterns (810)
_ Moss Trim Lines (B16)
_ Dry -Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (C9)
_ Geomorphic Position (D2)
Shallow Aquitard (D3)
o**`F'AC-Neutral Test (D5)
Sphagnum moss (138) (LRR T, U)
Wetland Hydrology Present? Yes No
ons), if available:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point:
WA-ZD3 Ld'
Z✓
Absolute Dominant Indicator
°
Dominance Test worksheet:
1�{Plot size: )
®6.-P,�, 7✓L-1f)A�d
r sue? Status
/� _ r roc
Number of Dominant Species �
That Are OBL, FACW, or FAC: (A)
2.
Total Number of Dominant L/
3.
Species Across All Strata: (6,
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: (AB)
6.
7
Prevalence Index worksheet:
Total % Cover of: Multiplyby:
8
=Total Cover
OBL species x 1 =
50% of total cover:
20% of total cover. Z
FACW species x 2 =
Sa
lin hrub Stratum (Plot size: )
FAC species x 3 =
1.
P4,15 ri .f "If
Z F
FACU species x 4 =
UPL species x 5 =
2.
Column Totals: (A) (B)
3
4•
Prevalence Index = B/A =
5.
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7.
_ 2 - Dominance Test is >50%
8.
_ 3 - Prevalence Index is <-3.0'
Problematic Hydrophytic Vegetation' (Explain)
7f = Total Cover
50% of total cover: 3 7, 5
20% of total cover.
_
Herb Stratum (Plot size: 5 )
'Indicators of hydric soil and wetland hydrology must
7.
be present, unless disturbed or problematic.
2.
Definitions of Four Vegetation Strata:
3'
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
4.
more in diameter at breast height (DBH), regardless of
5
height.
6.
Sapling/Shrub -Woody plants, excluding vines, less
7.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
8.
Herb -All herbaceous (non -woody) plants, regardless
8.
of size, and woody plants less than 3.28 0 tall.
10.
Woody vine - All woody vines greater than 3.28 It in
11.
height.
12.
= Total Cover
50% of total cover: 20% of total cover.
Woody Vine St (Plat size: �� )
1. i!/4'7r lyr J1 " Z/, Y F-,Q-C
3.
4.
5. Hydrophytic
Total Cover Vegetation
500A of total cover: 124' 20% or total cover. S _ Present? Yes X No
Remarks: (If observed, list morphological adaptations below).
US Army Cops of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

344,1
SOIL Sampling Pant: w42i>
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of indicators.)
Depth Matrix
(inches) Color (moist)
Redox Features
Texture Remarks
Color (mast) Tvoe Loci
lov'Typ
r s
e: C=Concentration, D=De letion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils;%
_ Histosol (Al)
_ Polyvalue Below Surface (SS) (LRR S, T, U)
_ 1 cm Muck (A9) (LRR O)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U)
_ 2 cm Muck (A10) (LRR 5)
_ Black Histic (A3)
_ Loamy Mucky Mineral (Fi) (LRR O)
_ Reduced Vertic (FIB) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (172)
_ Piedmont Floodplain Sails (F19) (LRR P, S, T)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
_ Anomalous Bright Loamy Soils (F20)
_ Organic Bodies (A6) (LRR P, T, U)
_ Redox Dark Surface (F6)
(MLRA 153B)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Depleted Dark Surface (F7)
_ Red Parent Material (TF2)
_ Muck Presence (AS) (LRR U)
_ Radom Depressions (FS)
_ Very Shallow Dark Surface (TF12)
_ 1 cm Muck (A9) (LRR P, T)
_ Marl (F10) (LRR U)
_ Other (Explain in Remarks)
_ Depleted Below Dark Surface (A11)
_ Depleted Ochric (F11) (MLRA 151)
_ Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
sindicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
_ Sandy Mucky Mineral (Si) (LRR O, S)
_ Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
_ Sandy Gleyed Matrix (54)
_ Reduced Vertic (FIB) (MLRA 150A, 1508)
_ Sandy Redox (S5)
_ Piedmont Floodplain Sails (F19) (MLRA 149A)
_ Stripped Matrix (S6)
_ Anomalous Bright Loamy Soils (1720) (MLRA 149A,153C, 153D)
_ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (If observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No
US Army Corps or Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

nude Local_Waterway
Beaverdam Creek NORTH CAROLINA R31.113 RIVERINE Linear 1788 FOOT RPW 35.46085400-78.15386800
Stream SA NORTH CAROLINA R4SB RIVERINE Linear 59 FOOT RPW 35.46012600-78.15331200
Stream SC NORTH CAROLINA R4SB RIVERINE Linear 80 FOOT RPW 35.46319600-79.15509200
Wetland WA NORTH CAROLINA PFO RIVERINE Area 0.238 ACRE DELINEATE 35.45908700-78.15286100

SAMPLE AGENT AUTHORIZATION FORM
PROPERTY LEGAL DESCRIPTION:
LOT NO. Various PLAN NO. PARCEL ID: Various
STREET ADDRESS: Beaverdam Creek, from the culvert under the railroad at
E Edwards Street and Pearce Street to Luby Smith Road.
Please print:
Property Owner: Town of Princeton, NC
Property Owner:
The undersigned, registered property owners of the above noted property, do hereby authorize
Scott Davis , of Axiom Environmental, Inc
(Contractor / Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
503 Dr. Donnie H. Jones, Blvd West, Princeton, NC 27569
Telephone: [phone]
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
� L
AuthorizedSignatureAuthorized Signature
Date: 3 l Z 9 ( �� Date: