20170836_B-5735 JD request_packet_20161202

Bridge 307 over Back Creek on SR 1936 (Stone St. Ext.)
B-5735
Bridge 307 is located on Stone St. Extension, approximately a half mile east of its intersection
with Trollingwood Rd., near the town of Haw River. There is one perennial stream and one
wetland in the study area. WA appears to be an excavated depression in a pasture that serves
as a source of water for cattle, and is connected to SA (Back Creek) via a ditch. There is also a
pond excavated in uplands in the northern half of the study area. The pond has no connection
to jurisdictional surface waters.

A.
B.
C.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: stone st. EXtens�o�
Clty, state: Haw River, NC
C011llty: Alamance
D1P8Ct10riS: Take I-40/85 to exit 150 and go north on Trollingwood Rd.; take a right on
Stone St. Extension
Parcel Index Number(s) (PIN):
REQUESTOR INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address 1:
N/A
Nicole Thomson
PO Box 14996, Greensboro NC, 27415
919-754-7806
[e-mail]
Select one:
� I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant2
❑ Interested Buyer or Under Contract to Purchase
❑✓ Other, please explain.
This JD request is for a NCDOT bridge replacement project; landowners have been
contacted for access and permission to have USACE regulatory personnel on their
property.
PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address3:
N/A
❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION4
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations
and issuing a 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.
Property Owner (please print)
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
Date
� I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does include a delineation.
� I am requesting that the Corps provide a preliminarX JD for the property identified herein.
This request does NOT include a delineation.
� I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUSs and provide an a�proved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
� I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
� I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
4 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
5 Waters of the United States
Version: December 2013 Page 4

F.
❑✓
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 11.6
�
G.
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 Form6.
36.089894 -79.338327
�/ Project Coordinates: Latitude Longitude
Maps (no larger than l 1x17) with Project Boundary Overlay:
❑✓
❑✓
❑✓
❑✓
❑
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)�:
Wetlands:
� Wetland Data Sheets8
✓❑
�
�
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
� USACE Assessment Forms
� Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
� Project Coordinates:
Latitude
Maps (no larger than l 1x17) with Project Boundary Overlay:
�
❑�
❑
�
�
Longitude
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
' 1987 Manual Regional Supplements and Data forms can be found at:
http://www.usace.armv.mil/Missions/CivilWorks/ResulatorvPro�ramandPermits/re� supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://portal.ncdenr.or�/c/document librarv/�et file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&�roupld=38364 and,
http://www.saw.usace.armv.mil/Portals/59/docs/re�ulatorv/publicnotices/2013/NCSAM Draft User Manual 130318.pdf
$ Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

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

Jurisdictional Determination Request
I. 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 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11 "x17", 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
n
u
�
I-
❑�
❑�
�
�❑
Must be 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 be legible
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
corner, USGS monument)
When wetlands are depicted:
• Must include acreage (or square footage) of wetland polygons
• Must identify 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"
� all depicted WoUS (wetland polygons and tributary lines) must intersect or tie-to
surveyed project/property boundaries
� Must 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 CWA (e.g. "isolated wetlands", "non-
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps determination that a particular waterbody or wetland is not
jurisdictional.
� Must 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 Boundarv 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 WaterAct as determined by the undersigned on this date.
Unless there is a change in the law or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (5J 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:
Date:
USACE Action ID No.:
� When uplands may be present within a depicted Jurisdictional Boundar�
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United States
regulated pursuant to Section 404 of the Clean WaterAct as determined by the
undersigned on this date. Unless there is change in the law 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:
Date:
USACE Action ID No.:
Version: December 2013
Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must include
all of the above, as well as:
� be at sub-meter accuracy at each survey point.
� include an accuracy verification:
One or more known points (property corner, monument) shall be located with the
GPS and cross-referenced with the existing traditional property survey (metes and
bounds).
� include a brief description of the GPS equipment utilized.
Version: December 2013 Page 11

ATTACHMENT A
PRELIMINARY JURISDICTIONAL DETERMINATION FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
B-5735; replace bridge no. 307 over Back Creek on SR 1936 (Stone St. Ext.)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: A�amance Clt�/: Mebane
Center coordinates of site (lat/long in degree decimal format):
Lat. 36.089894 °N; LOng. -79.338327 °W,
Universal Transverse Mercator:
Name of nearest waterbody: Ba�k c�eek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
575 linear feet: 50-6o width (ft) and/or acres.
Cowardin Class:
Strgarp F�OW: Perennial
Wetlands: 0�02 acres.
Cowardin Class: PEM
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal:
Non-Tidal:
1

E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT
APPLY):
� Office (Desk) Determination. Date:
� Field Determination. Date(s):
SUPPORTING DATA. Data reviewed for preliminary JD
(check all that apply - checked items should 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
appl�nt/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:
❑ 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: 1:24,000; Mebane
✓❑ USDA Natural Resources Conservation Service Soil Survey.
Cltatl011: Web Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
❑ FEMA/FIRM maps:
� 100-year Floodplain Elevation is:
(National Geodectic Vertical Datum of 1929)
❑ Photographs: ❑ Aerial (Name & Date): or
� Other (Name & Date):
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
�

1. The Corps of Engineers believes that there may be jurisdictional waters of the
United States on the subject site, and the permit applicant or other affected party
who requested this preliminary JD is hereby advised of his or her option to
request and obtain an approved jurisdictional determination (JD) for that site.
Nevertheless, the permit applicant or other person who requested this
preliminary JD has declined to exercise the option to obtain an approved JD in
this instance and at this time.
2. In any circumstance where a permit applicant obtains an individual permit, or
a Nationwide General Permit (NWP) or other general permit verification requiring
"pre-construction notification" (PCN), or requests verification for a non-reporting
NWP or other general permit, and the permit applicant has not requested an
approved JD for the activity, the permit applicant is hereby made aware of the
following: (1) the permit applicant has elected to seek a permit authorization
based on a preliminary JD, which does not make an official determination of
jurisdictional waters; (2) that the applicant has the option to request an approved
JD before accepting the terms and conditions of the permit authorization, and
that basing a permit authorization on an approved JD could possibly result in less
compensatory mitigation being required or different special conditions; (3) that
the applicant has the right to request an individual permit rather than accepting
the terms and conditions of the NWP or other general permit authorization; (4)
that the applicant can accept a permit authorization and thereby agree to comply
with all the terms and conditions of that permit, including whatever mitigation
requirements the Corps has determined to be necessary; (5) that undertaking
any activity in reliance upon the subject permit authorization without requesting
an approved JD constitutes the applicant's acceptance of the use of the
preliminary JD, but that either form of JD will be processed as soon as is
practicable; (6) accepting a permit authorization (e.g., signing a proffered
individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a preliminary JD constitutes agreement that all
wetlands and other water bodies on the site affected in any way by that activity
are jurisdictional waters of the United States, and precludes any challenge to
such jurisdiction in any administrative or judicial compliance or enforcement
action, or in any administrative appeal or in any Federal court; and (7) whether
the applicant elects to use either an approved JD or a preliminary JD, that JD
will be processed as soon as is practicable. Further, an approved JD, a proffered
individual permit (and all terms and conditions contained therein), or individual
permit denial can be administratively appealed pursuant to 33 C.F.R. Part 331,
and that in any administrative appeal, jurisdictional issues can be raised (see 33
C.F.R. 331.5(a)(2)). If, during that administrative appeal, it becomes necessary
to make an official determination whether CWA jurisdiction exists over a site, or
to provide an official delineation of jurisdictional waters on the site, the Corps will
provide an approved JD to accomplish that result, as soon as is practicable.

This preliminary JD finds that there "may be"waters of the United States on the
subject project site, and identifies all aquatic features on the site that could be
affected by the proposed activity, based on the following information:
IMPORTANT NOTE: The information recorded on this form has not
necessarilv been verified bv the Corps and should not be relied upon for
later jurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
�
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Site Latitude Longitude Class Estimated Class of aquatic
amount of resource
aquatic resource
in review area
SA (Back 36.089894 -79.338327 Perennial 573.2 linear ft. Non-section 10;
Creek) non-wetland
WA 36.089526 -79.338887 PEM 0.02 acre Non-section 10;
wetland

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0 410 820 B-5735 ,E °��p`"°�
ECOSYSTEM
Feet REPLACE BRIDGE NO. 307 OVER BACK �P�,>Nh,N�& ��F
CREEK ON SR 7 936 (STONE STREET EXT.) R`ST°"AT�°"
'horrnn�+"°
FIGURE 2 ALAMANCE COUNTY, NC DATE:
TOPOGRAPH[C OCTOBER 2016

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"�� ".r ' �
��
Sb - Starr loam � �, '; � � � _: �
• :� � �,
0 205 410 B-5735 �°�""' v-
ECOSYSTEM �
REPLACE BRIDGE NO. 307 OVER BACK �P�,NN,N�& �P �'_
Feet CREEK ON SR 7 936 (STONE STREET EXT.) '"""R`ST°"AT�°" 4",� �'e
'horrnn�+"°
FIGURE 3 ALAMANCE COUNTY, NC DATE:
SOfLS OCTOBER 2016

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0 210 420 B-5735
ECOSYSTEM �
Feet REPLACE BRIDGE NO. 307 OVER BACK �P�,Nh,N�& m�F
CREEK ON SR 7 936 (STONE STREET EXT.) R`ST°"AT�°"
'horrnn�+"°
FIGURE 4 ALAMANCE COUNTY, NC DATE:
JURISDICTIONAL RESOURCES OCTOBER 2016

�-3i35
�,t a,_� <.;..�
NC Division of Water Quality -Methodology for ldentification of Intermittent and
Perennial Streams and Their Origins v. 4.11 i�_ ,g- �cl
Date: �� /i8l l�
Evaluator: �� ����,L
Total Points: �
Sheam is at least intermittent
2. Sinuosity of channel aloi
3. In-channel strudure: ex.
ripple-pool sequence
4. Partide size af stream s
5. Adive/relict Boodplain
6. Depositional bars or ben
7. Recent alluviai deposits
S. Headcuts
9. Grede control
10. Natural valley
step-pool,
11. Second or greater order channel
a�ificial ditches are not rated; see discussions in manual
ProjectlSite:��"".4+ 3.�Fw f� Latltude: � �
County: Longitude: _-c
i-ll�„��� f�,.
Stream Determination�circ Other /��cb��
Ephemerel Intermilten erennia e.g. QuaaName:
Absent Weak Moderate
0 1 2
0 1 2
0 1 �
�
�0���
�t���
'��v��
fiy ��i
'���
���
3
3
3
3
3
B. H drol Subtotal =
12. Presence of Baseflow 0 1 2 3
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1 0.5 0
15. Sediment on ptants or debris 0 0.5 C-1 1.5
16. Organic debris lines or piles 0 0.5 1
17. Soil-based evidence of high water table? o= 0 Yes = 3
C. Biolo Subtotal =
18. Fibrous roots in streambed 2 1 0
19. Raoted upland plants in streambed 2 1 0
20. Macrobenthas (note diversiry and abundance) GD'� 7 2 3
21. Aquatic Mollusks �-0 � 1 2 3
22. Fish 0.5 1 1.5
23. Creyfish �' 0.5 1 1.5
24. Amphibians �i 0.5 1 1.5
25. Algae �.�' 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 r=
`perennial streams may also be ideMified using other methotls. See p. 35 of manual.
NOf85: c�rv.- � Jn 0 6 �. H st �b �Jf r � . �
/F✓: n'� � fF � � .v 'r. Sv/c.
c� �$kBtCh: '*� ��.. �rMel �
yi rd \ � 511 �"
R
: �'� � \
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JL.'.'+I�G �� �LS�JIG
41

USACE AID# DWQ # Site #_ (indicate on attached map)
;,�,; STREAM QUALITY ASSESSMENT WORKSHEET
Provide the tollowing information for the stream reach under assessment: /
2. Evaluator's name: ��• 4� JS �'C
4. Time of evaluation: � M
6. River basin: <<��i w 0303000�
8. Stream order. �
lO.County: ��i��s�.i<
1. ApplicanYs name: NG'I�o%
3. Date of evaluatlon: /o /i� `
5. Name of stream: ,^Sfi rT %�« � C✓.� K
7. Approximate drainage area: O. l 5 r� ��: I<
�
9. Length of reach evaluated: vJ
,:.� �..� c.,�
�
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): il/,�
Latitude (ex. 34.872312): �• 0 8 98 9�! I.ongimde (ex. -77.5566t t): - 7`�l. 3 38 3� i
Method location determined (circle): GPS Topo Sheet OrUto (Aerial) oto/GI Other GIS Other
13. Loc�tion of reach under evaluaHon,(note nearby roads and landmazks and attach map identifying sueam(s) location):
.,. /<,'��✓
14. Proposed channel work (if
I5. Recent weather conditions:
16. Site conditions at time
17. Identify any special waterway classifications known: _Sec[ion 10
_Tidal Waters _Essential Fisheries Habitat
_Trout Wa[ers _Outstanding Resource Watecs �C Nutrient Sensitive Waters �Wa[er Supply Wa[ershed V(I-IV)
1 S. Is there a pond or lake located upstream of the evaluation point? YE�If yes, estimate the water sudace area:
19. Does channel appear on USGS quad map?� NO 20. Does channel appear on USDA Soil Survey? YES�
21. Estimated watershed land use: � �% Residential � a% Commercial 5a ^/o Industrial _°/a Agricultural
�/o Forested _% Cleazed / L,ogged _% Ot6er (
22. Bankfull width: 3D^ `{o � 23. Bank height (from bed to top of bank): /o^ /�S �
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to ] 0%) _Steep (> 10%)
25. Channel sinuosity: _Straight _Occasional bends �Frequent meander _Very sinuous _Braided channel
InstrucNons far completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the swring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a sepazate form used to evaluate each
reach. The total scoa assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Evaluator's Signature I�� �...— Date I� lm /1�0
This channel evaluation form is in nded to be used onty as a guide to assist landowners and envi nmental protessionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
qualiTy. T6e total score resulting from the completion of this torm is subject to USACE approval and does oot imply a
particular mitigation retio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
# CI3ARACTERISTICS ECOREGION POINT RANGE SCORE
Coastal piedmont Mou�tain
� Presence of flow / persistent pools io stream 0- 5 0- 4 0- S �'
(no flow or saturation = 0� strong flow = mas points) �
Evidence of past human alteratioo ,�i
Z (extensive alteration = 0; no alteration = marz points) 0- 6 0- 5 0- 5
3 Riparia�zone 0-6 0-4 0-5 �
no buffer = 0; conti uo�s, wide buffer = max oinis)
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 ��"''
(extensive dischaz es = 0; no discharges = max ints
a 5 Groundwaterdischarge 0-3 0-4 0-4 /�
`d�' (no dischar e= 0; spriq s, seeps, wetlands, etc. = ma�c points)
rr Presence of adjacent floodplain ;�{�,,,
y 6 (no floodplain = 0; extensive floodplain = max points) 0-4 0-4 0-2 ,
a � Entrenchment / floodptain aaess 0- 5 0- 4 0- 2 �
(deeply entrenched = 0; frequent flooding = ma�c points)
8 Presence of adjacent wetlands 0- 6 0- 4 0- 2 "'�
no wetlands - 0; large adjacent wetlands = max points) �/-
9 Channel siouosity 0- 5 D- 4 0- 3 �
(e�ctensive channelization = 0; naturnl meander = max points)
�� Sedimentinput p_5 0-4 0-4 I
(extensive deposition= 0; little or no sediment = ma:c points)
� � Size & diversity of channel bed substrate NA* 0- 4 0- 5
(fine, homo enous = 0; large, diverse sizes = max points) �-�
� Z Evidence of channel ineision or widening p_ 5 0- 4 0- 5 c�'���
�. dee I incised = 0; stable bed & banks = max oints � �.: 5
�" Presence of major bank failures �
13 0-5 0-5 0-5
M(severe erosion = 0; no erosion, stable banks = mas points) '��
L� � 4 Root depth and density on banks 0- 3 0- 4 0- 5 �
F(no visible roots = 0; dense roofs throughout = max points)
� Impac[ 6y agriculture, livestock, or timber productioo i � �� �
15 0-5 0-4 0-5 i ,„
(substantial impact �; no evide�ce = max ints) 5 s�
Presence of rifile-pooUripple-pool complexes �I
� 6 no riffles/ri les or ools = 0; well-develo ed = muc ints) 0- 3 0- 5 0- 6 �
�Habitat complexity �
F 17 0-6 0-6 0-6
�„i Qittle or �o habitat = 0; frequent, varied habita[s = ma�c points)
� Canopy coverage over streambed �
18 0-5 0-5 0-5
(no shading vegetation = 0; continuous canopy = max points)
19 Substrate embeddedness NA* 0- 4 0- 4 �
deeply embedded = 0; loose structure = maac) J
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 �''
�, no evidence = 0; common numerous es = max oints) -
(�j 21 Presenceoiamphibians 0-4 0-4 0-4 �
O (no evidence = 0; common, numerous as = max points) `�
"'� Presence of fish
O 22 0-4 0-4 0-4 ?�?
� (no evidence = 0; common, numerous pes = mas points)
23 Evidence of wildlife use 0-- 6 0- 5 0- 5 (�
(no evidence = 0; abundant evidence = max points)
Total Points Possibie 100 100 100
TOTAL SCORE (also enter on first page) J`�
'�I�hese charactenstics are not assessetl m coastal streams.

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: B-5735 city/County: Alamance Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WA W@t
Investigator(s): Robert LepSiC Section, Township, Range:
�anaform: depression Local Relief: COIlCBV@ Slope (°io):
Subregion: LRR P Lat: 36.089526 Long: -79.338887 Datum
Soil Map Unit Name: Chewacla fine sandy loam NWI classification: PEM
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 in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling 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:
Excavated depression in pasture (3-4 ft. deep); connected to SA by ditch
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
X Surface Water (A1)
X High Water Table (A2)
X Saturation (A3)
Water Marks (B1)
Sediment Deposits (62)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Iron Deposits (65)
Inundation on Aerial Imagery (67)
Water Stained Leaves (B9)
uired: check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (B14)
Hydrogen Sulfide Odor (C1)
X Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Field Observation:
Surface Water Present? Yes X No Depth (inches)
Water Table Present? Yes X No Depth (inches) 0
Saturation Present? Yes X No Depth (inches) 0
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
Mosquito fish
y Indicators (minimum of 2 required)
Surface Soil Cracks (B6)
Sparsley Vegetated Concave Surface (68)
Drainge Patterns ( B10)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Wetland Hydrology Present?
Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum
1. None observed
2.
3.
4.
5.
6.
Plot Size 30
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30
1. None observed
2.
3.
4.
5.
6.
Cover Species? Status
Sampling Point:
Number of Dominant Speices
That Are
OBL, FACW, or FAC:
Total Number of Dominant
Speicies Across All Strata:
Percent of Dominant Speices
That Are
OBL, FACW, or FAC:
WA wet
2 (A)
2 (B)
100% (A/B)
0% =Total cover Prevalence Index Worksheet:
0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2=
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column totals (A) (B)
Prevalence Index = B/A =
0% =Total cover
50% of total cover: 0% 20% total cover: �o�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 10 feet) Cover Species? Status Yes Dominance Test is >50%
1. Persicaria pensy/vanica 60% Yes FACW Prevalence Index is <_3.0'
2. Juncus effusus 15% Yes FACW Problematic Hydrophytic
3. Betu/a nigra 1% No FACW Vegetation�(Explain)
4• � Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
Vine Stratum:
1. None observed
2.
3.
4.
5.
6.
76% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 38% 20% total cover: 15% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Plot Size 30 feet) Cover Species? Status
0%
50% of total cover: 0%
=Total cover
20% total cover:
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
�% Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WA wet
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % TYpe� Location Texture Remarks
0-1 10YR 4/1 100% Sandy Loam
1-3 10YR 4/4 100% Sandy Loam
3-12+ 10YR 4/2 80% 7.5YR 4/6 15% C PL Sandy Loam
7.5YR 4/4 5% C PL
' Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains 2 Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils'
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 147, 148)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 747, 748) Piedmont Floodplain Soils (F19) (MLRA 736, 747)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) X Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
_ Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytiC vegetation
MLRA 747, 748) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 136, 122) unless disturbed or problematiC.
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 748)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: B-5735 city�county: Alamance Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WA Up
Investigator(s): RObeft LepSIC Section, Township, Range:
Landform: flOodplain Local Relief: tlOtle Slope (%):
Subregion: LRR P Lat: 36.089484 Long: -79.338822 Datum
Soil Map Unit Name: Chewacla fine sandy loam 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 , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? YeS X NO
Are Vegetation , Soil ,or Hydrology naturally problematic? (if needed, explain in remarks)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X
Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Cow pasture
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water(A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
Sediment Deposits (B2)
Drift Deposits (B3)
Algal Mat or Crust (64)
Iron Deposits (B5)
Inundation on Aerial Imagery (B7)
Water Stained Leaves (69)
check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (614)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)
Field Observation:
Surtace Water Present? Yes No X Depth (inches)
Water Table Present? Yes No X Depth (inches)
Saturation Present? Yes No X Depth (inches)
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
y Indicators (minimum of 2 required)
Surface Soil Cracks (66)
Sparsley Vegetated Concave Surface (B8)
Drainge Patterns ( 610)
Moss trim Lines (B16)
Dry-Season Water Table (C2)
Cra�sh Burrows (C8)
Saturation Visble on Aerial Imagery (C9)
Stunted or Stressed Plants (D1)
Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (DS)
Wetland Hydrology Present?
Yes No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum
1. None observed
2.
3.
4.
5.
6.
Sapling/Shrub Stratum
1. None observed
2.
3.
4.
5.
6.
Plot Size 30 feet) Cover Species? Status
Sampling Point: WA up
Number of Dominant Speices
That Are
OBL, FACW, or FAC: 0 (A)
Total Number of Dominant
Speicies Across All Strata: 2 �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 0% (A/B)
0% =Total cover Prevalence Index Worksheet:
50% of total cover: 0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Q Size 30 feet) Cover Species? Status FACW species x 2=
FAC species X 3 =
FACU species x 4 =
UPL species X 5 =
Column totals (A) (B)
Prevalence Index = B/A =
0% =Total cover
50% of total cover: 0% 20% total cover: po�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status No Dominance Test is >50%
1. Festuca arundinacea 70% Yes NR Prevalence Index is <_3.0'
2. Cynodon dactylon 30% Yes FACU Problematic Hydrophytic
3. Vegetation�(Explain)
4• ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
Vine Stratum:
1. None observed
2.
3.
4.
5.
6.
100% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 50% 20% total cover: 20% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Plot Size 30 feetl Cover Species? Status
0% =Total cover
50% of total cover: 0% 20% total cover: 0%
Remarks: (If observed. List morphological adaptations below).
Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
Herb - All herbaceous plants including
herbaceous vines and woody plants, except
woody vines, less than 3 ft in height.
Woody Vine - All woody vines, regardless of
height.
Hydrophytic
Vegetation
Present?
Yes No X
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WA up
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of incators
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Location Texture Remarks
0-12+ 5YR 4/6 100% Clay Loam
� Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains z Location: PL=Pore Lining, M=Matrix
Hydric Soil Indicators: Indicators for Problematic Hydric Soils3
Histosol (A1) Dark Surface (S7) 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2) Polyvalue Below Surface (S8) (MLRA 147, 148) Coast Prarie Redox (A16) (MLRA 747, 748)
Hydrogen Sulfide (A4) Thin Dark Surface (S9) (MLRA 147, 148) Piedmont Floodplain Soils (F19) (MLRA 136, 147)
Stratified Layers (A5) Loamy Gleyed Matrix (F2) Red Parent Material (TF2)
2 cm Muck (A10) (LRR N) Depleted Matrix (F3) Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11) Redox Dark Surface (F6) Other (Explain in Remarks)
Thick Dark Surface (Al2) Depleted Dark Surface (F7)
Sandy Mucky Mineral (S1) (LRR N, Redox Depressions (F8) 3lndicators of hydrophytic vegetation
MLRA 147, 148) Iron-Manganese Masses (F12) (LRR N, MLRA 136) and wetland hydrology must be present,
Sandy Gleyed Matrix (S4) Umbric Surface (F13) (MLRA 736, 722) unless disturbed or problematic.
Sandy Redox (SS) Piedmont Floodplain Soils (F19) (MLRA 148)
Stripped Matrix (S6)
Restrictive Layer (if observed):
Type: Hydric Soil Present?
Depth (inches): Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0