20160760 Ver 1_401 Application_20160816

Montalvo, Sheri A
From:Bob Zarzecki <[e-mail]>
Sent:Wednesday, August 03, 2016 4:56 PM
To:Lastinger, James C SAW ([e-mail]); Smith, Cherri L
Cc:Montalvo, Sheri A
Subject:AMBER RIDGE SUBDIVISION, PHase 5_PCN
Attachments:Amber Ridge SD Ph 5_PCN_8-3-2016.pdf
Importance:High
Follow Up Flag:Follow up
Flag Status:Flagged
James & Cherri:

Attached is the PCN for Amber Ridge Subdivision, Phase 5. Paper copies will be hand delivered to
you tomorrow.

This is in the lower Cape Fear basin (class “C” water), but the Town of Fuquay-Varina requires
stream buffers which we included in the application for their purposes.

I’m available if you have any questions.

Thanks!

Bob Zarzecki

Wetlands Department Manager
Soil & Environmental Consultants, PA
North Quarter Office Park
8412 Falls of Neuse Road, Suite 104
Raleigh, NC 27615

[phone] Office Phone

[phone] Direct Line

[phone] Fax

[phone] Mobile
[e-mail]
Visit us at SandEC.com!
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1

Environmental Consultants,.
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone]
sandec.com
To: US Army Corps of Engineers
Raleigh Regulatory Field Office
Attn: James Lastinger
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Updated August 3, 2016
S&EC Project # 12476.W5
N.C. Division of Water Resources
401 & Buffer Permitting Unit
Attn: Karen Higgins
Archdale Building — 91h Floor
512 North Salisbury Street,
Raleigh, NC 27604
From: Bob Zarzecki
Soil & Environmental Consultants, P.A.
Re: AMBER RIDGE SUBDIVISION, Phase 5
1125 Angier Road, Fuquay-Varina, Wake County, NC
On behalf of the owner, The CalAtlantic Group, Inc., please find attached a complete application and supplemental
information requesting written concurrence from the U.S. Army Corps of Engineers (USACE) and the N.C. Division of
Water Resources (DWR) that the activities proposed below may proceed under Nationwide Permit 29 and General
Water Quality Certification 3890. Please contact me at [phone] if you have any questions or require additional
information.
NOTE: The project is in the lower Cape Fear basin (below Jordan Lake) and as such only Town of Fuquay-Varina
stream buffers apply. These buffers were included in this application to provide to the Town and do not require DWR
approval.
PROJECT SUMMARY
Project Name
AMBER RIDGE SUBDIVISION — Phase 5
Project Type
Residential Development
Owner / Applicant
The CalAtlantic Group, Inc.
County
Wake
Nearest Town
Fu uay-Varina
Waterbody Name
Kenneth Creek
Index Number
18-16-1-(1)
Class
B;NSW
USGS Cataloging Unit
Cape Fear 03020201
IMPACT SUMMARY
Stream Impact (acres):
0.01
Wetland Impact (acres):
0.18
Open Water Impact (acres):
0
Total Impact to Waters of the U.S. (acres)
0.19
Total Stream Impact (linear feet):
142
Attachments: Complete PCN & Supplemental Information
DWR Permit Application Fee $240.00

11"I 0�
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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes X❑ No
For the record only for Corps Permit:
❑ Yes ❑X No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑X No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
N Yes NX No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
AMBER RIDGE SUBDIVISION (1125 Angier Road Site)
2b.
County:
Wake
2c.
Nearest municipality / town:
Fuquay-Varina
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
The CalAtlantic Group, Inc.
3b.
Deed Book and Page No.
Deed Book 016105 Deed Page 01416
3c.
Responsible Party (for LLC if
applicable):
N/A
3d.
Street address:
1100 Perimeter Park Dr, Suite 112
3e.
City, state, zip:
Morrisville, NC 27560
3f.
Telephone no.:
[phone]
3g.
Fax no.:
[phone]
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify:
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bob Zarzecki
5b.
Business name
(if applicable):
Soil & Environmental Consultants PA.
5c.
Street address:
8412 Falls of Neuse Road, Suite 104
5d.
City, state, zip:
Raleigh, NC 27615
5e.
Telephone no.:
[phone]
5f.
Fax no.:
[phone]
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1a.
Property identification no. (tax PIN or parcel ID):
0666412138
1 b.
Site coordinates (in decimal degrees):
Latitude: 35.5663 Longitude: -78.7836
1 c.
Property size:
17.8 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
UT to Kenneth Creek
2b.
Water Quality Classification of nearest receiving water:
C 18-16-1-(1)
2c.
River basin:
Cape Fear (03030004)
3.
Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Vacant lot with open, cleared agricultural field to the west and some mixed forest patches to the east. To the North and East there are residential
developments. To the South and east there is some agricultural fields and single family homes.
3b.
List the total estimated acreage of all existing wetlands on the property: 1.5
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 870
3d. Explain the purpose of the proposed project:
To develop a single family residential subdivision.
3e.
The
Describe the overall project in detail, including the type of equipment to be used:
construction of single family homes, infrastucture, roads and storm water management facility. Heavy equipment (e.g., excavators).
4.
Jurisdictional Determinations
4a.
Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases) in the past?
❑X Yes ❑ No ❑ Unknown
Comments:
4b.
If the Corps made the jurisdictional determination, what type
of determination was made?
❑ Preliminary ❑ Final
4c.
If yes, who delineated the jurisdictional areas?
Name (if known): Bob zarzecki
Agency/Consultant Company: S&EC
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
JD Request attached
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑ Yes ❑X No ❑ Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X Streams — tributaries ❑X Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Bottomland Hardwood Forest
Yes
Corps
0.18
W2 T
Sanitary Sewer Crossing
Bottomland Hardwood Forest
Yes
Corps
0.0043
W3
Choose one
Choose one
Yes/No
W4 -
Choose one
Choose one
Yes/No
W5 -
Choose one
Choose one
Yes/No
W6 -
Choose one
Choose one
Yes/No
2g. Total Wetland Impacts:
0.1843
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culverted Road Crossing
UT to Kenneth Creek
PER
Corps
3
120
S2 T
Sanitary Sewer
UT to Kenneth Creek
PER
Corps
3
22
S3 -
Choose one
S4 -
Choose one
S5 -
Choose one
-
S6 -
Choose one
3h. Total stream and tributary impacts
142
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
0
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑X Other: Cape Fear
6b.
Buffer Impact
number —
Permanent (P) or
Temporary (T)
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1 T
Public Street X-ing
LIT to Kenneth Creek
No
6,944
3,844
B2 T
Sanitary Sewer X-ing
LIT to Kenneth Creek
No
1,529
853
B3 T
Strom Drainage Outlet
LIT to Kenneth Creek
No
18
405
B4 T
Storm Drainage Outlet
LIT to Kenneth Creek
No
233
513
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
8,724
5,615
6i. Comments:
These are Town of Fuquay-Varina stream buffers within the Cape Fear basin (below Jordan Lake). So, no State buffers apply.
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The owner had S&EC delineate all jurisdictional wetlands, streams and buffers on the property. The road crossing was redesigned to cross at the
narrowest wetland point possible. Other than this single road crossing and a sanitary sewer crossing, all other wetlands, streams and buffers were
avoided. The proposed road crossing would use three pipes with one aligned with the stream and the other two set higher as floodplain culverts.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The project will obtain an erosion and sediment control plan approval that will include measures such as silt fencing, etc. to help protect the avoided
wetlands, streams and buffers.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑X Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑X Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑X Yes
4b. Stream mitigation requested:
0 linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
0 square feet
4e. Riparian wetland mitigation requested:
0.18 acres
4f. Non -riparian wetland mitigation requested:
0 acres
4g. Coastal (tidal) wetland mitigation requested:
0 acres
4h. Comments: Mitigation is anticipated at a 2:1 ratio requiring 0.36 acres of riparian wetland credits which DMS will round up to 0.5 acres.
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ❑X No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes X❑ No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
The project is located within the lower Cape Fear River basin (below Jordan Lake) and as such only the
❑ Yes ❑X No
Town stream buffers apply. Discharges from stormwater ponds are proposed to floodplain areas at non-
erosive
velocities.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
27%
2b.
Does this project require a Stormwater Management Plan?
❑X Yes ❑ No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
The Town of Fuquay-Varina will review and approve the stormwater management plan for this project which will include stormwater ponds.
2e.
Who will be responsible for the review of the Stormwater Management Plan?
Town of Fuquay-Varina
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
X❑ Phase II
❑ NSW
3b.
Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes X❑ No
attached?
4.
DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
❑Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑X Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑X Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑X Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ❑X No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes ❑ No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ❑X No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes ❑X No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ❑X No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
The project involves Phase 5 of an existing residential subdivision. The property is mostly surrounded by similar residential developments and is not
anticipated
to result in cumulative impacts from additional development. Any additional development near this project would be subject to the same
stormwater management and riparian buffer regulations to help protect downstream water quality.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Sanitary Sewer. The Town and State will ensure that adequate capacity exists.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ YesX❑ No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NHP and FWS databases. The only known federally protected species potentially effected by this project include the Northern Long Eared Bat (NLEB).
It is not anticipated that this project will have a negative effect on the NLEB, as the majority of the property is open fields.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ❑X No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA-EFH Mapper Website. The project is located in the piedmont region of North Carolina well outside of any EFH areas.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
SHPO-HPOWEB Website.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ❑X No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Digitally signed by Bob Zarzecki
Bob Zarzecki ou= etlBobZarzect ent, ,PA,
ou=Wetlands Department,
S&EC, PA
Bob Zarzecki
email=[e-mail], c=US
Date: 2016.08.0316:30:18-04'00'
August 3, 2016
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant is provided.
Page 10 of 10

8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone]
smidec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: 1125 Ander Road
Date: January 2016
The Department of the Army
U.S. Army Corps of Engineers,
69 Darlington Avenue
Wilmington, NC 28403
Attn: James Lastinger
Wilmington District
S&EC Project # 12476
Field Office: Raleigh Regulatory Field Office
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) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on-site investigations and issuing a determination 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. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions.This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN):
Site Address:
City, County, State:
Lat/Long:
0666412138
1125 Angier Road
Fuquay-Varina, Wake County, NC
35.5663/-078.7836
PROPERTY OWNER INFORMATION:
Name: The CalAtlantic Group, Inc.
Address: 1100 Perimeter Park Dr, Suite 112, Morrisville, NC 27560
Phone No.: ( 919 ) 465-5929 Fax No.: ( 919 ) 465-5902 Mobile No.: ( 919 ) 418-5739
Email: [e-mail]
_Troy George
Property Ownerprint)
Property Owner
1/21/16
Date
We hereby certi& fhe above information submitted in this application is true and accurate to
the best of our know/edge,

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Mitigation Services
ENVIRONMENTAL QUALITY
July 26, 2016
The CalAtlantic Group, Inc.
1100 Perimeter Park Dr. Suite 112
Morrisville, NC 27560
Project: 1125 Angier Road Site
PAT MCCRORY
corernor
DONALD R. VAN DER VAART
Secr"unt
Expiration of Acceptance: January 26, 2017
County: Wake
The purpose of this letter is to notify you that the NCDEQ Division of Mitigation Services (DMS) is willing to accept
payment for compensatory mitigation for impacts associated with the above referenced project as indicated in the
table below. Please note that this decision does not assure that participation in the DMS in -lieu fee mitigation
program will be approved by the permit issuing agencies as mitigation for project impacts. It is the responsibility
of the applicant to contact permitting agencies to determine if payment to the DMS will be approved. You must
also comply with all other state, federal or local government permits, regulations or authorizations associated with
the proposed activity including G.S. § 143-214.11.
This acceptance is valid for six months from the date of this letter and is not transferable. If we have not
received a copy of the issued 404 Permit/401 Certification/CAMA permit within this time frame, this
acceptance will expire. It is the applicant's responsibility to send copies of the permits to DMS. Once DMS
receives a copy of the permit(s) an invoice will be issued based on the required mitigation in that permit and
payment must be made prior to conducting the authorized work. The amount of the in -lieu fee to be paid by an
applicant is calculated based upon the Fee Schedule and policies listed at http://portal.ncdenr.org/web/eep,
Based on the information supplied by you in your request to use the DMS, the impacts that may require
compensatory mitigation are summarized in the following table. The amount of mitigation required and assigned
to DMS for this impact is determined by permitting agencies and may exceed the impact amounts shown below.
Impact
River
Basin
CU Location
(8 -digit HUC)
Stream (feet)
Wetlands (acres)
Buffer I Buffer II
(Sq. Ft.) (Sq. Ft.)
Cold Cool Warm
Fear
03030004
0 0 0
8
!Taria�nNon�-Riad�anC�oastalMarshCape
0 0
Upon receipt of payment, DMS will take responsibility for providing the compensatory mitigation. The mitigation
will be performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010 and 15A NCAC
02B .0295 as applicable. Thank you for your interest in the DMS in -lieu fee mitigation program. If you have any
questions or need additional information, please contact Kelly Williams at [phone].
SincerelyeBStanfill ��ff V
JaAssnt Supervisor
cc: James Lastinger, USACE-Raleigh
Bob Zarzecki- agent
State of North Carolina Environmental Quality Mitigation Services
1652 Mail Service Center I Raleigh NC 27699-1652 I 217 W. Jones Street, Suite 3000
919 707 8976 T

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Project Number: Map Title: N
2476.W
Sod Survey Map 0 250 500 750 1,000
Project Manager:
BZ 1125 ANGIER ROAD Feet
Scale:
500' Wake County, INC
I"=•
5ource: Sail & Environmental Consultants, PA
Date: Wake County Sod Survey Haixrak�a�.as�a-��+,a.��czs•en:9s9s•r.:cs9yw+a•a+�:
1 1/25/14 Sheets 101 * 102° °°

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Project Number:
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Project Manager:
EV
Scale:
= I , 000'
Date:
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Map Title: N
U5G5 Map 0 500 1,000 1,500 2,000
1125 ANGIER ROAD Feet
Wake County, NC
Source: 2013 Sail & Environmental Consultants, PA
R61J Falb W'\Fixe Riw6, Rutile IW, ILifagh, \C 3Tfi73 • i'hmu°°: (979) R4[r,990f1• Fay:f4l9J N,{fi•9L.:
Fucivay-Varina Quadrangle I

FF':

-, 1125 ANGIER ROAD
A52`11 U.S. Fish and Wildlife Service
Y41F-National wetlands Inventor
This map is for general reference only. The US Fish and Wildlife Service is not
responsible for the accuracy or currentness of the base data shown on this map. All
wetlands related data should be used in accordance with the layer metadata found on
the Wetlands Mapper web site.
User Remarks:
S&EC 12476
Jan 29, 2015
Wetlands
® Freshwater Emergent
- Freshwater ForesledJShrub
- Estuarine and Marine Deepwater
Esluanne ana Marine
- Freshwater Pond
_ Lake
- Rivefi o
- Other
Riparian
Herbaceous
FaresterVShrub
Riparian Status
= Digital Data

1125 ANGIER ROAD 1/29/2015
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0 Political Areas — AE
stream Centerline // Flood—y(AE) North Carolina
Cross sections 0.2% Chance Annua l F loud Hazard Floodplain Mapping Program
TTTTr Levee llllll� Future Conditions 1% Annual Chance Flood Hazard

`ii,M-A 'LTe]1:1:4 ZOn17
January 29, 2015 1:24,616
0 0.2 0.4 0.8 mi
NR Individual Listing ii 1, '. 11
0 0.325 0.65 1.3 km
NR Listing, Gone
S&E c
NRHD Center Point

NC DENR - DIVISON OF WATER QUALITY
.0311 CAPE FEAR RIVER BASIN
2B .0300
Name of Stream
Description
Class
Class
Date
Index No.
Avents Creek
From source to a point 1.3
C;HQW
08/01/98
18-13-(1)
miles upstream of Harnett
Dry Creek
County SR 1418
C
08/01/98
18-17-(1)
Avents Creek
From a point 1.3 miles
WS-IV;HQW
08/01/98
18-13-(2)
upstream of Harnett County
Dry Creek
SR 1418 to Cape Fear R.
WS -IV
08/01/98
18-17-(2)
Mill Creek
From source to Avents Creek
WS-IV;HQW
08/03/92
18-13-3
Fish Creek
From source to Cape Fear
WS -IV
08/03/92
18-14
Poorhouse Creek
River
WS -IV
08/03/92
18-17.5
Hector Creek
From source to a point 1.1
C;HQW
08/01/98
18-15-(0.4)
Buies Creek
miles upstream of Harnett
WS -IV
08/03/92
18-18
County SR 1415
Hector Creek
From a point 1.1 miles
WS-IV;HQW
08/01/98
18-15-(0.7)
upstream of Harnett County
SR 1414 to Cape Fear R.
Coopers Branch
From source to Hector Creek
WS-IV;HQW
08/03/92
18-15-1
Neills Creek (heals Creek)
From source to a point 0.3
C
08/01/98
18-16-(0.3)
mile upstream of
Wake -Harnett County Line
Neills Creek (Neals Creek)
From a point 0.3 mile
WS -IV
08/01/98
18-16-(0.7)
upstream of WakeHarnett
County Line to Cape Fear
River
Kenneth Creek
From source to Wake -Harnett
C
08/01/98
18-16-1-(1)
County Line
Kenneth Creek
From Wake -Harnett County
WS -IV
08/01/98
18-16-1-(2)
Line to Neills Creek
CAPE FEAR RIVER
From a point 0.2 mile
WS-IV;CA
08/03/92
18-(16.3)
downstream of Neills Creek
to Lillington water supply
intake
CAPE FEAR RIVER
From Lillington water
WS -IV
08/03/92
18-(16.7)
supply intake to Upper
Little River
Dry Creek
From source to a point 0.9
C
08/01/98
18-17-(1)
mile upstream of Harnett
County SR 1516
Dry Creek
From a point 0.9 mile
WS -IV
08/01/98
18-17-(2)
upstream of Harnett County
SR 1516 to Cape Fear R.
Poorhouse Creek
From source to Cape Fear
WS -IV
08/03/92
18-17.5
River
Buies Creek
From source to Cape Fear
WS -IV
08/03/92
18-18
River
East Buies Creek
From source to a point 0.2
C
08/01/98
18-18-1-(1)
mile downstream of N.C.
Hwy. 55
Page 28 of 69 2013-12-09 10:45:30

BK0966890046 14
WAKE COUNTY, HC 12
LAURA M RIDDICK
REGISTER OF DEEDS
PRESENTED 8 RECORDED ON
02x1812014 AT 09:02:07
aOOK:815581 PAGE:01046 - 01050
NORTH CAROLINA SPECIAL WARRANTY DEED
Excise Tax:
Parcel Identifier Nos. 6OO6 Oci a%A _ Verified by County on the day of , 20
By: 2 04-7'76
Mail/Box to: Grantee
This instrument was prepared by: W. Thurston Debnam, Jr. (wk)
Brief description for the Index: Tract C, containing 17.80 Acres
THIS DEED made this �% �day of December, 2013, by and between
GRANTOR
IRA'l'ROMAS BELT anti wife,
LUCINDA W. BELT;
WILLIAM E. HOLLIFIFIA) and wife,
REBECCA W. 1-fOLLIFIELD and
DAVID C. WILLIANIS and wife.
LISA K. WILLIAMS
3101 Duraleigh Road, Spt. 314
Raleigh, NC 27612
GRANTEE
CHARI.. ES A. WILLIAMS,
a one-fourth midivided interest
.2,1 ,9 Wayr,(f tO r. #�
R,Cknmon0A/ 1C Y L109 7S
Enter in appropriate block for each Grantor and Grantee: name, mailing address, and, if appropriate, character of entity, e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby acknowledged, has and
by these presents does grant, bargain, sell and convey unto the Grantee a one-fourth (114) undivided interest in fee simple, all that certain
lot or parcel of land situated in Middle Creek Township, Wake County, North Carolina and more particularly described as follows:
See attached Exhibit A.
NC Bar Association Fonn No. 6 © 1/1/2010
Printed by Agreement with the NC liar Association

BK015581PGO1047 _
r IN
The property hereinabove described was acquired by Grantor by instrument recorded in Book 15033 page 16.
All or a portion of the property herein conveyed _ includes or _X_ does not include the primary residence of a Grantor.
A map showing the above described property is recorded in Plat Book page
TO HAVE AND TO HOLD a one-fourth undivided interest in the aforesaid lot or parcel of land and all privileges and appurtenances
thereto belonging to the Grantee in fee simple,
And the Grantor covenants with the Grantee, that Grantor has done nothing to impair such title as Grantor received, and Grantor will
warrant and defend the title against the lawful claims of all persons claiming by, under or through Grantor, other than the following
exceptions:
It is the intention of the Grantors that the Grantee receive a one-fourth undivided interest in both Tract One and Tract Two described
herein and that Lucinda W. Belt, Rebecca W. Hollifield and David C. Williams each retain a one-fourth undivided interest in both Tract
One and Tract Two described herein.
The purpose of this Deed is to reform and correct the names of the Grantees in those prior Deeds recorded in Book 015033, Page 00019
and Book 015033, Page 00016, Wake County Registry.
IN WITNESS WHEREOF, the Grantor has duly executed the foregoing as of the day and year first above written.
SEAL
(Entity Name) Prin e Name: Ira Thomas Belt
By:
,
� SEAL
Print/Type Name & Title: Print/Type Nan.:. Lucinp W. Belt
SEAL
Print/Type Na tlliam E. Hollifield
." &. z4',,g SEAL
PriuV41yue Name: Rebecca W. Aollifield
mac.
Name: Davp C. Williams
(SEAL)
Name: Lisa K. Williams
State of - County or City of
I, the undersignFd Notary Public of the County or City of and State aforesaid, certify that Ira Thomas
Belt and Lucinda W. Belt personally appeared before me this day and acknowledged Ath,ee executi n of the foregoi instrument for
the purposes therein expressed. Witness my hand and Notarial stamp or seal this r�r day of , 2013.
My Commission Expires: Notary Public
(Affix Seal) Notary's Printed or Typed Name
p M HUM►
NOTARY PUBLIC
Gwlnna 00urdy
State of Georgia
MyCnmm. Expires June 24,201 7
NC Bar Association Form No. 6 © 1/1/2010
Printed by Agreement with the NC Bar Association

BK015581PGO1048
1
State of .8 lTX1o-A-- County or City of r+— Vs
I, the undersigned Notary Public of the County or City of 1bLS and State aforesaid, certify that William E.
Hollifield and Rebecca W. Hollifield personally appeared before me this day and acknowledged the due execution of the foregoing
instrument for the purposes therein ex re, sed. Witness my hand and Notarial stamp or seal this day of
&(-OM,69� 12013, ;, MELISSA A YOUNG
` MY COMMISSION #FF06M881}
''. .. EXPIRES October 29. 201
My Commission Expires: '�' >> .0153 Floridallota Service.com Notary Public
(Affix Seal) Lary -s Printed or T ed Na
State of NVT }1 CI1rvK Ma - County or City of W AI -e
I, the undersigned Notary Public of the County or City of Ula ke, and State aforesaid, certify that David C.
Williams and Lisa K. Williams personally appeared before me this day and acknowledged the due execution of the foregoing instrument
for the purposes therein expressed. Witness my hand and Notarial stamp or seal this iafb day of 7n r► utci r y _, 201Y,
My Commission Expires: 6
(Affix Seal)
NC Bar Association Form No. 6 © 1/1/2010
Printed by Agreement with the NC Bar Association
NC VHrny Hgenomins, NotaryPublic
Notary's Printed or Typed Name

BK015581PGO1049 M
EXHIBIT A
Tract One
BEING all of Tract C, containing 17.80 acres more or less, as shown on recorded survey entitled "Boundary Survey for
Mitchell and Williams/Aiken Properties, Fuquay-Varina, Wake County, North Carolina" by Priest Craven& Associates, Inc."
dated June 10`h, 2003, reference to which is hereby made for a greater certainty of description. This property is also identified
as 1125 Angier Rd., Fuquay Varina, NC.
Tract Two
BEGINNING at an existing railroad spike in the centerline of Angier Road (S.R. 2770); thence South 26 degrees 37 seconds East for a
distance of 128.41 feet to a magnail set in the centerline of Angier Road; thence South 25 degrees 53 minutes 17 seconds East for a
distance of 18.44 feet to a railroad spike set in the centerline of Angier Road; thence North 84 degrees 35 minutes 10 seconds West fora
distance of 35.11 feet to an iron pipe set on the right-of-way of Angier Road; thence North 84 degrees 35 minutes 10 seconds West fora
distance of 236.21 feet to computed point; thence North 62 degrees 39 minutes 00 seconds East for a distance of 230.25 feet to the point
and place of beginning. Said property shown on survey entid—d "Su^— ey : ;r Br -,,--t Alan & cnnifer Betty. Rollins, Catherine A. &
Carter B. Williams" recorded in Book of Maps 2000, Page 1727, Wake County Registry, reference to which is made for greater
certainty of description. Said property contains 0.388 acres more or less.
NC Bar Association Form No. 6D I/112010
Printed by Agreement with the NC Bar Association

BK015581PGO1050
WAS
COUNTY
NORTH CAROLINA
BOOK:015581 PAGE:01046 - 01050
Please retain yellow trailer page
It is part of the recorded document and must be submitted with the original for re-
recording.
Laura M. Riddick
Register of Deeds
Wake County Justice Center
300 South Salisbury Street, Suite 1700
Raleigh, NC 27601
❑ New Time Stamp
❑ Additional Document Fee
This Customer Group
# of Time Stamps Needed
❑ $25 Non -Standard Fee
❑ Additional Reference Fee
This Document
5 # of Pages Z6

Jurisdictional Determination Request
A. PARCEL INFORMATION
B.
C.
Street Address
City, State:
County:
Directions:
1125 Angier Road
Fuguay-Varina. NC
Wake
From Wake Forest, take Forestville Road south to 401 south to left on Judd
Parkway. dghl/south on Angier Road, site is 0.6 miles down on left.
Parcel Index Number(s) (PIN):
REQUESTOR INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address'
0666412138
SSEC. PA - Bob Zarzecki
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615
[phone]
[e-mail]
Select one:
0 1 am the current property owner.
✓❑ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address
Ye6 Lu 8.X/WW &fte N.iF.nI Dw 8L...W. ,Cn Warn
3101 Duraleigh Road. Apt. 314
Raleigh, NC 27612
call agent
emae agent
✓❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
If available
Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION'
1, 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 determination 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.
e" agent authorization forth attached
Property Owner (please print)
Bob Zarzecki
Property Owner Signature
January 29, 2015
Date
Dig t+r - by Bob ZNZKW
DN: w -Bob Land}. wSBEC. PA o WeWMg Dwwv-w .
a,rr-tmrz.6illieaMx.o . oUS
0p :10150t29 15:42:30 -061W
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
I am requesting that the Corps provide aymliminary JD for the property identified herein.
This request does include a delineation.
El1 am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does NOT include a delineation.
1 am requesting that the Corps investigate the property/project area for the presence or
absence of WoUS5 and provide an aouroved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
D1 am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an aooroved JD (this may or may not include a survey plat).
17 1 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).
e For NCDOT requests following the current NCDOT/USACE protocols, Skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

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 17.8
acres
I 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.
JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑ Completed and signed Preliminary Jurisdictional Determination Form.
❑ Project Coordinates: Latitude 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 lune 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable) 7:
Wetlands:
❑ Wetland Data Sheets$
Tributaries:
❑ USACE Assessment Forms
❑ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
❑ 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
(2) Approved JDs including Verification of a Delineation:
✓❑ Project Coordinates: 35.5666 Latitude -078.71 Longitude
Maps (no larger than I I x 17) with Project Boundary Overlay:
✓❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
✓❑ Aerial Photography of the project area
0 USGS Topographic Map
W1 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/RegulatoryProgramandPermits/reg suoo.asox
Wetland and Stream Assessment Methodologies can be found at:
htto�//Dortal,ncdenr.org/c/document library/get file7uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&grouold=38364 and,
htlo�//www saw usace armv mil/Portals/59/docs/regulatory/oublicnorces/2013/NCSAM Draft User Manual 130318 odf
"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
Tributaries:
ElUSACE Assessment Forms
�✓ Upland Data Sheets Other Assessment Forms
(when appropriate)
✓❑ Landscape Photos, if taken
F0 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 Information (for Approved JDs only)
171 Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Forrn(s)")
❑✓ Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 7

Jurisdictional Determination Request
1. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard-
copy submittals include at least one original Plat (to scale) that is no larger than I I "xl7"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than I I "x I T% may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
✓0 Must he sealed and signed by a licensed professional land surveyor
✓❑ Must be to scale (all maps must include both a graphic scale and a verbal scale)
✓❑ Must he legible
0 Must include a North Arrow, Scale(s), Title, Property Information
Must include a legible WoUS Delineation Table of distances and bearings/metes
and bounds/GPS coordinates of all surveyed delineation points
✓❑ Must clearly depict surveyed property or project boundaries
✓❑ Must clearly identify the known surveyed point(s) used as reference (e.g. property
comer. USGS monument)
✓❑ When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identifv each wetland polygon using an alphanumeric system
Version: December 2013 Page 8

Jurisdictional Determination Request
❑✓ When tributaries are depicted:
• Must include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
• Must identify each tributary using an alphanumeric system
• Must include linear footage of tributaries and calculated area (using approximate
widths or surveyed OHWM)
• Must include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
F✓ all depicted WoUS (wetland polygons and tributary lines) must intersect or tie -to
surveyed project/property boundaries
FZIMust include the location of wetland data points and/or tributary assessment
reaches
Must include, label accordingly, and depict acreage of all waters not currently
subject to the requirements of the C'WA (e.g. "isolated wetlands", "non -
jurisdictional waters'). NOTE: An approved 1D must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
zMust include and survey all existing conveyances (pipes, culverts, etc.) that
transport WoUS
Version: December 2013 Page 9

Jurisdictional Determination Request
(2) CERTIFICATION LANGUAGE
✓� When the entire actual Jurisdictional Boundary is depicted:
include the following Corps Certification language:
"This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act as determined by the undersigned on this dote.
Unless there is a change in the low or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5) years from
this date. The undersigned completed this determination utilizing the appropriate Regional
Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual."
Regulatory Official:
Title:
Dote:
USACE Action ID No.:
❑ When uplands may be present within a depicted Jurisdictional Boundary:
include the following Corps Certification language:
"This certifies that this copy of this plot identifies oil areas of waters of the United States
regulated pursuant to Section 404 of the Clean Water Act as determined by the
undersigned on this date. Unless there is change in the low or our published regulations,
this determination of Section 404 jurisdiction may be relied upon for a period not to exceed
five years from this date. The undersigned completed this determination utilizing the
appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Dote:
USACE Action ID No.:
Version: December 2013 Page 10

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): 1/29/15
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State:North Carolina County/parish/borough: Wake City: Raleigh
Center coordinates of site (lat/long in degree decimal format): Lat. 35.5663° 1, Long. -78.7836° .
Universal Transverse Mercator:
Name of nearest waterbody: UT to Kenneth Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Kenneth Creek
Name of watershed or Hydrologic Unit Code (HUC): 03020201
® Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
❑ Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date: 3/30/16
Field Determination. Date(s): 11/24/16
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There W "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): '
❑ TNWs, including territorial seas
Wetlands adjacent to TNWs
Relatively permanent waters' (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
H Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
LEJI Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non -wetland waters: 870 linear feet: 3 width (ft) and/or acres.
Wetlands: 1.54 acres.
c. Limits (boundaries) of jurisdiction based on:
Elevation of established OHWM (if known):
2. Non-regulated waters/wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
Boxes checked below shall be supported by completing the appropriate sections in Section III below.
z For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
' Supporting documentation is presented in Section HI.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent':
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non -navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section IILD.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section IH.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through Pick List tributaries before entering TNW.
Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from TNW.
Project waters are Pick List aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNW5:
Tributary stream order, if known:
° Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
s Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

(b) General Tributary Characteristics (check all that apply):
Tributary is: ® Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man -altered). Explain: Spill way from pond on property contributes flow to RPW.
Tributary properties with respect to top of bank (estimate):
Average width: 3 feet
Average depth: .25 feet
Average side slopes: E.
Primary tributary substrate composition (check all that apply):
❑ Silts ® Sands ❑ Concrete
❑ Cobbles ® Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type/% cover:
❑ Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: Relatively straight
Tributary gradient (approximate average slope): %
(c) Flow:
Tributary provides for: Seasonal flow
Estimate average number of flow events in review area/year: 20 (or greater)
Describe flow regime:
Other information on duration and volume:
Surface flow is: Discrete. Characteristics:
Subsurface flow: No. Explain findings:
❑ Dye (or other) test performed:
Tributary has (check all that apply):
® Bed and banks
❑ OHWM' (check all indicators that apply):
® clear, natural line impressed on the bank
❑
the presence of litter and debris
® changes in the character of soil
❑
destruction of terrestrial vegetation
❑ shelving
❑
the presence of wrack line
❑ vegetation matted down, bent, or absent
®
sediment sorting
❑ leaf litter disturbed or washed away
❑
scour
® sediment deposition
®
multiple observed or predicted flow events
❑ water staining
❑
abrupt change in plant community
❑ other (list):
❑ Discontinuous OHWM.' Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
High Tide Line indicated by: in Mean High Water Mark indicated by:
❑ oil or scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings/characteristics ❑ vegetation lines/changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
6A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor. Characteristics (type, average width):
❑ Wetland fringe. Characteristics:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: 1.54 acres
Wetland type. Explain:
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Perennial flow. Explain:
Surface flow is: Discrete
Characteristics:
Subsurface flow: a. Explain findings:
❑ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
® Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain:
❑ Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are 1-2 river miles from TNW.
Project waters are 1 (or less) aerial (straight) miles from TNW.
Flow is from: Navigable waters to wetland.
Estimate approximate location of wetland as within the 100 - 500 -year floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width):
❑ Vegetation type/percent cover. Explain:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: 2
Approximately ( 1.54 ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? (Y/N) Size (in acres)
Y 1.52
Y .02
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section I1I.1):
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section III.D:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section IILD:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
TNWs: linear feet width (ft), Or, acres.
Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial:
Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally:

Provide estimates for jurisdictional waters in the review area (check all that apply):
®Tributary waters: linear feet width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
Non-RPWss that flow directly or indirectly into TNWs.
Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
®Tributary waters: linear feet width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
❑ Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section III.B and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
Impoundments of jurisdictional waters.'
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from "waters of the U.S.," or
Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA -STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):to
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes.
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
❑ which are or could be used for industrial purposes by industries in interstate commerce.
❑ Interstate isolated waters. Explain:
❑ Other factors. Explain:
Identify water body and summarize rationale supporting determination:
'See Footnote # 3.
' To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
® Wetlands
acres.
F. NON -JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
❑ Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
❑ Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
Non -wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
Non -wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes/ponds: acres.
Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
® Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
El U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
❑ U.S. Geological Survey map(s). Cite scale & quad name:
® USDA Natural Resources Conservation Service Soil Survey. Citation:
® National wetlands inventory map(s). Cite name:USFWS.
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
El Photographs: ❑ Aerial (Name & Date):
or ❑ Other (Name & Date):
Previous determination(s). File no. and date of response letter:
Applicable/supporting case law:
Applicable/supporting scientific literature:
Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:

SAMPLE
Site
number
Latitude
Longitude
Cowardin
Class
Estimated amount of
aquatic resource in
review area
Class of aquatic
resource
1
35.568051
-78.782368
P-170-6
.015 acres
non -section 10 — wetland
2
35.566906
-78.782707
P-170-6
1.52 acres
non -section 10 — wetland
3
35.566444
-78.783192
R -3 -SB -4
870 ft
Non -section 10 - Stream

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region t,
Projeci/Site: I I a5 f�nc�,�. I�,�� City/County: Fogy°�1-Ytr:'.ec F WGA ea, Sampling Date:
Applicant/Owner: _t � t j atl��ic.�cl , \hi;llta.� t(•�ill<a+ +� State: N _ Sampling Point Wcvu'f���
Investigator(s): 5# ler- R Sob Z'*' t,Eak i Section, Township, Range: to `..a to � t ee to '�o'w w Mt p
Landform (hilslope, terrace, etc.): VC,,\le•3 Local relief (concave, convex, none): Core -&v42 Slope (%): %A
Subregion (LRR or MLRA): M L(ZA 133 A Let: 3S • S3 �a f.3 Long: —0"-19.34 Datum: NOkO
Soil Map Unit Name: Wo = �Jc k%6kee 6114 Jba,#A NWI classification: ?'Po m
Are climatic /hydrologic conditions on the site typical for the time of year? Yes i` No (If no, explain in Remarks.)
Are Vegetation Oki , Soil 144 , or Hydrology 04 significantly disturbed? Are 'Normal Circumstances' present? No
AreVegetation RE. , Soil i4 o , or Hydrology F40 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? Q )� No Is the Sampled Area
Hydric Soil Present? a `X No within a Wetland? (Yes) No
Wetland Hydrology Present? as X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reguired)
Primary Indicators (minimum of one is reauired: check all that apply)
_ Surface Soil Cracks (86)
X Surface Water (A1) _
Aquatic Fauna (813)
— Sparsely Vegetated Concave Surface (88)
X High Water Table (A2) —
Marl Deposits (B15) (LRR U)
_ Drainage Patterns (810)
Saturation (A3) —
Hydrogen Sulfide Odor (Cl)
— Moss Trim Lines (B18)
X Water Marks (B1) Oxidized Rhizospheres along Living Roots (C3) _ Dry -Season Water Table (102)
ZC Sediment Deposits (132) _
Presence of Reduced Iron (C4)
Y, Crayfish Burrows (08)
Drift Deposits (83) _ Recent Iron Reduction in Tiled Soils (08) _ Saturation Visible on Aerial Imagery (09)
_ Algal Mat or Crust (84) _
Thin Muck Surface (C7)
_ Geomorphic Position (132)
— Iron Deposits (B5)
Other (Explain In Remarks)
_ Shallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery (67)
— FAC -Neutral Test (D5)
-X Water -Stained Leaves (B9)
_ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present^ t Yes No
Depth (inches):
Water Table Present? Ye No
Depth (inches): 0
Saturation Present? Ye No
_
Depth (inches): Q
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
1
%I
Absolute
Dominant Indicator
Tree Stratum (Plot size: o )
% Cover
Species? Status
1.
ZC
�e i FRC
2.
UPL species
x 5 =
3. i�ir��`;etlGaw�ttur S4,r+ac.at.e�,
�iCa
4 sm" Fit".
4.
Z`+ 20% of
total cover:
1�
_
No FRC
6.
2.
00 Ftc
8.
�S =Total Cover
50% of total cover: 44,S 200A of total cover: 1
Saalina/Shrub Stratum (Plot size: N lIM MAL )
2. 2i=f- Opc'Lo. 10 FAQ
3. Nrtu �r_..rr. "_ "":r Zo P7,C 1
4.
5.
6.
7.
`
Sampling Point: AA,, 4tv
�x
""
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: �� (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species Ott A
That Are OBL, FACW, or FAC: k (A/B)
worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x2=
FAC species
x3=
FACU species
x 4 =
UPL species
x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
8.
3 - Prevalence Index is 53.0'
= Total Cover
50% of total cover:
=Total Cover
_
Problematic Hydrophytic Vegetation' (Explain)
Woody Vlne Stratum (Plot size: s >',o Ac
)
50% of total cover:
Z`+ 20% of
total cover:
1�
_
Herb Stratum (Plot size:
I ac )
2.
'Indicators of hydric soil and wetland hydrology must
1
h���a t; na �R'c.
; a �,� ��
c ;
FAc� .
be present, unless disturbed or problematic.
2
ax to ' ., , ,
�r 1,4A 9Pz or t,
S O
FAC
Definitions of Four Vegetation Strata:
3.Y!lDAs
yn.sa .
afro lwC+w
t
r :°
'a;a
CJsC
CO
Tree -Woody plants, excluding vines, 3 in. (7.6 cm) or
4,
65r~ ° ° +. c ti c •-� ^•�-�
more in diameter at breast height (DBH), regardless of
5
height.
6.
8.
9.
10.
11.
12.
= Total Cover
50% of total cover:
�t
t �' f ' 20% of total cover:
\9
Woody Vlne Stratum (Plot size: s >',o Ac
)
Iles
1.
��, � � ; = t;..�
to
p c
2.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 It tall.
Woody vine -All woody vines greater than 3.28 it In
height.
5. Hydrophytic
20 =Total Cover Vegetation
50% of total coder: A �J 20% of total cover:
Present? Yes %� No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

SOIL
Profile
Depth Matrix
(inches) Color (mdst) %
o's ►b'I0, 11 fa 100
5 -Id (0leQ.611. 100
lo- t2� (o -1k 411 100
to document the Indicator or
Redox Features
Color (moist) % Twe Loc
Sampling Point
Texture Remarks
61 IN eblp�� Ic�6�/�► y
st-:C 41 4�•1r�^P 1V/�Y"F
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. location: PL=Pore Lining M=Matrix.
Hydric Sol[ Indicators: (Applicable to all LRRs, unless otherwise noted.) Indicators for Problematic Hydric Sol
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (LRR S, T, U)
_ 1 cm Muck (A9) (LRR O)
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U)
_ 2 cm Muck (A10) (LRR S)
— Black Histic (A3)
_ Loamy Mucky Mineral (F1) (LRR O)
_ Reduced Vertic (F18) (outside MLRA 150A4B)
_ Hydrogen Sulfide (A4)®
Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19) (LRR P, S, T)
— Stratified Layers (A5)
Depieied Mairix (F3)
_ Anomalous Bright Loamy boils (F20)
_ Organic Bodies (A6) (LRR P, T, U)
Redox Dark Surface (F6)
(MLRA 153B)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
Depleted Dark Surface (F7)
_ Red Parent Material (TF2)
_ Muck Presence (A8) (LRR U)
_ Redox Depressions (F8)
_ Very Shallow Dark Surface (TF1 2)
_ 1 cm Muck (A9) (LRR P, T)
Marl (F10) (LRR U)
_ Other (Explain in Remarks)
Depleted Below Dark Surface (A11)
_ Depleted Ochdc (F11) (MLRA 151)
_ Thick Dark Surface (Al2)
_ Iran -Manganese Masses (F12) (LRR O, P, T)
3lndicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
_ Sandy Mucky Mineral (S1) (LRR O, S)
_ Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
_ Sandy Gleyed Matrix (S4) _ Reduced Vertic (F18) (MLRA 150A, 1506)
_ Sandy Redox (S5) _ Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Stripped Matrix (86) _ Anomalous Bright Loamy Soils (1720) (MLRA 149A, 153C, 15313)
_ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (If observed):
Type:
Depth (inches):
Hydric So[I Present? CYes)X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region –Version 2.0

4 WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Pro ftlShe: 1 1 OZS F'ed��iCr �p4�i 5 1� .. 4� a, 11
j City/County: :a. ��' �i Sampling Date:
Applicant/Owner. _ _D , E+ \ i� t t W,\,kiwo. t,�e�� �at•�°r State: 1`� Sampling Point: We-AAC4 '&
Investigator(s): �� C_ � b ZG� s.ec k. Section, Township, Range: td AAA r C14 te- W,,f
Landform (hillslope, terrace, etc,): Local relief (concave, convex, none): e -n^ coy t Slope (46): %p
Subregion (LRR or MLRA): MLS 133 Let: 3S. Ef6E-1Long: —0- . �� Z3 Datum: NPO E3
Soil Map Unit Name: via= 06nuAkee 1 i* kooyA NWI classification: P�DIP�
Are climatic 1 hydrologic conditions on the site typical for this time of year? Yes X No (if no, explain in Remarks.)
Are Vegetation Y es Soil N° , or Hydrology No significantly disturbed? Are "Normal Circumstances' present? e X No
Are Vegetation Aj° , Soil ap , or Hydrology No 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?k No is the Sampled Area
Ye
Hydric Soil Present? e EX
No within a Wetland? Yes � No
Welland Hydrology Present? e No
Remarks:
Und:r-bbfwt ,tec��l-+�.41'� (+1s.y �eew cke.c�,�.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauiredl
Primary Indicators (minimum of one is required: check all that apply)
_ Surface Soil Cracks (136)
_X Surface Water (A1) _
Aquatic Fauna (813)
_ Sparsely Vegetated Concave Surface (68)
'A High Water Table (A2) _
Marl Deposits (B16) (LRR U)
_ Drainage Patterns (610)
Saturation (A3)
Hydrogen Sulfide Odor (C1)
_ Moss Trim Lines (B16)
_ Water Marks (Bi) _ Oxidized Rhizospheres along Living Roots (C3) _ Dry -Season Water Table (C2)
_ Sediment Deposits (132) _
Presence of Reduced Iron (C4)
X Crayfish Burrows (CS)
_ Drift Deposits (83) _
Recent Iron Reduction in Tilled Solis (06) _ Saturation Visible on Aerial Imagery (CO)
_ Algal Mat or Crust (134) —
Thin Muck Surface (C7)
_ Geomorphic Position (D2)
s Iron Deposits (B5) —
Other (Explain in Remarks)
Shallow Aqubrd (D3)
Inundation Visible on Aerial Imagery (137)
_ FAC -Neutral Test (D5)
JE Water -Stained Leaves (139)
Sphagnum moss (D8) (LRR T, U)
Field Observations:
_
Surface Water Present? Yes X No_
Depth (inches): = w
Water Table Present? es No
Depth (inches): d
Saturation Present? No
Depth (inches):
Wetland Hydrology Present? Ye X No
includes capillary frin e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point:
0.63 t
Absolute Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: )
% Cover Species? Status
Number of Dominant Species
^
1. ' CCer rib rJw a
i,00e-:, FONC
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
2
3.
4.
Percent of Dominant Species
i �Ga
5.
That Are OBL, FACW, or FAC: (AB)
6.
Prevalence Index worksheet:
7.
Total % Cover of: Multiply by:
8
'40= Total Cover
OBL species x 1 =
50% of total cover:
20% of total cover.
FACW species x 2 =
Saoling/Shrub Stratum (Plot size: 0.
)
FAC species x 3 =
1.
140 ,
FACU species x4=
UPL species x 5 =
2.
Column Totals: (A) (B)
3.
4•
Prevalence Index = B/A=
5.
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7•
_ 2 - Dominance Test is >50%
8.
3 - Prevalence Index is 53.0'
040 = Total Cover
_
Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
20 20% of total cover. S
_
Herb Stratum (Plot size: 0 T aN+ I :' }
'Indicators of hydric soil and wetland hydrology must
c VJ
be present, unless disturbed or problematic.
2.
Definitions of Four Vegetation Strata:
Tree —Woody plants, excluding vines, 3 in. (7.6 cm) or
3.
4.
more in diameter at breast height (DBH), regardless of
5
height.
6.
-
Sapling/Shrub — Woody plants, excluding vines, less
7.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb —Ali herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 It tall.
Woody vine — All woody vines greater than 3.28 ft In
B.
g,
10.
11.
height.
12.
�a = Total Cover
50°x6 of total cover:
i 20% of total cover:
Woody Vine Stratum (Piot size: )
1.6�.�
2.
3.
4.
5-
Hydrophytic
Vegetation
= Total Cover
50% of total carver:
20% of total cover: !
Present? Y No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

SOIL Sampling Point: �'�` "� "$,
Profile Description: (Describe to the depth needed to document the Indicator or confirm the absence of Indicators.)
Depth Matrix
Redox Features
(inches) Color moist %
Color (mast) OA Twel
Texture Remarks
e4 ji, y (®o
Vit tocorA
J4—z
w_ r" i
l!t%q Cit
'Type: C=Concentration, D=De letion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless othernise noted.)
Indicators for Problematic Hydric Soils?:
_ Histosol (A1)
a Polyvalue Below Surface (S8) (LRR S, T, U)
_ 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U)
_ 2 cm Muck (A10) (LRR S)
_ Black Histic (A3)
Loamy Mucky Mineral (F1) (LRR O)
Reduced Vertic (F18) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19) (LRR P, S, T)
_ Stratified Layers (A5)
Depleted Matrix (F3)
Anomalous Bright Loamy Soils (F20)
_ Organic Bodies (A6) (LRR P, T, U)
_ Redox Dark Surface (F6)
(MLRA 153B)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Depleted Dark Surface (F7)
_ Red Parent Material (TF2)
_ Muck Presence (A8) (LRR U)
_ Redox Depressions (F8)
_ Very Shallow Dark Surface (TF1 2)
_ 1 cm Muck (A9) (LRR P, T)
_ Marl (F10) (LRR U)
_ Other (Explain in Remarks)
_ Depleted Below Dark Surface (Ai 1)
_ Depleted Ochric (F11) (MLRA 151)
_ Thick Dark Surface (Al 2)
_ Iron -Manganese Masses (F12) (LRR O, P, T) 31ndicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
_ Sandy Mucky Mineral (81) (LRR O, S)
_ Delta Ochric (F17) (M LRA 151)
unless disturbed or problematic.
_ Sandy Gieyed Matrix (S4)
_ Reduced Vertic (F18) (MLRA 150A, 1506)
_ Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Stripped Matrix (S6)
_ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
_ Dark Surface (87) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? x No
Remarks:
1
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region —Version 2.0

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Project/Site: � 1a5 City/County: F��"t'ya^^�+
iietlwD.�tofIvIl' QaSampling Date: !!• ZA
-14
Applicant/Owner. State: Vie- SamplingPant: V��e,
Investigator(s):
5 } E t - dab ze°r"�FCk` Section, Township, Range: A"'k - E e
Landform (htlislope, terrace, etc.): 1( '\W- clew- Local relief (concave, convex, none): VI -A AC Slope
Subregion (LRR or MLRA): AkA*°* W VN Let: Long: ��% - _NS 3-4 Datum: NA
Soil Map Unit Name: �° �ro�o \oa«+.y 50^6 NWI classification:
Are climatic / hydrologic conditions on the site typical for this time of year?- Yes X No (If no, explain in Remarks.)
Are Vegetation K , Soil , or Hydrology V significantly disturbed? Are 'Normal Circumstances" present?Yes X No
Are Vegetation 1K , Soil , or Hydrology X 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? GLX No Is the Sampled Area
Hydric Soil Present? Yes o X within a Wetland? Yes No
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauiredl
Primary Indicators (minimum of one is required:
check all that apply)
_ Surface Soil Cracks (138)
_ Surface Water (A1)
_ Aquatic Fauna (613)
_ Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
, Marl Deposits (615) (LRR U)
Drainage Patterns (610)
— Saturation (A3)
_ Hydrogen Sulfide Odor (Cl)
Moss Trim Lines (1318)
Wafer Marks (B1)
_ Oxidized Rhizospheres along Living Roots (C3)
_ Dry -Season Water Table (C2)
_ Sediment Deposits (B2)
_ Presence of Reduced Iron (C4)
— Crayfish Burrows (C8)
_ Drift Deposits (B3)
_ Reoerd Iron Reduction in Tilled Soils (06)
_ Saturation Visible on Aerial Imagery (Cg)
_ Algal Mat or Crust (134)
! Thin Muck Surface (C7)
_ Geomorphic Position (D2)
_ Iron Deposits (135)
Other (Explain in Remarks)
_ Shallow Aquitard (D3)
_ Inundation Visible on Aerial Imagery
(67)
_ FAC -Neutral Test (D5)
Water -Stained Leaves (69)
_ Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
iqA Depth (inches):
I
Water Table Present? Yes
No Depth (inches):
Saturation Present? Yes
No Depth (inches):
Wetland Hydrology Present? Yes No k
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
+,r irr �.,�r.
Absolute Dominant Indicator
Tree Stratum (Plot size: )
%Cover
Species?
Status
eta
"-
2.
FACU species
2.r�a�b+'"v
UPL species
3.
Column Totals:
(A) (B)
4.
-�
5. -
6.
7.
B.
11 V = Total Cover
50% of total cover: S 20% of total cover: t
*,� t a ,:
Saplina/ShrubStratum (Plot size: 9-
Total % Cover of:
Multiply by:
OBL species
1.
1.
30
eta
"-
2.
FACU species
x 4 =
UPL species
3.
Column Totals:
(A) (B)
4.
-�
5.
6.
7.
8. --
50 = Total Cove
50% of total cover: 20°x6 of total cover:
t
Herb Stratum (Plot size: 0 ,0..1 )
1. I`�lit+©Si•e�s�,�w< �ipk{ya�.t.wrv�1 30 @Pfy
2.
3. _
4. _
5.
Sampling '
P 9 Point:�
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: (A)
Total Number of Dominant
Species Across All Strata: (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: lD (AB)
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
x 2 =
FAC species
x 3 =
FACU species
x 4 =
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = WA =
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
_ 2 - Dominance Test is >50%
_ 3 - Prevalence Index is 53.0'
r 10 Problematic Hydrophytic Vegetation' (Explain)
Indicators of hydric soil and wetland hydrology must
C be present, unless disturbed or problematic,
0 1 Definitions of Four Veaetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
6. I Sapling/Shrub - Woody plants, excluding vines, less
7 than 3 in. DBH and greater than 3.28 R (1 m) tall.
8.
9.
10.
11.
12.
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 it in
height.
Hydrophytic
Vegetation
Present? Ye x No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0
g0
= Total Cover
50°x6 of total cover:
2S 20% of total cover: lt)
Woody Vine Stratum (Plot size: f too c )
1.2.
-�
4.
5.
440
= Total Cover
50% of total cover:
PL 0 20% of total cover:
Herb -All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 it in
height.
Hydrophytic
Vegetation
Present? Ye x No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
(Describe to the
or
Depth Matrix Redox Features
(inches) Color (mast) %o Color (moist) % Tvoe Loc
O- U t o Yf2, Sia t tali
&- Q4 10 Y (O!f$ Pf'3*
Sampling Pant: OPV,--'-'
Texture Remarks
`ea�w,y yG�e
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining M=Matrix.
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)
Indicators for Problematic Hydric Soile:
Histosol (Al)
_ Poiyvalue Below Surface (S8) (LRR S, T, U)
_ 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U)
_ 2 cm Muck (A10) (LRR S)
_ Black Histic (A3)
_ Loamy Mucky Mineral (F1) (LRR O)
Reduced Vertic (F18) (outside MLRA 150A,B)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Sails (F19) (LRR P, S, T)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
_ Anomalous Bright Loamy Soils (F20)
_ Organic Bodies (A6) (LRR P, T, U)
_ Redox Dark Surface (F6)
(MLRA 153B)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
_ Depleted Dark Surface (F7)
_ Red Parent Material (TF2)
_ Muck Presence (A8) (LRR U)
_ Redox Depressions (F8)
_ Very Shallow Dark Surface (TF72)
_ 1 cm Muck (A9) (LRR P, T)
— Marl (F10) (LRR U)
_ Other (Explain in Remarks)
_ Depleted Below Dark Surface (A71)
_ Depleted Ochric (F11) (MLRA 151)
_ Thick Dark Surface (Al2)
_ Iron -Manganese Masses (F12) (LRR O, P, T)
31ndicators of hydrophytic vegetation and
_ Coast Prairie Redox (A16) (MLRA 150A)
_ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
_ Sandy Mucky Mineral (81) (LRR O, S)
_ Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
_ Sandy Gleyed Matrix (S4)
_ Reduced Vertic (F18) (MLRA 150A, 150B)
_ Sandy Redox (S5)
— Piedmont Floodplain Soils (F19) (MLRA 149A)
_ Stripped Matrix (S6)
_ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
_ Dark Surface (S7) (LRR P, S, T, U)
Type:
Depth (inches):
Remarks:
Hydric Soil Present? Yes `131 —
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -Version 2.0

REFEREN(�E5-
tj
tj
DEED f3K 155bi P6 1046
j
E3NDY 5URVEY ENTITLED: MITGHELL AND HILLIAM5/AIKEN PROPERTIE5
A
NG6,6 5TA�ION
V
E3M 200b P(5 q43
BY PRIE5T GRAVEN A550CIATE5 11A�NOLD'11
X
05 132 P6 250
DI5 15602 P6 620
D-/
1201 GROUND 015TAWE
EX15TIN 5cl 135 6RID 015TANCE
C) EP --V
ORY5TALHATER OR I "\,/ —\V
kc GRIP COORDINATES
'r U
J,
I - 1 -1-( L
E 2OW422125
EIP
L172 TIE TO FFOKRTY LINE ...........
%
NAD b5 (2001) MORC7 XIN GREEK BM2001 -00002 oww
% RYLAND &R4W INC, THE
-N %71%*: ...
LEOEND If Dead Bwk 51 TE nil
KJ'41 014b2cf
DeedPage .......... .......
Kr -46 02W5
4 Dee4sd
PROPERTY LINE
14-14 5F 21
SIte Addres5
HETLAND AREA "E3 KT -44 KX-43
-OY RD
EA5EMENT N� PLF42 8504 RRF
ADJOINER "--'�M6P6AN GREEKIPI�-[ 13M200(7 -�0134 KX-41
162
L161 IILF40
OE— OE— OE— OVERHEAD ELEGTRIG L47 Mraq
L46
C7Q-) UTILITY POLE
L45 L48
A GompuTED POINT
L49
FIRE HYDRANT -(LANP OROUR, INC. L44
THE R GHANNEL L50 VIGINITT" MAP
HATER VALVE -1'75251.50 5F / / \ I
11W A0.
E 15 EX15TINC7 IRON 5TAKE T14ESE VeTLANDS PERE DELINEATED AND FLA46W BY
501L AND EWAROWENTAL cONStILTANT5F&THO5E FIELD
TOTAL NETLAN05= 41116 5F / 1.0e, AG DESIONATEV PETLAND5 KERE THEN aRVEYED BY,
EIP EX15TINC; IRON PIPE TOTAL CHANNEL AREA= 1565 5F 0.11 AC 'Kim PME5T CRAVEN AND A550(-,IATE-5 IW- AND THE
EK 9)6�fl-1513M2094 -01111 REaLTS Or THAT SMVEY ARE 5140M HEREON.
61/1 6UY HIRE
.........
"THIS CERTIFIES THAT TH15 C40PY OF THIS FLAT ACZARATELY DEPICTS THE BOLINDARY OR THE
OF SECTION 404 OF THE CLEM MTER ACT AS DETERMINED BY THE UNDER51GNED ON TH15 DATE.
HETLAND
.................... C)
UNLE55 THERE 15 A CHMIGE I N THE LAW OR OUR PUEL I SHED REGULAT I ONS, THE DETERM I NAT I ON OF
PERENNIAL 5TREAM SECTION 404 JURISDICTION MAY BE RELIED UPON FOR A PERIOD NOT TO EXCEED FIVE (5) YEARS FROM
..............
. . . . . . . . . . . ...... THIS DATE. THE UNDERSIGNED COMPLETED THIS DETERMINATION UTILIZING THE APPROPRIATE REGIONAL
v:',
W=32 SUPPLEMENT TO THE Iq87 U.S.ARMY CORPS OF ENGINEERS kETLMD5 DELINEATION MANUAL'.
ev
MEMLATOW 0MIVAL
K.F24 TITLE
K.F28
DATE
HY26 WACa ACTION 10 KO.,
VARIABLE HOTH RM IP,
z
PROPERTY LINE 0
0/ N
FIR
N, 50'RIPARIAN BUFF
W54
20'TONN OF FUCSWAY-VAMNA HATER EA5EMENT
,,t,w
1't��
DRAIN PIPE 141W
50, RIPARIAN BUFFER 12 . . . . . . . . . . . . . . . . . .
L143
KJM-
141:67
EX15TINO K.F21
Z/ L144
Omer
ROLLIN5, JENNIFER E3ETT5 ROLLIN5, BRYANT ALAN NOIER ROAD
KJffq DEATON DR.
Deed Book
50, RK
(00, RM
01314b
Deed Page
Kr -61
Kr* 50.
02425
Kr -62
KJq4
Deeded Acreage . . . . . . . . . . . . . . . . .
AMBER RID6E PI -12i BM20p'
51te Addre55
11-10 ANC71ER RD =j
KJ92
KJ91
L152
(D"'
VLF40 "S-66
HETLAND AREA "A"
L153 5TANDIN5
(001 45642 5F NOT INGLUDIN6 CHANNEL A N
KATER
RM
L154
7
KSVI ;;A
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MOIRAL 51CNAWRE, R155�STRATION RMER AND 5EAL 7" njNy� OF DEG, 2014.
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3QO 15,0 15Q 300 su
1200 ANVER RD
KI�OALL CRE5T qf. IEL i ff
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1 21 --1
5CALE: 1"=150' NETLAND PRlEST,%'-/ RAVEN &AsSOCIATES,INC.
AN%,-'5'�IER ROAD DATE: 1210a/14 LAND USE CONSULTANTS PLANNERS / LANDSCAPE DESIGNERS / SURVEYORS / ENGINEERS 01=
5POW30REID 5Y.THE RYLAND 6ROUP, IW,. FUGUAY VARINA, W, PRO -E( -T: 2012-015.001 DELINEATION MAF 3803 - B Computer Drive, Suite 104 Raleigh, N.C. 27609 � Phone 919 / 781-0300, Fax 919 / 782-1288. Email [e-mail] :2
2014/47

AMBER RIDGE PHASE 5
SUBDIVISION
CAPE FEAR BASIN
WETLAND AND BUFFER IMPACT EXHIBITS
FU Q UAY-VARI NA, NORTH CAROLINA VWW& DAM_HOMZM& DAM
,,�
COVER
SHEET I OF 8
r.�vra vavr�rsxvnes�»ia-oij.mi mvea saaw-�aiog,mrinoMuc�irorrn x-»i»ism-irorcrs. ws, ro. m,»ia as rn. orx
1YI0INITY MAP
GON5ULTANT:
I MPAGT TABLE
IMPACT IMPACT TYPE
NUMBER LOCATION
SHEET 3 AND 4 OF 8 CH, NB, ZI, Z2, 4 JW
2 SHEET 5 OF 8 GH, NB, ZI, Z2, 8 JW
3 SHEET 6 OF 8 NB, ZI AND Z2
4 SHEET 6 OF 8 NB, ZI AND Z2
PURP05E
PUBLIC ROAD CRO551NCG
SANITARY 5EWER CRO551NCG
BMP OUTLET PIPE TO CHANNEL
BMP OUTLET PIPE TO CHANNEL
GH = CHANNEL, JW = JURISDICTIONAL l^ETLAND, IN = 150LATED 1^ETLAND,
GB = GAPE FEAR BUFFER, ZI = ZONE I, Z2 = ZONE 2
PRIEST,CRAVEN & ASSOCIATES, INC.
PLANNERS / LANDSCAPE DESIGNERS / SURVEYORS / ENGINEERS
3803 - B COMPUTER DRIVE, SUITE 104, RALEIGH, N.C. 27609
PHONE 919 / 781-0300 FAX 919 / 782-1288
EMAIL [e-mail] FIRM#: C-0488
DEVELOPER AND MPLIGANT:
CalAtlantic Homes
1 100 Perimeter Park Drive Suite 112, Morrisville, NC 27560
Phone [phone]
5HEET I NDEX
I OF 8
COVER SHEET
2 OF 8
120' 5GALE OVERALL 51TE LAYOUT WITH IMPACTS
3 OF 8
20' 5GALE IMPACT #1 MAP, BUFFER5
4 OF 8
20' 5GALE IMPACT #1 MAP, WETLANDS
5 OF 8
20' 5GALE IMPACT #2 MAP, BUFFERS AND WETLANDS
6 OF 8
20' SCALE IMPACT #3 AND 4 MAP, BUFFERS
1 OF 8
CULVERT GROSSING EXHIBIT
8 OF 8
IMPACT CHART
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BJ�ORBYiOiITDi(i!
°°INT
1-800-632-490
f;ZE1/151ON5:
ORIGINAL DATE. MARCH 2016

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(5.F)
(S.F)
1
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1 3044
1 10,188
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OVERALL LAYOUT IMPACT 1 W W
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IMPACT
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NO.
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ZONE 2
ZONE I
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(5.F)
(5.F)
(L.F)
(5.F)
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(5.FJ
(5.F) (5.F)
2
5
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OVERALL LAYOUT
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IMPACT
IMPACT #
NO.
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TOTAL
(S.F)
(5.F)
(S.FJ
3
6
18
405
423
4
6
233
1
513
'146
OVERALL LAYOUT
SPIFFY 6 OF 8
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SH��T 8 O� 8
MPAGTS
JURISDIGT. .1l1RiSDIGT. IMPORTANT IMPORTANT UN-IMPORTANT UN-IMPORTANT IMPORTANT IMPORTANT UN-IMPORTANT UN-IMPORTANT
WETLAND WETLAND CHANNEL CHANNEL CHANNEL CHANNEL CHANNEL CHANNEL CHANNEL CHANNEL BUFFER BUFFER WETLANDIMPAGT WETLANDIMPAGT BUFFER
NEW SHEET IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT IMPACT WITHIN WITHIN IMPACT REASON FOR
IMPACT # NO. PERM. TEMP. PERM. TEMP. PERM. TEMP. PERM. TEMP. PERM. TEMP. ZONE I ZONE 2 ZONE I ZONE 2 TOTAL IMPACT
(S.F) (S.F) (S.F) (S.FJ (S.F) (S.F) (L.F) (L.F) (LF) (L.F) (S.F) (S.F) (S-FJ (S-F) (Sp)
I 344 8025 - blq - - - 120 - - - 6,c1444 3,844 b,g44 2,14q 10,'i88 PUBLIC STREET X-INC
2 5 - 186 - Iq-! - - - 22 - - 1,52q 853 Iq7 186 2,382 SANITARY SEWER X-11463 - 18 405 - - 423 STORM DRAINAGE OUTLET
4 - 233 513 - - l46 STORM DRAINAGE OUTLET
TOTALS= 8025 186 blq ICI-1- - 120 22 - - 8,'124 5,615 "1,141 2,335 14,3
OVERALL LAYOUT
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