20180148_Jurisdictional Determination_20160603

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Transportation
May 27, 2016
Sarah Hair
Wilmington Regulatory Field Office
U.S. Army Coips of Engineers
69 Darlington Avenue
Wilmington, NC 28403
Re: Preliminary JD Request for Division6 Bridges,
Dear Ms. �tair:
PAT McCRORY
Governor
NICHOLAS J. TENNYSON
Secretary
D ���Ob�
��,� � D
� zo�s
TRANSPORTATION ERMfiT�NGUNR
The North Carolina Departmcnt of Transportation (NCDOT) is submitting the enclosed preliminary
jurisdictional deteimination (PJD) documeritation for five bridge replacement projects located in
Robeson, Columbus and Bladen Counties, NC. "I'he bridgcs are identified as the following State
Transportation Itnprovement Projects (STIP): B-5702, B-5699, F3-5694, B-5707, and B-5692.
NCDOT proposes to replace these bridges under a Programmatic Categorica( Exclusion (PCE).
"Che following enclosures for each bridge site are included: completed PJD request form, wetland and
stream data forms, vicinity map, project location map, topographic map, and jurisdictional features
tnaps.
The project limits have been delineated by Environmental Services, Inc. (ESI), and they will be
coordinating with you to arrange for a site inspection.
Tha�ik you for your assistance and we look foiward to meeting with you onsite.
Sincerely,
�,��� � �'G�?:,
Gordon E. Cashin
Enviromnental Program Consultant
Attachments:
PJD forms, vicinity maps, topographic maps, jurisdictional features maps
Cc: Amy Chapman, NCDWRNC Transportation: Letterhead Style Guide
�Nothing Compares�.
Slalc of Nodh Carolina � Department of Tnnsportation � PDGA-Natural Environment Section
1020 ➢irch Ridge Drive, 27610 � IS9R Mail Service Ccnter � Raleigh, North Carolina 27699-1598
9I9-707-6000T 919-212-5785 F

Jurisdictional Determination Request
�3�5���
A. PAItCEL INFORMA'I'IOI�
SiPOet f�ddreSS: Bridge No. 68 on NC 214 over Green Swamp
Clty, SiatO: North Carolina
County: Columbus
Directions: Bridge No. 68 on NC 214 over Green Swamp (see enclosed vicinity map)
Parcel Index Number(s) (PIN): NA
B. REQUESTOR IN�'ORMATION
Tjaple: NCDOT - Natural Environment Section
Mailing Addl'ess: 1598 Mail Service Center, Raleigh, NC 27699-1598
Telephone Number: 919-707-6000
Electronic Mail Address 1:
Select one:
� I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultantz
❑ Interested Buyer or Under Contract to Purchase
❑�✓ Other, please explain.
NCDOT
C. PROPERTY OWNE12 INFORMATION
NapZe: NCDOT- Natural Environment Section
Mailing Address: �ss$ Ma�i seNioe ce�te�
Raleigh, NC 27699-1598
Telephone Number:
Electronic Mail Address3:
❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 � Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION4
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do 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
and issuing a detennination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print) Date
Property Owner Signature
E. J�JRISDICTIONAL DETERMINA`I'ION 'i'YPE
Select One:
� I am requesting that the Corps provide a preliminarv JD for the property identified herein.
This request does include a delineation.
� I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does NOT include a delineation.
� I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUSs and provide an �proved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
� I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an �proved JD (this may or may not include a survey plat).
� I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

F.
0
Jurisdictional Determination Request
ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
� Size of Property or Project Area 4_5
acres
ni verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS 012 AGENCIES
(1) Preliminary JD Requests:
❑� Completed and signed Preliminar,y Jurisdictional Determination Form6.
� Project Coordinates: 34.3220 Latitude -78.4703 Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
❑�
❑✓
❑✓
❑�
�
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)�:
Wetlands:
� Wetland Data Sheetsg
�
❑�
❑✓
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
� USACE Assessinent Forms
� Other Assessment Forms
(when appropriate)
Field Slcetch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
� Project Coordinates:
Latitude
Maps (no larger than l 1x17) with Project Boundary Overlay:
�
�
�
�
Longitude
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
' 1987 Manual Regional Supplements and Data forms can be found at:
htto://www.usace.armv.mil/Missions/CivilWorks/ResulatorvPro�ramandPermits/res supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://portal.ncdenr.ors/c/document librarv/aet file?uuid=76f3c58b-dab8-4960-ba43-4567faf06f4c&sroupid=38364 and,
httq://www.saw.usace.armv.mil/Portals/59/docs/re�ulatorv/oublicnotices/2013/NCSAM Draft User Manual 130318.pdf
$ Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

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

PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
� DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Chris Rivenbark, NCDOT, 1598 Mail Service Center, Raleigh, NC 27699-
1598 � �
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: CESAW-RG-
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
TIP: B-5699 Description: Bridge No. 68 over Green Swamp
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES
AT DIFFERENT SITES)
State: N�C County/parish/borough: Columbus City:
Center coordinates of site (lat%long in degree decimal format):
Lat. 34.3220°N, Long. -78.4703° W
Universal Transverse Mercator: �
Name of nearest waterbody: Green Swamp
Identify (estimate) amount of waters in the review area:
Non-wetland waters:� 147 linear feet: 75 width (ft) and/or acres.
Cowardin Class: Riverine
Stream Flow: Perennial
Wetlands: 2.4 acres:
Cowardin Class: �Forested �
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: N/A
Non-Tidal: N/A
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
AP,PLY): �
❑ Office (Desk) Determination Date:
❑ Field Determination Date(s): �
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 perrriit, 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 authbrization 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 tha�n 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 v►rhateve� mitigation
reguirements 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 p�eliminary 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 administratiye appeal or in any Federal co,urt; and (7) whether
the applicant elects to� use either an ap,proved JD or a preliminary JD, that JD
will be processecl 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 adminis4rafive 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 exisfs over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.
This preliminary JD finds that there "may be" waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information: �
2

SUPPORTING DATA: Data reviewed for pretimina ,ry JD (check a!I that apply
- checked items sh.ould be included in case f�e and, wlie,�e checked�,a'nd
re uested; appropriately reference.sources'below): .
Maps, plans, 'plots or plat submitted by.or on beiialf of the -
ap IicanUconsul#"ant � � ;. � . �� :_ � , .. : ; �.,
Data .sheets prepared/submitted by or:on behalf of.the
ap � licanticonsultant -, � . � � � � , � � -;
� Office concurs wi#h .data sheets/delineatio�n. report.
� Office doe's not concur witFi data sHeets%delineation repo�t.
❑ Data sheets prepared� by the Corps: '�� �.,
❑ �Corps �iavig'a�le'wate�s' study: ;' ��. =_ ` �,_ . � , � �
❑ U.S. _Geological Survey Hydrologic Atlas: � - ' , .
� USGS NHD data. ' � ��
USGS 8 and`'12;digit HUCvmaps: _ �� � ;�. � � � " �
U.S Geological Suriiey map(s). Cife scale. &'�quad name: t:'a yDoO L� GVa«a,�� �a5�'
(] USDA Natural,Resources Conservation Service Soil Sur'vey
Citafion: . - , , �.., ,
� National wetlands. iriventory riiap(s).,, Cife name:
�.State7Local wetl�and inventory�map(s);�" � �- _ � � �
� FEMA/FIRM maps: �
� 100-yea� Floodplain Elevation _is: (Natioiial Geodectic'Vertical�Datum
� of 'I929} . � , � , � � � : �: ' .
Piiotographs; 0.Ae�ial (Name �& D'ate}: aUiO or 0 Other (Name & ,
� Date):, �: � � � ��� � , � � , : � � , � ' � � � � � , � ".
� Rrevious,deterir�ination(s). 'File no..and date of response,letter: .. .
j� Other info,rmation;:(please specify�: , ;
IMPORTANT IVOTE: ;THe information recorcled on this form .has not
necessarilv been'verifiecl�tiv_tiie`Carps and.sFiould nof fie relied upon for
1�40� i�iricrlicfinnal riota�ininatinn'c' ' - '- --� . , � � ' � f
Signature; and ciate��of � �
Regulatory Project Manager
(REQUIRED)
3
�``and date of ` ��
��son requesting(�eli�nary JD
(REQIJIRE�, uriless obta'ining
the signature is �im�practicable)
��
�

Estimated
Longitud Cowardin amount of
Site Name Latitude e Class aquatic Class of aquatic resource
resource in
review area
W�� 34. N20° �g 4703° PFO 2.4 acre(s) non-section 10 — wetland
W
SB/SC 34' N 20� 78.4694° RIVERINE 147 linear feet non-section 10 — non-wetlan
W
°N - °W acre(s) non-section 10 — wetland
�N �W linear feet non-section 10 — non-wetlan
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
° fV _ °W acre(s) section 10 — tidal
°N _ °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N _ °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — tidal
°N - °W acre(s) section 10 — non-tidal
°N - °W acre(s) section 10 — tidal

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t ° ' `�G Jurisdictional Features
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PattrPiGeoGra'Prqerts\20�S052iG6�G!Slfi�_[opo_lettermxd Date-5rH40�61135�.47AM
Project: ER15052.06 �
Date: May 2016
Drwn/Chkd: KTlJH
Fipure: 2

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Regfon
ProjecUSi;e: �' S��� CitylCounty: l � I U 41r�t�u.5 Sampting Date: �^1 r���/
ApplicanUOtiti�ner: �1��i�T Sla,e:�L SamplingPaint: wh �'k�
.� - �,t1-c �pau� Section, To�rnshi Ran e: �
Investigatar{s): + p, g
Landform (hillslape, terrace, etc.): �� �� S�p�9-L Local reliei(concave, convex, none): L�17/1(%� ^ _ Slope (%J: �
Subregion (LRR or MLRA): Lal: � �i • 3�"a (.� Long: � 7�, 4� U 3 datum: �tl/, S$ y
Soil Map Unit Name: I����t°� � 5- �UaWt fOb� i-r'I� 1 NWI classffication:
vv
Are climatic / hydrologlc canditions on the site typical for this time of year7 Yes No (if no, explain in Remarks.)
Are Vegetatlon ``, Soil �, or Hydrology sign�frcantly disturbed? Are °Normal Circumstances" presenl7 Yes � No
Are Vegetation ✓, 5oil , or Hydrolo�y naWraliy pro6lemalic7 (i( needed, explain any answers fn Remarks,}
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Flydrophytic Vegefation Present7
Hydrio Soil Present?
Wetland Nydrology Presenl7
Remarks:
�` bo v� ��,.�'r�,�.�
wA w
HYDROLOGY
Yes No �_ Is tho Sampled ArQa
Yes �o within a Wetland7 Yes _
Yes No �
Jrt�! ��tl � 1/ ��,S �"` iJ� h5�� CCJY`-�J � I�rf�� 4, 1 � 1!�'J �
tl �
No �
�'t I � r�Ca-y-r W}
Wotland Nydroloc�y lndlcators: SerondaN Indicators (miNmum of two renu(red)
Primarv Indicafors fminimum of one is renuired: check all that a�plyj ❑ Surface Soil Cracks (B6)
❑ 5urface Water (A1} r❑-T Aquatic Fauna (B13) ❑ Sparsely Vegetated Can�ave Surface (B8)
1Q�7 High Water Table (A2} u h9arl Deposils (815) (LRR U) ��-1 Drainage Pattems (81,0)
LI Saturation (A3) Q Hydrogen Sutfide Odor (C1) y� �doss Trfm Lines (B16}
� Wafer Marks (61) TQ-T Oxidized Rhizospheres along Lfving Roots (C3) p Dry-Season WaterTable (C2)
�Sediment Deposils (BZ} iJ Presence of Reduced Iron (C4} � Cra�sh �urro��vs (C8)
Drift Deposits (83) TQ� Recent Iron Reductlon in Tilled Soils (C6) ❑ Saturation Visible on Aerial Imagery (C9)
Q Algal hlat or Crusl (84} LJ Thin Muck Surtace {C7} ❑ Geomorphic PosEtfan (D2)
a Iron Deposits (B5) � Other (Explain in Rematks) II 5hal;o�v Aquitard (D3)
Q Inundation Vlsible on Aerial Ima�ery (87) ❑ FAC-Neutrai Tesl (�5)
a Water-5tained Leaves (B9) II Sphac�num moss (D8) (LRR T, U)
Flald Obsarvatlons;
Surface Water Presenl7 Yes No t Deplh (inches):
WaterTable Present7 Yes No�Depth (inches): �ri b �
Saturation Present7 Yes No Depih (inches): ��� Wottand Hydrology Presont7 Yes No
includes ca illa ftin e
Describe Recorded Data (stream gauge, monitoring weil, aerial photos, prevlous inspections), I( available: '
Remarks:
�(� S�Q �.2. p=� ib p-�i trrl� 1pG� � CGt��]�Gv
�
U5 Army Corps of EngEneers Atlantic and Gulf Coastal Plain Region - Version Z.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Poinh �U� � " �
Absaiute Dominant Indicalor pominancQ Test warkshaot:
Trae Stralu �(Plot size: � d� t� ��� ) °a Covc;r Soecir.s? Status Number of Daminant Species �
1. V1 D/L-' That Are OBL, FACW, or FAC: (A}
2.
3. Species Ac�ross AII�Strata t Y (B}
4.
5 Percent oi Dominanl Spacies
That Are OBL, FACt�l, or FAC: (A!8}
6. - - .
7.
8.
50°0 of total cover.
SaoiinnlShrub Stratum (Plat size: ;+ n{ c� d-��. )
1. ��Tr�!
2.
3.
4.
5.
6.
7.
8. __
Prevafence Index warkshoot:
Total 4�a Caver of: Multioly by�
D = Total Cover aBL s�recies x 1=
20% o( tofal cover. FACW species x 2=
FAC spec3es x 3 =
FACU species � x 4= �� �
UPL species x 5 =
Column Totafs: _� (A) �_ (B)
Prevalence Index = B/A = `�' �
� = Total Cover
5% of totaf cover. 20% af tota� cover.
Herb Stratum {Plal size: -� � i� � U-i �r )
1.�:�`;urn rr�u.l�i�'lu.uw. ��f� `� FAGG�
2., n �r�e�^�1� ���55in"�• iC1 � FAIu
3.��p�PA sivtti��A-�^fh�r��r?n _� N .4
4.
5.
6.
7.
B.
9.
10.
11.
12.
� s = Total Cover
50°/a of tolal cover. 37� S 20°,0 of total cover. f S
Waod Une S r� u (Plat size: r�-� X!�'d� r)
1. Dr�;rfYtn ;rt(1rMirq S \r �Rrr,l
z. ' � � � -T-
3.
A.
Lj 1- Rapid Test for Hydrophytic Vegetatlon
II Z- Dominance Test is >50%
II 3- Prevalence Index (s s3.0'
a Problemat(c Hydraphytic Vegetatian' (Explain)
�Indicators o( hydnc soil and weBand hydrology must
he presenl, uNess dislurbed or problematic.
Definitlons of Faur Vogotatlon Strata;
T�oo - Waody plants, exciuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless oF
helght.
SaplinglShrub -b'Voody plants, excluding vines, less
than 3 fn, DBH and greater than 3.28 ft(1 m) tali.
Hor6 -All herbaceous (non-woody) plants, regardless
of sEze, and woody plants less than 3.28 tt tall.
Woody vino -Aii woody vines greater lhan 3.28 ft in
heighl.
5• Hydrophytic
s = Total Cover Vac�otation
° o� • S 20°/a of total cover: �_ PresontT
50 /o af total cover.
Yes No "
US Army Corps ot Eng(neers Atlanlic and Gulf Coastal Plafn Region - Version 2.0

SOIL
Sampling Point: W� � �'4'�
Pro(ilo Descrfption: (DQscribo to the depth needod to document tho Indicator or conflrm tho absenco of Indlcators.}
Depth PAatrix Redox Features
finchesl Color Imoisil % Cofor (maisD °�_ Tvne loc� �Tex ur�e. Remarks
o-a o�i � 3� r o o s<,�J� t�.�+
a-��a r ��t� � �! a s �o��� � 6 S � � -���. -�� ;s�,� � e�l� ���
�� s +-�n r� ; U .�.
C�ZU�tF.csJ�t
�
'T e: C=ConcenSration, D=De letion, RPd=Reduced Matrix, h15=Masked 5and Gralns. �Location: PL=Pore Lfnin , M=Matrix.
Hydrfc Sall Indicators: (Applica6io to ait LRRs, unless atharwiso notod.) Indt�ators for Problomatic Hydri� Soils':
� Histosol (A1) � Polyvalue 8elor� 5urtace (S8) {LRR 5, T, lJ) ❑ 1 cm Priuck {A9) (LRR O)
�Histic Epipedon (A2) Thin Dark Suriace (5�J} {LRR 5, T, U) � 2 cm Muck (R10) (LRR 5)
Black Histic (A3) � Loamy Mucky Mfneral (F1) (LRR O) Reduced Vertfc (F18) (outsldo MLRA i50A,ej
� Hydrogen Suifide (A4) D Loamy Gleyed Malrix (F2) � Piedmont Floodplain Soils (F19) (LRR P, S, T)
�Slratified Layers (A5) De�(eted Matrix (F3) � Momalous Bright Loamy 5oils (F20)
Organic �odies (A6) (LRR P, T, U} � Redox Dark Suriace (F6) (PALRA 153H)
L] 5 cm Ivlucky Mineral (A7) (LRR P, T, U} Depleted Dark Surface (F7) ❑ Red Parent Material (TF2}
j] h4uck Presence (AB) (LRR U) � Redox Depressions (F8) � Very' Shallow Dark Surface (TF12}
� 1 cm Muck (A9) (LRR A, T} r] Mad (F10) (LRR U) D Other (Explain In Remarks)
❑ Depieled Below Dark Surface (A11) � Depleted Ochric (F11) (MLRA 15i)
❑ Thick Dark Surface (Al2j D Iron-Manganese hlasses (F12) (LRR O, P, � =Indicators cf hydraphytic vegelation and
r] Coast Prairie Redox (A16) (MLRA 150A) n Umbric Surface (F13) (LRR P, T, U) � wetland hydrology musl be present,
� 5andy h•tucky Mineral (S1) (LRR O, S) � Della Ochric (F17) (hiLRA 151) unless disturbed or prohfematic.
L] Sandy Gleyed Tdalrix (S4) I] Reduced VeRfc (F1B) (MLRA 150A, 150B)
�Sandy Redox (S5) �] Piedmant Floodplain 5oils (F19) (MLRA 149A)
Stripped hlatrix (SS) � Anomaious Bright Loamy Soils (F20) (MLRA 149A, 153C,153o)
� Dark Surfa�e (S7) (LRR P, S, T, U}
Restrictive Laynr (If obsorved):
Type: /
Deplh (inches): Hydrfc Sall Prosent? Yos No ��
Remarks:
U5 Army Corps oi Engineers Atlantic and Gutf Coastal Plain Region — Version 2.0

WETLAND DETERMINATI�N DATA FORM — Atlantic and Gutf Coastai Plain Region
ProjecUSite: �' S�� City/County� `D�uf4tbU5 Samplinc� Dale: '� -� ��/�
a /
I1pplicanVOvner: N�� �� State: �% �- Sampiing Point: �� J LsJ�
Investfgator(s): ���� dttir Section, Tovrnship, Range� r--
Landform (hillslope, terrace, etc.): ,�nn�» fa.; a� Local reEief (concave, convex, none): (� d N��A��-°- Slape (°/a): rn�
Subregion (LRR or R4LRA}: � Lat: � +�aa � Long: ^�U • y?�`� Datum: w L S S�I
Sail FAap Unit Name: �°}f ��.5 �Garn �-�r�q. �C��,; NWI dassification: �El�
Are climatic ] hydrologic condiUans on the site typi�al far this time of year7 Yes No (If no, expiafn In Remarks.)
Are Vec�etation , Soii , or Hydrology significantly dislurbed7 Are °Normal Circumstances" present7 Yes V No
Are Vegetalion , 5oil , or Hydrofoc�y naluralfy problematic7 (If needed, explain any answers (n Rernarks.}
SUMMARY OF FINDINGS — Attach site map shawing sampling point locations, transects, important features, etc.
Hydrophytic Vegelation Present7 Yes--- ---����--- No
Hydric 5oil Present7 Yes � No Is tho 5amplad Area
Wedand Hydroloc�y Present7 Yes No W�thln a Wetland7 Yes No
yrKs 1 r �
f�l�oll�' Y�eR.�1^a� e'Ai'n�oc�LJ �,�'� Wa-`i1 C�r.�i'�i�'�"�? o-t -�-i.e��' ,�t" ��;tc�:s-I+2n'�
V
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicalors fminfmum of lwo required)
PrimaN Indicators (minimum of one is reauired: check all that ap�ivl � 5urface Soil Cracks (B6)
Q. Surface Water (A1) ❑ Aquatic Fauna (B13) ❑ Sparseiy Vegetated Concave Surface (08)
Q High Water Table (AZ) IIi-r Marl Deposils (615) (LRR U) �,,prainage Patterns {B10)
� 5aturation (A3) it--1i Hydrogen Sultide Odor (Ci) Moss Trim Lines (B16)
� Wafer Marks (Bt) tu-� Oxidized Rhizospheres along Llving Roots (C3) � Dry-Season WalerTable (C2)
�Sediment Deposits (B2) �LJi Presence of Redu�ed Iron (C4) � Cra�sh Burraws (C8)
Drift Deposits (83) u Recent Iron Reduction in Tilled 5oils (C6) � Saturation Visible on Aerial Imagery (C9)
Q Algal Mat or Crust (84) �❑t Thin hduck Sur(ace (C7) II Geomorphic Positian (D2)
u Iron �eposits (B� u Other(Explain in Remarks} Shallow Aquitard (D3)
❑ Inundation Visible on AerEal (magery (87) � FAC-Neutral Test (D5)
a Water-Stained Leaves (69) Sphagnum moss (D8j (LRR T, Uj
Ftc1d Observatlons: �
Surface Water Presenl7 Yes � PJo Depth (inches); �
Waler Table Present7 Yes ✓. No Oepth (inches): 5 K� ��
Saturation Present� Yes �- No Depth (inchesj: �Jµ� • Wetland Hydrology Present7 Yes `� No
includes ca illa frin e �-
Oescribe Recorded Dafa (stream gauge, monitoring avell, aerial photos, previous Inspections), if avaflable:
Remarks;
US Army Corps of Engineers Allanfic and GuIF Coastal Plain Region - Version 2.0

VEGETATION (Four 5trata) — Use scientific names of plants.
�D�.� � � Adsaute uominan[ inaica�or
Tree Stratum (Plot size: �� ) % Cover Soecies� Sta us
1. �-CYit 1'u�tu NJI �L � �,_ ��
Z.
3.
4.
5.
6.
7.
a.
�_ = Tofal Cover
50% of fotai corver: l� 2d°a of lotal cover. �
Saolinc�lShrub Stratum (Plol sizc: � �'�a �'1�- )
1, C�f !'U�r�r� � ��„ F�L
z.�v+� ucus r��,rcr � `� FACdt1
3.
4.
5.
6.
7.
B.
S = Total Cover
50°/a of total cover. ,� 20°!0 of total cover �
Herh Stratum (Plot size; �� � y a D�'4-)
�. T�l�� ln����l�a. �0 _� bl�I-•
2. i' �' N a � �.
�,�n��.�5 P`��SUS
3.
4.
5.
6.
7.
�.
�.
10.
11.
12.
3 5 = Tata! Cover
50% of total covrer: ��� 5 20% of total cover. 1
WnodV Vne Stralum (Plot size: r�- Ci ��� i�)
1. nD1�°�.
z.
3.
4.
5.
�,_ = Tatal Cover
50°0 of tolal cover. 20°l0 0( totai cover.
Remarks: (If observed. list morpholoafcal adaptations belowl.
Sampling Point; W � � W��
�ominanco Tost worksheot:
Number af Dominant Species L-�
That Are OBL, FACW, or FAC: (A)
Total NumBer af Dominant �
Species Across All Slrata: (E3}
Percenl of �ominant Species
That Are OflL, FAGW, or FAC: � D (A!8}
Provalenco Indox workshoet:
Tntal 4� Cover ot: Miiltiolv hv:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column 7otals: (A) (B)
Prevalence Index = 8/A =
Hydrophytle Vegotation lndtcators;
� 1- Rapid Test far Hydrophyiic Vegetation
�2 - Dominance Test 1s >5D°�
II 3- Prevafence Index is 53.0'
a Problematic Hydrophytic Vec�etaiion' (Explain)
�Indicalars of hydric soil and �yetland hydrology must
he preseni, unless disturbed or problematic,
Dofinitions of Four Vegetatlon 5trata:
Troo — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in d�arneter at breast height (D8H}, regardless of
heighl.
SapiinglShrub — Woody piants, excludinc� vines, less
than 3 in. D8H and greater than 3.28 R(1 m) iall.
Horb—All herbaceous (non-vroody) plants, regardless
of size, and woody planls less than 3.28 it tail.
Woody v(no — All vroody vines greater than 3.28 it in
heighl,
Hydrophytic
Vegotation
Presant7 Yos No
U5 Army Corps of Engineers AtlanUc and Gulf Coastal Plain Region — Version 2,0

SOIL
Sampling PoinL' W � � W �
Profile Descrlptlon: ��escribe to tho depth neQded ta documont tho indi�ator or confirm the absenco of Indicators.}
Deplh PAatrix Redox Features
((nche.$) Color fmoistl % Cnlor mo(sl °'� Tvoe oc'T Tez ure Remarks
!�-3 ID`{`+�'� `� �S _ (0`/i�� �n �� C %YI 5<s+ n r r{
-� D n � . `� �, � D Ib �l � u .r.� � /Zi 5�,��r,a.r �� yt��
�T e: C=Concentration, �=De lelion, RFA=Reduced PAalrix, MS=Masked Sand Grains. 'Location: PL=Pore Llnin . M=Matrix.
Hydric Soil Indicators: (Applicablo to all LRRs, unloss otharwiso noted.) Indicators tor Problamatic Hydric Soils':
[1 Histosol (A1) D Polyvalue Beloev 5urface (5ti) {LRR S, T, U) ❑ 1 cm Pduak (A9) (LRR O)
�Histic Epipedon (A2} Thin Dark 5urface (S�J) (LRR 5, T, U) � 2 cm Muck (A10) (LRR S)
Black Histic (A3) � Loamy Mucky h9ineral (F1) (LRR O) � Reduced VerUc (F18} (autsfdu MLRA 150A,8}
[] Hydrogen Sulfide (A4) Loamy Gleyed blatrix (F2) � Piedmont Floodplain Soils (F19} (LRR P, 5, T)
�Stratified Layers {A5) Depleted h�latrfx (F3j D Anamalous 8rfght Loamy Soils {F20)
Organfc Bodies {A6) (LRR P, T, U) �Redox Dark Surfacc (F6j (MLRA 1536)
1] 5 cm M11ucky PAineral (A7) (LRR P, T, U) Depleted Dark 5urface (F7) ❑ Red Parent P�laterial (TF2)
D Muck Presence (AB) (LRR U) � Redox Depressions (FB} � Very Shallow Dark Surface (Tr12)
D 1 cm tiluck {A9} (LRR P, � D Marl (F10) (LRR U) � Other (Expla3n In Remarks)
� Depleted Below Dark Surface (A11) n Oepleted Ochric (Ft 1) (MLRA 151)
� Thick Dark 5urface (A1Z� n Iron-Manganese h�lasses (F12) (LRR O, P,'n 'Indicators of hydrophytic vegetation and
� Coast Prairie Redox (At6) {MLRA �50A) D Umbrio Surface (F13) (LRR P, T, U) wetland hydrology must be present,
D Sandy Mucky P.4ineral (S1) {LRR O, 5) D Deita Ochric (F17) (MLRA 151) unless disturbed or problemati�.
� Sandy Gleyed Malrix (S4) [] Reduced Vertic {F1�j (MLRA 150A, 1506}
�Sandy Redox (55) � Piedmont Floodplain Solls (F19) (MLRA 149A}
Stripped FAatrix (SG) Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
D Dark Suriace (S7) (LRR P, 5, 7, U)
Restrictivo Layor (if ohserved):
Type:
Depth (inches): Hydric 5011 PrQsont7 Yas No
Remarks:
US Army Corps of Engfneers Atlantig and Gu!( Coastal Plafn Region — Version 2.0

- ----- -- TI � g _ s �9� --� ---
USACE AID# DWQ # Site # (in` dicate on attached map)
�
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET �r. �
Provide the following information for the stream reach under assessment:
1. Applicant's name: N C O �T 2. Evaluator's name: �•�`I�ou �
3. Date of evaluation: a � � 3 4. Time of evaluation: �'�i
5. Name of stream: p�� ! � /Eu'ti Sk�st 6. River basin: O t� t
V r� �r
7. Approximate drainage area: t� � � S 8. Stream order: =
9. Length of reach evaluated: ��/ 10. County: ( O��(IK
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): �
Latitude (ex. 34.872312): � ` • v �D Longitude (ex. -77.556611): � ` O ' � � � �
Method location determined (circle): GPS o o Shee Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluati4� (note near y roads and landmarks and attach map identifying stream(s) location):
��,�,,., �, x di.� �..M �{/�►'�-,iS �i,:t%.a,� ,� rti.c.�- S�� �f � S %y
14. Proposed channel work (if an,
15. Recent weather conditions:c
16. Site conditions at time of visit: ve.�► nt . �v"'t' M '"� ," .--
17. Identify any special watenvay classifications known: _Section 10 Tidal `Vaters _Essential Fisheries Habitat
_Trout 1�Vaters _Outstandin� Resource �ti'aters _ Nutrient Sensitive Waters Water Supply Natershed (I-IV)
18. Is there a pond or lal:e located upstream of the evaluation point? YES �If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? �NO 20. Does channel appear on USDA Soil Survey? YES 'O
21. Estimated watershed land use: S% Residential "/o Commercial % Indusfial p7�.% Agricultural
N% Forested % Cleared / Logged _% Other ( �
�i
2Z. Bankfull width: � S, 23. Bank height (from bed to top of bank): ±
24. Channel slope down center of stream: �Flat (0 to 2%) _Gentle (2 to 4%) Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straiaht Occasional bends Frequent meander Very sinuous �Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
T� tal Score 1fro�m reverse): �� Commepts: �ra ��'CQ 5 S�GA'1 `1� � S�
�t-2.ti �,.. G //_ _.e .. c......� . 1��� h ua.1.t.� i %� _.!
Evaluator's Signature Date � 1� ��
This channel evaluatio fo m is intended to be used only as a guide to assist landowners an��ronmeatal professionals ia
gathering the data re i d by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

NC IDWQ 5tream Identification Form Version 4.11 � � � � � `� �� � �����
Date: � �{�'�� Project/Site: �_ S�C� � Latitude: � �° ���
Evaluator: r�,�� ���� County: c������ Longitude: p��� ��,nC��
Total Points: �� Stream Determination (circle �e. Other �A i�2 �1�tEc��n'a'�"`�
5tream is at least intermittent Ephemeral Intermittent erenn� e.g. Quad Name: ��Si � N�
if>_ 19 orperennial if>_ 30'
A. Geomor holo (Subtotal =� i� ) Absent Weak
1a' Continuity of channel bed and bank 0 1
2. Sinuosity of channel along thalweg 0 1
3. In-channel structure: ex. riffle-pool, step-pool, � �"�
ri le- ool se uence Ca,:�
4. Particle size of stream substrate 0
5. Active/relict floodpiain 0
6. Depositional bars or benches 0 �
7. Recent alluvial deposits 0 1
8. Headcuts ,�0_ 1
9. Grade control 0 0.5
10. Natural vailey 0 0.5
11. Second or greater order channel No = 0
a artificiai ditches are not rated; see discuss�s in manual
B. H drolo Subtotal = 1 � )
12. Presence of Baseflow 0 1
13. Iron oxidizing bacteria 0 1
14. Leaf litter 1y5� 1
15. Sediment on plants or debris 0 0.5
16. Organic debris lines or piles 0 0.5
17. Soil-based evidence of high water table? No = 0
C. Biolo Subtotal = "1 � S
18. Fibrous roots in streambed 3 2
19. Rooted upland plants in streambed 3 2
20. Macrobenthos (note diversity and abundance) � Q,� 1
21. Aquatic Mollusks �
22. Fish 0 0.5
23. Crayfish 0 0.5
24. Amphibians 0 0.5
25. Algae 0,� 0.5
26. Wetland plants in streambed FACW = 0.75;
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: rU�` . 5v5 torl �t�. �l 5'��°+4- ��.e.�
Sketch: �� � � � � �
Moderate � Strong
2 3_
3
3
3
3
3
3
1.5
1.5
2 (3
2 3
0.5 0
1 1.
1 1.
Y�� = 3
1 0
1 0
2 3
2 3
1 1.5
1 1.5
1^ 1.5
1 1.5
BL = 1.5 Other = 0
:� ,;,:
� c.� c�
� 1 ,
� �y � � �
i� i tt� i v� �:,,�.t�-���
� ����
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