20160882 Ver 1_401 Application_20160909

0 c, V4p77 gpG206 ® Office Use Only:
1
Corps action ID no.
a < DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A. Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: NWP 14 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑ Yes
® No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
® 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 ® No
For the record only for Corps Permit:
❑ Yes ® 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
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Brenton Jarrett Property
2b.
County:
Rowan
2c.
Nearest municipality / town:
China Grove
2d.
Subdivision name:
2e.
NCDOT only, T.I.P. or state
project no:
L n
H/
3.
Owner Information
2016
3a.
Name(s) on Recorded Deed:
Jarrett DEQ_ WATE
3b.
Deed Book and Page No.
754/080Ef�PERMIj71ES
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
PO Box 639
3e.
City, state, zip:
China Grove, NC 28023
3f.
Telephone no.:
704.791.0883
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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:
Bradley S. Luckey
5b. Business name
(if applicable):
Pilot Environmental Inc.
5c. Street address:
PO Box 128
5d. City, state, zip:
Kernersville, NC 27285
5e. Telephone no.:
336.708.4997
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 13
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
119 098
1 b. Site coordinates (in decimal degrees):
Latitude: 34.95196 Longitude: - 80.48224
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
21 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Grants Creek
proposed project:
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Yadkin
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:
The site contains undeveloped timbered land and wooded land. Structures are not located on the site. The site is
located in a residential/rural area of China Grove.
3b. List the total estimated acreage of all existing wetlands on the property:
—0.50 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
—2,200 LF
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to provide access so that the property can be utilized for residential and
agricultural purposes.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of the construction of a single family residence and assoicated agricultural structures to utlize
the site for residential and agricultural purposes. In order to provide access to the site, a driveway crossing is necessary.
The majority of the site has been cleared and is actively being stumped/grubbed. To facilitate installation of the driveway
crossing and to continue stumping/grubbing activities, it will be necessary to utilize excavators, graders and other heavy
equipment.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
El Yes El No ®Unknown
project (including all prior phases) in the past?
Comments: The Corps visited the site 08.30.16.
4b. If the Corps made the jurisdictional determination, what type
El Preliminary ❑Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Pilot Enviromental, Inc.
Name (if known): Michael Brame
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Currently a JD has not been requested.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Mr. Jason Randolph with the USACE visited the site on 08.30.16.
Page 3 of 13
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a. Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
The project is not part of a phased project. Impacts to streams/wetlands, outside of those proposed in this application,
are not anticipated as a result of the proposed project.
Page 4 of 13
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
❑ Wetlands ® Streams - tributaries ❑ 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.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non404, other)
(acres)
Temporary T
W1 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W2 [-]PMT
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g. Total wetland impacts
2h. Comments: Wetland impacts are not proposed.
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.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -
(PER) or
(Corps - 404, 10
stream
length
Permanent (P) or
intermittent
DWQ — non404,
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ®P ®T
Culvert/Rip-
Rap/Pump Around
Unnamed
® PER
❑ INT
® Corps
❑ DWQ
4
32/33/30
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
32/33/30
3i. Comments: The area of the driveway crossing has an existing 24 linear foot 48" RCP culvert. The applicant recently
replaced a dilapidated and failed 15" CMP culvert with a 48" RCP culvert. According to the applicant, the replacement of the
15" CMP culvert with the 48" LF RCP culvert occurred within the same approximate culvert footprint. Based on civil design
and implications with the crossing being located within the 100 year floodplain and other existing conditions (including the
culvert/stream angle), it is necessary to upgrade the existing stream crossing. The existing 24LF 48" RCP will be replaced
Page 5 of 13
PCN Form — Version 1.3 December 10, 2008 Version

with off -set 48" and 36" RCP culverts. The 48" culvert will be the primary culvert that will be buried beneath the existing
stream bed. The 36" culvertwill be at grade and will only contain water during precipitation events. To accommodate 100
year flood events and correct the existing conditions, based on civil design, it is necessary to increase the existing culvert
footprint by 8 additional linear feet of stream impact resulting in a permanent stream impact from culvert being 32 linear feet.
Additionally, rip -rap to protect the proposed culvert(s) inlet and outlet will be keyed into the stream bed and bank resulting in a
permanent impact to 33 LF of stream. The rip rap impacts result in no net loss of stream channel. The applicant will utilize a
pump around to complete the culvert replacement in the dry. The pump around will temporarily impact 30 linear feet of stream
channel. Areas of temporary stream impact will be restored to similar pre -construction conditions, matted and re -vegetated.
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 individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
Name of waterbody
impact number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑ PEI T
03 ❑P❑T
04 ❑P❑T
4f. Total open water impacts
4g. Comments: Open water impacts are not proposed.
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
number
of pond
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
P1
P2
5f. Total
5g. Comments: Construction of ponds/lakes are not proposed.
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:
Page 6 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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.
❑ Neuse ❑ Tar -Pamlico ® Other: Yadkin
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
im act
required?
61 ❑ PEI T
El Yes
❑ No
B2 ❑P❑T
El Yes
❑ No
B3 ❑P❑T
El Yes
❑ No
6h. Total buffer impacts
6i. Comments: The site is located within the Yadkin Pee -Dee River Basin. Buffer impacts are not being proposed.
D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the use of the site for residential and agricultural purposes, a driveway must be constructed to provide access to the
site from NC Highway 152. Other access options that avoid the stream crossing are not possible. The stream crossing has
been designed to be in the location previously impacted with an agricultural driveway crossing, thus, minimizing the net loss to
aquatic features and habitat located on the site. Additionally, the stream crossing will be buried at least one foot below the
native stream bed elevation to reduce adverse impacts to aquatic movement. Rip -rap, used for energy dissipation and culvert
stabilization, will be keyed into native bed/bank elevation, thus, resulting in no net loss of stream channel or aquatic habitat.
Residential and agricultural development are proposed on high ground. Construction of a residence and required agricultural
structures to use the site for livestock production have been designed to avoid impacts to other streams or wetlands located
on the site.
There is approximately 0.50 acres of wetland and 2,200 linear feet of stream channel located on the site. The wetlands and
remaining 2,145 linear feet of stream channel are being avoided.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The clearing limits will be staked and silt fence will be used. A temporary coffer dam will be installed upgradient of the
proposed culvert replacement. During construction, water will be pumped around the construction footprint. The existing
culvert will be excavated, removed and disposed of on high ground. Appropriate stream bank protection will be provided in
the channel during construction and all excess excavated material will be immediately removed from the stream bank crossing
area. Upon completion of the culvert installation, the temporary sand bag coffer dams will be removed and flow will be diverted
through the culvert. Following construction, disturbed banks will be restored to similair pre -construction conditions, matted and
seeded/re-vegetated.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ® No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
[J Payment to in -lieu fee program
project?
❑ Permittee Responsible Mitigation
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PCN Form — Version 1.3 December 10, 2008 Version

3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type
Quantity
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
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.
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
buffer mitigation?
❑ Yes ® No
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.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(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:
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PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® 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.
❑ Yes ❑ No
Comments:
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
<5 %
2b. Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Based on the % impervious, a
stormwater management plan is not requried.
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e. Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
❑ 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 ❑ 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
❑ Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 9 of 13
PCN Form — Version 1.3 December 10, 2008 Version

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 ® 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)?
1c. 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: A NEPA or SEPA is not required as part of this project.
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 ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s): The initial culvert
replacement that recently occurred at the stream crossing is a potential violation. However, the applicant was not aware of
regulations due to the change of use of the crossing for just former agricultural purposes to residential and agricultural
purposes did not comply with the requirements of a non -reporting NWP 3. Therefore, the applicant has submitted this
application to appropriately comply with regulations to adequately upgrade and replace the culvert.
Additionally, during clearing and grubbing the site, the applicant inadvertently and unknowingly potentially placed fill in an
assumed wetland. The approximate location of the assumed wetland was delineated in the field by Mr. Jason Randolph with
the USACE during an August 30, 2016 field visit to the site. The area of fill is located up -gradient of a wooded, linear wetland
that is approximately one to three feet wide. The linear wetland in the wooded area contains saturated soil at approximately 4
to 8 inches below ground surface. Hydric soil criteria meeting the F3 indicator is present in this area. Vegetation is sparse to
not present in the base of the linear wetland in the wooded area.
It is reasonably ascertainable based on the presence of the linear wetland in the wooded area immediately down -gradient of
the area of clearing/grubbing and soil indicators in the cleared/grubbed area that the applicant placed approximately 6 to 10
inches of fill in an area no wider than 4 feet wide and no longer than 100 feet long. The area of potential fill is estimated to be
no larger than 400 square feet. The applicant understands that the placement of un -permitted fill in this wetland is a potential
violation of un -permitted fill and state water quality standards. As such and to avoid violation, enforcement or fine from the
USACE or NCDEQ-DWR, the applicant proposes to immediately remove approximately 6 to 10 inches of soil material from
this area. Excavated material from this area will be disposed of on high ground and immediately seeded to avoid
sedimentation to down -gradient water bodies. Follow removal of 6 to 10 inches of soil material, the applicant will immediately
seed and straw the area. Currently, silt fence is present between the linear wetland in the wooded area and the
cleared/grubbed area. The silt fence will remain in place and will not be removed until the excavated soil material is stabilized
with vegetation.
The USACE has requested that the applicant cease all ground disturbance activities on the site. To date, the applicant has
complied with this request. However, in attempts to minimize the degradation to water quality caused by this potential
unpermitted fill, the applicant requests to perform the above scope of work immediately in an attempt to restore the
cleared/grubbed area to pre -clearing conditions outside of their request for the proposed driveway crossing culvert
replacement.
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PCN Form — Version 1.3 December 10, 2008 Version

3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® 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.
We are not aware of additional development that will impact nearby 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.
The single family residence will utilize an on-site septic system. Impacts are not proposed for wastewater generation.
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PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
El Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
PEI consulted the USFWS Endangered Species, Threatened Species, Federal Species of Concern, and Candidate
Species List for Rowan County. Three federally listed protected species are identified on the list: the bald eagle,
Schweinitz's sunflower and the Northern long-eared bat (NLEB). Based on our site observations, the site does not
contain suitable habitat or large water bodies capable of supporting the bald eagle. Therefore, we have made the
determination that the proposed project is not likely to disturb the bald eagle.
Schweinitz's sunflower occurs in full to partial sun and is found in areas with poor soils, such as thin clays that vary from
wet to dry. It is believed that this species once occurred in natural forest openings or grasslands. Many of the remaining
populations occur along roadsides. The proposed project is utilizing an existing entrance from NC Highway 152.
Additionally, the project area was formerly wooded. Based on conditions in existing wooded areas, suitable habitat for
this species was not likely present on the site outside of the existing roadside along NC Highway 152. Alteration to the
roadside along NC Highway 152 is not proposed. Additionally, the creation of more "edge" habitat throughout the site in
areas of transition between pasture land and wooded land, outside of the USACE project area, will potentially afford
greater suitable habitat for this species. Based on our understanding of the project, development outside of the USACE
project area, and knowledge of this species, we have made the determination of no effect for this species.
Hibernacula is not present within or outside the USACE project area. Additionally, few trees have been removed within
the USACE project area and wooded area that could afford suitable summer roosting habitat for this species is present
and will remain on areas outside or in the immediate vicinity of the USACE project area. The remainder of the site,
outside of the USACE project area, has been cleared to convert wooded land to pasture land. Suitable summer roosting
habitat of no greater than one acre has occurred in the vicinity of the proposed driveway crossing. This activity is not
located with one-quarter mile of known NLEB hibernacula or within 150 feet of known NLEB summer roosting trees. The
applicant requests that the USACE inform the USFWS that the proposed activity will comply with the 4(d) regulations for
NLEB and that no greater than one acre of suitable summer roosting habitat will be lost as a result of the proposed
driveway crossing.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Based on our knowledge of the site, the site is not located in or near an area designated as essential fish habitat. Best
management practices and the use of temporary sediment and erosion control devices will prevent sediment from entering
down -gradient waterbodies which may contain fish.
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PCN Form — Version 1.3 December 10, 2008 Version

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 ® 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?
The NC SHPO HPO website identifes nearest known eligible cultural reosurces to be located greater than 4,000 feet from
the site. A copy of the NC SHPO HPO is included as an attachment (Drawing 6).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
® Yes ❑ No
8b. If yes, explain how project meets FEMA requirements: A flood study has been conducted for the proposed driveway
crossing. The crossing has been designed to accommodate 100 year flood events. A copy of the flood study and
construction design to comply with FEMA requirements is included in this application.
8c. What source(s) did you use to make the floodplain determination? 3710562700J and 3710562600J (Drawing 4)
'^ Digitally signed by Bradley S. Luckey
!l ;' DN: cn=Bradley S. Luckey, o=Pilot
Bradley S. Luckey
Environmental, Inc., ou,
'�% ;' email=[e-mail], c=US
9.8.15
Date: 2016.09.08 14:49:46 -04'00'
Applicant/Agent's Printed Name
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 13 of 13
PCN Form — Version 1.3 December 10, 2008 Version

W N - 152 N14v
t
---
LOCATION MAP
200 0 200 400
j
1" = 5000'
l
a
DRAWING LEGEND
LIDAR INDEX CONTOURS 770
MALE 1" 200'
LIDAR INTERMEDIATE CONTOURS
alley, wllllams, carmen, & king, Inc.
i
FEMA STREAM CENTERLINE — — -- —
sr 8.25-16
I
FEMA 1% ANNUAL CHANCE FLOOD LINE
1 Added detall/notes for Corp 9-7-18 Gww
Permit 8 corrected pipe label
CONSULTING ENGINEERS
FEMA CROSS SECTIONS 5898
1 • = z00 o"aM M RCC
PROMn:
SITE MAP`
NEW CROSS SECTIONS 5470
f
PROPERTY LINE
CHINA GROVE TOWN LIMITS . - - - -
U'S,NC 909
t
i
NOTES:
t
KANNAAP' 704/938-155
1.
THE TOPOGRAPHICAL AND PLANIMETRIC DATA SHOWN ON THIS MAP ARE BASED ON
ROWAN COUNTY GIS DATA.
2.
THE AERIAL PHOTOGRAPH SHOWN ON THIS MAP IS BASED ON GOOGLE MAPS
IMAGERY.
3.
THE FEMA FLOOD HAZARD DATA, STREAM CENTERLINE AND CROSS SECTIONS FOR
'
FIVE FORKS TRIBUTARY SHOWN ON THIS MAP ARE BASED ON THE NORTH CAROLINA
I
FLOODPLAIN MAPPING PROGRAM GIS DATA. THIS AREA IS SHOWN ON FEMA FIRMA
MAPS NUMBER 3710562700) AND 3710562600K, DATED 6/16/2009.
4.
THE PROPERTY LINE SHOWN ON THIS MAP IS BASED ON A SURVEY PREPARED BY
DAVID M. MEDLIN, PLS.
5.
THIS MAP DOES NOT SHOW THE LOCATION OF ABOVE GROUND OR BELOW GROUND
UTILITIES. THE LOCATION OF UTILITIES MUST BE LOCATED PRIOR TO THE START OF
CONSTRUCTION.
6.
THE ENGINEER HAS MADE NO EXAMINATION TO DETERMINE WHETHER ANY
HAZARDOUS OR TOXIC MATERIALS ARE PRESENT OR CONTAINED IN, UNDER OR ON
THE SUBJECT PROPERTY OR ITS WATERS, OR IF ANY HAZARDOUS OR TOXIC
MATERIALS HAVE CONTAMINATED THIS OR OTHER PROPERTIES OR ITS WATERS IN
ANY WAY WHATSOEVER, NO SUBSURFACE EXAMINATION OF ANY TYKE HAS BEEN
MADE BY THE ENGINEER, AND ACCORDINGLY, NO OPINION IS RENDERED AS TO ANY
VIOLATION OF ANY ENVIRONMENTAL LAWS OR REGULATIONS, EITHER FEDERAL,
STATE, OR LOCAL RELATED TO THE INFORMATION SHOWN ON THIS PLAN AND THE
ENGINEER IS IN NO WAY LIABLE FOR ANY VIOLATION OF SUCH ENVIRONMENTAL
LAWS SHOULD SUCH EXIST.
---
200 0 200 400
600
MALE 1" 200'
alley, wllllams, carmen, & king, Inc.
JARRETT FLOOD STUDY
m. No. DESOU " DAN ROM
sr 8.25-16
. 16520
1 Added detall/notes for Corp 9-7-18 Gww
Permit 8 corrected pipe label
CONSULTING ENGINEERS
FIVE FORKS TRIBUTARY
1 • = z00 o"aM M RCC
PROMn:
SITE MAP`
"° 2
FIRM {!CENSE No. F-0203
GVM
U'S,NC 909
ROWAN COUNTY, NORTH CAROLINA
KANNAAP' 704/938-155

�OW 111III//,//�
N,%
O�•'FESS/p''• �%i'�
�� QUO �-y�'• �
SEAL '-
-
16883
SLEY G
I s'o
Q SITE
a
O WN 5
PATTE SON ST
�x
r
J
LOCATION MAP
1 " = 5000'
DRAWING LEGEND
LIDAR INDEX CONTOURS
LIDAR INTERMEDIATE CONTOURS
FEMA STREAM CENTERLINE
FEMA 1 % ANNUAL CHANCE FLOOD LINE
FEMA CROSS SECTIONS
NEW CROSS SECTIONS
PROPERTY LINE
CHINA GROVE TOWN LIMITS
770
5898
5470 '
PROPERTY DATA
OWNER: BRENTON R. JARRETT & WF TORRIE J. JARRETT
PIN: 119 098
LEGAL: DB 1268, PG 850
NOTES:
\ C p ' `-' ' I I \ \ 1. THE TOPOGRAPHICAL AND PLANIMETRIC DATA SHOWN ON THIS MAP ARE BASED ON
ROWAN COUNTY GIS DATA.
2. THE FEMA FLOOD HAZARD DATA, STREAM CENTERLINE AND CROSS SECTIONS FOR
FIVE FORKS TRIBUTARY SHOWN ON THIS MAP ARE BASED ON THE NORTH CAROLINA
FLOODPLAIN MAPPING PROGRAM GIS DATA. THIS AREA IS SHOWN ON FEMA FIRMA
MAPS NUMBER 3710562700J AND 3710562600K, DATED 6/16/2009.
3. THE PROPERTY LINE SHOWN ON THIS MAP IS BASED ON A SURVEY PREPARED BY
DAVID M. MEDLIN, PLS.
4. THIS MAP DOES NOT SHOW THE LOCATION OF ABOVE GROUND OR BELOW GROUND
UTILITIES. THE LOCATION OF UTILITIES MUST BE LOCATED PRIOR TO THE START OF
CONSTRUCTION.
20 . _ ( /� _ ,%/'-� 1 I / 5. THE ENGINEER HAS MADE NO EXAMINATION TO DETERMINE WHETHER ANY
HAZARDOUS OR TOXIC MATERIALS ARE PRESENT OR CONTAINED IN, UNDER OR ON
THE SUBJECT PROPERTY OR ITS WATERS, OR IF ANY HAZARDOUS OR TOXIC
MATERIALS HAVE CONTAMINATED THIS OR OTHER PROPERTIES OR ITS WATERS IN
-_�—Ou ANY WAY WHATSOEVER, NO SUBSURFACE EXAMINATION OF ANY TYIPE HAS BEEN
0 \200 1 400 600 MADE BY THE ENGINEER, AND ACCORDINGLY, NO OPINION IS RENDERED AS TO ANY i
VIOLATION OF ANY ENVIRONMENTAL LAWS OR REGULATIONS, EITHER FEDERAL, j
STATE, OR LOCAL RELATED TO THE INFORMATION SHOWN ON THIS PLAN AND THE I
SCALE :� 1 = 200 �`/ ENGINEER IS IN NO WAY LIABLE FOR ANY VIOLATION OF SUCH ENVIRONMENTAL
LAWS SHOULD SUCH EXIST.
alley, williams, carmen, & king, Inc. JARRETT FLOOD STUDY REKNn. OESCRIpnON DATE IWTIAL SCALE 8.25-16 im ' 16520
CONSULTING ENGINEERS 1 Added detail/notes for Corp 9-7-16 GW W 1• = 200' iW 0*
FIVE FORKS TRIBUTARY Permit & corrected pipe label 1z°° SITE MAP MIT N0. 1
FIRM LICENSE No. F-0203 PROFlLE
1KANNAP� S. NC 2 0 2 P.O. BOX 1248 704/938-1515 ROWAN COUNTY, NORTH CAROLINA Rte: a��, Gww

1
r*
i
I , /'
r �
FEMA STREAM CENTERLINE / do
FEMA 1 % ANNUAL
CHANCE FLOOD LINE �� \
DRAWING LEGEND
EXISTING INDEX CONTOURS —
EXISTING INTERMEDIATE CONTOURS
PROPOSED INDEX CONTOURS —
PROPOSED INTERMEDIATE CONTOURS
FEMA STREAM CENTERLINE —
BOTTOM OF CREEK BANK —
FEMA 1 % ANNUAL CHANCE FLOOD LINE —
PUBLISHED FEMA CROSS SECTIONS - 1---'-------- - -
NEW CROSS SECTIONS 5470
PROPERTY LINE
—803-
798
NOTES:
1. THE PROPERTY LINE AND TOPOGRAPHICAL DATA SHOWN ON THIS MAP ARE
BASED ON A SURVEY PREPARED BY DAVID M. MEDLIN, PLS.
2. THE FEMA FLOOD HAZARD DATA, STREAM CENTERLINE AND CROSS SECTIONS
FOR FIVE FORKS TRIBUTARY SHOWN ON THIS MAP ARE BASED ON THE NORTH
CAROLINA FLOODPLAIN MAPPING PROGRAM GIS DATA. THIS AREA IS SHOWN
ON FEMA FIRM MAPS NUMBER 3710562700J AND 3710562600K, DATED 6/16/2009.
3. THIS MAP DOES NOT SHOW THE LOCATION OF ABOVE GROUND OR BELOW
GROUND UTILITIES. THE LOCATION OF UTILITIES MUST BE LOCATED PRIOR TO
THE START OF CONSTRUCTION.
4. THE ENGINEER HAS MADE NO EXAMINATION TO DETERMINE WHETHER ANY
HAZARDOUS OR TOXIC MATERIALS ARE PRESENT OR CONTAINED IN, UNDER
OR ON THE SUBJECT PROPERTY OR ITS WATERS, OR IF ANY HAZARDOUS OR
TOXIC MATERIALS HAVE CONTAMINATED THIS OR OTHER PROPERTIES OR ITS
WATERS IN ANY WAY WHATSOEVER, NO SUBSURFACE EXAMINATION OF ANY
TYPE HAS BEEN MADE BY THE ENGINEER, AND ACCORDINGLY, NO OPINION IS
RENDERED AS TO ANY VIOLATION OF ANY ENVIRONMENTAL LAWS OR
REGULATIONS, EITHER FEDERAL, STATE, OR LOCAL RELATED TO THE
INFORMATION SHOWN ON THIS PLAN AND THE ENGINEER IS IN NO WAY LIABLE
FOR ANY VIOLATION OF SUCH ENVIRONMENTAL LAWS SHOULD SUCH EXIST.
`��11nllttf,,�
O� FESS/0* -���'
SEAL <•�
16883 =
�;C.•�' �NCINEF'�'
f itl
50 0 50 100 150
SCALE : 1" = 50'
alley, williams, carmen, & king, Inc. JARRETT FLOOD STUDY REV. No. oESCRweoN DATE wm0. I Scxc '� 8-25-16 NO. 16520
CONSULTING ENGINEERS FIVE FORKS TRIBUTARY 1 Added detail/notes for Corp 9-7-16 Gww 1-5a °" RCC
t1
now CENSE No. r-0203 Permit & corrected pipe label PROMS CROSS SECTION MAP SwT NO, 3
120 SOUTH PAIN STREET P.O. BOX 1248 ROWAN COUNTY Gww
KANNAPOUS, NC 28082 704/938-1515 , NORTH CAROLINA �:

DRAWING LEGEND
i
CO�� EXISTING INDEX CONTOURS — —803— —
y �
EXISTING INTERMEDIATE CONTOURS
PROPOSED INDEX CONTOURS 798— ----�
PROPOSED INTERMEDIATE CONTOURS
FEMA STREAM CENTERLINE
BOTTOM OF CREEK BANK — — —
Iv� I f <-, • / FEMA 1 % ANNUAL CHANCE FLOOD LINE
PUBLISHED FEMA CROSS SECTIONS
/4D/
NEW CROSS SECTIONS 5470
PROPERTY LINE
! PROPOSED �� t
j f CONCRETE
DRIVEWAY
f
(PING j " , / 804
Sol -
808 ;
8
NOTES:
1. THE PROPERTY LINE AND TOPOGRAPHICAL DATA SHOWN ON THIS MAP ARE
BASED ON A SURVEY PREPARED BY DAVID M. MEDLIN, PLS.
2. THE FEMA FLOOD HAZARD DATA, STREAM CENTERLINE AND CROSS SECTIONS
FOR FIVE FORKS TRIBUTARY SHOWN ON THIS MAP ARE BASED ON THE NORTH
CAROLINA FLOODPLAIN MAPPING PROGRAM GIS DATA. THIS AREA IS SHOWN
ON FEMA FIRM MAPS NUMBER 3710562700J AND 3710562600K, DATED 6/16/2009.
3. THIS MAP DOES NOT SHOW THE LOCATION OF ABOVE GROUND OR BELOW
GROUND UTILITIES, THE LOCATION OF UTILITIES MUST BE LOCATED PRIOR TO
THE START OF CONSTRUCTION.
4. THE ENGINEER HAS MADE NO EXAMINATION TO DETERMINE WHETHER ANY
HAZARDOUS OR TOXIC MATERIALS ARE PRESENT OR CONTAINED IN, UNDER
OR ON THE SUBJECT PROPERTY OR ITS WATERS, OR IF ANY HAZARDOUS OR
TOXIC MATERIALS HAVE CONTAMINATED THIS OR OTHER PROPERTIES OR ITS
WATERS IN ANY WAY WHATSOEVER, NO SUBSURFACE EXAMINATION OF ANY
TYPE HAS BEEN MADE BY THE ENGINEER, AND ACCORDINGLY, NO OPINION IS
RENDERED AS TO ANY VIOLATION OF ANY ENVIRONMENTAL LAWS OR
REGULATIONS, EITHER FEDERAL, STATE, OR LOCAL RELATED TO THE
INFORMATION SHOWN ON THIS PLAN AND THE ENGINEER IS IN NO WAY LIABLE
FOR ANY VIOLATION OF SUCH ENVIRONMENTAL LAWS SHOULD SUCH EXIST.
,
SEAL <•�
16883 =
1 1 20 41 .1
alley, wiliiams, carmen, & king, Inc. J A R R ETT FLOOD STUDY REV` No. °ESCnrPnoN DATE wm-` sra►E 8"25-16 JOB N0' 16520
CONSULTING ENGINEERS 1 Added detaillnotes for Corp 9-7-16 Gvwwwv 1" = 20' sr RCC
rlRN LICENSE No. f -0203 FIVE FORKS TRIBUTARY Permit & corrected pipe label P PROPOSED GRADING PLAN SHEET 4
120 SOUTH IMIN STREET P.O. BOX 1248 ROWAN COUNTY Gww
KANNAPOUS, NC 28082 704/938-1515 , NORTH CAROLINA 1oF. 7

1 PROPOSED 23" OF
CLASS IRIPRAP
804
804
,
J
LPR
.
co
r,
POSED �00
YEAR
LOOD E�EVATIO
CONC
\
TE DRIVEWAY
LL
D
SIGN BY OTHERS
802
I
BYPASS
PUMPING
802
RIPRAP NOT
/
EXISTING GRO
D
KPOSED
• I
SOP N ON FILi
ES FOR
I
!�CLAR
rCONCRETE
DONSWAY
TY. SEE
LAN
'
VIEW OR RIP
P
LI
PROPOSED G
DE
PROPOSED 23" OF Q
\-'�G/
, 1
1 j
LOCATIONS
CLASS I RIPRAP _
"
, '
-" - -
j
I
800
/
I
I
800
•• /
I
I
C � �L -oy�r3 � t � � I (
G
801
t
f
a$
P
pOSED� 132 LF OF
36"
1
iq QQ°e
I
;
/
CLASS IV RCP
2.5961
798
I
798
I
)
\
CID O �rQj
Cu01 r� EXISTING 24 ET OF 48" RCP Be � I
1
_. � _.,._..
_.....
p
_
POSED' 32 LF OF
4$"
l %n REMOVED
`
I >
O
O
O
(1 FOOT
CLA
URY D
� I RC
@ 2.5% !
796
m
796
BYPASS
PUMPING �' "l -A� O�-n v�
DIKE ' ' (i) „Vi
I
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I
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a^^i rn I
0 Yp
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F-
1
I
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F-
00 1
/
I ;
- _
� �
J
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794
I
94
0+00
0+10
0+20 0+30 0+40 0+50 0+60 0+70
STREAM IMPAC T NOTES:
CARO
TEMPORARY STREAM IMPACTS: 30 LF (BYPASS PUMPING DIKES)
�O� ••••ESS/•••`��i�%
PERMANENT STREAM IMPACTS: 32 LF OF CULVERT
_ ��<•�.9 /�
18 LF OF RIPRAP (UPSTREAM)
:•QUO
= SEAL
15 LF OF RIPRAP (DOWNSTREAM)
=
= 16883 —
NOTES:
•,
':�••��CINE��'
1. CULVERT CONSTRUCTION IS TO OCCUR IN THE DRY. THE STREAM SHALL BE
�'�i �FS ,,,,, •e�0`��
PUMPED AROUND THE WORK AREA DURING INSTALLATION OF THE PIPE AND
RIPRAP. SEE THE CONSTRUCTION DETIAL ON SHEET 7.
2. IN AREAS WHERE RIPRAP IS TO BE INSTALLED, THE AREA IS TO BE EXCAVATED
IN ORDER TO ALLOW THE RIPRAP TO BE EMBEDED INTO THE STREAM BANKS
AND BED. THE TOP SURFACE OF THE RIPRAP SHOULD MATCH THE PROPOSED
/
GRADES SHOWN ON THE GRADING PLAN.
10
0 10
20
3. 100 YEAR FLOOD ELEVATIONS SHOWN ON THE PROFILE ARE BASED ON THE
30
HECRAS PROPOED MODEL OF THE STREAM CROSSING.
SCALE :
1" = 10'
alley, willlams, carman, & king, Inc.�•
JARRE FLOOD STUDY
"^• � +
DATE wmhL srxt: 8.25-16
16520
CONSULTING ENGINEERS
new UCEMSE No. r-0203
FIVE
FORKS TRIBUTARY
1
Added detail/notes for Corp
Permit & corrected pipe label
9-7-16 GW
W 1" = 117 on RCC
PROFILE
PROPOSED
CULVERTS
ULVERTS
SHEET NO. 5
P.O. Box 1248
I
ROWAN
COUNTY, NORTH CAROLINA
2
Corrected addilonal pilabel
"
9-8-,s Gw GW"120SOTHUAY
PLAN &
PROFILE
n
C eo62 -

�
TOP OF FILL TOP OF FILL TOP OF FILL
ZO N
G
6"
f— Q
H Z
12"
18"
r HO � in
GROUND LINE H GROUND LINE H GROUND LINE N
Fz-I Xn U
O
Jm-+z—I=D
21"
C)C)U)
L70xn-1
z
z fTl
D
111 sllliv �,� lll� alll= 111_ltl�ll l= III III a 11_ 1I1� =,11 �, r -I„= I I — — — —
,- III 1 r- $,lls �1�111= _=111111�1t1=
r —
WQ�LL=
a
HU�00
_ (n O O
z H f
COMPACT AFTER rrl "r COMPACT AFTER
! lar PIPE IS PLACED I
Q H H
~ = z W
F"J
C7 2 Z
- — a'
ur 17 u b PRIOR TO i u - — m PIPE IS PLACED
PLACEMENT OF – TYPE IV ilr JS TO
En � W O J
H Q
D
ACEMEPRIOR
}:y:: , -; FILL ,'•y.:•• . nl ENGINEERING o FILLEMENT OF
:':: –. :,., ;..... –
..::. )'.'. :':'•:
Z O H
DD
1
H I
�O f
z N
_ .•. FABRIC = .. ::: –
•• NOT LESSIN. Irl .
�III�11G111� III 11
S.D./6 MIN. I.D./6 MIN. Ih� m �Inanl_ 111 _ql=ru THAN 8” Fry nl_W_gt _In _n r_ ll, !r(=Fri EARTH
NOT LESS THAN 6" O.D. + 3' NOT LESS THAN 6" Y2" PER FOOT OF ��2-
BUT NOT LESSTHANROCK
>
N H
W
O.D. + 3' NOR MORE THAN 24" 0.0. + 3'
NORMAL EARTH FOUNDATION FOUNDATION AS DIRECTED BY ENGR.
ROCK
UNSUITABLE MATERIAL FOUNDATION
PIPE IN TRENCH
3
TOP OF FILL TOP OF FILL TOP OF FILL
z
M
0
=z
Cr
H H H
LL
O Q
v F -A
-
O J
O S
Cn
GROUND LINE GROUND LINE
IN. O.1) O.D MIN. O.D. MIN. O.D. MIN. O.D. MIN. O.D.
GROUND LINE �--• TYPE IV
— ENGINEERING
— — — !•� , — — — �,�
z J
H Q
+�
N
kMIN,
_FABRIC
!r W
Z
/H {�
11! H Z
H
M D
_
- --Ilr-llclll�l II _III VIII-ItI= llr-Nalll�l 11X111 -Ill �lll�
–ur cu , y n,_ lu _wm l mut 1 :{.',':;' y:. •. _ COMPACT AFTER a _ !
—PIPE IS PLACED •' ) 1
& PRIOR TO –
�_I.D./S MIN.
Q a,
H H
0 a
0
PLACEMENT OF
NOT LESS THAN 6° nr=lrr_ru=rn _ul= nl _pl=_ul– FILL In=1n_n =1n _lll_ rn cp, =_ul
----LAS
LA
W
Q CL
+ I.D. 6 MIN. I.D./6 MIN. DIRECTED
COMPACT AFTER O.D. 2' /
z ~
Z
NOT LESS THAN 6 A1IN. O.D. MIN. 0.0. BY ENGINEER
PIPE IS PLACED NOT LESS THAN 6" 0.0,+ 2'
Q H
FTl
'H'
OOF
Q.
N D
PLACEMENT IRANT
►– (r
"'I *
BUT NOT LESSR I2"
FILL NORMAL EARTH FOUNDATION ROCK FOUNDATION NOR MORE THAN 24"
LL
D H
UNSUITABLE MATERIAL FOUNDATION
Z
PIPE ABOVE GROUND
= o
�,
GENERAL NOTES:
J D
O
I.D. =THE MAXIMUM HORIZONTAL INSIDE DIAMETER DIMENSION. 00 NOT OPERATE HEAVY EQUIPMENT OVER ANY PIPE CULVERT UNTIL THE PIPE CULVERT HAS
BEEN PROPERLY BACKFILLED AND COVERED WITH AT LEAST 3 FEET OF APPROVED MATERIAL.
U O
z =
W
OO.D.
= THE MAXIMUM HORIZONTAL OUTSIDE DIAMETER DIMENSION. — - — - – SPRINGLINE OF PIPE
Z
H = THE FILL HEIGHT MEASURED VERTICALLY AT ANY POINT® SELECT BACKFILL MATERIAL CLASS III OR CLASS II,
W
V`
ALONG THE PIPE FROM THE TOP OF THE PIPE TO THE TOP BELOW SPRINGLINE.
OF THE EMBANKMENT AT THAT POINT.
APPROVED SUITABLE LOCAL MATERIAL ABOVE SPRINGLINE.
® TAKE CARE TO FULLY COMPACT HAUNCH ZONE OF PIPE BACKFILL, UNDISTURBED EARTH MATERIAL
I..'' LOOSELY PLACED SELECT MATERIAL CLASS III OR CLASS II, TYPE 1
.. FOR PIPE BEDDING. LEAVE SECTION DIRECTLY BENEATH PIPE SELECT MATERIAL CLASS V OR VI FOR FOUNDATION CONDITIONING. ENCAPSULATE
UNCOMPACTED AS PIPE SEATING AND BACKFILL WILL WITH ENGINEERING FABRIC AS DIRECTED BY THE ENGINEER.
ACCOMPLISH COMPACTION.
SHEET 2 OF 3
SHEET 2 OF 3
1300,-.01
Soo . O
alley, williams, carmen, & king, Inc.
CONSULTING ENGINEERS
FIRM LICENSE No. F-0203
120 SOUTH MAIN STREET P.O. BOX 1248
"ANNAPOLIS, NC 28082 704/938-1515
JARRETT FLOOD STUDY
FIVE FORKS TRIBUTARY
ROWAN COUNTY, NORTH CAROLINA
.V. No. DESCRIPTION [NTE INRNL
1 Added detail/notes for Corp 1 9-7-16 GW'W
Permit 8 corrected pipe label
TOE REQUIREMENTS FOR
RIP -RAP BANK PROTECTION
SCALE - 8-25-16
p1'" 1'. RCC
PROFILE K;
GVIUV
FABRIC OR EOUAL'�
CLASS RIP -RAP
D50
T MIN.
A
6"
9"
8
12"
18"
1
151,
23"
2
21"
32"
RIP -RAP PLACEMENT
1. EACH RIP -RAP PLACEMENT SHALL BE BEDDED IN EITHER A 6" BED OF
WASHED STONE OR A NON -BIODEGRADABLE FILTER FABRIC. THIS COST
SHALL BE INCLUDED IN THE COST OF PLACING RIP -RAP.
2. RIP -RAP SHALL EXTEND UP TO THE TOP OF THE BANKS AND BELOW THE
CHANNEL BOTTOM AT LEAST 9" FOR CLASS A, 18" FOR CLASS B. 23" FOR
CLASS 1 AND 32" FOR CLASS 2.
3. WHEN A WELL DEFINED DRAINAGE CHANNEL CROSSES THE
CONSTRUCTION AREA, CROSSING SHALL BE MADE AS QUICKLY AND WITH
AS LITTLE DAMAGE AS POSSIBLE, REPAIRED IMMEDIATELY, STABILIZED,
GRASSED, AND MULCHED. AFTERWARDS, RIP -RAP MAY BE REQUIRED IN
THE CHANNEL ACROSS THE ACTUAL CONSTRUCTION AREA. THESE WILL
BE EVALUATED INDIVIDUALLY BY THE ENGINEER.
5, STONE FOR TEMPORARY CREEK CROSSINGS SHALL BE THE SAME SIZE AS
NOTED FOR THE PERMANENT EROSION CONTROL TO BE LEFT IN PLACE.
ONCE THE AREA BELOW THE CREEK CROSSING IS SEEDED AND MULCHED,
THE CONTRACTOR CAN REMOVE THE TEMPORARY CREEK CROSSING AND
USE THE STONE FOR THE PERMANENT CHANNEL STABILIZATION.
6. ALL SEDIMENT CONTROL MEASURES SHALL CONFORM TO THE LATEST
REGULATIONS AND STANDARDS OF THE NC SEDIMENTATION POLLUTION
CONTROL ACT.
•��`�II ICAJ
0�� ESS/
OC/2
titer -.7
SEAL =
16883
�;�•.�'�NGINEF'� •���
DETAILS
— "" 16520
SHEET ND. 6
oF: 7

DISCHARGE HOSE
SUCTION HOSE
—TOP OF BANK
CONSTRUCTION:
1. TEMPORARY STREAM DIVERSION AND BYPASS PUMPING IS TO BE
INSTALLED A SUFFICIENT AMOUNT OF TIME BEFORE PROPOSED
CULVERT INSTALLATION SO THAT A DRY WORK AREA IS PROVIDED
DURING CONSTRUCTION ACTIVITIES.
2. SET UP BYPASS PUMP AND TEMPORARY PIPING. PLACE OUTLET OF
TEMPORARY PIPE TO MINIMIZE EROSION AT DISCHARGE SITE OR
PROVIDE TEMPORARY ENERGY DISSIPATION MEASURES. FIRMLY
ANCHOR PUMP AND PIPING.
3. CONSTRUCT OUTLET PROTECTION IF NEEDED.
4. CONSTRUCT AN IMPERVIOUS DIKE UPSTREAM OF WORK AREA TO
IMPOUND WATER FOR BYPASS PUMP INTAKE. ACCEPTABLE MATERIALS
FOR IMPERVIOUS DIKES INCLUDE, BUT ARE NOT LIMITED TO, SHEET
PILES, SANDBAGS AND/OR THE PLACEMENT OF AN ACCEPTABLE SIZE
STONE LINED WITH 30 MIL POLYPROPYLENE OR OTHER IMPERVIOUS
FABRIC. USE A FLOATING INTAKE FOR PUMPS WHERE POSSIBLE.
5. CONSTRUCT AN IMPERVIOUS DIKE DOWNSTREAM, IF NECESSARY, TO
ISOLATE WORK AREA.
6. CHECK OPERATION OF PUMP AND PIPING SYSTEM.
7. INSTALL A SPECIAL STILLING BASIN TO DEWATER WORK AREA, IF
REQUIRED, IN ACCORDANCE WITH NCDOT STANDARD DRAWING NO.
1630.06.
8. UPON COMPLETION OF PROPOSED HEADWALL INSTALLATION, REMOVE
SPECIAL STILLING BASIN, IMPERVIOUS DIKES, BYPASS PUMP AND
TEMPORARY PIPING.
MAINTENANCE:
IMPERVIOUS DIKE 1. ROUTINELY INSPECT BYPASS PUMP AND TEMPORARY PIPING"20
DEWATERING DEVICE ENSURE PROPER OPERATION.
2. INSPECT IMPERVIOUS DIKE FOR LEAKS AND REPAIR ANY DAM3. INSPECT DISCHARGE POINT FOR EROSION.4. ENSURE FLOW IS ADEQUATELY DIVERTED THROUGH PIPE.
NOTE:
ENSURE TO ANCHOR ALL
PUMPS AND PIPES SECURELY.
WORK AREA
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION BMPs FOR CONSTRUCTION AND MAINTENANCE ACTIVITIES
AUGUST 2003
��11111111,,,�'
N CA/?
�O �FEss/04'
Q<��%
SEAL =
16883 -
•' G I NE •' �� ��
alley, wililams, carmen, do king, Inc.
JARRETT FLOOD STUDY "" "a Ommpw" mot I wmAL s"` 9-7.16 - 16520
CONSULTING ENGINEERS °' RCC
Hii FIRM to SENSE No. F-0203 FIVE FORKS TRIBUTARY P"F&E PP.DETAILS SHEET NO. 7
�uNNAPOUS, c 28082 P.O. BOX 1248 704/938-1513 ROWAN COUNTY, NORTH CAROLINA ` Gam'
OAC R _.- - -
lor. 7

Environmental Services Proposal
PEI Proposal 2099
July 25, 2016
AGENT AUTHORIZATION
This form authorizes PEI to act as our agent in stream/wetland matters including U.S. Army Corps
of Engineers and North Carolina Department of Environmental Quality -Division of Water
Resources field verification and permitting.
Property Address: jl W /SZ GJ cs4-
r� G Ale a'ZOZ 3 -
Owner Information:
Address: (� • (' 3 C, .3 /
�iroYv_ Ale, aq RV 3
Telephone Number: 70Y- 7`I/-098-3
Fax Number: %
E-mail Address: `0 #1elScc, p,h�ya CA9 • Gv 1-- -
JURISDICTIONAL DETERMINATION REQUEST
SECTION D -PROPERTY OWNER CERTIFICATION
I, the undersigned, a duly authorized owner of records 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.
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Property Owner (please prin
Prope wner Si ature
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ti USGS Topographic Map
Approximate 21 Acre Tract
West NC Highway 152 r
China Grove, Rowan County, NC'
PEI Project 2099
o
USGS Topographic Map
China Grove & Enochville,
NC Quadrangles
Scale. 1” 2,000'

Drawing 3
USFWS National Wetlands
Inventory Mapper
Not to Scale
A
LEGEND
Site Boundary
NWI Designations
tions
Estuarine and Marine
Deepwater
Estuarine and Marine Wetland
Freshwater Emergent Wetland
Freshwater Forested/Shrub
Wetland
Freshwater Pond
Lake
Other
Riverine
NWI Map
Approximate 21 Acre Tract
West NC Highway 152
China Grove, Rowan County, NC
PEI Project 2099

Drawing 4
FEMA FIRM Panel Nos.
3710562700) and 3710562600)
Effective 06.16.2009
Not to Scale
LEGEND
Approximate Site Boundary
SPECIAL FLOOD W12ARD AREAS (SFFIAE) SUBJECT TO
Em
1NUN11MON BY Tf*, 1% ANNUAL, C1WNC.F FLOOD EVENT
n. 1% asau,al ctrxsec WA 4100yeanwdA alw kv— as the hase dwd, k Ow food Mat
has a 1% d... d b" HfuaEA,d Ce txta!dNd In any p—1 y",, nw SM WI Fbbd Hazard
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aAatta•uaAMe tkilabi ' Of UM: 1%annual lft ct 1k..ad,
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UskYMWW.
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ake#n'sni d'
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FiOODWAY AREAS IN ZONE: AE:
The NDadrpy 6 Ere 0—lei N a sdeam pws any aayacm V-Apaa n areas that mon be kept.
free d o0oadnot W Mat ft 1% W-1 d.— flood tan to tamed withotd WW-Wl
uleaScs as AX4 tw rfits.
OTHER FLOOD AREAS
ZONE X Awa of d.2% am " ohante flood; anus d 1:ti annual deux food wth
anaage dela 4 d tsS awn 1 fW tx wO drainage Areas less Ow 1 Vt Wle
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OTHER AREAS
ZONE X AY,a's dr.An M wt. —A. 02tb' —1W <txanre r-do len.
ZONED ABAS. Na fllW a0J41:W V"W
ODASTAL BARRIER RESOURCES SYSTEM (CBRS) AREAS
OTHERWISE PROTECTED AREAS (OPAS)
CWS ~ gfai LOOM are At nMy b=ad %~ w adWvAk m>pKd €bed H-0 A-
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BMSSTO,� Pr2..M`c:r. eta; Ift mae axmnawa K,a
FEMA FIRM
Approximate 21 Acre Tract
West NC Highway 152
China Grove, Rowan County, NC
PEI Project 2099

SA 1;
Surveyor
Locate Stream
FLAG NUMBERS/INFO
WETLAND FLAGS =
" STREAM FLAGS =�
Stream Flaes = 6
WSA 1-6
WB 1-29
ISA 2;
Surveyor
Locate Stream
ISA 1;
Surveyor
Locate Stream
WSAA 1
SA 2;
Surveyor
Locate Stream
LEGEND
f,
��-
Site Boundary
*SENOR
Intermittent Stream
Perennial Stream
Wetlands
Culvert
SA1-5
Flag Number
yy
DP -1 Q
Data Point
SA 1;
Surveyor
Locate Stream
FLAG NUMBERS/INFO
WETLAND FLAGS =
" STREAM FLAGS =�
Stream Flaes = 6
WSA 1-6
WB 1-29
ISA 2;
Surveyor
Locate Stream
ISA 1;
Surveyor
Locate Stream
WSAA 1
SA 2;
Surveyor
Locate Stream

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: Jarrett Property City/County: China Grove/Rowan Sampling Date: 08/30/2016
Applicant/Owner: Brenton Jarrett State: North Carolina Sampling Point: DP -1
Investigator(s): Brame, PEI Section, Township, Range: NA
Landform (hillslope, terrace, etc.) Bottomland Hardwoods Local relief (concave, convex, none): Concave
Slope (%): 1 Lat: 35.579202 Long: -80.611816 Datum: WGS 84
Soil Map Unit Name: Rion -Wedowee complex (RnC) NWI Classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINUIN05 — Attach site map snowing samminci point locations, transects. Important features, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
The three sampling criteria are present. The sampling point is located within a wetland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
Surface Soil Cracks (66)
_ Surface Water (A1)
_
_ True Aquatic Plants (614) _
Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2)
_ Hydrogen Sulfide Odor (C1)
Drainage Patterns (610)
X Saturation (A3)
_ Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (B1.6)
_ Water Marks (61)
_ Presence of Reduced Iron (C4)Dry-Season
Water Table (C2)
Sediment Deposits (62)
Recent Iron Reduction in Tilled Soils (C6) X_
Crayfish Burrows (C8)
_ Drift Deposits (B3)
_
Thin Muck Surface (C7) _
Saturation Visible on Aerial Imagery (C9)
_ Algal Mat or Crust (134)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
Iron Deposits (65)
_
Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
Shallow Aquitard (D3)
X Water -Stained Leaves (B9)
Microtopographic Relief (D4)
Aquatic Fauna (613)
_
X
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches): >12"
Wetland Hydrology Present? Yes X No
Saturation Present? Yes X No
Depth (inches): 6"
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology indicators are present.

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30' )
1. Fraxinus Pennsylvanica
2. Acer rubrum
3.
4.
5.
6.
7.
8.
Sapling/Shrub Stratum (Plot size: 30' )
1. Liquidambar styraciflua
2.
3.
4.
5.
6.
7.
8.
9.
10.
Herb Stratum (Plot size: 30' )
1. Woodwardia areolata
2. Osmunda regalis
3. Eulalia viminea
4.
5.
6.
7.
8.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1. Smilax rotundifolia
2.
3.
4.
5.
6.
Absolute
Dominant
Indicator
% Cover
Species?
Status
40
Y
FACW
30
Y
FAC
70 = Total Cover
15 Y FAC
15 = Total Cover
10 Y OBL
10 Y OBL
10 Y FACW
30 = Total Cover
10 Y FAC
10 = Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is present.
Sampling Point DP -1
Number of Dominant Species
That Are OBL, FACW, or FAC: 7 (A)
Total Number of Dominant
Species Across All Strata: 7 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
Prevalence Index = B/A =
ydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
_ 3 - Prevalence Test is 5 3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be Present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree -Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub -Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species
x 1 =
FACW species
X2=
FAC species
X3=
FACU species
X4=
UPL species
X5=
Column Totals:
(A) (B)
Prevalence Index = B/A =
ydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
_ 3 - Prevalence Test is 5 3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be Present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree -Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub -Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No

SOIL Sampling Point: DP -1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absenc
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc' Texture
0-2 10YR 4/4 100 L
2->12 2.5Y 4/2 90 10YR 4/4 10 RM M CL
Remarks
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 'Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
Histosol (Al)
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Black Histic (A3)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
2 cm Muck (A10) (LRR N)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Other (Explain in Remarks)
Sandy Mucky Mineral (S1) (LRR N,
Iron Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
Sandy Gleyed Matrix (s4)
Umbric Surface (F13) (MLRA 136, 122)
3Indicators of Hydrophytic vegetation and
Sandy Redox (S5)
Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present, unless
Stripped Matrix (S6)
disturbed or problematic.
Type:
Depth (inches):
Remarks:
Hydric soil indicators are present.
Hydric Soil Present? Yes X No

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont
Project/Site: Jarrett Property City/County: China Grove/Rowan Sampling Date: 08/30/2011
Applicant/Owner: Brenton Jarrett State: North Carolina Sampling Point: DP -2
Investigator(s): Brame, PEI Section, Township, Range: NA
Landform (hillslope, terrace, etc.) Hillslope Local relief (concave, convex, none): Slope
Slope (%): 3 Lat: 35.579392 Long: -80.611841 Datum: WGS 84
Soil Map Unit Name: Rion -Wedowee complex (RnC) NWI Classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation _,Soil , or Hydrology _significantly disturbed? Are "Normal Circumstances" present? Yes X
Are Vegetation , Soil , or Hydrology_ naturally problematic? (If needed, explain any answers in Remarks.)
No
SUMMARY OF FINDIN1155 — Attach site map snowing sampling point locations, transects, important teawres, etc.
Hydrophytic Vegetation Present? Yes X No
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Hydric soil and wetland hydrology are not present. The sampling point is not located within a wetland
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply) _
Surface Soil Cracks (136)
Surface Water (Al)
True Aquatic Plants (614) _
Sparsely Vegetated Concave Surface (68)
_
High Water Table (A2)
_ Hydrogen Sulfide Odor (Cl)
Drainage Patterns (610)
_
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3) _
Moss Trim Lines (1316)
Water Marks (131)
_ Presence of Reduced Iron (C4) _
Dry -Season Water Table (C2)
_
Sediment Deposits (B2)
_ Recent Iron Reduction in Tilled Soils (C6) _
Crayfish Burrows (C8)
_
Drift Deposits (133)
_ Thin Muck Surface (C7) _
Saturation Visible on Aerial Imagery (C9)
_
Algal Mat or Crust (64)
_ Other (Explain in Remarks) _
Stunted or Stressed Plants (D1)
_
Iron Deposits (135)
_
Geomorphic Position (D2)
_
Inundation Visible on Aerial Imagery (137)
_
Shallow Aquitard (D3)
_
Water -Stained Leaves (139)
_
Microtopographic Relief (D4)
_
Aquatic Fauna (B13)
_
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No X
Depth (inches):
Water Table Present? Yes No X
Depth (inches): >12"
Wetland Hydrology Present? Yes No X
Saturation Present? Yes No X
Depth (inches): >12"
_
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology indicators are not present.

VEGETATION (Four Strata) - Use scientific names of plants.
Herb Stratum (Plot size: 30' )
Absolute
Dominant Indicator
Tree Stratum (Plot size: 30' )
% Cover
Species? Status
1. Liriodendron tulipifera
30
Y FAC
2. Liquidambar styraciflua
20
Y FAC
3. Quercus alba
20
Y FACU
4.
4.
5.
5.
6.
7.
8.
7.
70
= Total Cover
Sapling/Shrub Stratum (Plot size: 30' )
1. Liquidambar styraciflua
15
Y FAC
2.
10.
3.
11.
4.
5.
6.
5
7.
Woody Vine Stratum (Plot size: 30' )
8.
9.
10
Y
10.
2. Lonicera japonica
5
Y
15
= Total Cover
Herb Stratum (Plot size: 30' )
1. Eulalia viminea
5
Y
OBL
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
5
= Total Cover
Woody Vine Stratum (Plot size: 30' )
1. Smilax rotundifolia
10
Y
FAC
2. Lonicera japonica
5
Y
FAC
3. Toxicodendron radicans
5
Y
FAC
4.
5.
6.
20
= Total Cover
Remarks: (Include photo numbers here or on a separate sheet.)
Hydrophytic vegetation is present.
Sampling Point DP -2
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC:
Prevalence Index worksheet:
Total % Cover of:
OBL species
FACW species
FAC species
FACU species
UPL species
Column Totals:
7 (A)
8 (B)
87.5 (A/B)
MUltiDly bv:
x1=
X2=
X3=
X4=
X5=
(A)
(B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is > 50%
_ 3 - Prevalence Test is 5 3.0'
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must
be Present, unless disturbed or problematic.
Definitions of Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm)
or more in diameter at breast height (DBH),
regardless of height.
Sapling/Shrub -Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No

SOIL
Sampling Point: DP -2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type, Locz Texture
0-18 10YR 4/6 100 CL
RM=Reduced Matrix. CS=Covered or Coated Sand Grains.
Hydric Soil Indicators:
Histosol (Al)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
2 cm Muck (All 0) (LRR N)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Sandy Mucky Mineral (S1) (LRR N,
MLRA 147, 148)
Sandy Gleyed Matrix (s4)
Sandy Redox (S5)
Stripped Matrix (S6)
Remarks
Linina. M=Matrix.
Restrictive Layer (if observed):
Type: Hydric Soil Present? Yes No X
Depth (inches):
Hydric soil indicators are not present.
Indicators for Problematic Hydric Soils':
Dark Surface (S7)
2 cm Muck (A10) (MLRA 147)
Polyvalue Below Surface (S8) (MLRA 147, 148)
Coast Prairie Redox (A16)
Thin Dark Suface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19)
Depleted Matrix (F3)
(MLRA 136, 147)
Redox Dark Surface (F6)
Red Parent Material (TF2)
Depleted Dark Surface (F7)
Very Shallow Dark Surface (TF12)
Redox Depressions (178)
Other (Explain in Remarks)
Iron Manganese Masses (F12) (LRR N,
MLRA 136)
Umbric Surface (F13) (MLRA 136, 122)
3lndi vegetation and
Piedmont Floodplain Soils F19 MLRA 148
p ( ) ( )
wetland hydrology must be present, unless
tland y rologyHydromust
disturbed or problematic.
Restrictive Layer (if observed):
Type: Hydric Soil Present? Yes No X
Depth (inches):
Hydric soil indicators are not present.