20240239 Ver 1_Forrest Run - Site Plan w LIDAR topo_20240206

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PERMANENT LINEAR (STREAM)
TOTAL AREA: 480 SF (0.011 AC)
TOTAL LENGTH: 80 FT
PERMANENT ROADWAY FILL
TOTAL AREA: 20450 SF (0.469 AC)
PERMANENT TOTALS
AREA: 20930 SF (0.480 AC)
LENGTH: 80 FT
TEMPORARY UTILITY INSTALLATION
TOTAL AREA: 105 SF (0.002 AC)
\\\��\ CAR '0�!����/
=Z:� SEAS � •.
35677 -
LINE TABLE
LINE
BEARING
DISTANCE
L 1
515 58'41 "W
10.20'
L2
S6,3°08'.34"E
72.49'
L3
S60°47'47'E
69.11'
L 4
S57 5O'18 "E
50. 77'
L5
S54 53',30'E
24.47'
L6
S37°47'00"E
25.27'
L 7
S31 °43'S4 "E
75.24'
L8
S26 `19'15 "E
56.60'
L9
S21 °57'47"E
57.85'
L 10
S17 57'11 "E
45.09'
L 11
S75°44'03"E
55.96'
LEGEND
PROJECT BOUNDARY
EX WATER MAIN
EX FORCE MAIN
STORMDRAIN
EX CONTOURS
SILT FENCE X
DISTURBED AREA — — — — —
100 50 0 100 200
GRAPHIC SCALE: 1" = 100'
262�

Date:
COMPLIANCE WITH WETLAND & BUFFER REGULATIONS
The following DEED NOTIFICATION shall be recorded in the County Registry prior to
the conveyance of lots. Said Deed Notification shall apply to lots in
subdivision recorded in Plat Book or Plat Cabinet , page or file
as shown on plans titled (insert subdivision name) prepared by
(insert name of designer) dated (insert date).
and
"A portion of this lot has been determined to meet the requirements for designation as a wetland, stream
or protected stream buffer. Any subsequent fill or alteration of this area shall conform to the requirements
of the rules adopted by the State of North Carolina in force at the time of the proposed alteration. The
intent of this provision is to prevent unauthorized wetland, stream or buffer impacts; the property owner
should not assume that a future application for proposed impacts will be approved by the State. The
property owner shall report the name of the subdivision in any application pertaining to said rules. This
covenant is intended to ensure continued compliance with all rules adopted by the State of North Carolina
and therefore the State of North Carolina may enforce benefits. This covenant is to run with the land and
shall be binding on all Parties and all persons claiming under them".
Signature
Owner's name:
Address:
City, State, Zip Code:
Phone Number:

STATE OF North Carolina
COUNTY
I, , a Notary Public of the State of North Carolina,
County, hereby certify that owner personally appeared before me this day and executed
by above certification.
Witness my hand and notorial seal, this
Notary Public
My commission expires:
day of

1111111111111 IIII IIII II1111 III BOOK:5068 PAGE:88 O90�/2 23
Page 1 of 3
Brenda M. Clemmons. Brunu swick Conty. NC Register of Deeds E
Brenda M. Clemmons, Brunswick County, NC Register of Deeds
0901/2023 09:04:57.001 NC REVENUE STAMP: $650.00
This instrument prepared by: Murchison, Taylor & Gibson, PLLC, a licensed North
Carolina attorney. Delinquent taxes, if any, to be paid by the closing attorney to the county
tax collector upon disbursement of closing proceeds.
SPECIAL WARRANTY DEED
Prepared by: MURCHISON, TAYLOR & GIBSON, PLLC
1979 Eastwood Road, Suite 101, Wilmington, NC 28403
Return to: Grantee
WE PREPARED THE DEED IN THIS TRANSACTION, BUT MADE NO EXAMINATION OF TITLE AND
EXPRESS NO OPINION ON TITLE TO THE PROPERTY OR THE ACCURACY OR COMPLETENESS OF THE
LEGAL DESCRIPTION HEREIN.
None of the property herein described includes the primary residence of Grantor. (N.C.G.S. § 105-317.2)
STATE OF NORTH CAROLINA
COUNTY OF BRUNSWICK
Parcel Number: 23000050 / 2300005003
Revenue Stamps $ 650 , nQ
THIS SPECIAL WARRANTY DEED, made and entered into this .2 —day of
2023, by and between Shallotte Real Estate LLC, a North Carolina limited
41iilitly—`C,-Ompany with a mailing address of 337 Penco Road, Weirton WV 26062 (herein called
"Grantor") and 1295 Village Point Road LLC, a North Carolina limited liability company
with a mailing address of 711 Carolina Beach Avenue North, Carolina Beach NC 28428 (herein
called "Grantee"). The designation Grantor and Grantee as used herein includes said parties,
their heirs, successors and assigns, and, as the context requires, words in the singular number
include the plural and vice versa and genders are interchangeable.
WITNESSETH:
The Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and
other valuable consideration to it in hand paid by the Grantee, the receipt whereof is hereby
acknowledged, has bargained and sold, and by these presents does hereby bargain, sell and
convey unto Grantee, its successors and assigns forever, in fee simple, all that certain real
property located in Brunswick County, North Carolina, and more particularly described as in
Exhibit A, attached hereto and incorporated herein by reference.
351622
Submitted electronically by Law Office of J. Chris Huff, P.C. in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Brunswick County Register of Deeds.

I Jill I Jill 1 II 111 II 1 III 111111 Jill III BOOK:5068 PAGE:89 %4S�.001
Page 2 of 3
Brenda NI. Clenunons. Brumwid( County. NC Regktei of Deeds E
Subject to (i) all easements, rights of way, encumbrances, restrictions and other
matters of record; (ii) any and all matters that would be revealed by a current and accurate
survey; (iii) all governmental land use statutes, ordinances and regulations (including, without
limitation, zoning, subdivision and building regulations); and (iv) ad valorem taxes for the
current and subsequent years.
TO HAVE AND TO HOLD the above granted and described property, together
with all and singular, the rights, privileges, easements, tenements and appurtenances thereunto
belonging, or in anywise appertaining unto the said Grantee, its successors and assigns, in fee
simple, forever.
And the Grantor, for itself, its successors and assigns, does covenant to and with
the said Grantee and its successors and assigns, that Grantor has done nothing to impair such title
to the property described herein as Grantor received, and Grantor will warrant and defend the title
to the same against the lawful claims of all persons claiming by, under or through Grantor, except
for the preceding exceptions.
IN TESTIMONY WHEREOF, the said Grantor has caused this instrument to
be executed the day and year first above written.
Shallotte Real Estate, LLC, a North Carolina
limited liability company
Name: M. Eric Frankovitch
Title: Managiniz Member
STATE OF V I ton
COUNTY OF +k nco0 lk
(Insert State/County above where acknowledgement taken)
I, M[Ck1C,l t�-' �eQCJ la Notary Public, certify that the following person(s) personally
appeared before me this day, acknowledging to me that he voluntarily signed the foregoing document for
the purpose stated therein and in the capacity indicated: M. Eric Frankovitch
[Insert name,
name, not title]
Witness my hand and official seal or stamp, thisOt l day of 12023.
SEAL
r,i4it--psit
NOTARY PUBLICSTATE
OF WEST VIRGINIAMICHELLE
®OFFICIAL
REAROONRufty",
An"k, skw, Do "a PSW, LLP337
Ponca Roadyyainan, yysst Virginia 260.2
My Commission Expires Aug. 4, 2026
351622
Notary Public
My commission expires: A'

II 1 II I I All 1111 I I II 1 III 1 II II III I I III
BOOK:5068 PAGE:90 09�9:04:5:57.0�
.001
Page 3 of 3
Brenda NI. Clenunons. Brunsw A County. NC Regktei of Deeds E
351622
I W4!111.11a Will
AI I that certain tract or parcel of land lying and being situate in
Shallottc. Township, Brunswick County, North Carolina, and being
mare particularly described as follows. -
A] 1 of that certain 48.69 acre tract of land as shown on a survey
entitled "Map of the Property of W. H. Milliken" prepared by
i 1. R_ Hewett, Surveyor, dated September 5, 1956, and recorded in
Map Hook 4 at Page 99. in the office of the Register of Deeds of
Brunswick County.
LESS AND FXCFPT all of those tracts, parcels, and lots included
in the above described property previously conveyed, including the
following:
(i) Being all of Lots 1, 2, 15, 16, 17, 19, and 19 as shown on a
survey entitled "Map of Suh-Div ision for W. H. Milliken.
et ux" prepared by 11.17. Hewett, Registered Surveyor,
dated January 16, 1962, and recorded in Map Book 6 at
Page 114, in the office of the Register of Deeds of
Brunswick County.
(H) Being all of that certain parcel of land described in the
Deed recorded in Book 289, at Page 914, as corrected by
that certain Deed recorded in Book 421. at Page 264. said
parcel also being Lot 14 as shown on a survey entitled
"Land Owned by Barry R. Bowen in W11. Milliken Subd,"
prepared by Bobby M. Long, Registered Land Surveyor,
dated March 1, 1979, and recorded in Map Book K at
Page 165, in the office of the Register of Deeds of
Brunswick County.
(iii) Being all of that l 0 acre tract as shown on a survey entitled
"Map of Survey for Nancy & James Hewett" prepared by
Patrick A, Allen, Registered Land Surveyor, dated.
March 15, 1979. and recorded in Map Book K at Page 131,
in the o1 iec of the Register of Deeds of Brunswick County.
And being the same property described in that deed dated Octoer 4, 2012
and recorded in Book 3321, Page 841 of the Brunswick County Registry.
For reference purposes, see boundary survey recorded in Map Book 71,
Page 65 of the Brunswick County Registry.

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IMPACT 1 m a '� o Q uo n
ROADWAY FILL
16050 SF (0.368 AC) S7 ,� / ? N = / o ^
g4126, o�r�� / �`�QCO� ��� O>>
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211
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35677 -
PERMANENT LINEAR (STREAM)
TOTAL AREA: 480 SF (0.011 AC)
TOTAL LENGTH: 80 FT
PERMANENT ROADWAY FILL
TOTAL AREA: 20450 SF (0.469 AC)
PERMANENT TOTALS
AREA: 20930 SF (0.480 AC)
LENGTH: 80 FT
TEMPORARY UTILITY INSTALLATION
TOTAL AREA: 105 SF (0.002 AC)
SR BILL
148 HOLDEN60' PUBLIC R/W
LINE TABLE
LINE
BEARING
DISTANCE
L 1
515 58'47 "W
10.20'
L2
S6.3°08'.34"E
72.49'
L,3
S60°47'47'E
69.11'
L 4
S57 5O'18 "E
50. 77'
L5
S54 53',30'E
24.47'
L6
S37°47'00"E
25.27'
L 7
S.31 °43'54 "E
75.24'
L8
S26 `19'15 "E
56.60'
L9
S21 757'47"E
57.85'
L IO
S17 57'11 "E
45.09'
L 11
S75°44'03"E
55.96'
LEGEND
PROJECT BOUNDARY
EX WATER MAIN
EX FORCE MAIN
STORMDRAIN
EX CONTOURS
SILT FENCE X
DISTURBED AREA — — — — —
GRAPHIC SCALE: 1" = 100'
202�

EX GRADE AT EDGE
OF IMPACTS=29.5
1� RETAINED
WETLAND
4 2 38 /
_ }l
38
y
b
_ 37
1 _
J _ 33
i _ I
7-
32
31
I
n`I
31
50 FT IMPACT WIDTH
5' 3' 3' 5'
SIDEWALK PLAZA EL=30.5 PLAZA SIDEWALK
S� 1' (MAX)
_______________ EX -GRADE- FILL
------------
------------------------
CROSS SECTION
NTS
IMPACT #1 -
TYPICAL
SECTION
\
1
1 --
1 2B l
1 i
1 29
1
\
1
1 � �
- 404\\WETLAND
1
1 �
I I
1 �
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1
IMPACT #1
II
ROADWAY FILL
I
I
16050 SF (0.368 AC)
I
I
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50 25 0 50 100
GRAPHIC SCALE: 1" = 50'
EX GRADE AT EDGE
OF IMPACTS=29.5
RETAINED
WETLAND
MPACT #1
310 FT IMPACT LENGTH ALONG CENTERLINE
PROPOSED ROApWgy
UPLAND
EX GRADE
1' (MAX)
WETLAND i* - _ _ _ FILL
PROFILE
NTS WETLAND
-- ROADWAY FILL
G A R'0/!����/
o� .��-SSI 6�.
35677
UPLAND i*
262�

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25
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50 25 0 50 100
GRAPHIC SCALE: 1" = 50'
71 FT IMPACT WIDTH
5 3 3' S
SIDEWALK PLAZA EL-25.6 PLAZA SIDEWALK
EX GRADE AT EDGE UPPER�O�
1' (MAX)1 � LOWER EX GRADE AT EDGE
OF IMPACTS=25.0 RIM=25EX _GRADE _________________________________________________ ALL____jRIM=24.8 OF IMPACTS=25.0
RETAINED/*
WETLAND
UPPER
INV=22.5
60 LF 15" HDPE
CROSS SECTION
N TS
RETAINED ---A
WETLAND
LOWER
INV=22.5
MPACT #2 --
25 FT IMPACT LENGTH ALONG CENTERLINE
PROPOSED ROADWAY
UPLAND �� �-___
-----_-_ EX -GRADE
WETLAND ---*
ROADWAY FILL
1.0' (MAX)
FILL ____
--- UPLAND
WETLAND
RIM=25.0
INV=22.5
PROFILE
N TS
G A R'0/!����/
o� SI 6�.
35677
262�

44 FT IMPACT WIDTH
PROPOSED ROADWAY
m
7 6
,
4
IMPACT #3 3
ROAD Ai' FILL
-
UPLAND ��-___ 1.5' (MAX)
-----_--- EX_GRADE FILL _
---
-__ ------ UPLAND
WETLANDS ----------------
WETLAND i*
CROSS SECTION
N TS
50 25 0 50 100
GRAPHIC SCALE: 1" = 50'
UPLAND ---A
76 FT IMPACT LENGTH ALONG CENTERLINE
31 5' 3
EL=25.0 PLAZA WALK SHOUL
1.5' WALL
EX GRADE AT EDGE
L-------- EX -GRADE - OF IMPACTS=23.5
-------------------------------------------------
MPACT #3 -- ROADWAY FILL
PROFILE
N TS
G A R'0/!����/
o� SI 6�.
35677
RETAINED --A
WETLAND
262�

EN-DOF
STREAM
z 2y
27
50 25 0 50 100
GRAPHIC SCALE: 1" = 50'
42
80 LF IMPACT
PROPOSED ROADWAY ELEVATION AT CROSSING = 26.0
5' 3'
3' 5'
6 FT IMPACT WIDTH ----
SIDEWALK PLAZA
EL=26.0 PLAZA SIDEWALK
__
-------
_
EX GRADE AT CROSSING __-------
6' WALL
7' WALL
--------------
___------
EX GRADE AT EDGE
OF IMPACTS=21.0
____________EX
GRADE
48" HDPE
53_LF 48" HDPE
RIPRAP
EX GRADE AT EDGE
INVERT AT CENTERLINE ______ _
1� RETAINED
UPPER
---------------------------____ EX -GRADE
APRON
OF IMPACTS=20.0
OF IMPACTS=19.5
WETLAND
INV=20.0
EX GRADE
LOWER o o
AT CENTERLINE
INV=19.0
RETAINED --A
OF IMPACTS=20.5
WETLAND
CROSS SECTION
N TS
MPACT #4 -- STREAM CROSSING
PROFILE
N TS
\\\��\V G A R'0/!����/
SI 6�.
.� SEAS
35677 -
262�

z,
----•,. 11 -- 65
21
20
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le
IIPACT�,4
**TEMPORARY**
,12 UTILITY INS-TALLATION...._.�
50 25 0 50 100
GRAPHIC SCALE: 1" = 50'
18 FT IMPACT WIDTH _� EX GRADE AT EDGE 8 FT IMPACT LENGTH ALONG CENTERLINE
OF IMPACTS=14.5
EX GRADE AT EDGE EX GRADE UPLAND EX GRADE _
OF IMPACTS=13.0 UPLAND �� -- GRAD__ _ __-----
WETLAND i�
___ ------ UPLAND
------ ----
WETLAND i�
------------ --
WETLAND i* �, WETLAND
18" HDPE STORM 18" HDPE
INVERT AT CENTERLINE 8" PVC WATER MAIN
OF IMPACTS=10.5 INVERT AT CENTERLINE
8" PVC
OF IMPACTS=10.0
CROSS SECTION PROFILE
N TS
N TS
IMPACT #5 -- TEMPORARY UTILITY INSTALLATION
\\\��\V G A R'0�!///,
SEAL
35677 -
262�

Preliminary ORM Data Entry Fields for New Actions
ACTION ID 4: SAW- 2022-01450
Prepare file folder ❑
1. Project Name [PCN Form A2a]: Forrest Run
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]:
Single-family home residential subdivision to create 80 lots. The project will include internal roadways, stormwater and water/
wastewater infrastructure. Impacts to jurisdictional Waters of the US include three permanent roadway impacts to wetlands, one
temporary wetland impact for wastewater infrastructure, and one permanent roadway stream crossing.
4. Property Owner / Applicant [PCN Form A3 or A41: 1295 Village Point Road, LLC
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Terrain Environmental Consulting, PLLC - Paul Masten
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
1295 Village Point Road, approximately two miles southeast of the intersection of Village Point Road
and NC Highway 179/Bricklanding Road
8. Project Location —Tax Parcel ID [PCN Form Bla]: 2300005003 and 23000050
9. Project Location — County [PCN Form A2b]: Brunswick
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Shallotte
11. Project Information — Nearest Waterbody [PCN Form 132a]: The Swash
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03040207
Authorization: Section 10 ❑ Section 404 ✓❑
Regulatory Action Type:
❑ Standard Permit
✓ Nationwide Permit # 39
Regional General Permit 9
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: 1295 Village Point Road
City, State: Shallotte, NC
County: Brunswick
Parcel Index Number(s) (PIN): 2300005003 and 23000050
B. REQUESTOR INFORMATION
Name: Paul Masten - Terrain Environmental
Mailing Address: 2014 Wrightsville Avenue
Wilmington, NC 28403
Telephone Number: 910-512-1253
Electronic Mail Address: [e-mail]
Select one:
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: 1295 Village Point Road, LLC
Mailing Address: 1001 Military Cutoff Road, Suite 101
Telephone Number:
Electronic Mail Address:
Wilmington, NC 28405
910-515-1830
[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.
Paul Masten
Print Name
Capacity: ❑ Owner Z Authorized Agent'
1 /31 /24
Date
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:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 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 45.3 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:
33.932704
Longitude:-78.379383
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 1 Ix 17 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

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Paul Masten, Terrain Enviornmental
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: SAW-2022-01450
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Brunswick City: Shallotte
Center coordinates of site (lat/long in degree decimal format):
Lat.: 33.932406 Long.:-78.379383
Universal Transverse Mercator:
Name of nearest waterbody: The Swash
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date: 1 /31 /24
■❑ Field Determination. Date(s): October 9-11, 2023 and December 22. 2023
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
W1
33.93153
-78.376735
10.27 ac
wetland
404/401
W2
33.933576
-78.37904
0.06 ac
wetland
404/401
W3
33.931832
-78.375965
0.12 ac
wetland
404/401
W4
33.932198
-78.380253
0.08 ac
wetland
404/401

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Paul Masten - Terrain Environmental
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: SAW-2022-01450
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Brunswick City: Shallotte
Center coordinates of site (lat/long in degree decimal format):
Lat.: 33.932406 Long.:-78.378213
Universal Transverse Mercator:
Name of nearest waterbody: The SWaSh
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑■ Field Determination. Date(s): October 9-11, 2023 and December 22, 2023
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
S 1
33.931125
-78.376677
1993 If
stream
404/401
S2
33.931656
-78.378821
283 If
stream
404/401
S3
33.931645
-78.377727
197 If
stream
404/401

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 AJD 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 AJD or a PJD, the JD will be processed
as soon as practicable. Further, an AJD, 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 AJD 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: Figures 1 through 6
❑ 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:
Shallotte 1:24000
■❑ Natural Resources Conservation Service Soil Survey. Citation:
Web Soil Survey
❑ 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 2023
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
Digitally signed by Paul Masten
Date: 2024.02.05 14:44:35-05'00'
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes for requestor to return signed PJD forms. If the requestor 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.

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1295 Village Point Road N Brunswick
Shallotte, NC
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WETLAND/UPLAND
DATA FORMS

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Forrest Run City/County: Shallotte Sampling Date: 12/22/23
Applicant/Owner: 1295 Village Point Road, LLC State: NC Sampling Point: W1 Wet
Investigator(s): Terrain Environmental - Paul Masten Section, Township, Range:
Landform (hillslope, terrace, etc.): drainage way Local relief (concave, convex, none): concave Slope (%): 1-2
Subregion (LRR or MLRA): LRR T Lat: 33.93153 Long:-78.376735 Datum: NAD83(2011)
Soil Map Unit Name: Torhunta - Typic Humaquepts NWI classification: upland
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 V 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
Is the Sampled Area
Hydric Soil Present? Yes No
within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (B6)
Surface Water (Al)
Aquatic Fauna (B13)
— Sparsely Vegetated Concave Surface (B8)
✓ High Water Table (A2)
Marl Deposits (B15) (LRR U)
_ Drainage Patterns (B10)
Saturation (A3)
Hydrogen Sulfide Odor (Cl)
— Moss Trim Lines (B16)
Water Marks (B1) _
Oxidized Rhizospheres along Living Roots (C3)
_ Dry -Season Water Table (C2)
Sediment Deposits (B2) _
Presence of Reduced Iron (C4)
_ Crayfish Burrows (C8)
Drift Deposits (B3) _
Recent Iron Reduction in Tilled Soils (C6)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _
Thin Muck Surface (C7)
'� Geomorphic Position (D2)
Iron Deposits (135) _
Other (Explain in Remarks)
Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7)
FAC-Neutral Test (D5)
Water -Stained Leaves (B9)
_ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
Depth (inches): 8
Saturation Present? Yes No
Depth (inches): 6
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: W1 Wet
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 ft
)
% Cover
Species?
Status
Number of Dominant Species
1.
Pinus taeda
40
Yes
FAC
That Are OBL, FACW, or FAC: 7 (A)
2.
Liquidambar styraciflua
15
No
FAC
Liriodendron tulipifera
15
No
FACU
Total Number of Dominant 7
3.
Species Across All Strata: (B)
4.
Persea borbonia
10
No
FACW
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100 (A/B)
6.
Prevalence Index worksheet:
80 = Total Cover
50% of total cover: 40
20% of
total cover:
16
Total % Cover of: Multiply by:
Sapling
Stratum (Plot size: 30 ft )
OBL species x 1 =
1.
Magnolia virginiana
20
Yes
FACW
FACW species x 2 =
2.
Persea borbonia
10
Yes
FACW
FAC species x 3 =
3.
Liquidambar styraciflua
5
No
FAC
FACU species x 4 =
4
UPL species x 5 =
5
Column Totals: 0 (A) 0 (B)
6•
Prevalence Index = B/A =
35
= Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 17.5
20% of
total cover:
7
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 30 ft
)
❑ 2 - Dominance Test is >50%
1.
Morella cerifera
80
Yes
FAC
❑ , 3 -Prevalence Index is <_3.0
2.
Persea borbonia
20
Yes
FACW
❑ Problematic Hydrophytic Vegetation (Explain)
3.
4•
'Indicators of hydric soil and wetland hydrology must
5.
be present, unless disturbed or problematic.
6.
Definitions of Five Vegetation Strata:
100
= Total Cover
Tree -Woody plants, excluding woody vines,
50% of total cover: 50
20% of
total cover:
20
approximately 20 ft (6 m) or more in height and 3 in.
Herb Stratum (Plot size: 30 ft
)
(7.6 cm) or larger in diameter at breast height (DBH).
1 •
Sapling - Woody plants, excluding woody vines,
2.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
3.
4.
Shrub - Woody plants, excluding woody vines,
5
approximately 3 to 20 ft (1 to 6 m) in height.
6.
Herb - All herbaceous (non -woody) plants, including
7
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately
$•
3 ft (1 m) in height.
9.
Woody vine - All woody vines, regardless of height.
10.
11.
0 = Total Cover
50% of total cover:
20% of
total cover:
Woody Vine Stratum (Plot size:
30 ft )
1.
Smilax laurfolia
10
Yes
FACW
2.
Vitis rotundifolia
10
Yes
FAC
3.
4.
5.
Hydrophytic
20
= Total Cover
Vegetation
Fv_1
50% of total cover: 10
20% of total cover:
4
Present? Yes No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL Sampling Point: W1 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
(inches)
Color (moist)
%
Color (moist) % Type' LocZ
Texture Remarks
0-4
10YR 2/1
100
sandy loam mucky mineral
4-11
10YR 3/1
80
10YR 4/1 20 D M
loamy sand >70% coated grains
11-18
10YR 5/2
80
10YR 4/1 20 Ms M
fine sand
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
Histosol (Al)
_ 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 (F1) (LRR O)
— Reduced Vertic (F18) (outside MLRA 150A913)
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (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 15313)
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 (F10) (LRR U)
_ Other (Explain in Remarks)
Depleted Below Dark Surface (At 1)
_ Depleted Ochric (F11) (MLRA 161)
Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
3Indicators 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 (S1) (LRR O, S)
_ Delta Ochric (F17) (MLRA 161)
unless disturbed or problematic.
Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 15013)
Sandy Redox (S5) — Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C9 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes -Z 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: Forrest Run City/County: Shallotte Sampling Date: 12/22/23
Applicant/Owner: 1295 Village Point Road, LLC State: NC Sampling Point: W1 Up
Investigator(s): Terrain Environmental - Paul Masten Section, Township, Range:
Landform (hillslope, terrace, etc.): slope Local relief (concave, convex, none): none Slope (%): 2-3
Subregion (LRR or MLRA): LRR T Lat: 33.931598 Long:-78.37663 Datum: NAD83(2011)
Soil Map Unit Name: Torhunta - Typic Humaquepts NWI classification: upland
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 V 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
Is the Sampled Area
Hydric Soil Present? Yes No
within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (B6)
Surface Water (Al)
Aquatic Fauna (B13)
— Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)
Marl Deposits (B15) (LRR U)
_ Drainage Patterns (B10)
Saturation (A3)
Hydrogen Sulfide Odor (Cl)
— Moss Trim Lines (B16)
Water Marks (B1) _
Oxidized Rhizospheres along Living Roots (C3)
_ Dry -Season Water Table (C2)
Sediment Deposits (B2) _
Presence of Reduced Iron (C4)
_ Crayfish Burrows (C8)
Drift Deposits (B3) _
Recent Iron Reduction in Tilled Soils (C6)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _
Thin Muck Surface (C7)
_ Geomorphic Position (D2)
Iron Deposits (135) _
Other (Explain in Remarks)
— Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7)
_ FAC-Neutral Test (D5)
Water -Stained Leaves (B9)
_ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
Depth (inches): 14
Saturation Present? Yes No
Depth (inches): 12
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: W1 Up
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 ft )
% Cover
Species?
Status
Number of Dominant Species
1.
Quercus nigra
30
Yes
FAC
That Are OBL, FACW, or FAC: 7 (A)
2.
Pinus taeda
20
Yes
FAC
Liquidambar styraciflua
20
Yes
FAC
Total Number of Dominant 7
3.
Species Across All Strata: (B)
4.
Magnolia virginiana
5
No
FACW
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100 (A/B)
6.
Prevalence Index worksheet:
75 = Total Cover
50% of total cover: 37.5
20% of
total cover:
15
Total % Cover of: Multiply by:
Sapling
Stratum (Plot size: 30 ft )
OBL species x 1 =
1.
Quercus nigra
40
Yes
FAC
FACW species x 2 =
2.
Pinus taeda
10
Yes
FAC
FAC species x 3 =
3
FACU species x 4 =
4
UPL species x 5 =
5
Column Totals: 0 (A) 0 (B)
6•
Prevalence Index = B/A =
50
= Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 25
20% of
total cover:
10
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 30 ft )
❑ 2 - Dominance Test is >50%
1.
Morella cerifera
60
Yes
FAC
❑ , 3 -Prevalence Index is <_3.0
2.
Magnolia virginiana
10
No
FACW
❑ Problematic Hydrophytic Vegetation (Explain)
3.
Persea borbonia
10
No
FACW
4.
Vaccinlum Corymbosum
5
No
FACW
'Indicators
of hydric soil and wetland hydrology must
5.
Juniperus virginiana
5
No
FACU
be present, unless disturbed or problematic.
6.
Definitions of Five Vegetation Strata:
90
= Total Cover
Tree -Woody plants, excluding woody vines,
50% of total cover: 45
20% of
total cover:
18
approximately 20 ft (6 m) or more in height and 3 in.
Herb Stratum (Plot size: 30 ft )
(7.6 cm) or larger in diameter at breast height (DBH).
1 •
Sapling - Woody plants, excluding woody vines,
2.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
3.
4.
Shrub - Woody plants, excluding woody vines,
5
approximately 3 to 20 ft (1 to 6 m) in height.
6.
Herb - All herbaceous (non -woody) plants, including
7
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately
$•
3 ft (1 m) in height.
9.
Woody vine - All woody vines, regardless of height.
10.
11.
0 = Total Cover
50% of total cover:
20% of
total cover:
Woody Vine Stratum (Plot size: 30 ft )
1. Gelsemium sempervirens 2C
2.
3.
4.
5.
2
50% of total cover: 10
Remarks: (If observed, list morphological adaptations below).
Yes FAC
Hydrophytic
0 = Total Cover Vegetation
20% of total cover: 4 Present? Yes Fv No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Sampling Point: W1 Up
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks
0-5 10YR 2/1 100 sandy loam
5-20 10YR 3/1 100
20-24 10YR 3/3 100
loamy sand <70% coated grains
loamy sand
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Sc
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 (F1) (LRR O)
— Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (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 15313)
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 (F10) (LRR U)
_ Other (Explain in Remarks)
— Depleted Below Dark Surface (At 1)
_ Depleted Ochric (F11) (MLRA 161)
Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
3Indicators 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 (S1) (LRR O, S)
_ Delta Ochric (F17) (MLRA 161)
unless disturbed or problematic.
Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 15013)
Sandy Redox (S5) — Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C9 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes _a No -Z
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: Forrest Run City/county: Shallotte Sampling Date: 12/22/23
Applicant/Owner: 1295 Village Point Road, LLC State: NC Sampling Point: W3 Wet
Investigator(s): Terrain Environmental - Paul Masten Section, Township, Range:
Landform (hillslope, terrace, etc.): depression Local relief (concave, convex, none): Concave Slope (%): 1-2
Subregion (LRR or MLRA): LRR T Lat: 33.931832 Long:-78.375965 Datum: NAD83(2011)
Soil Map Unit Name: Blanton - Grossarenlc Paleudults NWI classification: upland
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 V 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
Is the Sampled Area
Hydric Soil Present? Yes No
within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (B6)
Surface Water (Al)
Aquatic Fauna (B13)
— Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)
Marl Deposits (B15) (LRR U)
_ Drainage Patterns (B10)
Saturation (A3)
Hydrogen Sulfide Odor (Cl)
— Moss Trim Lines (B16)
Water Marks (B1) _
Oxidized Rhizospheres along Living Roots (C3)
_ Dry -Season Water Table (C2)
Sediment Deposits (B2) _
Presence of Reduced Iron (C4)
_ Crayfish Burrows (C8)
Drift Deposits (B3) _
Recent Iron Reduction in Tilled Soils (C6)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _
Thin Muck Surface (C7)
'� Geomorphic Position (D2)
Iron Deposits (135) _
Other (Explain in Remarks)
Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7)
FAC-Neutral Test (D5)
Water -Stained Leaves (B9)
_ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
Depth (inches): 12
Saturation Present? Yes No
Depth (inches): 10
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Sampling Point: W3 Wet
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 ft
)
% Cover
Species?
Status
Number of Dominant Species
1.
Acer rubrum
20
Yes
FAC
That Are OBL, FACW, or FAC: 9 (A)
2.
Liriodendron tulipifera
20
Yes
FAC
3.
Liquidambar styraciflua
20
Yes
FAC
Total Number of Dominant 9
Species Across All Strata: (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100 (A/B)
6.
Prevalence Index worksheet:
60 = Total Cover
50% of total cover: 30
20% of
total cover:
12
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: 30 ft )
OBL species x 1 =
1.
Liquidambar styraciflua
50
Yes
FAC
FACW species x 2 =
2.
Quercus nigra
25
Yes
FAC
FAC species x 3 =
3.
llex opaca
5
No
FAC
FACU species x 4 =
4
UPL species x 5 =
5
Column Totals: 0 (A) 0 (B)
6•
Prevalence Index = B/A =
80
= Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover: 40
20% of
total cover:
16
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 30 ft
)
❑ 2 - Dominance Test is >50%
1.
Lyonia lucida
45
Yes
FACW
❑ , 3 -Prevalence Index is <_3.0
2.
Cyrilla racemiflora
20
Yes
FACW
❑ Problematic Hydrophytic Vegetation (Explain)
3.
Morella cerifera
20
Yes
FAC
4.
Persea borbonia
10
No
FACW
'Indicators
of hydric soil and wetland hydrology must
5.
Arundinaria tecta
5
No
FACW
be present, unless disturbed or problematic.
6.
Definitions of Five Vegetation Strata:
100
= Total Cover
Tree -Woody plants, excluding woody vines,
50% of total cover: 50
20% of
total cover:
20
approximately 20 ft (6 m) or more in height and 3 in.
Herb Stratum (Plot size: 30 ft
)
(7.6 cm) or larger in diameter at breast height (DBH).
1 •
Sapling - Woody plants, excluding woody vines,
2.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
3.
4.
Shrub - Woody plants, excluding woody vines,
5
approximately 3 to 20 ft (1 to 6 m) in height.
6.
Herb - All herbaceous (non -woody) plants, including
7
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately
$•
3 ft (1 m) in height.
9.
Woody vine - All woody vines, regardless of height.
10.
11.
0 = Total Cover
50% of total cover:
20% of
total cover:
Woody Vine Stratum (Plot size:
30 ft )
1.
Smilax laurifolia
25
Yes
FACW
2.
3.
4.
5•
Hydrophytic
25
= Total Cover
Vegetation
Fv-1 LL
50% of total cover: 12.5
20% of total cover:
5
Present? Yes No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL Sampling Point: W3 Wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
(inches)
Color (moist)
%
Color (moist) % Type' LocZ
Texture Remarks
0-4
10YR 2/1
100
MS M
loamy sand >70% coated sand grains
4-12
10YR 4/1
70
10YR 5/1 20 D M
fine sand
10YR 6/1 10 D M
12-16
10YR 2/1
100
sandy loam restrictive horizon
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
Histosol (Al)
_ 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 (F1) (LRR O)
— Reduced Vertic (F18) (outside MLRA 150A913)
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (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 15313)
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 (F10) (LRR U)
_ Other (Explain in Remarks)
— Depleted Below Dark Surface (At 1)
_ Depleted Ochric (F11) (MLRA 161)
Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
3Indicators 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 (S1) (LRR O, S)
_ Delta Ochric (F17) (MLRA 161)
unless disturbed or problematic.
Sandy Gleyed Matrix (S4)
_ Reduced Vertic (F18) (MLRA 150A, 15013)
— Sandy Redox (S5)
— Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6)
_ Anomalous Bright Loamy Soils (F20) (MLRA
149A, 153C9 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type: hardpan
Depth (inches): 12
Hydric Soil Present? Yes -Z
No E2
Remarks
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: Forrest Run City/County: Shallotte Sampling Date: 12/22/23
Applicant/Owner: 1295 Village Point Road, LLC State: NC Sampling Point: W3 Up
Investigator(s): Terrain Environmental - Paul Masten Section, Township, Range:
Landform (hillslope, terrace, etc.): slope Local relief (concave, convex, none): none Slope (%): 1-2
Subregion (LRR or MLRA): LRR T Lat: 33.931911 Long:-78.375852 Datum: NAD83(2011)
Soil Map Unit Name: Blanton - Grossarenic Paleudults NWI classification: upland
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 V 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
Is the Sampled Area
Hydric Soil Present? Yes No
within a Wetland? Yes No
Wetland Hydrology Present? Yes No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is required; check all that apply)
_ Surface Soil Cracks (B6)
Surface Water (Al)
Aquatic Fauna (B13)
— Sparsely Vegetated Concave Surface (B8)
High Water Table (A2)
Marl Deposits (B15) (LRR U)
_ Drainage Patterns (B10)
Saturation (A3)
Hydrogen Sulfide Odor (Cl)
— Moss Trim Lines (B16)
Water Marks (B1) _
Oxidized Rhizospheres along Living Roots (C3)
_ Dry -Season Water Table (C2)
Sediment Deposits (B2) _
Presence of Reduced Iron (C4)
_ Crayfish Burrows (C8)
Drift Deposits (B3) _
Recent Iron Reduction in Tilled Soils (C6)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (B4) _
Thin Muck Surface (C7)
_ Geomorphic Position (D2)
— Iron Deposits (B5) _
Other (Explain in Remarks)
— Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery (B7)
FAC-Neutral Test (D5)
Water -Stained Leaves (B9)
_ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
✓ Depth (inches): 15
Saturation Present? Yes No
✓ Depth (inches): 13
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Sampling Point: W3 Up
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30 ft )
% Cover
Species?
Status
Number of Dominant Species
1.
Liriodendron tulipifera
30
Yes
FAC
That Are OBL, FACW, or FAC: 10 (A)
2.
Quercus nigra
20
Yes
FAC
3.
Liquidambar styraciflua
20
Yes
FAC
Total Number of Dominant
10
Species Across All Strata: (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100 (A/B)
6.
Prevalence Index worksheet:
70 = Total Cover
50% of total cover:
35
20% of
total cover:
14
Total % Cover of: Multiply by:
Sapling
Stratum (Plot size: 30 ft )
OBL species x 1 =
1.
Magnolia virginiana
15
Yes
FACW
FACW species x 2 =
2.
Quercus nigra
15
Yes
FAC
FAC species x 3 =
3
FACU species x 4 =
4
UPL species x 5 =
5
Column Totals: 0 (A) 0 (B)
6•
Prevalence Index = B/A =
30
= Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover:
15
20% of
total cover:
6
❑ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: 30 ft )
❑ 2 - Dominance Test is >50%
1.
Ilex vomitoria
30
Yes
FAC
❑ , 3 -Prevalence Index is <_3.0
2.
Morella cerifera
20
Yes
FAC
❑ Problematic Hydrophytic Vegetation (Explain)
3.
Lyonia lucida
5
No
FACW
4.
Arundinaria tecta
5
No
FACW
'Indicators
of hydric soil and wetland hydrology must
5.
be present, unless disturbed or problematic.
6.
Definitions of Five Vegetation Strata:
60
= Total Cover
Tree —Woody plants, excluding woody vines,
50% of total cover:
30
20% of
total cover:
12
approximately 20 ft (6 m) or more in height and 3 in.
Herb Stratum (Plot size: 30 ft )
(7.6 cm) or larger in diameter at breast height (DBH).
1 •
Sapling — Woody plants, excluding woody vines,
2.
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
3.
4.
Shrub — Woody plants, excluding woody vines,
5
approximately 3 to 20 ft (1 to 6 m) in height.
6.
Herb — All herbaceous (non -woody) plants, including
7
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately
$•
3 ft (1 m) in height.
9.
Woody vine — All woody vines, regardless of height.
10.
11.
0 = Total Cover
50% of total cover:
20% of
total cover:
Woody Vine Stratum (Plot size: 30 ft
)
1.
Smilax laurifolia
20
Yes
FACW
2.
Vitis rotundifolia
20
Yes
FAC
3.
Gelsemium sempervirens
20
Yes
FAC
4.
5.
Hydrophytic
60
= Total Cover
Vegetation
Fv_1
50% of total cover:
30
20% of total cover:
12
Present? Yes No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

SOIL Sampling Point: W3 Up
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks
0-9 10YR 2/1 100 loamy sand <70% coated sand grains
9-18 10YR 5/1 70 10YR 4/1 30 MS M fine sand
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
Histosol (Al)
_ 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 (F1) (LRR O)
— Reduced Vertic (F18) (outside MLRA 150A913)
Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (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 15313)
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 (F10) (LRR U)
_ Other (Explain in Remarks)
— Depleted Below Dark Surface (At 1)
_ Depleted Ochric (F11) (MLRA 161)
Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
3Indicators 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 (S1) (LRR O, S)
_ Delta Ochric (F17) (MLRA 161)
unless disturbed or problematic.
Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 15013)
Sandy Redox (S5) — Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C9 153D)
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes _a No -Z
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

Preliminary ORM Data Entry Fields for New Actions
ACTION ID 4: SAW- 2022-01450
Prepare file folder ❑
1. Project Name [PCN Form A2a]: Forrest Run
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]:
Single-family home residential subdivision to create 80 lots. The project will include internal roadways, stormwater and water/
wastewater infrastructure. Impacts to jurisdictional Waters of the US include three permanent roadway impacts to wetlands, one
temporary wetland impact for wastewater infrastructure, and one permanent roadway stream crossing.
4. Property Owner / Applicant [PCN Form A3 or A41: 1295 Village Point Road, LLC
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Terrain Environmental Consulting, PLLC - Paul Masten
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
1295 Village Point Road, approximately two miles southeast of the intersection of Village Point Road
and NC Highway 179/Bricklanding Road
8. Project Location —Tax Parcel ID [PCN Form Bla]: 2300005003 and 23000050
9. Project Location — County [PCN Form A2b]: Brunswick
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Shallotte
11. Project Information — Nearest Waterbody [PCN Form 132a]: The Swash
12. Watershed / 8-Digit Hydrologic Unit Code [PCN Form 132c]: 03040207
Authorization: Section 10 ❑ Section 404 ✓❑
Regulatory Action Type:
❑ Standard Permit
✓ Nationwide Permit # 39
Regional General Permit 9
Jurisdictional Determination Request
Section 10 and 404 ❑
❑Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

Letter of Authorization
[ Brian Fkeer, with 1295ViUaoa Point Road, LLC . authorize Terrain Environmental ConeuUing,
PLLC to act as our limited agent to coordinate with the U.S. Army Corps of Engineers and North
Carolina Department of Environmental Quality for the purposes of jurisdictional delineation,
regulatory agency coordination and Section 404/401 permitting for the 1295 Village Point Road
project located in Shallotte, NC.
Authorization will terminate on either final agency action or upon written notification from either
party involved.
Client name: 12Q5Village Point Road, LLC.
Contact name: B[ianFleer
Client Address: 1001 Military Cutoff Road, Suite 1O1
Wilmington, NC 28405
Client Phone: [phone]
Client Email: [e-mail]
Signature