20140090 Ver 3_C203484 Borrow Site 2 Approval_20160610

Transportation
June 10, 2016
CONTRACT: C203484
WBS: 34839.3.GVS4
PAT McCRORY
Governor
NICHOLAS ]. TENNYSQN
Secretary
***SENT VIA EMAIL*�*
F.A. NO.: NHF-0918(93)
T.I.P. NO.: U-2579B
COUNTY: FORSYTH
LOCATION: WINSTON-SALEM NORTHERN BELTWAY (EASTERN SECTION) FROM
US-158 TO I-40 BUS/US-421
SUBJECT: APPROVED BORROW SITE #2 RECLAMATION PLAN
Jose I. Martin-Alos
Dragados USA Inc.
775 Robbins Perch Trail
Kernersville, NC 27284
Dear Mr. Martin-Alos:
Attached is one copy of the Borrow Pit #2 Reclamation Plan for the above proj ect which has been
approved.
Please be reminded of the following items:
Upon completion of all construction activities necessary within the borrow site AND PRIOR
TO FINAL ACCEPTANCE OF THE CONSTRUCTION PROJECT, ensure that the
disturbed areas are completely stabilized with a substantial stand permanent vegetation to
prevent erosion. The type of vegetation should meet the reclamation plan seed mixture.
After FINAL APPROVAL from the Department ensure that all temporary sediment controls
have been removed (if not needed) or left with property owners written consent.
All temporary and permanent erosion control items will be paid far in accordance with the
contract.
Any changes to the borrow site Erosion Control Plan must be noted and kept onsite.
NPDES records must be kept onsite for this specific Borrow Pit and updated weekly or after
every Yz inch of rain.
If I may be of additional assistance in this matter, please contact me.
�No�hing Compares�._
State of North Carolina I Depart�nent of TransporCation I Division 9- Construction
375 Silas Creek Parkway � Winsto�-Salem, NC 27127
[phone] T �[phone] P

Jose I. Martin-Alos
Approved Borrow Site #2 Reclamation Plan
June 10, 2016
Page 2
Sincerely,
DocuSigned by:
� ��
5632867ESEC44E5...
Jeremy M. Guy, PE
Resident Engineer
JMG/dm
cc: Mr. S. P. Ivey, PE (w/attachment)
SharePlus (w/attachment)
NCDENR (w/attachment)
US Army Corps of Engineers (w/attachment)
File (w/attachment)
emaiL• Mr. K. E. Raulston, PE (w/attachment)
Ms. K. Pletcher (w/attachment)
Mr. W. R. Archer, III, PE (w/attachinent)
Mr. R M. Freeman, PE (w/attachment)
Mr. L. L. Puckett, Jr, PE (w/attachment)
Ms. V. G. Davis, PE (w/attachment)
Mr. P. H. Suggs (w/attachment)
Ms. A. Euliss (w/attachment)

D R�I��A� a�}S U 5�►
Borrow Site Reclamation Plan
WINSTON-SALEM NORTHERN BELTWAY (EASTERN SECTION)
FROM US-158 TO I-40 BUS/US-421
CONTRACT ID C203484
TIP NO. U-25796
. .. . . .
• .. � . _►/_ ► _\ :
CONTRACTOR: DRAGADOS USA
WINSTON-SALEM NORTHERN BELTWAY (EASTERN SECTION) FROM US-158 TO I-40 BUS/US-421
CONTRACTID C203484
TIP NO. U-2579B
Date05.23.2016 Borrow Pit Reclamation plan #2 0
Rev No- 2

1 / 10/07
Contract Number:
Reclamation Plan for Contracted Projects
Borrow Pit
Date:
05/23/2016
C203484
TIP No:
U-25798
Project #/ WBS Element: 34839.3.GVS4 County: Forsyth
Contractor: Responsible Person:
Dragados USA
COriii'1CiOT' ACIC�T'eSS: 460 Marriott Drive Suite #140, Raleigh, NC 27612
PTOpOPty OWriet': NC Dept. of Transportation Pi1011e NUY11b0P:
Properry Owner Address:
1605 Westbrook Plaza Drive Apt/Unit 201, Winston-Salem, NC 27103
PTOpeTij� /1C�C�PeSS: Off of Gerry Drive
Total acreage of proposed pit: +i- a.o a�res
Expected depth of excavation: +�- �o Feet
i�PeSe11t USe Of 1211C�: Vancant Undisturbed
PPOpOSeC� USe afteT' I'eClaTTlatlOri: vacant - Borrow Site
Proposed sequence of excavation (include amount of clearing & proposed slope rates):
See Plans
Did the Environmental Evaluation indicate the presence of any wetlands or endangered species?(if yes,
briefly list findings and indicate physical means by which buffer zone will be delineated):
Yes, please find enclosed plans depicting the wetiand areas as well as points showing the latitude and longitude of said points. These points have
been flagged in the field for verification.
Is any portion of the pit or access & haul roads within a watershed with riparian buffer zone
requirements?
(if yes, indicate physical means by which buffer will be delineated and how diffuse flow into the buffer
zone wi11 be maintained):
No
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 10

1/10/07
Is the site adjacent to High Quality Waters as defined by the Department of Environment and Natural
Resources? (if yes, note how the devices have been designed to meet DENR requirements):
No
Is a letter from the State Historic Preservaiion Office attached & conditions complied with?: (checic one)
YES ( ✓ ) NO ( )
Describe the intended plan for the reclamation and subseguent use of all aifected lands, and indicate the
general methods to be used in reclaiming this land, including any stockpile areas, haul roads and ditches.
Describe the sequence for reclaiming the pit. Attach a map which illustrates this plan, showing the
location and design of all temporary and permanent erosion control devices. All features must comply
with the appropriate specifications, standards and reflect Best Management Practices (BMP). The plan
must indicate setbacics to adjacent properties, buffer zones and if de-watering is required and the pit is
located within the 15 county region of the CCPCUA, the GPS coordinate location of any well located
within 1500 ft. of the pit.
See Plans
Will excavation extend below the water table? (If yes, see a, b, & c, below):
a) Specify how de-watering will be accomplished. Include proposed method of reducing effluent
turbidity so that it meets the requirements of the Division of Water Quality. Show any settlement basins,
construction details, and calculations on the plan:
N/A
b) If the pit is within the Central Coastal Plain Capacity Use Area, list the person responsible for
completing The Division of Water Resources CCPCUA spread sheet and method of submission to the
Resident Engineer:
N/A
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 11

1 / 10/07
c) If water is to remain in the pit after completion, state the estimated depth of the water.(minimum depth
= 4'). Indicate the water table depth prior to beginning excavation and the method used to obtain this
information:
N/A
Describe the proposed schedule of permanent seeding and mulching. Detail the frequency of permanent
seeding and mulching. Note that a permanent stand of vegetation is required prior to a final inspection:
Seeding Specification per NCDOT contract, Stage Seeding will occur at the direction of NCDOT
Property Owner's Statement:
I hereby certify that I am in agreement with this development, use,
and reclamation plan, and any exceptions noted when approved by the
Engineer, and that I understand that I will be responsible for the site upon
completion of its use in the construction of the project noted in the map
legend. I understand that this plan, when approved, will serve as a guide in
controlling erosion and sediment in accordance with the Mining Act and the
Sediment and Pollution Control Act and as enforced by the North Carolina
Department of Environment and Natural Resources (DENR). I understand
that any work exceeding the minimum necessary for compliance with DENR
requirements should be negotiated between the Engineer and the Property
Owner. My signature below authorizes The Department of Transportation
(DOT), the Department of Environment and Natural Resources (DENR) or
its agents, to enter upon my property for a period of one year from the date
of final acceptance for the project for which this site plan is executed. If
necessary, the DOT or its agents will be allowed to repair any areas that are
not in compliance with DENR requirements. After a one year inspections is
held, I will be solely responsible for assuring that the site is in compliance
with DENR regulations. I have the right to change the condition of the site
after the final inspection and prior to the one year follow-up inspection. However,
if I make such changes, I acknowledge that DOT is released from all obligations
and conditions of this agreement and I will become solely responsible for the
condition of the site beginning on the date that I change the final inspection condition.
Borrow and Waste Site Reclamation Plan Procedures for Contracted Projects 12

1 / 10/07
SigIIatures:
C;ontractor's Kepresentative:
Uwners of record:
� (autl�rl
/�
W itness
(signature7date)
(signature/ctate)
(signature/date)
to sign supplemental a�-eements/date)
uwner
( signature7date)
(signature/date)
(signature7aate)
DocuSigned by:
KBSlderit r,rigllleGr: �I,,,�,A�,,��
K„"'.4 6/10/Z016
B�ESEE4�4E5_..
($1gII1tUTC �CiatG)
�xcepti�ns:
DocuSigned by:
Concurrvn�� with exceptions: (I��� 6/10/2016
i
Pro�,erty Owne�: � (:on�actor:
&�ESE644E5...
(si�uature/date)
Attachments: Site ma�, w�th details
Euvuo�eutal Evaluation
Cc:
� (s;
►I
B�..��. and Waste Siie Reclamaiion Plan Procedures for Con�ac�ed Projec�s 13

Environmental Evaluation For
Winston Salem Beltway Borrow Site #2 —
NCDOT #C203484, TIP # U-2579B,
WBS Element # 34839.3.GVS4 NHF-0918(93)
Gerry Drive — Winston-Salem, NC
Revised 05/20/2016
Revised 05/23/2016
Blue Ridge Environmental Consultants, P.A.
Engineering � Planning � Environmental
1

Environmental Assessment
Environmental Assessment Purpose-
The evaluation of the status of a specific ecosystem or geographic area and how a
proposed change in management or a proposed project will affect that status
Prepared by:
BREC
��ti
�e°'
b
Blue Ridge Environmental Consultants, P.A.
828.265.4425
Engineering � Planning � Environmental
Prepared For:
Dragados USA
460 Marriott Dr. Suite #140
Raleigh, NC 27612
Propert,y Owner:
NC Dept. of Transportation
1605 Westbrook Plaza Drive. Suite #201
Winston Salem, NC 27103-2900
Pro�perty Address:
Gerry Drive
PIN: 6866-43-8684.00, 6866-53-2414.00, 6866-53-0312.00,
6866-53-3177.00, 6866-53-1111.00, 6866-53-1062.00, 6866-53-3085.00,
6866-52-2910.00, 6866-52-4977.00, 6866-52-1783.00
Deed Book/Page: 3181 / 3746, 3188 / 3670, 3187 / 3930, 2823 / 65, 3158 / 1667, 3149 /
3064, 3156 / 2877
Forsyth County, NC (further identiiied in maps contained within)
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USGS — Winston-Salem East Quad- 1:24,000 Scale
Introduction
BREC, PA. was retained by Dragados USA to evaluate the natural resources on a
proposed borrow site. The site was evaluated for aquatic resources, wetlands, threatened
and endangered species, terrestrial resources, and wildlife habitat. BREC, PA. has been
approved by the NCDOT to perform these evaluations.
A. Present Use and Existing Conditions
The proposed site presently consists of vacant uses. The property was bought and / or
taken by NCDOT through Eminent Domain. The property once contained single family
residences on approximately 0.5 to 1 acre lots. The property is now vacant and sparsely
vegetated with large oak trees. A field survey of the proposed borrow site and search for
rare species, aquatic habitat and wetlands was conducted on March 16, 2016.
Photographs of the proposed borrow site are included.
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B. Proposed use
Vacant land — Borrow Site.
C. Past Use
As reviewed in Historical ortho photography housed in the Soil and Water Conservation
District, forest land and residential usage has been continuous since at least 1944 and
verified through imagery in the years 1958, 1966,1996 and 2004.
D. Vegetative Considerations
Proposed vegetation (see Reclamation Plan) consists largely of existing species and is
consistent with both the past and present uses. The vegetative community consisted of
various species of mixed hardwood trees such as oak sp., hickory sp. and maple sp.
Along the upslope areas the predominant herbaceous species is fescue sp.
E. Threatened or Endan�ered flora and fauna
A review of the site and proposed areas did not reveal the presence of any federal
threatened or endangered species or habitat. Furthermore the potential of presence of
these species is low due to present and past management, topography, and past
disturbance. A list of species that have been known to occur are attached. This listing
was acquired from the USFWS website which maintains a listing for section 7 species for
Forsyth County, the list was used in site analysis and our determination that no effect will
occur to federal threatened and endangered species or habitat. Below is our discussion of
each of these species from the referenced list and there known habitats.
Bog turtle Clemmys muhlenbergii
Bog turtles live in the mud, grass and sphagnum moss of bogs, swamps, and marshy
meadows. These wetlands are usually fed by cool springs flowing slowly over the land,
creating the wet, muddy soil needed by the tu�tles. Because there are no wetlands on this
site or adjacent to this site we believe that no effect will occur to this habitat.
Northern Long-Eared Bat Myotis septentrionalis
During summer; northern long-eared bats roost singly or in colonies underneath bark, in
cavities, or in crevices of both live and dead trees. Males and non-reproductive females
may also �oost in cooler places, like caves and mines. This bat seems opportunistic in
selecting roosts, using tree species based on suitability to retain bark or provide cavities
or crevices. It has also been found, rarely, roosting in structures like barns and sheds.
Northern long-eared bats spend winte� hibe�nating in caves and mines, called
hibernacula. They typically use large caves o� mines with large passages and entrances;
constant temperatures; and high humidity with no air currents. Specific areas where they
hibernate have very high humidity, so much so that droplets of wate� are often seen on
their fur. Within hibernacula, su�veyors find them in small crevices or cracks, often with
only the nose and ears visible. Because there are no large caves or mines with large
passages and entrances; constant temperatures; and high humidity with no air currents
this site may affect but is not likely to adversely affect this habitat.
:

Small-Anthered Bittercress Cardamine �nicranthera
Small-anthered bittercress is an erect, slender perennial herb with fibrous roots and one
(or rarely more) simple or branched stem growing 7.9 — 1 S. 8 inches (in) 2- 4 decimeters
tall. Basal leaves are 0.4 — 2 in (1 — 5 centimete�s; cm) long, and 0.2 — 0.8 in (0. S- 2 cm)
wide. The stem leaves are alternate and mostly unlobed, 0.4 — 0. 6 in (1 - 1. S cm) long.
Flowering and fruiting occur in April and May. The flowers, surrounded by leafy bracts,
have four white petals, six stamens, and small, round anthers. Small-anthered bittercress
is found in seepages, wet rock crevices, stream banks, sandbars, and wet woods along
small streams, in fully to partially-shaded areas. Because we are not disturbing any
seepages, wet rock crevices, stream banks, sandbars, and / or wet woods along small
streams, in fully to partially-shaded areas no effect will occuY to this habitat.
USFWS Section 7 Listin� for Forsvth County (Attached)
F. Wildlife Habitat
With respect to wild game and in accordance with the North Carolina Wildlife Resources
Commission the site will have no negative impact on wildlife habitat.
G. Water Qualitv Considerations
The appropriate sediment and erosion control techniques have been included in the
borrow site reclamation plan that adequately protect against sedimentation and turbidity.
The site characteristics such as topography, buffer (greater than 50' from Fill), and
distance provide adequate protection to surface and groundwater resources. We have
found and identified wetlands on the site adjacent to the project area, please see the
enclosed plans for the locations and depiction of the aforementioned wetlands. These
wetlands have been flagged in the field; no wetland is within 50' of the project area. We
did not identify any streams, springs, or seeps in the project area. (See Attached USACE
DATA SHEETS)
H. Soil Considerations (see Attached USDA-NRCS Soil Survey map)
On site soils were evaluated for Hydric Soils, (see Regulatory Jurisdiction Heading) and
Prime and Unique Farmland. None of the factors were present to classify the sites' soils
in this manner. Furthermore, tbe proposed borrow material is similar in type, slope, and
classification to the soil found on the proposed borrow site. Listed below is a soil
classification and description from the proposed borrow site. (See Attached USACE
DATA SHEETS)
�

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Ferrsyth Cauntyr, North Carolina {NGO67}
Map Unit Symbol Map Unft Nsn�e � 1Atres in Afll
C� Uiffprd sandy bam, 2 to 6 15.5
percenlsloRes
CIC GiTfard sandy bam, 61�0 10 i �.A
per�ent slopes
CmC2 G�ttord clayloam. fi to iQ 5.2
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pereent slapes. rtaoderaleFy
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2 ta 6 peree�nt sbpes
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1@ to i 5 oercent slopes
�'hF i'vF�r•��bst i�n� sa��ylp�amr 3T.E
t�.t�s �i5�rr..Q�t sk�ey
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percenl slapes, rtroderately
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Forayth County, FJorth CaRa�ina (hlCOb7j
Map Unit Sym�av� Map Unit Idame Acres in AQ� Rercont pf Apl
TC� Toa5!-f7t:��aS :}fl {_Gfn�5�f7x 2 �D 6 ?.0 'S.7-����.
p4r.r,�nl SlapcS
TdC Toast-0evouon comdQx. 6 te 3A i.79'>
1Q percent slo�s
7a02 Tomlm day laam. 70 to 15 1.4 7.79�
percent slap�es, moderately
eroded
av water i.7 i .ov
Totals !or Area of Initrest 175.fi 1 U6.a%
I. Wetlands and Jurisdictional Impacts
In accordance with the Clean Water Act sections 404 and 401 and the ] 987 USACE
Manual (EMP Regional Supplement) there are no jurisdictional impacts to water of the
United States or of North Carolina. (See Attached USACE DATA SHEETS) A
Jurisdictional Tributary and Riparian Wetland exists along the border of this property
(sewer line) but will not be impacted.
J. State/Local Re�ulations
A Floodplain ordinance exists in Forsyth County, but the proposed project will not
impact the flood buffer as defined by ordinance.
K. Cultural Resources
In accordance with the National Historic Preservation Act there are no known qualifying
sites that exist or will be impacted by the proposed borrow site. In addition the borrow
material will not impact any know Native American burial sites. SHPO letter attached.
L. Alternatives considered but dismissed
Alternative sites were considered during the selection of this site, but it was determined
based on the lilcelihood that no negative impact would occur the proposed site is
recommended and no alternatives are offered in this assessment.
M. Permits
No additional permits will be needed for the use of this tract as a borrow site.
Environmental Consequences/Conclusions
No federally endangered, threatened, or species of concern were found on the project site.
It is our professional opinion based on the information provided above, site
reconnaissance, and eXisting information that the proposed borrow site of +/- 8.0 acres
off of Gerry Drive in Forsyth County, NC will have NO adverse environmental
consequences.
Qualifications and Methodologies
The field investigation and preparation of the Environmental Evaluation was conducted
by Derek Goddard of BREC, PA.
12

Mr. Goddard is a highly regarded and recognizable figure in the professional consulting
community. Mr. Goddard has worked extensively in the conservation and planning fields.
Currently the vice president of Blue Ridge Environmental Consultants P.A., Mr. Goddard
as worked for a number of diverse organizations and projects in the non-proiit, private,
and public sectars. Before his current position, Mr. Goddard held adjunct faculty
positions and served as the lead technical staff for the Watauga Soil and Water
Conservation District. Among his notable skill sets, is the ability to organize and manage
complicated stream restoration projects from concept to design and construction. Mr.
Goddard has procured over 4 million dollars in grant funded water quality projects and
has completed over 8 miles of stream bank enhancement, restoration and stabilization
projects throughout the Southeast. Additionally, Mr. Goddard is a recognized eXpert in
the environmental permitting and compliance sectors, having served as the lead
consultant on hundreds of section 404 and 401 autharizations, compensatory mitigation
plans, and individual permits. Mr. Goddard is known for his ability to consistently and
efficiently manage the ever-changing permitting process over a myriad of various
jurisdictions. A frequent presenter and speaker, Mr. Goddard has given presentations
about ecosystem restoration and management to numerous professional and community
groups.
Areas of Expertise:
Environmental Permitting and Entitlement, 404/401 Processes, Erosion and Sediment
Control, Jurisdictional Determinations, Zoning Process, Environmental Due Diligence
Education
BS Appalachian State University
MS Appalachian State University
NC Stream Delineator Training
Stream determinations were made using the criteria developed by the NC Division of
Water Quality. Factors considered include hydrology, stream channe], biologica]
communities, and topography. Wetland determinations follow the USA Corps of
Engineers Wetland Delineation Manual (1987) and regional supplements.
Chief Preparer:
��.
- OS/23/2016
Derek S. Goddard, Vice President Date
13

3/29/2016
Forsyth County Endangered Species, Threatened Species,Federal Species of Concern, and Candidate Species
Endangered Species, Threatened Species,Federal Species of
Concern, and Candidate Species,
Forsyth County, North Carolina
Updated: 7-24-2015
Common Name
Vertebrate:
Bo� turtle
Northern long-eared bat
Invertebrate:
Brook floater
Vascular Plant:
Small-anthered bittercress
Nonvascular Plant:
Lichen:
Scientific name
Glyptemys rr�cuhlenbergii
Myotis septent�ionalis
Alasmidonta varicosa
Cardamine micranthera
Definitions of Federal Status Codes:
Federal Record Status
Status
T (S/A) Current
T Probable/Potential
FSC Current
E Historic
E= endangered. A taxon "in danger of extinction throughout all or a significant portion of its range."
T= threatened. A taxon "likely to become endangered within the foreseeable future throughout all or a
significant portion of its range."
C= candidate. A taxon under consideration for official listing for which there is suificient information to
support listing. (Formerly "C1" candidate species.)
BGPA =Bald and Golden Eagle Protection Act. See below.
FSC=Federal Species of Concern. FSC is an informal term. It is not defined in the federal Endangered
Species Act. In North Carolina, the Asheville and Raleigh Field Offices of the US Fish and Wildlife
Service (Service) define Federal Species of Concern as those species that appear to be in decline or
otherwise in need of conservation and are under consideration for listing or for which there is insufficient
information to support listing at this time.Subsumed under the term "FSC" are all species petitioned by
outside parties and other selected focal species identified in Service strategic plans, State Wildlife Action
Plans, or Natural Heritage Program Lists.
T(S/A) = threatened due to similarity of appearance. A taxon that is threatened due to similarity of
appearance with another listed species and is listed for its protection. Taxa listed as T(S/A) are not
http://www.iws.gov/raleigh/species/cntylist/forsyth.html 1/2

3/29/2016 Forsyth County Endangered Species, Threatened Species,Federal Species of Concern, and Candidate Species
biologically endangered or threatened and are not subject to Section 7 consultation. See below.
EXP = experimental population. A taxon listed as experimental (either essential or nonessential).
Experimental, nonessential populations of endangered species (e.g., red wolf) are treated as threatened
species on public land, for consultation purposes, and as species proposed for listing on private land.
P= proposed. Taxa proposed for official listing as endangered or threatened will be noted as "PE" or
"PT", respectively.
Bald and Golden Eagle Protection Act BGPA�
In the July 9, 2007 Federal Register( 72:37346-37372), the bald eagle was declared recovered, and
removed (de-listed) from the Federal List of Threatened and Endangered wildlife. This delisting took
effect August 8,2007. After delisting, the Bald and Golden Eagle Protection Act (Eagle Act) (16 U.S.C.
668-668d) becomes the primary law protecting bald eagles. The Eagle Act prohibits take of bald and
golden eagles and provides a statutory definition of "take" that includes "disturb". The USFWS has
developed National Bald Eagle Management Guidelines to provide guidance to land managers,
landowners, and others as to how to avoid disturbing bald eagles. For mor information, visit
httn://www.fws.gov/migratorvbirds/baldea Ig e.htm
Threatened due to similarity of ap�earance T(S/A�Z
In the November 4, 1997 Federal Register (55822-55825), the northern population of the bog turtle (from
New York south to Maryland) was listed as T(threatened), and the southern population (from Virginia
south to Georgia) was listed as T(S/A) (threatened due to similarity of appearance). The T(S/A)
designation bans the collection and interstate and international commercial trade of bog turtles from the
southern population. The T(S/A) designation has no effect on land management activities by private
landowners in North Carolina, part of the southern population of the species. In addition to its off'icial
status as T(S/A), the U.S. Fish and Wildlife Service considers the southern population of the bog turtle as
a Federal species of concern due to habitat loss.
Definitions of Record Status:
Current - the species has been observed in the county within the last 50 years.
Historic - the species was last observed in the county more than 50 years ago.
Obscure - the date and/or location of observation is uncertain.
IncidentaUmigrant - the species was observed outside of its normal range or habitat.
Probable/potential - the species is considered likely to occur in this county based on the proximity of
known records (in adjacent counties), the presence of potentially suitable habitat, or both.
http://www.iws.gov/raleigh/species/cntylisUforsyth.html 2/2

BORR�W PIT/'�U'AS'!'E ARE,FI, TNF�itMA'TI[)I1i F4RM F@�.
'3TAT� �IISTURIC PRESERVA"TIQN UFFICE REVIEi1V
C+��,nt�� �c7rsw�th
Eiig3�way Prnject Nn. 8nd
Please }�rf.tst �r `fype
'Win�tc�n �ia[crr5 [3cltw•:�}• 13nrruµ 5ile #�
F'it Narrtc
�C�ntr�ctar BREC, P�'1
Cnr��parly anri C'�37tact hiame
rt-'— - -- --"_�
+/- 9.3 �k�s
:�crea.gc p—
i�6 Execut��e Dt'tr��, Suil� ?2a �)„ � �' �} h G
St.r��.r Addr�ss or P_C). f�ox _
Wilkestrt�rn, NC 28�97
Tawrn, �tate, 7.ip C:oc€c
336 844-4f?8�133�6 609-772�i vale�e hrec.tr9z
"l'�6e�hnr3eJ�'ax Niambers
t�_�ti �1�+��� �, - �,�-,,�,��
, .�r,.-
I)ate Submitrec#
AR+C�iITECTUI�.AT. FtES[?i�TRCEFS
ER �
���
�!` Y ��'� � '�,� /�
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s�+
rY � ��h
i`-�� �� � _�,r� /t.�.•
]. :'1rr r}�r r� arsy hui�d�:�gs d�r ,t�aacr€r.re:� r�n t}tp pr�iject sit.r? �Iriclude ataarrdc�ned barns. (arrzih�,iises,
tc�bacc� sheds, �rid�;es, �tc.J
Y��
2. !f yes. sr.abmit nize set nf phc�tngraphs o{ �ny stnsctur�s u�hich ap�rear to faaoe k�e�e� kruilt brfore Warld War Il
{Pesi�roid-typr- sna�ask�r�t� arr n���,Fl- Phr�tras sh�r�rdd st�u^�v lhe Cront ar�d ��t7e side of structure �nd �r�� be}�irxci
sir��cture. ��`,�
AR�HAEl7�,O+�ICAL RE�OU�CEB
3. C�reseait a�td previc�us land uses �f tl3e prapas�e�d Ltiurrm�� area. ��:�ECi4nt1;�1 ,f VdC�1t�l
2. What kind vf siie prep�ratian, i� any, has taken place an the pra}ecc sit�? 1"tione
3. F3ave ar�y a.rtifacts (arravvhca�'s, �ntter�, �#c.J €ae€n found ran the site7 Ncy
4. Ar� aa�y markrd Qr unrn�rkeci c�errFcreries loeatee! rvithin ihe pr4pessed pit �r�a? �,1�
5. H�.s the area h�n surveyed by sn arehaealagist? ifyes, �+sre sh� rr�me of �[he arc}�aeo9Qgist �el the tiate €�f thr
surve}, if kcnow. Nza
Flease atta�� a c�pq of a ruap showiag the e3caet locat�an oi' the parop�osed �orzow �it Jwaste area. A portian
of an identified USGS qua,d sheet i� preferrcd and will ensuxc timely xevicvr oi your projc�t. Submit the
comglet�d %rra an�d map ta: Renee Gt�dhill-Earley, Enwiroamear�tal Review Coardinstor, $tate Hist�ric
pneservation �l�lce, 4fi17 Mail Service Center, Raleigh, NG 2769�-4fi17 jtelephnae 9i9��D?-6584j.
**Allow at least ►.I�irky da�a for ouc raview and eamment**
��
Vlle h�ve no enmment oE: +the praje�t as �ropnss�d.
Additiona.l inform�.tion i� needed to cor�ipPete aur re+new.
An arrY�enlo�ieat su,rt!eyr is reconln��ndeti.
5igried: i7aE�: � `"_"� ' ��
F�ene� Gletihill-E�rlev
Febniary �dL}$
�a� t � �a��

WETLAND DETERMINATION DATA FORM — Fastem Mountains and Piedmont Region
g^� �,�� ' ,
Project/Siie: + 5'4,"L'3+yj 'B��.Y',dyq-��CS'1„f����:X"a"e„t Cityi�ouniy: e-�t� ..t"S�-}-�r.. � SampiingDate:�`J � d�G'
�_ d �n
Appllcani/Owner.'�, fd 4'�.�1G%i��L� 1,,.��'�'� C � State:�� � Sampling PoinC � j_
�� P� 9 �t��a�^A�`l � r !_ /� j
Investigator(s):,j��3�� x:. 1��:%. Section,Townshi Ran e: n t/l4`�L'?^ ,�'Ai7 i'���lsid.` ,t
Landform (hillslope, terrace, eic.): ��owA fllu!/1 Local relief (concave, convex, none)f: ��e Slope (%): �-�' �
Subregion (LRR or MLRA):��" Lat: ��a , 11 `� �� i� I� Long: ��?o.�' ��,�y 3�,�`� �� Datum:
Soil Map Unit Name: ��3�y�.yL �ffiL`�3d" S'c�,„(. Go NWI classification:
Are climatic / hydrologic condi�ions on the site typical for this time of year? Yes � No (If no, explain in Remarks.)
Are Vegetation �e�, Soil N,�/d , or Hydrology �� slgniflcantly disturbed? Are "Normal Circumstances" present? Yes �-� No _
Are Vegetation !� �, Soil !�' d, or Hydrology yv naturally problematic? Qf needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydrlc Soil Present?
Wetland Hydrology Present?
HYDROLOGY
ves </ No
Yes � No
Yes � No
Is the Sampled Area
within a Wetland? Yes � No
Weqand Hydrology indicators: � � �� � Secondarv Indicators (minimum of two repuired)
Primarv Indicators (minimum of one is required; check all� that applV) � _ Surtace Soil Cracks (B6)
Surtace Water (A1) _ True Aquatic Plants (614) , _ Sparsely Vegetated Concave Surfaw (B8)
i<High Water Table (A2) _ Hydrogen SuiFlde Odor (Ct) . _ Drainage Pattems (B10)
Saturation (A3) . . � � _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
Water Marks (B1) � �� _ Presence of Reduced Imn (C4) _ Dry-Season Water Table (C2)
Sediment Deposits (82). � � � � _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8)
Drift Deposits (B3) � _ Thin Muck Surtace (C7) �_ Saturation Visibie on Aerial Imagery (C9)
Algal Mat or Crusi (B4) �� _ Other (Explain in Remarks) _ Stunted or Stressed Plants (Dt)
Iron Deposits (B5) � _ Geomorphic Position (D2)
Inundation Visible on Aedal Imagery (B7) � _ Shaliow Aquitard (D3)
%� Water-Stained Leaves (89) � _ Microtopographic Relief (D4)
_ Aquatic Fauna (B"13) . _ FAC-Neuiral Test (D5)
Field Observations �
Surtace Water Present? Yes _ No _ Depth (inches):
Water Table Present? Yes �Y No _ Depth (inches): �� "
Saturation Present7 Yes '\ No De th inches : ��
_ p(' ) �2 '� Wetland Hydrology Present? Yes No
(indudes ca iilar frin e)
Describe Recorded Data (stream gauge, monitoring well, aeriai photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers . . � Easiem Mountains and Pledmont - Versbn 2.0

VEGETATION (Four Strata) — Use scientific names of plants. Sampling Point: � 1
Absolute Dominant Indicator pominanceTestworksheet: .
Tree Stratum (Plot size: � 7�- �+5 ) °/a Cover S ecies? Status Number of Dominant Species
1.�(!(o�✓ paadE..2 �/O ��"� That Are OBL, FACW, or FAC: �-� (A)
7.
l� = Total Cover
50% of total cover: 20% of total cover:
Sa lin (Shrub Stratum (Plot size: �� r.� /% )
1. ( iw.� Trd -F,`c os. � _!?(u.& ��.n.. � �_ /�/'�'G
i�
!/
50% of total cover:
Herb Stratum (Plot size: lil aC.lO �)
1. JLn...r SP � .�
3.
7
9.
10.
Woodv Vine Stratum (Piot size:
50% of total cover:
50% of total cover:
fs hefe of on a SeC
�'� = Total Cover
20% of total cover:
� Y F,ac
� N �"Rc
0
Total Number of Dominant �
Species Across All Strata: (B)
Percent of Dominant Species /�U
That Are OBL, FACW, or FAC: C (A/B)
Total °/ Cover of: Multiolv bv:
OBL species � x 1 =
FACW species � x 2 =
FAC species �� x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: � (A) Z kS (B)
Prevalence Index = B/A= �
_ 1- Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
�3 - Prevalence Index is 53.0' �
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Expiain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or problematic.
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
— Herb —All herbaceous (non-woody) plants, regardless
�= Total Cover of size, and woody plants less than 328 ft tall.
20% of total cover:
— Woody vine —All woody vines greater than 3.28 ft in
— Hydrophytic
Vegetation
= Total Cover Present?
20% of total cover:
Yes� No
US Army Corps of Engineers Eastern Mountains and Piedmoni— Version 2.0

SOIL
Sampling Pc
Profile Description: (Describe to the.depth needed to document the indicator or confirm the absence of indicators.) �� �
Depth Matrix Redox Features .� � .
(inchesl Color (moistl °/ Color moist % Twe Loc Texture . � Remarks� � �. � �
��c
2 _ �6<.,,
Hydric Soil Indicators: Indicators for Problematic Hydric Soils':
_ Histosol (A1) _ Dark Surface (S7) � . _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2) _ Polyvalue Below Surface (S8) (MLRA 147, 148) ._ Coast Prairie Redox (A16)
_ Black Histic (A3) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
_ Hydrogen Sulfide (A4) � �� � _ Loamy Gleyed Matrix (F2) _ Piedmoni Floodplain Soils (F19)
_ Stretifed Layers (AS) �� - � � �Qepieted Matrix (F3) � � � � �-� . � � � � (MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N) � � . _ Redox Dark Surface (F6J �� � � � � . � . �_ Very Shailow Dark Surtace (TF12)
_ Depleted Below Dark Surface (A11) _ Depleted Dark Surface (F7)�. �. .� � _ Other (Explain in Remarks)
_ Thick Dark Surface (Al2). . , _ Redox Depressions (F8)�. � � � .
_ Sandy Mucky Mineral (S1) (LRR N, � _ Iron-Manganese Masses (F12) (LRR N, �� .
MLRA 747, 148) � MLRA 136) � � �. �
_ Sandy Gleyed Matrix (54) � � Umbric Surface (F13) (MLRA 136, 122) ��.. � 'Indicators of hydrophytic vegetation and
_ Sandy Redox (SS) �. �.� ' Piedmont Ploodpiain Soils (F19) (MI.RA 148) �� wetiand hydrology must be present,
_ Stripped Matrix (S6) �. �� ._ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
� YPe'
Depth (inches):. �
Remarks � � � �
- US Army Corps of Engineers �
� I Hydric Soil Present? Yes� No
Eastern Mountains and Piedmont— Version 2.0

WETLAND DETERMINATION DATA F�RM � Eastern Mountains and Piedmont Region
`�! [ r� t:��,
Project/Site: VV a� '�a'.�^1}C��`*.-fY �J 1'}L�LwCDD�f���'�.J CifylCounty:�t�CS�.1-��,,, � SampiingDffie:�la� t -lp
\s� �n � e � .�7
Applicant/Owner: ;%Y'&CL'�iL`-�-r..�.L`h �.ft".� 6—`1 State; f.!( , Sampling Point•� 6�
Investigator(s): �' �� �; �C.C:.� Section,Townshlp,Range:��rt-�`"'� `"�r,�lq,s"�:�='`RFk`�'L�'P'd��f:s°.,�"�' �?isGv;�,
Landform (hillslope, terrace, etc.): ��DDU�(1 �ocal relief (concave, convex, none): I�tOtJ2. � g Slope (%): �'i..
Subregion(LRRorMLRA): Lat:,``�S�c� 1���°i`��� Long:��/S �������°��W Datum:
Soil Map UNt Name:
Are climatic / hydrologic conditions on the site typica�l f�o,r this time oPyear? Yes �
Are Vegetaiion °���D, Soil � 0 , or Hydrology '�vf u slgNFlcantiy distur6ed?
Are Vegetation v�, Soil NO , or Hydrology N� naturalty problematic?
NWI classification:
No _(If no, explain in Remarks.) /
Are "Normal Grcumstances° preseM? Yes 1/ No
(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetatlon Presentt
Hydric Soil Present?
Wetland Hydrology Present?
HYDROLOGY
Yes � No
Yes � No
Yes � No
Is the Sampled Area
wlthin a Wetland? Yes � No
Wetland Hydrology indicators � Secondarv Indicators (minimum of two reauired)
Primarv Indicators (minimum of one is required; check ail thai appiv) � _ Surtace Soii Cracks (B6)
Surface Water (A1) _ True Aquatic Plants (B14) .. _ Sparsely Vegetated Concave Surface (B8)
,�, High WaterTable (A2) _ Hydrogen Suifide Odor (Ct) _ Drainage Pattems (B�0)
Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16)
Waler Marks (B1) _ Presence o( Reduced Iron (C4) _ Dry-Season Water Table (C2)
Sediment Deposils (B2) _ Recent Iron Reduction in Tilled Soiis (Cb) _ Cra�sh Burrows (C8) �
Drifl Deposits (B3) _ Thin Muck Surface (C7) Saturatlon Vlsible on Aedal Imagery (C9)
Aigal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
Iron Deposits (B5) _ Geomorphic Position (D2)
Inundation Visible on Aedai Imagery (B7) . _ Shallow Aquitard (D3)
,� Water-Stained Leaves (B9) � � � _ Microtopographic Reilef (D4)
_ Aquatic Fauna (B13) . � . . _ FAGNeutral Test (D5)
Field Observations: � '
Surface Water Present? Yes No _ Depth (Inches): �
WaterTablePresent? Yes ��
� No _ Depth (inches): ' /�1i�'� ��_ �/`
resent? Yes � No _ Depth (inches):� Wetland Hydrology Present? Yes A. No
�illar frin e)
corded Data (stream gauge, monitoring well, aeriai photos, previous inspections), if available:
�s of Engineers
Eastem MouMains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Absolute Dominant Indicator
Tree Stratum (Plot size: � D x. �� ) °/a Cover Species? Status
,.yeU,n�, o Ir�� � �� Y �
2 .� � s _�J t�A�_
3.
7.
' J = Totai Cover
50% of total cover: 20% of total cover:
Saplinq/S`hrub Stfratum (Plot size: � �� l D ) t-�� `' y�
1. �UF'JU� ['YlI�CO$1bS=��0.('� 7U Y �NL
2. tl
►I
' D = Total Cover
5I0% of total cover: 20% of total cover:
HerbStratum(Plotsize: ��x6�� ) \, �A
1. SIU(1f US Si � � i C 7t�
2. C (7.;�(P u ,S� J� �� �
4.
7
Woodv Vine Stratum (Piot size:
50% of total cover:
50% of total cover:
rs here or on a seG
� S = Total Cover
20% of total cover:
= Total Cover
20% of tolal cover:
Sampling Point: � �
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Species Across All Strata: �J (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: ��U (AIB)
Total % Cover of: Multiqlv bv:
OB� species �i x 1 =
FACW species � x 2 =
FAC species _ � b b_ x 3=
FACU species � � x 4 =
UPL species x 5 =
ColumnTotals �Q���._ (A) _�c�4� _ (B)
Prevalence Index �= B/A = 3 �
_ 1- Rapid Test for Hydrophytic Vegetation
"/ 2 - Dominance Test is >50%
�y, 3- Prevalence Index is <_3.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetiand hydrology must
be present, unless disturbed or problematic.
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 328 ft (1
m) taii.
Herb—All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
vine —All woody vines greater than 328 ft in
Hydrophytic
Vegetation
Present? Yes No
Corps of Engineers Eastem Mountains and Piedmont — Version 2.0

SOIL
I
Depth Matrix Redox Features
(inchesl Color (moistl % Color moist % Tvoe Loc Texture
('�" lDy��'L _ lr�a�
Hydric Soil Indicators:
_ Histosol(A1)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfde (A4)� �
_ Stratified Layers (AS)..�
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (54)
_ Sandy Redox(SS)
_ Stripped Matrix (S6)
Type:
Depth (inches):
Remarks:
ryborps of Engineers
Sampling Point: �_
=Reduced Matrix, MS=Masked Sand Graina `Location: PL=Pore Lining, M=Matrix.
� Indicators for Problematic Hydric Soils'
_ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147)
_ PolyvaWe Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
�, Depleted Matrix (F3) � � (MLRA 136, 147)
_ Redox Dark Surface (F6) _ Very Shallow Dark Surface (TF12)
_ Depieted Dark Surface (F7) _ Other (Explain in Remarks)
, _ Redox Depressions (F8)
_ Iron-Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surtace (F13) (MLRA 136, 122) 'Indicators of hydrophytic vegetation and
_ Piedmont Fioodplain Soils (F19) (MLRA 148) wetiand hydrology must be present,
_ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes � No
Eastern Mountains and Piedmont— Version 2A. �

ApplicanVOwner:
WETLAND DETERMINATION DATA FORM — East
1�s'�("�%7C�. ek�J4.�.�- G:Gvti7 d:Pf.^,',a�yi�A City/County:_
i i�n r..z .� r.0 i � � $si. � . -
Section, Township,
. . Cfaim ��..
Landform (hilislope, terrace, etc.): F I ObAp IC✓� n Local relief (concave, convex, none): IV OY�,p Slope (%): �"2. �� •
Subregion (LRR or MLRA): I ,, Lai: �c�i.-� . ���' �.��-b h;i Long: � ��t�. ��liLi���i`J Ls� Datum:
Soil Map Unit Name: �D� ll�l� �D �l'C'i�� �JC�.t�-(�.,�1 �.bG-J�r. NWI classiflcation:
Are climatic / hydrologic conditions on the site typical for this time of yeaR Yes y� No _ Qf no, explain in Remarks.) /
Are Vegetatlon �, Soil `�� 0 , or Hydrology ���' significantly disturbed? Are "Normal Circumstances" present? Yes V No
Are Vegetatbn �, Soil J� �, or Hydrology IV p 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
Hydric Soil Present? , Yes
Wetland Hydrology Present? Yes
HYDROLOGY
N0 Is the Sampled Area
No within a Wetland? Yes �_ No
No
Wetland Hydrology Indicators: Secondary Indicators (minimum of [wo required)
Primary Indicators (minimum of one is reqWred� check all that appiy) _ Surtace Soil Cracks (66)
Surtace Water (A1) _ True Aquatic Piants (614) _ Sparsely Vegetated Concave Surface (BS)
x� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Patiems (B10)
Saturation (A3) _ Oxidized Rhizospheres on living Roots (C3) _ Moss Trim Lines (B16)
Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Tabie (C2)
Sediment Deposits (B2) . �� _ Recenl Iron Reduction in Tilled Soils (Cb) _ Crayfish Burrows (C8)
Drift Deposits (83) � _ Thin Muck Surtace (C7) � _ Saturaiion Visible on Aerlal Imagery (C9)
Algal Mat or Crust (B4) �. �� _ Other (Explain in Remarks) . _ Stunted or 5[ressed Plants (D1)
Iron Deposits (B5) �� �� _ Geomorphic Position (D2) �
Inundation Visible on Aerial Imagery (B7) . _ Shallow Aqultard (D3) �
� Water-Stained Leaves (B9) . � _ Microtopographic Relief (D4)
_ Aquatic Fauna (613) � . _ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes _ No _ Depth Qnches): �L
Water Table Present? Yes _� No _ Depth (inches): �'1 f� i�
Saturation Present? Yes,� No _ Depth (inches): 1��� � Wetland Hydrology Present? Yes.p,_ No
(includes ca illar frin e)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks
Eastern Mouniains and Piedmont — Verslon 2.0

VEGETATION (Four Strata) - Use scientif
Tree Stretum (Pbt size: � . ) �
1..
� '. .. .. . . .... .
3.
4.
Z
.. , . <:F '-u . ... . .. . , , ¢.., ,... ...., 'T�'�'..
ames of plants. Sampling Point:_ ��
Absolute Dominant Indicator pominance Test worksheek � ��� � �
%Cnver Species� _ Status Numberof�Dominant5pecies ���� � �
' �' That Are OBL, FACW, or FAC: � 2�� (A)
Total Number of Dominant
Species Across All Strata: _ � � (B)
Percent of Dominant Species �
That Are OBL, FACW, or FAC: I t� 6 (A/e)
� = Total Cover
50% of total cover. �� 20°/ of total cover:
Saolina/Shrub Stretum (Plot size: �,(�)C� ( � ) n h ��
1._R.�bUs �ru�(ntuS-' �3�z!',ILb�'�t'rt,� -rv
2. cJ
7
� = Total Cover
50% of total cover.. 20% of total cover:
Herb Stratum (Plot size: � b)C � n ')
1. SJ S S __ l 0' v ���
Z.r ��P � s � N �
3.
4.
5.
6. —
Z�� .. . . .. � ..
� � � � � 50% of total cover:
Woodv Vine Stratum �(Plot size:
1.
Remarks:
US Army Corps of Engineers
)
50% of total cover:
rs here or on a seE
—
�= Total Cover
20% of total cover:
= Total Cover
20°/ of total cover:
Prevalence Index worksheet:
Total % Cover of: Multiolv bv:
OBL species � x 1 =
PACW species _� x 2 =
FAC species _ ��_ x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals . �� _ (A) , �,�"'_ (B)
Prevalence Index = B/A = �
_ 1- Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50°/
� 3 - Prevalence Index is <-3.0'
_ 4 - Morphological Adaptations' (Provide suppoding
data in Remarks or on a separate sheet)
�_ Problematic Hydrophytic Vegetation� (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, uniess disturbed or problematic.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equai to 3.28 ft (1
m) tall.
Herb-All her6aceous (non-woody) planis, regardless
of size, and woody piants less than 3.28 ft taii.
Woody vine -All woody vines greater than 328 ft in
Hydrophytic
Vegetation
Present? Yes No
Eastern Mountains and Piedmont - Version 2.0
�
�

SOIL Sampling Point: �
Profile Description: (Descride to the depth needed to document the indicator or confirm the absence of indicators.) � �
Depth Matrix Redox Features � � � � . � �
(inchesl Color (moistl °/ Color (moistl °/ Tvoe Loc � Texiure Remarks
��1� �n��� _ bai^.�,
Hydric Soil Indicators:
_ Histosol (A1)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (51) (LRR N,
MLRA 147, 148)
_ Sandy Gieyed Matrix (S4) �
_ Sandy Redox(SS)
_ Stripped Matrix (S6) . � .
TYPe , . .
Depth (inches): .
1=Reduced Matrix, MS=Masked Sand Grains. �Location: PL=Pore �ining, M=Matrix.
� Indicators for Problematic Hydric Soils':
_ DarkSurface(S7) _ 2 cm Muck(A10)(MLRA 747)
_ Polyvalue Below Surface (SS) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Thin Dark Surface (59) (MLRA 147, 148) (MLRA 147, 148) �
�oamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
�, Depleted Matrix (F3) (MLRA 136, 147)
_ Redox Dark SurFace (F6) :. � . �. _ Very Shallow Dark Surtace (TF12) �
_ Depleted Dark Surtace (F7) � _ Other (Expiain in Remarks)
, _ Redox Depressions (FS). �. � � � �.
_ Iron-Manganese Masses (F12) (LRR N,� � � � �
MLRA 136) . . . �.. . . �.. � � . � � ..
_ Umbric Surface (F13) (MLRA 136, 122) �� � � � � �� 'Indicators of hydrophytic vegetation and
_ Piedmont Floodplain Soils (F19) (MLRA 148) �: wetland hydrology must be present,
Red Parent Material (F21) (MIRA 127, 147) � unless disturbed or problematic.
_ � �. � . � Hydric Soil Present? Yes �_ No _
Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM - E��'^�n Mountains and Piedmont Region
_i _ f' _ d _ Y2.: � _ _ Y2.s. C��'�i 0 �"
Projeci/Sile: ,j�
qpplicanVOwner:
� Investigator(s)::l]; �� -(-�* ��
� . Landform (hilisiope, terrace, etc.):
� Subregion (LRR or MLRA): _
Soil Map Unit Name:�1) T
Lai:
��°@�ii�� ih5ly. �-'��' �� '�� Sampling Date:._�� lt
� � State: � � Sampling Point:��
1P� ,..� ` , i e'
_ Sectlon, Township, Range:�,- y(,,, �, +` W �'i�"—t�C�.'4 ,,,'�1�'� °,�i., ��G��'�,,(,�.
Local relief (concave, convex, none): N/)nP Slope (%):�
1 ��� �� Long'"` ���=���j� '� Datum:
��OG,M NWI classificatlon:
Are climatic / hydrologic conditions on the site typica`i ffor this time of year? Yes,� No (If no, expiain in Remarks.)
Are Vegetation �, Soil N° , or Hydrology IVU signlflcantly disturbed? Are "Normal Circumstances" present? Yes � No _
Are Vegetation rv u , Soil �, or Hydrology (� D� naturaily problematic? (If needed, explain any answers in Remarks J �
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetiand Hydrology Present?
HYDROLOGY
Yes � No
Yes � No
Yes No
Is the Sampled Area
within a Wetland?
Primarv Indicators (minimum of one is reauired� check all that applv) � ���
Surface Water (A1) _ True Aquatic Plants (B�4)
,� High Water Table (A2) _ Hydrogen Sulfide Odor (C�)
_ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3)
_ Waier Marks (B�) _ Presence of Reduced Iron (C4)
_ Sediment Deposits (B2) _ Recent Iron Reduction in Tllled Soils (C6)
_ Drift Deposits (B3) _ Thin Muck Surface (C7)
_ Algal Mat or Crust (B4) _ Other (Explain in Remarks)
_ Iron Deposits (B5)
Inundation Visible on Aerial Imagery (67) �
� WaterStained Leaves (B9) � � .
_ Aquatic Fauna (B13) � � �. �
Field Observations:
Surface Water Present? Yes No _ Depth (inches):
� Water Table Present? Yes _� No _ Depth (inches): �„" (�
. Saturation Present? Yes iG No _ Depth (inches): L�
gauge,
Corps of Engineers
Yes �_ No
_ Surtace Soil Cracks (B6)
_ Sparsely Vegetated Concave Surtace (68)
_ Drainage Patterns (B10)
_ Moss Trim Lines (B16)
_ Dry-Season Water Table (C2)
_ Crayfish Burrows (C8)
_ Saturation Visible on Aerial Imagery (C9)
_ Stunted or Stressed Piants (D1)
_ Geomorphic Position (D2)
_ Shallow Aquitard (D3)
_ Microtopographic Relief (D4)
_ FAC-Neutral Test (D5)
Wetland Hydrology Present? Yes � No
Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Tree Stratum (Plot size _ : _ )
1.
►I
% Crniar e..��;.,q7 Sia4uc
Sampling Point:�
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Num6er of Dominant
Species Across All 5lrata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
= Total Cover Total % Cover of: Multiolv bv:
50% of total cover. � 20% of toial cover. � OBL species i� x 1=
Sa�pJiina/Shru-bt �Stretum (Plot size:l_�i }�C�,1 �� (i ��t��.��t��-"�" ```) �1
FACW species � x 2 =
1.S'�U�SI�%SYIr�lC1�SUS�-r.)�0.,f� -t� �.��.. Y.. ��, FACspecies _��_ x3=
p . FACU species x 4=
3 . � . UPL species x 5 = �� / _
q � � � � Column Totals: _�S- _ (A) � 2.5��_ (B)
5.
. Prevalence Index = B/A= �
Z �
.. 1- Rapid Test for Hydrophytic Vegetation
8.
� 2 - Dominance Test is >50%
9' � � � � � 3 - Prevalence Index is <-3.0'
r�-� = Totai Cover 4- Morphological Adaptations' (Provide supportinc
50%oftotalcover. 20%oftotalcover.�� —
Herb Stratum (Plot size: �. ��' �(� �) data in Remarks or on a separate sheet)
1.SU'(\. [�v_� S � � � � ��� G — PfOblematic Hydrophytic Vegetation' (Explain)
z. (`,U.✓ � X S P ,S- AJ-��
'Indicators of hydric soil and wetland hydrology must
3� . be present, unless disturbed or problematic.
4' . — Definitions of Four Vegetation Strata:
5.
6 � Tree - Woody plants, exciuding vines, 3 in. (7.6 cm) or
. more in diameter at breast height (DBH), regardless of
Z �� � � � � height.
8.
.�� Sapling/Shrub - Woody plants, excluding vines, less
g� � �� — than 3 in. DBH and greater than or equal to 328 ft(1
10. m) tall.
1 L � — Herb - All herbaceous (non-woody) plants, regardless
�� .= Total Cover of size, and woody plants less than 328 ft tall.
� 50% of total cover. 20% of total cover. �. �
Woody vine - Ali woody vines greater than 328 ft in
Woodv Vine Stratum (Plot size: ) . hei ht.
1.
3.
Corps of Engineers
50% of iotal cover:
:rs here or on a separate
�
Hydrophytic ��
_ � � � Vegetation ��
= Total Cover Present? Yes No
20% of total cover. �
Eastern Mountains and Piedmont- Version 2.0

SOIL
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence
Depth Matrix Redox Features
(inchesl Color (moist) % Color (moist) % �T pe �oc Texture
b� l D 4 �Z, _ ) 0 an--�
RM=Reduced Matrix. MS=Masked Sand Grains.
Hydric Soil Indicators:
_ Histosol(At)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sultide (A4)
_ Stratified �ayers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (51) (LRR N,
MLRA 147, 148)
_ Sandy Gieyed Matrix (S4)
_ Sandy Redox(S5)
_ Stripped Mairix (56)
Type:
Depth (inches):
US qrmy Corps of Engineers
Sampling Point: ��
�Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric So
_ Dark Surface (S7)
_ Polyvalue Below Surface (SS) (MLRA 147, 148)
_ Thin Dark Surtace (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
� Depleted Matrix (F3)
_ Redox Dark Surtace (F6) .
_ Depleted Dark Surface (F7)
, _ Redox Depressions (F8) �� �
_ Iron-Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surtace (F13) (MLRA 136, 122)
_ Piedmont Floodpiain Soils (F19) (MLRA 148)
_ Red Parent Material (F21) (MLRA 127, 147)
_ 2 cm Muck(A10)(MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147, 148)
_ Piedmont Floodplain Soils (F19)
(MLRA 736, 147)
_ Very Shaliow Dark Surface (TF12)
_ Other (Explain in Remarks)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No _
Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM —.Eastern Mountains and Piedmont Region
" �
� ProjecVSite: ��(���-(1���{y� 3P�jr2i,i„(q '�!'(a�j�Gy/Counry: �-�i}=.t., SampiingDate. �� G� , �
�y ` J ,, y
Appiicant/Owner r,�,G` ��(.a i;'�a `� �j �° , State: IV �i Sampiing PoinC �
Investigator(s): �,J,�C� �, c
Landform (hilislope, terrace, etc.):
Subregion (LRR or MLRA): _
Soll Map Unit Name: QuA�r
Lak
Section, Township,
L-pocal relieef '(concave, convex, none):
L`��J1� Long`., L�i:
NWI classlFlcation:
_ Slope (%):� ,
Datum:
Are climatic / hyd�ro(logic condi'tio`ns on the site typical for this time oF year? Yes i�i No (If no, explain in Remarks.)
Are Vegetation 1`� �, Soii NO , or Hydrology �O significaMly disturbed? Are ^Normal Circumstances° present? Yes � No _
Are Vegetation � 0 , Soii �,, or Hydrology i� D naturally probiematic? Qf needed, explaln any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soll Present?
Wetland Hydrology Present?
HYDROLOGY
Yes —Vy-- No
Yes V No
Yes � No
Is the Sampled Area y
within a Wetland? Yes /� No
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required)
Primarv Indicators (minimum of one is required� check all thal applv) _ Surtace Soii Cracks (B6)
Surtace Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8)
� High Waier Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (B10)
Saturation (A3) _ Oxidized Rhimspheres on Living Roots (C3) _ Moss Trim Lines (616)
Water Marks (Bt) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayiish Burmws (C8)
Drift Deposlts (63) � _ Thin Muck Surface (C7) _ Saturatlon Visible on Aerial Imagery (C9)
Algai Mat or Crust (B4) .� Other (Explain in Remarks) _ Stunted or Stressed Plants (D1)
Iron Deposits (B5) � � _ Geomorphic Position (D2)
Inundation Visible on Aerlal Imagery (B7) _ Shallow Aquitard (D3)
,� Water-Stained Leaves (69) _ Microlopographic Relief (D4)
_ Aquatic Fauna (B13) _ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes _ No _ Depth (inches):
Water Table Present? Yes �` No _ Depih (inches): Li I,
Saturation Present? Yes � No _ Depth (inches):�'� Wetland Hydrology Present? Yes t No
(includes ca Illar frin e)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastem Mountalns and Piedmont – Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: ��
Tree Stratum (Plot size: �.D X- � U�/ ) % Cover Species?c �Status Number of Dominant Species
1 /,✓fn6C (E �,U �% �(i �_ C fi,C�i That Are OBL, FACW, or FAC: 3 (A)
7.
L U = Total Cover
50% of total cover: 20% of total cover:
SaolinqlShrubStretum (Plotsize:�n}Cli. � )
,:��5 _�{,�i-�; CD�Js — �'ilPtic�-Ya�rr� � �
7
,�_ = Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Piot size: � b x �(% ')
1.��Uv�C.I1S �� l� `� ��
z. C(�d eac 5 Q S l�� ��
7
Woodv Vine Stratum (Plot size:
50% of total cover:
50% of total cover:
numbers here or on a seF
�� = Total Cover
20% of total cover:
= Total Cover
20 % of total cover:
Total Number of Dominant
Species Across Ail Strata: 3 (B)
Percent of Dominant Species � �
That Are OBL, FACW, or FAC: (A/B)
Index worksheet:
Total % Cover of: Multiplv bv:
OBL species U x 1=
FACW species � x 2 =
FAC species _� S _ x 3=
FACU species x 4 =
UPL species x 5 =
ColumnTotais: c��" (A) � (B)
Prevalence Index = B/A = �
_ 1- Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
�' 3 - Prevalence Index is <_3.0'
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation� (Explain)
'Indicators of hydric soil and wetland hydrology must
be present, unless disturbed or probiematic.
Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardiess of
height.
Sapling/Shrub — Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft (1
m) tall.
Herb — All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine — Ali woody vines greater than 328 ft in
Hydrophytic
Vegetation
Present? Yes _ No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

�
RM=Reduced Matrix. MS=Masked Sand Grains.
Hydric Soil Indicators:
_ Histosol(A1)
_ Histic Epipedon (A2)
_ Black Hisiic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Minerai (51) (LRR N,
MLRA 147, 148)
_ Sandy Gieyed Matrix (S4)
_ Sandy Redox(S5)
_ Stripped Matrix (S6)
Type:
Depth (inches):
�Location: PL=Pore Lining, M=Matrix.
Indicators for Problematic Hydric So
_ Dark Surtace (57) _ 2 cm Muck (A10) (MLRA 147)
_ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16)
_ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148)
Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19)
�y. Depleted Matrix (F3) (MLRA 136, 147)
_ Redox Dark Surtace (F6) _ Very Shailow Dark Surface (TF12)
_ Depleted Dark Surtace (F7) _ Other (Explain in Remarks)
_ Redox Depressions (F8)
_ Iron-Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric SurFace (F13) (MLR.4136, 122)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
_ Red Parent Material (F21) (MLRA 127, 147)
'Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: W i S'�l7(1 �A,�Z1� W,�,� �hiG-c/��Of (D a City�/County: t'� (.<U`i'�-' Sampiing Dafe: (�� � '
Applicant/Owner:�(� ��S State:�_ Samp<ling�1P�oint:��
investigator(s): L�1 Section, Township, Range:US�'�,S`' W��(�,$�'6 r,--iA,�Utw'F'iF,� �,((t�-(�
Landform (hillslope, ierrace, etc.): � � 0 O(J� ��(�, Local relief (concave, convex, none): IvD l�P� Slope (°/o): �2 ��
Subregion(LRRorMLRA): LaL ��o.l��SS10 � Long:'gO.`�jlv�i�� �I Datum:
Soil Map Unit Name:
NWI classificatlon:
Are climatic / hydrologic conditio,nIs on the site typica(lIfor this time of�ar? Yes � No (If no, explain in Remarks J `/
Are Vegetation 1�'' D , Soil I�'0 , or Hydrology �IV'6 signlflcantiy disturbed? Are "Normal Circumstances" present? Yes Y No _
Are Vegetation i`� D, Soil �, or Hydrology N D naturally problematic? Qf needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetiand Hydrology Present?
HYDROLOGY
ves ��— No
Yes \/ No
Yes � Na
Is the Sampied Area \/
within a Wetland? Yes /`� No
Wetiand Hydrology Indicators: Secondarv Indicators (minimum of Iwo required)
Prlmarv Indicators (minimum of one is requlred� check all that applv) _ Surface Soil Cracks (Bb)
Surface Water (A'i) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8)
� High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Pattems (B'10)
Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (616)
Water Marks (B1) _ Presence of Reduced iron (C4) _ Dry-Season Water Table (C2)
Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Cra�sh Burrows (C8)
Drift Deposits (B3) _ Thin Muck SurFace (C7) _ Saturatlon Visibie on Aerial Imagery (C9)
Algal Mat or Crust (B4) _ Other (Expiain in Remarks) _ Stunted or Stressed Piants (Dt)
Iron Deposits (B5) _ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (67) _ Shallow Aquitard (D3)
,$„ WaterStained Leaves (B9) _ Microfopographic Relief (D4)
_ Aquatic Fauna (Bt3) _ FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No Depth (inches):_�
WaferTablePresent? Yes� No_ Depth(inches):Q' � \/
Saturation Present? Yes �` No _ Depth (inches): �%1 `� -� Wetland Hydrology Present? Yes J� No
(includes ca illar frin e
Describe Recorded Data (stream gauge, monitoring well, aeriai photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Easiern Mountains and Piedmoni - Version 2.0
J

VEGETATION (Four Strata) — Use scientific names of plants.
d Absolute Dominant Indicator
Tree Stratum (Plot size: `D ��G ) °/a Cover Spe!c,pies? Status
1._ ��r� �ivu.�..� �O $ ��"
2. .57Gw+.e✓.�iL i 6 �% 1 rr �"d✓
50% of total cover:
Saolinq/Shrub Stratum (Plot
7
50% of totai cover: _
Herb Stratum (Plot size: �6pLC0 �)
1. �2ca, ,f�
5.
7
50% of total cover:
Woodv Vine Stratum (Plot size: )
1.
50% of total cover:
:rs here or on a se[
3 O = Tota� cover
20% of total cover:
Sampling Point: �k�
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant „� 6
Spe¢ies Across All Strata: ( )
Percent of Dominant Species
That Are OBL, FACW, or FAC: oD (Alg)
Prevalence Index worksheet:
Total % Cover of: Multiolv bv:
08L species x 1 =
FACW species � V x 2=
FAC species _ li x 3=
FACU species x 4 =
UPL species x 5 =
Column Totals: � �, (A) ,2Y� (B)
— Prevalencelndex = B/A = �
= Total Cover
20% of total cover:
!6 Y �.Ot.
� = Total Cover
20% of toial cover:
_ = Total Cover
20% of total cover:
_ 1- Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
�l` 3 - Prevalence Index is <-3.0�
_ 4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
_ Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetiand hydrology must
be present, unless disturbed or problematic.
Tree - Woody plants, exciuding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height
Sapling/Shrub - Woody piants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft(1
m) tall.
Herb -All herbaceous (non-woody) piants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - Ail woody vines greater than 328 ft in
Hydrophytic
Vegetation
Present? Yes � No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
or
Depth Matrix Redox Features
(inches) Color (moisU °/ Color (moistl % Tvoe Loc Texture
_f � �' � � � D0.V�
Hydric Soil Indicators:
_ Histosoi(A1)
_ Histic Epipedon (A2)
_ Black Histic (A3)
_ Hydrogen Sulfide (A4)
_ Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_ Thick Dark Surface (Al2)
_ Sandy Mucky Mineral (51) (LRR N,
MLRA 147, 148)
_ Sandy Gleyed Matrix (S4)
_ Sandy Redox(S5)
_ Stripped Matrix (S6)
strictive Layer (if observed):
Type:
Depth (inches):
_ Dark Surface (57)
_ Polyvalue Below Surface (SS) (MLRA 147, 148)
_ Thin �ark Surface (S9) (MLRA 147, 148)
Loamy Gleyed Matrix (F2)
,�, Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron-Manganese Masses (F12) (LRR N,
MLRA 136)
Sampling Point: ��
of indicators.)
Indicators for Problematic Hydric Sc
_ 2 cm Muck(A10)(MLRA 147)
_ Coast Prairie Redox (A16)
(MLRA 147, 148)
_ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
_ Very Shallow Dark Surface (TF12)
_ Other (Explain in Remarks)
_ Umbric Surface (F13) (MLR.4136, 122) 3lndicators of hydrophytic vegetation and
_ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
_ Red Parent Material (F21) (MLRA 127, 147) unless disturbed or problematic.
Hydric Soil Present? Yes�, No
Eastern Mountains and Piedmont — Version 2.0

Northern Lon¢-Eared Bat 4(dl Rule Streamline�l �'oncnitati n Form
Federa] agencies should use this form for the optional streamlined consultation framework for the northem long-eared
bat (NLEB). This framework allows federal agencies to rely upon the U.S. Fish and Wildlife Service's (USFWS)
January 5, 2016, intra-Service Progammatic Biological Opinion (BO) on the fina] 4(d) rule for the NLEB for section
7(a)(2) compliance by: (1) notifying the USFWS that an action agency will use the sCreamlined framework; (2)
describing the project with sufficient detail to support the required determination; and (3) enabling the USFWS to track
effects and determine if reinitiation of consultation is required per 50 CFR 402. ] 6.
This form is not necessary if an agency determines that a proposed action will have no effect to the NLEB or if the
USFWS has concurred in writing with an agency's determination that a proposed action may affect, but is not likely to
adversely affect tne NLEB (i.e., the standard informal consultation process). Actions that may cause prohibited
incidental take require separate formal consultation. Providing this information does not address section 7(a)(2)
compliance for any other listed species.
Information to Determine 4(d) Rule Compliance: YES NO
1. Does the project occur wholly outside of the WNS Zone'? ❑ x
2. Have you contacted the appropriate agency� to determine if your project is near X �
known hibernacula or maternity roost trees?
3. Could the project disturb hibernating NLEBs in a known hibernaculum? ❑ x
4. Could the project alter the entrance or interior environment of a known � X
hibernaculum?
5. Does the project remove any trees within 0.25 miles of a known hibernaculum at � X
any time of year?
6. Would the project cut or destroy known occupied maternity roost trees, or any
other trees within a 150-foot radius from the maternity roost tree from June 1 ❑ x
throu h Jul 31.
You are eligible to use this form if you have answered yes to question # 1,Q�yes to question #2 �no to questions 3,
4, 5 and 6. The remainder of the form will be used by the USFWS to track our assumptions in the BO.
Agency and Applicant3 (Name, Email, Phone No.): NCDOT Division
9, [e-mail], 336-747-7802
Proiect Name:
Project Location (include coordinates if known): Forsyth County
Basic Project Description (provide narrative below or attach additiona] information):
4.6 miles new roadway from US-158 to I-40 business/US-421 in Forsyth County. The first stretch of the future
Winston-Salem loop. The project includes 6 million cy of dirt and 18 bridges of which four running over I-40
and one over NSRR.
� http://www.fws.gov/midwest/endangered/mammals/nleb/pdf/WNSZone.pdf
Z See http:/hvww.fws.gov/midwesUendangered/mammals/nleb/nhisi[es.htm]
3 If applicable - only needed for federal actio�s with applicants (e.g., for a permit, etc.) who are par[y to the consultation.

General Proiect Information YES NO
AQency Determination:
By signing this form, the action agency determines that this project may affect the NLEB, but that any
resulting incidental take of the NLEB is not prohibited by the final4(d) rule.
If the USFWS does not respond within 30 days from submittal of this form, the action agency may presume
that its determination is informed by the best available information and that its project responsibilities under
7(a)(2) with respect to the NLEB are fulfilled through the USFWS January 5, 2016, Programmatic BO. The
action agency will update this determination annually for multi-year activities.
The action agency understands that the USPW S presumes that all activities are implemented as described
herein. The action agency will promptly report any departures from the described activities to the appropriate
USFWS Field Office. The action agency will provide the appropriate USFWS Field Office with the results of
any surveys conducted for the NLEB. Involved parties wil] promptly notify the appropriate USFWS Field
Office upon finding a dead, injured, or sick NLEB.
Signature:
Date Submitted: / �1O /�
^ Any activity that temporarily or permanently removes suitable forested habitat, including, but not limited to, tree removal from
development, energy production and transmission, mining, agriculture, eta (see page 48 of the BO).
S Ifthe project removes less than ]0 trees and the acreage is unknown, report the acreage as less than 0.1 acre.
6 If the activity includes tree clearing in June and July, also include those acreage in Apri] to October.

� � � �
� � / / WETLAND #1 WETLANDi#2
/ �
1' W x 6' L x�i' D'C�M ORARY / �
OUyL� PRQ'YE ION SEE� �
�' / �I � ET..�7b:Q2 / 82� �
/ �
/ / / � \_
/ / / / ` _
/ )—
� �
/ / / / / 7
/fNETL NDi#�6 �/ / /
_ / � /� .
RNERSiMILLiC� EK � � — — — — � � � Nores �
1. NOi BORROWi ORi DISTURBANCEi WILLi OCCURi WITHINi 10'i OF w
i-IIIiCLASSIFICA �ON / � / � PROPERTYiBOUNDARIES w
� 2. ALLi BRUSHi TOi BEI STOREDi ONi SITEi WILLi NOTi BEi COVEREDi WITH a
� � � � 50'iSTREAM � � � � � soi�iMareRin�. � o
/
\ �/ � � � 3. BRUSHI MAYi BEi BURNEDi (WITHi PROPERi PERMIT�,i GROUNDi INTO c�
� � BUFFER � � / MULCH.iORILEFTITOiDECOMPOSEiINIAiNATURACiSTATE. �.� �� �:� <
� 10'iSEWER � � q. CONTRACTORi RESPONSIBLEi FORi RELOCATINGi ALLi UTILITY Q
� LINEiBUFFER / I STRUCTURES,iDEVICES,IANDIlIORIEQUIPMENTiASiREQUIRED ���E„ , o.._ o
WETLANDi#5
� � � / EROSIONICONTROCiNOTES: �
1. STAGEiSEEDINGiSHALLiBEiIMPLEMENTEDiPERiNC�OTiSTANDARDS U
WETLANDi#3 / \ w
\ ANDIATITHEIDIRECTIONiOFiNCDOTiINSPECTORSiANDiSTAFF. cc
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1605 WESTBROOK PLAZA DR. APTIuNIT 201
WINSTUN-SALEM, NC 27103
PROPERTY ADDRESS:
OFF OF GERRY DRIVE
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BREC; PA
126 EXECUTIVE DRIVE
SUITE 220
WILKE5BOR0, NC 28697
LICEN�E # C-3448
PARCEL ID: 6866-43-8684.00, 6866-53-2414.00,
6866-53-0312.00, 6866-53-3177.00, 6866-53-1 � � �.00;
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CITY/TOWN: KERNERSVILLE. NC
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C101
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C900
C901
SHEE i iI�DEx
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EROSION CONTROL PLAN
WETLAND POINT TABLE
AERIHL PLAI�
�Ru55 5E� i IuIC PROFICE
DETAILS
DETAILS
SITE C;UURDINATES: LATITUDE = 36.116690° N LONGITUDE _-80.133571 ° W
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� / � NOTES: w
J/// / / WETLAND #2 \KERNERS MILL C��EK /-- � 1. NO BORROW OR DISTURBANCE WILL OCCUR WITHIN 10' OF w
/ / WETLAND #1 S-III CLASSIFICA !ON � � �
� / ,N / / PROPERTY BOUNDARIES. w
1' W x 6' L x�i' D T�M ORARY / � � 1 i � 2. ALL BRUSH TO BE STORED ON SITE WILL NOT BE COVERED WITH �
OU�k� PR�'fE ION SEE, � 8 � � i- � i/ 5O' STREAM � �'/ / SOIL MATERIAL. ¢�oti 0
r NG� ET.,�7�:62 / 2� - \ �/ � � � 3. BRUSH MAY BE BURNED (WITH PROPER PERMIT), GROUND INTO � c�
/ � � � � 'I O' SEWERv BUFFER � � / MULCH, OR LEFT TO DECOMPOSE IN A NATURAL STATE. �� �EF=� � ^ � � � , N
� � / � � � 4. CONTRACTOR RESPONSIBLE FOR RELOCATING ALL UTILITY �zsexecurive�Rive suirezzo Q
� WILKESBORO. NC 2869]
/ STRUCTURES, DEVICES, AND / OR EQUIPMENT AS REQUIRED. aaesaaaoea nuPiro,e�.m� j
/ � / � ' � �- _- �82p � � \ WETLAND #5 ' /
� EROSION CONTROL NOTES:
/� / ` \ 8� � WETLAND #3 � / 1 1. STAGE SEEDING SHALL BE IMPLEMENTED PER NCDOT STANDARDS U
� � O . � AND AT THE DIRECTION OF NCDOT INSPECTORS AND STAFF. �
\ � � 2. ALL EROSION CONTROL MEASURES SHALL BE MAINTAINED PER m
/ � � � � � // NCDOT STANDARDS AND AT THE DIRECTION OF NCDOT INSPECTORS PRELIMINARY
� � l \ � � WETLAND #4 / / AND STAFF. �
/ / / \ �� � / / 3. FOR TEMPORARY & PERMANENT SEEDING SPECIFICATIONS SEE �
�ETL ND�$6 _ � � � NCDOTCONTRACT. z
/ / / �� \ / / 4. THE SITE LIMITS AND EROSION CONTROL MEASURES WILL BE Q
/ ` ��.���.�i�.� J
1 � �� FLAGGED BY THE CONTRACTOR PRIOR TO INSPECTION BY NCDOT. o-
\ I �.•`$FtEC: p,q•,••:'
PROPERTY OWNER: � : �ya""Z4rF:. = J
� � \ � ��� / NC DEPARTMENT OF TRANSPORATION �. �r,ca��s��-�ssa< ? v
� � 7 / / � \ � 1605 WESTBROOK PLAZA DR. APT/UNIT 201 ` srt • - �
� ��/ \� / / � ' WWSTON-SALEM, NC 27103 •y�p�rcAR�,,,�`;�, O
\ � � � O C-, � ,��� �
,_., � � � PROPERTY ADDRESS: o
\ j - - � 2 _ � � � � � �i'� � � � / � OFF OF GERRY DRIVE
' JURISDICT,�O 1�AL $ � � � �` � �� �� � 1
PARCEL ID: 6866-43-8684.00, 6866-53-2414.00,
�UFFER � 63' W 1 9� L�x 3� D ��- � 6866-53-0312.00, 6866-53-3177.00, 6866-53-1111.00,
3.0�� SKIMMER WITH 2.6�� KN TbRIFICE/ \��`� � i � -��_ f� `_ � ` 6866-53-1062.00, 6866-53-3085.00, 6866-52-2910.00, o
EMERGENCY SPILLWAY �� = 826.¢U' / �o�� � x �\ _ _ � _ �E14(A � 6866-52-4977.00, 6866-52-1783.00 � F � �
o � � o � \ � � FLOODWAY \
� � � / � ZONE DEED BOOK/PAGE: 3181 / 3746, 3188 / 3670, 3187 / � � �
TEMF�RARY/SILT F� CE \ � \� \ �� E�15�ING 30�� S�/�� �� __� � i�� 3930, 2823 / 65, 315811667, 3149 / 3064, 315612877 0 0 0
� � � SE,� NCDCyf DET. �� �� �� � � � J , � �i� SEWER EA�E.�il T FEMA AE ZONE � , CONTRACT #: C203484 PROPERTY CORNERS � � �
� / / \\ �� 1 � � BJro\ TIP#: U-2579B CORNER LATITUDE LONGITUDE w N N N
� fi E M P O R A R Y C L.,� A N W A T� R \\ � WBS ELEMENT#: 34839.3.GVS4 a M o 0
'� \�-.L �1,1, � 5�' JURISDICTIONAL 1 36.116377 N -80.132531 W
/ � \ I _ / 11�� 11`� \ \ �� � \ \ - - � \ BU�E� � � NHF-0918(93) 2 36.115159 N -80.133533 W
/ DIVERSION SEE/NCDOT D T. � _
� � � � x � � �11 � �� 3 36.118190 N -80.135350 W
\ / � � o � _ �� � � � � ��m NOTE: SEE SHEET
� � ���. � � I � ���,111` �� \ \ / � _� C101 FOR WETLAND 4 36.118287 N -80.134638 W
1 � � � \��� � � � " 1���� \\\�\�\\\ � � � - � i POINTS 5 36.117743 N -80.134223 W w �
� / O \ \\� \ � \ 6 36.117570 N -80.133265 W
� � _ .� � TC�TAL LIMITS OF � o � � ���� �� - _
���� � - �� ���� \ �� \ � ¢ } �
I � � /� ^ L�ISTURBANCE _ �`�o`°�� �� � � � N ¢ �
�� ��� � � �' � - ✓ � SKIMMER BASIN CALCULATIONS Z �
���� ����`\��\ i �� \\� REVISION p J �
� � / +1-8.0ACRE� �\ �\ � ��� � � 1. DA=8.0ACRES
\�;`\�o 1���\�� 05/20/2016
� / / � i � �`�`�e� � ��� �� �� � � � _ � 2. DU = 8.0 ACRES � m �
I � / , � � � / `����\� \\\�'\\\\ � � �� I) I � � � \ ` 3. t� = 5 minutes z O
� / / � \���� c�`b � \ ` 4. i = 7.54 �; � 00
� � � / � � �� � � �� � c-�X� � � � � � � A � �� � 5. C = 0.6
\ � � � TEMPORARY SILT � / \� � \\O � �`b � � 6. Q�a = CiDA = (0.6)(7.54)(8) = 36.19 ft3/s
Y � � � � ` �� �b � � � 7. SAq q = 325Q�o = (325)(36.19) = 11,762 ft�
� � � � DITCFj.N�D� �p / � ; � \ � �4� � \ \ \ \ \ � 9. L:W - 3.00DU = (1800)(8) = 14,400 ft3
\ � I � / BET. 1630.03 � \ \ � � 4� � ) -
/ _ - / � \\ \ \ J// � � � I 10. depth = 3.0
1\ I I / - _ ` \ � 12. SA 63 (63)(189)8911,907ft�
/ / � \`\� �/ � `90 � a O
� j II � � �O � ���� \� �\ -� � � 1 1 � 13. VP d= 31,329 ft3 � ?
� I I l OWNER: N�TH CAROLINA DEPT. OF � / ��x \ \ � I � 14. LwEiR= 55' � ry
� � TRANSPORTATION �� / � �-� /, \ � �5. v@topzff 2�,es2r� o �� �
� � / � 1 � 16. Tdewater' 3 d2yS o o��� Z
� � � \ \ PARCEL:68�6-43-8684.65(, � �� \ CROSS\ 1 � 1 ��� 4dewater-V��op2Krdewater ��287�3id w � o�� �
� � 6�66-53-24T4.00,6866 �53-0312.00���6866-53-3177.00, �� � � SECTION � � 18. Baffles: a;� w �
y� \ � � � �' PR09ERTY PROFILE 1 � a. B� = 0.35L =(0.35)(189) = 66 ft a o�� O
j � 688�-53-1111.00, 6866 53-1062.0( 1, 6866-53-3085.00, � � \
� � �B 1 l�FFER � \ b. Bz = 8� + 0. 2 5 L = 6 6 +( 0. 2 5)( 1 8 9) = 1 1 3 ft E75,zE o
� � 68 6-52-291b.00, 686�-52-4977.d0, 6866-52-1783.00 \ c. e-a + p.p5L= 113+ o.zs (�as - �s� rt ��'X��" n
� \ � I \ � � I ACERA�E: 8.04 ACRE G� � � � � � I � � � 3 - z ( 1 ) -
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�� \ � l �� DEE BOOK � PAGE: 3�181 / 3746J 3188 / 3670, �187 I (� J i I� �� \\ REVISION �E���°��aEa Zz,00Zzo,fi �
\ � '� �393 , 2823 / �5, 3158 /�1667, 314� / 3064, 3156 f 2877 � _ _ � / � � 1 � \ \ 05/20/2016 °R^b9NeP �W,�KS o
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0 COPYRIGHT 2016 BY BREC, P.A., ALL RIGHTS RESERVED. THIS PLAN MAY NOT BE RE-USED, SOLD, LOANED, OR GIVEN TO OTHERS. REPRODUCTION OR PHOTOCOPYING OF THIS PLAN WITHOUT THE WRITTEN CONSENT OF BREC, P.A. IS PROHIBITED AND IS A VIOLATION OF FEDERAL COPYRIGHT LAWS, PUNISHABLE BY FINES UP TO $100.000 PER OFFENSE.

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0 COPYRIGHT 2016 BY BREC, P.A., ALL RIGHTS RESERVED. THIS PLAN MAY NOT BE RE-USED, SOLD, LOANED, OR GIVEN TO OTHERS. REPRODUCTION OR PHOTOCOPYING OF THIS PLAN WITHOUT THE WRITTEN CONSENT OF BREC, P.A. IS PROHIBITED AND IS A VIOLATION OF FEDERAL COPYRIGHT LAWS, PUNISHABLE BY FINES UP TO $100.000 PER OFFENSE.
WETLAND POINT TABLE
POINT NAME LATITUDE LONGITUDE
WL1-1 36.117870 N -80.135132 W
WL1-2 36 117874 N -80 134993 W
WL1-3 36.117906N -80.134852W izeexwunveowve swrezzo\ Q
WILKESBORO.NC2869] �
WL1-4 36.117961 N -80.134862 W aas.saaaoea m�P.iro�eo.m� LL
WLi-5 36.117919 N -80.135148 W �y
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WL2-1 36.117972 N -80.134817 W �
WL2-Z 36.118155 N -80.134670 W �
PRELIMINARY
WL2-3 36.118208 N -80.134624 W �
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WL2-4 36.118190 N -80.134572 W �
WL2-5 36.118035 N -80.134543 W V
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WL2-6 36.117918 N -80.134506 W a
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WL2-7 36.117916 N -80.134585 W ;•'`'�REC+,�:q,,i�`:. LL
WL2-8 36.117938 N -80.134675 W '�`�0.p��rF �': �: a
WL2-9 36.117918 N -80.134784 W MGBkLSrt�-3i16� =�-
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WL3-1 36.117732 N -80.134338 W '�+4 "•••�•'•'�°' ' C
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WL3-2 36.117693 N -80.134394 W " � � �
WL3-3 36.117683 N -80.134227 W
WL3-4 36.117582 N -80.134251 W
WL3-5 36.117543 N -80.134114 W
WL3-6 36.117562 N -80.134035 W z
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WL3-7 36.117552 N -80.133932 W ,�„
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WL3-8 36.117478 N -80.133924 W � � �
WL3-9 36.117478 N -80.133778 W °° c�., c�.,
WL3-10 36.117341 N -80.133745 W o 0 0
WL3-11 36.117339 N -80.133644 W
WL3-12 36.117428 N -80.133610 W Q M--
WL4-1 36.117386 N -80.133537 W
WL4-2 36.117406 N -80.133529 W
WL4-3 36.117360 N -80.133383 W
WL4-4 36.117340 N -80.133395 W
WL5-1 36.117278 N -80.133070 W
WL5-2 36.117303 N -80.133077 W
WL5-3 36.117328 N -80.132891 W
WL5-4 36.117302 N -80.132891 W
WL5-5 36.117304 N -80.132811 W
WL5-6 36.117330 N -80.132810 W
WL5-7 36.117320 N -80.132556 W
WL5-8 36.117296 N -80.132556 W
WL5-9 36.117259 N -80.132399 W
WL5-10 36.117368 N -80.132405 W
WL5-11 36.117344 N -80.132080 W
WL5-12 36.117390 N -80.132072 W z
WL6-1 36.117586 N -80.136443 W J O
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WL6-2 36.117387 N -80.135799 W z � U
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WL6-3 36.117307 N -80.135399 W a �� �
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WL6-4 36.117549 N -80.135245 W � � o z O
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WL6-5 36.117697 N -80.135095 W a �� W �
WL6-6 36.117887 N -80.135165 W a o�� O
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± �` 1. NO BORROW OR DISTURBANCE WILL OCCUR WITHIN 10' OF
��� s�' � '��4 � j �' �''/ PROPERTY BOUNDARIES.
� r'�`'' '�,'!�� {;� _�,�� �� 2. ALL BRUSH TO BE STORED ON SITE WILL NOT BE COVERED WITH
�, ��' �+ ,� � . y SOIL MATERIAL.
��' r�I��'"��'�r;9j,�� �`+�:+�" M1 " �' 3. BRUSH MAY BE BURNED (WITH PROPER PERMIT), GROUND INTO
�{�,_I �,_�,�.�� '�� ��, r �M�„� MULCH, OR LEFT TO DECOMPOSE IN A NATURAL STATE.
�,..� I�� ,��"�� ��,,��` ,+ �} ��� 4. CONTRACTOR RESPONSIBLE FOR RELOCATING ALL UTILITY
���� �,,y -�. ��,,��' ,,�'' STRUCTURES,DEVICES,AND/OREQUIPMENTASREQUIRED.
p ..
„'�+ f. .;� �`r . � �r ' �' �, x - �, ��' . �' f EROSION CONTROL NOTES:
�:,'�� ��F4 � r ,'r . l�'`'� � 1. STAGE SEEDING SHALL BE IMPLEMENTED PER NCDOT STANDARDS
r . � r�� �� AND AT THE DIRECTION OF NCDOT INSPECTORS AND STAFF.
�'R ��y��, � �
r�/1 ;�i'j�� r� 2. ALL EROSION CONTROL MEASURES SHALL BE MAINTAINED PER
l �� NCDOT STANDARDS AND AT THE DIRECTION OF NCDOT INSPECTORS
� 1', ���yyy''' ' AND STAFF.
4 �'' v��� y� _" 3. FOR TEMPORARY & PERMANENT SEEDWG SPEGFICATIONS SEE
�� � �� `
�� �?�,�' �'� k; ''�R� ,. ' lA NCDOT CONTRACT.
a
+•t�� �f�' ��'` ���,'Y ;N N��� 4. THE SITE LIMITS AND EROSION CONTROL MEASURES WILL BE
�.t r-� FLAGGED BY THE CONTRACTOR PRIOR TO INSPECTION BY NCDOT.
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�'�` ,, �' 'i� ���� � �� ' PROPERTY OWNER:
�` . Q� : i"�; `' „ "' j�,`,, NC DEPARTMENT OF TRANSPORATION
,e },, ��>�y" �. Y, � 1605 WESTBROOK PLAZA DR. APT/UNIT 201
�� �° f/ WWSTON-SALEM, NC 27103
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