20171315 Ver 1_B-4958 JD request_packet_20161202

Bridge 106 over Reedy Fork Creek on SR 2128 (Bunch Rd.)
B-4948
Bridge 106 is located on Bunch Rd., just over a mile from its intersection with NC 150, near Oak
Ridge. There are three streams (2 perennial and 1 intermittent) and five wetlands in the study
area. Three of the wetlands are small pocket wetlands along SA (Reedy Fork Creek; WA and
WE) or SB (WB), one wetland is an impoundment dominated by emergent vegetation (WD), and
one wetland is a relatively large forested complex (WC).

A.
B.
C.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: Bun�n Rd. �sR 2�2s�
Clty, state: Oak Ridge, NC
C011llty: Guilford
D1I'eCt10riS: Take I-40 to exit 210 for NC 68 and go north (right); in Oak Ridge, take a right on
NC 150; veer right off NC 150 onto Bunch Rd. and stay right at split
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 27�7
�
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.
� Project Coordinates: 36.172902 Latitude -79�952911 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-4958; replace bridge no. 106 over Reedy Fork Creek on SR 2128 (Bunch Rd.)
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: �u�ifora Clty: Oak Ridge
Center coordinates of site (lat/long in degree decimal format):
Lat. 36.172902 °N; LOng. -79.952911 °W,
Universal Transverse Mercator: ��s
Name of nearest waterbody: Reeay Fo�k c�eek
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
�,758.1 linear feet: �a��es width (ft) and/or acres.
Cowardin Class: R3sB3
Strgarp F�OW: Perennial
Wetlands: 1�52 acres.
Cowardin Class: PFo a�a 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; Summefield
✓❑ 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 (Reedy 36.172848 -79.953066 R3SB3 716.6 linear Non-section 10;
Fork Creek ft. non-wetland
SB 36.173276 -79.954366 R3SB3 985.7 linear Non-section 10;
ft. non-wetland
SC 36.172531 -79.953715 R3SB3 55.8 linear ft. Non-section 10;
non-wetland
WA 36.172953 -79.952727 PEM 0.03 acre Non-section 10;
wetland
WB 36.172972 -79.953534 PFO 0.01 acre Non-section 10;
wetland
WC 36.173041 -79.954287 PFO 1.22 acres Non-section 10;
wetland
WD 36.172228 -79.953604 PEM 0.25 acre Non-section 10;
wetland
WE 36.172675 -79.953472 PEM 0.01 acre Non-section 10;
wetland

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0 350 700 B-4958 ,
Feet REPLACE BRIDGE NO. '106 OVER REEDY ;-
FORK CREEK ON SR 2128 (BUNGH RD.) e°��
FIGURE Z PREPARED BY: DATE:
GUILFORD COUNTY, NC �E°�S���E^^ OCTOBER
TO PO G RAP H IC �`"�""'� &
(C%�RFsr<�RAT��,� 2016

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0 225 450 B-4958 `"'°" �°�.
Feet REPLACE BRIDGE NO. 1 O6 OVER REEDY 9�po
FORK ON SR 2`I 2S (BUNCH RD.) ��"r°°Taa�F`°�
FIGURE 3 PREPARED BY: DATE:
GUILFORD COUNTY, NC E=�S���E^� OCTOBER
SOILS ��.. RFsr<"RAT�&�
2016

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; � �•,' •'' CNES/Airbus DS, USD �o ri�l, IGN; IGP, sw'sstopo,-
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,;�� . . �
0 220 440 B-4958 ��;�"`
REPLACE BRIDGE NO. 'I06 OVER REEDY ��p
Feet FORK CREEK ON SR 2� 28 (BUIVCH RD.) �'��.,A.��s�°`
FIGURE 4 PREPARED BY: DATE:
JURISDICTIONAL RESOURCES GUILFORD COUNTY, NC y�- P�� N& OCTOBER
l •• RFsr<�RAG�,� 2016

/6-ll{� ZrySS�
�?�y i'w�c 5 /�
NC Division of Water Quality -Methodology for ldentification of Intermitte�nt and
Perennial Streams and Their Origins v. 4.11
NC DW Stream Identification Form Version 4.11
Date: /b /S !(P ProjectlSite: r�'��Z�� a� Latitude:�.���8,�/8
Evaluator: �, `�,� ,� County:G�; �,��� Longitude: _ �S t�'S3o�C
Total Points: / Stream Determination (circle one) Other `�+��+.a��i'a �i�
St2am is at least intermittent C+ �
if219oroerennialif230` �`•S EphemBrdl IntEmtittEn Mnn e.g.QuadName:
munuai uimnes am um ieieu, see urswssimis m mm�uai
B. H drolo Subtotal = . S�
12. Presence of Baseflow 0 1 2
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1 0.5 0
15. Sediment on plants or debris 0.5 1 1.5
16. Organic debris tines or piles 0 0.5 1.5
17. Sail-based evidence of high water table? o= Yes = 3
C. Biolo Subtotal = I
18. Fibrous roots in streambed 2 1 0
19. Rooted upland plants in streambed 2 1 0
20. Macrobenthos (note divereity antl abundance) � y 0 1 3
21. Aquatic Mollusks y �•�,. � c�... 0 1 � 3
22. Fish „,,; M„ M 0 0.5 1.5
23. Cra�sh �` 0.5 1 1.5
24. Amphibians 0.5 1 1.5
25. Algae 0.5 1 1.5
26. Wetland piants in streambed FACW = 0.75; OBL = 1.5 =
`perennial streams may also be idenlifietl using other methods. See p. 35 of manual.
Notes: o-r�S' � r ti 3--/' �.- s �,J a ��F
v� L 'r'i �. < G`.- S
Sketch: � ��+�� � �
�� �I„� ����r;��--•�
��
� ��
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!�4 o r �� �c
41

USACE
�i
i2•r1 i�../c Sri
Site #_ (indicate on attached map)
� STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. ApplicanYs name: NL �%�T 2. Evaluator's name: �, L t.DS ��G
3. Date of evaluation: �D �� 4. Time of evaluation: /� M �/ \
5. Name of stream:�i�tv rG`' G 6. River basin: Ls �%ss ✓ �1'�t...� �3c3� o:l \
��
7. Approximate drainage area: ^^ 1+� 5.r.+�+� �^: � S 8. Stream order: .�/�
9. Length of reach evaluated: J? OO � ]0. County: O�u � I f2...��
11. Site coordina[es (if known): prefer in decimal degrees. 12. Subdivision name (if any): /1%/"�
Latitude (ez. 34.872312): .3�, / 7d S`�tg LongiNde (ex. -77.55661 I): '� S. S S.J D G�c
Method location determined (cirole): GPS Topo Sheet Ortho (Aeri Photo/GI Other GIS Other
13. Loca[ion of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location�:
14. Proposed chann�
15. Recent weather
16. Site conditions at time of visit: �� NV wr,�'v..
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters _Essentiat Fisheries Habitat
_Trout Waters _Outstanding Resource Waters i� Nutrient Sensitive Waters �Wa[er Supply Watershed III (4I1V)
18. Is there a pond or lake located upstream of the evaluation point?�NO If yes, estimate the water surFace area: xvE �� !�ho�G
19. Does channel appear on USGS quad map? � NO 20. Does channel appeaz on USDA Soil Survey? � NO
21. Estimated watershed land use: �% Residential /D % Commercial /D % Industrial /D % Agricultural
de� % Forested �0 % Cleared / Logged _% Other (
22. Bankfull width: /5 - 3c� � 23. Bank height (from bed to top of bank): o) -`f
24. Channel slope down center of stream: _Flat (0 to 2%) iC Gentle (2 to 4%) _Moderate (4 to ]0%) _Steep (>10%)
25. Channel sinuosity: _Straight �Occasional bends _Frequent meander _Very sinuous _Braided channel
InstruMions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegeta[ion, stream classification, etc. Every charac[eristic must be scored using the same ecoregion. Assign points
[o each charac[eristic within the range shown for the ecoregion. Page 3 provides a brief description of how ro 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 [he scoring box and provide an explanation in the
comment section. Where there aze obvious changes in the charac[er of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuiTy, and a separate form used [o evaluate each
reach. The total score assigned to a stream reach must range beriveen 0 and 100, with a score of ]00 representing a sfream of the
highest quality.
(from
Evaluator's Signature /� ✓N I �.--- Date 1l 1/0 /� �p
This channel evaluafion form is int ded to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement Form subject to change - version 06/03. To Comment, please call 9I9-876-8441 x 26.

#
1
2
3
a
d �
U
� 6
x ,
a
8
9
10
Il
� 12
�
a 13
Q 14
F
� 15
16
d
F ��
ti
� l8
x
19
20
�
� 21
0
.a
O 22
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23
These
STREAM QUALITY ASSESSMENT WORKSHEET
CHARACTERISTICS Coastal
Presence of flow / persistent poois in stream
(no flow or saturation = 0; strong flow = mar points) 0- 5
Evidence of pas[ human al[eration
(extensive alteration = 0: no alteration = max points) 0- 6
Riparian zone 0 - 6
(no buffer = 0; conti uous, wide buffer = max points)
Evidence of nutrient or chemical discharges
(extensive dischar es = 0; no discharges = max points) 0- 5
Groundwater discharge 0 - 3
no discharge = 0; springs. seeps, wetlands, etc. = max points)
Presence of adjacen[ tloodplain 0- 4
(no floodplain = 0; extensive floodplain = mas points)
Entre�chment / floodplain access
(deeply entrenched �= 0; frequent floodin� = mar points) 0- 5
Presence oTadjacent wetlands 0- 6
(no wetlands = 0; large ad_jacen[ wetlands = max points)
Channel sinuosity 0 -- 5
extensive channelizafion = 0; natural meander = max points)
Sedimen[ input 0 - 5
"extensive deposition= 0: little or no sediment = max points)
Size & diversity of channel bed substrate NA*
(fine, homo�enous = 0; large, diverse sizes = max points)
Evidence of channel incision or widening
(dee ly incised = 0; stable bed & banks = max points) 0- 5
Presence of major bank failures
(severe erosion = 0; no erosion, stable banks = ma�c poin[sj � 5
Root depth and density on banks
(no visfble roots = 0; dense roots throughout = max points) � 3
lmpact by agriculture, livestock, or timber production 0- 5
(substantial impaet =0; no evidence = mau points)
Presence of riTfle-pool/ripplwpool complexes 0- 3
no riffles/ri les or ools = 0; well-develo ed = mae points)
Habitat complexity 0 - 6
ittle or no habitat = 0; frequent, varied habitats = max points)
Canopy coverage over streambed 0- 5
no shading vegeffition = 0; coi�tinuous canopy = max poinlsJ
Substrate embeddedness NA,
(deeply embedded = 0: loose struc[ure = ma�c)
Presence of stream invertebra[es (see page 4) �_ 4
(no evidence = 0; eommon, numerous t es = max oin[s)
Presence of amphibians � 4
(no evidence = 0; common, numerous types = max points)
Presence of fish � 4
(no evidence = 0; common, numerous rypes = max points)
Evidence of wildlife use 0- 6
(no evidence = 0; abundant evidence = max points)
To[al Points Possible ]00
TOTAL SCORE (also enter on first page)
cteristics are not assessed in coastal streams.
2
Piedmont
0-4
0-5
0-4
0-4
0-4
0-4
0-4
0-4
0-4
0-4
0-4
0-4
0-5
0-4
0-4
0-5
0-6
0-5
0-4
Q-i
0-4
0-4
0-5
]00
� �,r�,
�� }�, t
�cs�/ f c✓� �dl�
�".."'" SCORE
Mountain
O S �i
0-5
1 Narrn ,. .is�
� - 5 �t't�:r � �1
o-a >
�
0-4 �
�
0-2 (.�
0-2 J
0-2 y
.,%
0-3 ;_
✓
0-4 3
0-5 � �„
i
p _ 5 � ��.ct,,
�.%
0-5 .-� �a,_,,:�,
0_5 �,,;;;
f �
<:�, -Ijn.�-
0_5 \ e���os�
�` �
0-6 �t�m� '
.,'� �;
0-6 �f �iO
/J �����
0-5 �
0_4 � ,
�
0 - 5 ' "�'.;
.:f�
0-4 `�
p_q � �,�
a,, s
0 _ 5 � � v,s .- •,� � �5
100
Cp �

b->'S,c; 5�3
NC Division of Water Quality -Methodology for ldentification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: �o /
Evaluator:
ToWI Points: � f
Stream is at least intermittent
r+.veoinvipiwioyy �auoco[a�=_
1a� Continuity of channel bed and bank
2. Sinuosity of channel along thalweg
3. In-channel structure: ex. riffle-pool, :
ripple-pool sequence
4. Particle size of stream substrate
5. Active/relict Boodplain
6. Depositional bars or benches
7. Recent alluvial deposits
8. Headcuts
9. Grade control
10. Natural valley
11. Second or greater order channel
artificial ditches are not rated; see discuss
R Hvrirnlnnv lSnhinf�l = i�i 1
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaf litter
15. Sediment on plants or
16. Oraanic debris lines or
ProjecUSite: Q""�5�� Z� ��'^ Latitude:� 3'
/)
County: �, , Longitude:_ � �
Stream Determination (circle on Other S,, „,,,,s,���
Ephemeral Intermitten nlal e.g.QuadName:
0
A
0
0
�
2
0.5 0
1 1.5
1 1.5
C. Biolo (Subtotal =
18. Fibrous roots in streambed 2 1 0
19. Rooted upland piants in streambed 2 1 0
20. Macrobenthos (note divereiry and abundance) 1 2 3
21. Aquatic Mollusks 1 2 3
22. Fisll F< �,,, �„�,..� n .+ e 4 1 1.5
23. Crayfish n 0 1 1.5
24. Amphibians 0.5 1 1.5
25. Algae aD 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 =
`perennial streams may also be identifietl using other methods. See p. 35 of manual.
Notes: �, • J- � ! �., , / S�,
�
Sketch: � . ' � \
� ��, �� i;"'S �
�
� I
1 �
, ; r�; �
� vJ U � �
� �
41

USACE AID#
�
DWQ # Si[e #_ (indicate on attached map)
� STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: /
2. Evaluator's name: /�, L..� 3�' c
4. Time of evaluation: l��O M
6. River basin: Gs�� r's� i! f� ti, a3d3 caoJ
� .
8. Stream order: fL`
1. ApplicanYs name: /��D D '
3. Date of evaluation: / ��
5. Name of stream: .5 U 9�c cc ��„r�
7. Approximate drainage area:� �+.�: �
9. Length of reach evaluated: �v� �
10. County: Gu I �w�i
ll. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): /I%,�
La[iNde(ez.34.872312): 310. �73di�P Longi[ude(ez.-77.556611): 'iS. SS`�3�n6
Method location determined (circle): GPS Topo Sheet Ortho (Aeri Photo/GI Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying sfream(s) location): ,
14. Proposed channel work (if
15.Recentweatherconditions: /o �/��iS cF7�.� ���r�',uh� ,r��T/hsw
16. Site conditions at time of visit: .�v � H V V✓s+^vr
17. Identify any special waterway classifications known: _Section ]0 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters �Nutrient Sensitive Wa[ers �( Water Supply Watershed II �(I-IV)
18. Is there a pond or lake bcated upstream of the evaluation point? YES �f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YE�Q 20. Does channel appear on USDA Soil Survey? YES C�v_uJ
21. Estimated wa[ershed land use: �� % Residential _% Commercial _% Industrial ��% Agricultural
yD % Forested �% Cleared / Logged _% Other (
�
22. Bankfull width: n�- 3� 23. Bank height (from bed to top of bank): /' 3
24. Channel slope down center of stream: _Flat (0 to 2°/a) �Gentle (2 to 4%) _Moderate (4 to ] 0%) _Steep (>] 0%)
25. Channel sinuosity: _Straight _Occasional bends ,,�Frequent meander _Very sinuous _Braided channel
InstruMions for completion of worksheet (located on page 2): Begin by detertnining the most appropriate ecoregion based on
Iocation, terrain, vegetation, stream classification, etc. Every chazacteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score oF 100 representing a sheam of [he
highest quality.
Evaluator's Signature o�' Date l� l lJ I/ cO
This channel evaluation torm is in[ ded to be used only as a guide to assist Iandowners and e v ronmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
paHicular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

�� 3�-�5�s�
STREAM QUALITY ASSESSMENT WORKSHEET
/
ECOREGION OINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persistent pools io stream 0- 5 0- 4 0- 5 �
(no flow or saturation = U; strong flow = max points)
Z Evidence of past human alteration 0- 6 0- 5 0- 5 j
(extensive alteration = 0; no altera[ion = max poin[s)
3 Riparianzone 0-6 0-4 0-5 Z����
(no buffer = 0; conti uous, wide buffer = mex oi�ts) ..i •4 �'+�
4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4
(extensive discharges = 0; no discharges = max poin[s)
�j 5 Groundwaterdischarge 0-3 0-4 0-4
U(no dischar�e = 0; sprinrs, seeps, wetlands, etc. = max points)
� � Presence of adjacent iloodplain 0- 4 0- 4 0- 2 �
(no floodplain = 0; extensive floodplain = max points)
'i2', � Entrenchment / floodplain access 0- 5 0- 4 0- 2 �
� (deeply entrenched = 0; frequent flooding = max points)
Presence of adjacent wetlands
$ (no wetlands = 0; large adjacent �-etlands = max poin[s) 0- 6 0- 4 0- 2
9 Channel sinuosity 0- 5 0- 4 0- 3 !.�
(extensive channelization = 0; natural meander = max points) �
10 Sedimentinput 0-5 0-4 0-4 �
(extensive deposition� 0; IiUle or no sediment = max points)
� � Size & diversity of channel bed substrate NA` 0- 4 0- 5 I°'t'�'�
(fine, homogenous = 0; large, diverse sizes = max points)
12 Evidence of channel incision or widening 0- 5 0- 4 0- 5 3
p+ (dee I incised = 0; stable bed & banks = max poinfs)
�Presence of major bank failures —
13 0-5 0-5 0-5 <
� (severe erosion = 0; no erosioo, stable banks = max points) �
0.] 14 Root depth and density on banks 0- 3 0- 4 0- 5 �`
Q (no visible roots = 0; dense roots throuQhout = max points)
F
� Impact by agriculture, livestock, or timber production � � ��•^^
IS 0-5 0-4 0-5
(subs[antial impact =0; no evidence = max points) J �
16 Presence of rif0e-pooUripple-pool complexes 0- 3 0- 5 0- 6 �'�
� (oo riffles/ri les or ools = 0; well-devclo ed = max poinu) .� .�'�: s�
� �� HabitaCwmplexity 0-6 0-6 0-6 ��
� Qittle or no habitat = 0; frequent, varied habitats = max points) J :�o s<
� 18 Canopy coverage over streambed 0- 5 0- 5 0- 5
x (no shading vegetation = 0; continuous canopy = max poin[s) `J
�� Substrate embeddedness NA 0- 4 0- 4 ��
(deeply embedded = 0; loose struc[ure = mas) # � '� � �r
ZQ Presence of stream invertebrates (see page 4) 0- A 0- 5 0- 5 �4 ,yF��
� (no evidence = 0; commoq numerous ty es = max oints) �
C7 21 Presence of amphibians 0- 4 0- 4 0- 4 � �tJ - c
0 (no evidence = Q common, numerous types = max points) -'
'� Presence of fish s-r...
O 22 0-4 0-4 0-4 /
� (no evidence = 0; common, numerous rypes = max points)
23 Evidenceofwildlifeuse 0-6 0-5 0-5 � "'� •s��
(no evidence = 0; abundant evidence = max points) d' •�^� �°'•'-
Total Points Possible ]00 I00 100
TOTAL SCORE (also enter on first page) '�
* These characteristics are not assessed m coastal streams.

�3-�s�s
NC Division of Water Quality -Methodology for ldentification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11
Date: �o /�8 �� . ProjecUSite3
� /
Evaluatar: ?`t f� 5; L County: ��
Sheam is at least intermittent
5G
e�" Latitude: � �7 ,Sy� �
Longitude: _� 5�7�
Stream Detertnin : circle one) Otherc�i»��.�
Ephemerel � tertm en Perennial e.g.4uadName:
B. H drolo Subtotal =
12. Presence of Baseflow 0 1 2 L'�
13. Iron oxidizing bacteria 1 2 3
14. Leaf litter 1 0.5 0
15. Sediment on plants or debris 0.5 1 1.5
16. Organic debris lines or piles 0.5 1 1.5
17. Soil-based evidence of high water table? No = 0 s=
C. Biolo Subtotal =
16. Fibrous roots in streambed 2 1 0
19. Rooted upland plants in streambed 2 1 0
20. Macrobenthos (note diversity and aburWance) 1 2 3
21. Aquatic Mollusks ;„ G. e� 0 ��"6 2 3
22. Fish 0.5 1 1.5
23. Crayfish � 0.5 1 1.5
24. Amphibians 0.5 1 1.5
25. Algae 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 �tkec=A-
`perennial streams may also be identified using other methods. See p. 35 ot manual.
Notes: �, � o, /D o S �. < . D
Sketch: 5� r? --�" / �
� �"�L"" I
�f:•.y `'�' /i'
�.__ _ __:.t.\ .� '
W �
41

USACE AID#
Site #_ (indicate on attached map)
;,� STREAM QUALITY ASSESSMENT WORKSHEET �
Provide the following information for the sMeam reach under assessment:
1. Applicant's name: G Zi0 %
3. Date of evaluation: �6 �lr /
5. Name of stream: J� G U�To �r<.�� �wC
7. Approximate drainage area: /� .�� �'< s/
9. Length of reach evaluated: 'sC? �
2. Evaluator's name: � �cs'7S �'�
4. Time of evaluation: /: GY, M
6.Riverbasin: Gi.�. F�.� �iw 6?0��
8. Stream order:
,��/
lO.County: �'J;�t�,�-?
11. Site coordinates (if known): prefer in decimai degrees. 12. Subdivision name (if any): /1%P%
La[itude (ex. 34.872312): �. I7� 3 3I Longitude (ex. -77.556611): -�'�/. S S 3��S
Method loca[ion determined (circle): GPS Topo Shee[ Ortho (Aeria oto/GIS Other GIS O[her
13. Location of reach under;e�valuation (note nearby roards and( landmarksI and attac�% m>ap identifyi/ng su^'�eam(s) bcati/on):��
h�.+.T �.'F L�e� JC.i�<r iU� �is.1T� c'�T �n.,_L. �4r� ! D/'��IC IC�.�! 1wTt✓�..c-__T.er
14. Proposed channel work (if
15. Recent weather conditions�,
16. Site conditions at time
17. Identify any special waterway classifications known:
Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters �Nutrient Sensitive Waters �: Water Supply Watershed /// (I-IV)
1S. Is there a pond or Iake located upstream of the evaluation point?�NO If yes, estimate [he water surface area: GnS /��
19. Does channel appeaz on USGS quad map? YES�Q� 20. Does channel appear on USDA Soil Survey? YES�
21. Es[imated watershed land use: _% Residential _% Commercial _% Industrial y�/o Agricultural
�% Forested _% Cleared / Logged _% Other (
22. Bankfull width: 7' 8 23. Bank Beight (from bed to top of bank): ��i
24. Channel slope down center of stream: �Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: �Shaight _Occasional bends _Frequent meander _Very sinuous _Braided channel
InstruMions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each charac[eristic within the range shown for the ecoregion. Page 3 provides a brief description of how [o review the
characteristics identified in the worksheet. Scores should reflec[ an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a sheam under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more con[inuiTy, and a separate form used to evaluate each
reach. The total score assigned to a sheam reach must range between 0 and ]00, with a score of 100 representing a stream of the
highest quality.
Evaluator's Signature �.�WI'7�T n_.....-- Date / � / �a / ��o
This channel evaluation form is mt " ded to be used only as a guide to assist landowners and environmenfel professionals in
gathering the dafe required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion oT this form is subjec[ to USACE approval and does no[ imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
1
# CHARACTERISTICS ECOREGION POINT RANGE SCORE
Coastal Piedmont Mountain
� Presence of ilow / persistent pools in stream 0— 5 0— 4 0— 5
(no flow or saturation = 0; strong flow = max points) -5
2 Evidence of past human alteration 0— 6 0— 5 0— 5
(extensive alteration = 0: no alteration = mau points) ��
3 Riparianzone 0-6 0-4 0-5 � n°� a�
(no buffer = 0; conti uous, wide buffer = max points)
4 Evidenceofnutrientorchemicaldischarges 0-5 0-4 0-4 �
(extensive discharges = 0; no discharges = max points)
a 5 Groundwater discharge 0— 3 0— 4 0— 4 �, 'F�^-�
U(no discharge = 0; sprinQs, seeps, wetlands, etc. = max points)
� � Presence of adjacent Ooodplain �� Q 4 � Z L�
�„ (no floodplain = 0; extensive floodplain = max points)
'�" � Entrenchmen[ / floodplain access 0— 5 0— 4 0— 2 �
p" (deeply entrenched = 0; frequent flooding = mae points)
8 Presenceofadjacentwetlands 0-6 0-4 0-2 ��
�r�
(no wetlands = 0: large adjacent wetlands = max points) v~
Chan�el sinuosity
9 (extensive chanoelization = 0; na[ural meander = max points) 0—� 0— 4 0— 3 �
�Q Sedimentinpu[ 0-5 0-4 0-4 !.�
(extensive deposition= 0; little or no sediment = max points)
� � Siu & diversity of channel bed substrate NA* 0— 4 0— 5 � s` �
( fine, homoRenous = 0; large, diverse sizes = max points)
� 2 Evidence of channel incision or widening 0— 5 0— 4 0— 5 `7
y� (dee I� incised = 0; stable bed R banks = max oints)
�Presence o[ major bank failures
13 0-5 0-5 0-5 G
i„a,� (severe erosion = 0; no erosion, stable banks = max points) ✓
� 14 Root depth and density on banks 0— 3 0— 4 0— 5 I��'""
E,,,, (no visible roots = 0; dense roots throughout = max points) J� �:�,>1'"
� Impact by agriculture, livestock, or timber production
15 0-5 0-4 0-5
(Substantial impact �; no evidence = max points)
� 6 Presence of rifFle-pool/ripple-pool complexes 0— 3 0— 5 0— 6 �
F (no riffles/ri les or pools = 0; well-develo ed = max oints
y� � � Habitat complexiry 0— 6 0— 6 0— 6
� Qittle or no habitat = 0; freque�t, varied habitats = max points) '�'
� � 8 Canopy coverage over s[reambed 0— 5 0— 5 0— 5
r
�, (no shading vegeffition = 0; continuous canopy = mas points)
19 Subs[rateembeddedness NA* 0-4 0-4 1
(deeply embedded = 0; loose structure = max) d
Z� Presence of stream invertebrates (see page 4) Q_ q 0— 5 0— 5
� (no evidence = 0; common, numerous t es = max oints) l�
� Z� Presenceofamphibians 0-4 0-4 0-4
� (no evidence = 0; common, numerous types = max points) �
� Presence of fish
O 22 0-4 0-4 0-4
� (no evidence = 0; common, numerous types = max points) �
23 Evidence of wildlife use 0— 6 0— 5 0— 5 �
(no evidenee = 0; abundant evidence= max poin[s)
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) ��
*�I�hese charactenstics are not assessed in coastal streams.

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: B-4958 city/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WA & WE W2t
Investigator(s): Robel't LepsiC, EPR Section, Township, Range:
Landform: flOOdplain Local Relief: COIlCBV@ Slope (%):
Subregion: LRR P Lat: 36.172953 Long: -79.952727 Datum NAD 83
Soil Map Unit Name: Poplar Forest clay loam 6-10% slopes 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:
Sediment bars within stream banks; herb vegetation flattened due to recent high flows; recent alluvial deposits
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
Saturation (A3)
Water Marks (B1)
X 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)
X 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)
ndary 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)
X Geomorphic Position (D2)
ShallowAquitard (D3)
FAC-Neutral Test (D5)
Field Observation:
Surface 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:
Wetland Hydrology Present?
Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Absolute %
Tree Stratum (Plot Size 30 feet) Cover
1. None observed
2.
3.
4.
5.
6.
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Salix nigra
2. Betula nigra
3. Platanus occidentalis
4.
5.
6.
0%
0%
Absolute %
Cover
5%
5%
1%
11%
50% of total cover: 6%
Absolute %
Herb Stratum: (Plot Size 30 feet) Cover
1. Persicaria pensy/vanica 90%
2. Persicaria sagittata 10%
3. Carex spp. 5°/a
4.
5.
6.
Vine Stratum:
1. None observed
2.
3.
4.
5.
6.
Remarks:
Sampling Point: WA 8� WE wet
Dominant Indicator
Species? Status Number of Dominant Speices
That Are
OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Speicies Across All Strata: 3 �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 100% (AIB)
=Total cover
20% total cover:
Dominant
Species?
Yes
Yes
No
Prevalence Index Worksheet:
0% Total % Cover of: Multiply by:
OBL species x 1 =
Indicator
Status FACW species x 2=
OBL FAC species x 3=
FACW FACU species X 4=
FACW UPL species x 5=
Column totals (A) (B)
=Total cover
20% total cover: 2%
Dominant
Species?
Yes
No
No
Indicator
Status
FACW
OBL
FAC
105% =Total cover
50% of total cover: 53% 20% total cover: 21 %
Absolute % Dominant Indicator
Plot Size 30 feet) Cover Species? Status
0% =Total cover
50% of total cover: 0% 20% total cover: 0%
(If observed. List morphological adaptations below).
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Yes Dominance Test is >50%
Prevalence Index is <_3.0�
Problematic Hydrophytic
Vegetation�(Explain)
' Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
Tree-Woody Plants, excluding vines
approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
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 8� WE 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
0-9 10YR 4/6 100% coarse sand
9-12+ 10YR 4/1 100% Loam
' 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)
X 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) 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
ProjecUSite: B-4958 city/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WA Upl
Investigator(s): Robert LepSiC Section, Township, Range:
Landform: flOOdplain Local Relief: IlO1l@ Slope (%):
Subregion: LRR P Lat: 36.172877 Long: -79.952607 Datum NAD 83
Soil Map Unit Name: Poplar forest clay loam, 6-10% slopes NW I 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:
Maintained lawn outside stream banks
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
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)
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 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 (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 No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum
� . None observed
2.
3.
4.
5.
6.
Sapling/Shrub Stratum
1. None observed
2.
3.
4.
5.
6.
Plot Size 30
50% of total cover:
Plot Size 30
50% of total cover:
Herb Stratum: (Plot Size 30 feet)
1. Cynodon dactylon
2. Rumex acetosa
3. Festuca spp.
4. P/antago major
5. Vio/a spp.
6.
Vine Stratum:
1. None observed
2.
3.
4.
5.
6.
Remarks:
50% of total cover:
Size 30
Cover Species?
Sampling Point: WA upl
idicator
Status Number of Dominant Speices
That Are
OBL, FACW, or FAC: 0 (A)
Total Number of Dominant
Speicies Across All Strata: 3 �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 0% (A/B)
0% =Total cover Prevalence Index Worksheet:
0% 20% total cover: 0% Total % Cover of: Multiply by:
OBL species x 1= 0
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2= 0
FAC species 5 x 3= 15
FACU species 80 x 4= 320
UPL species x 5= 0
Column totals 85 (A) 335 (B)
Prevalence Index = B/A = 3.9
0% =Total cover
�o�0 20% total cover: �o�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Cover Species? Status No DominanCe Test is >50%
40% Yes FACU No Prevalence Index is <_3.0�
15% Yes FACU Problematic Hydrophytic
15% Yes FACU Vegetation�(Explain)
10% No FACU � Indicators of hydric soil and wetland hydrology
5% No FAC must be present unless disturbed
Definitions of Five Vegetation Strata:
85% =Total cover Tree-Woody Plants, excluding vines
43% 20% total cover: 17% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Cover Species? Status
0% =Total cover
50% of total cover: 0% 20% total cover:
(If observed. List morphological adaptations below).
0%
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 upl
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
0-2 10YR 3/6 100% Sandy Loam
2-12+ 10YR 4/6 100% Loam
' 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) 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 No X
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-4958 City/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WB-08 W@t
Investigator(s): RObeft LepSIC, EPR Section, Township, Range:
�andform: drainageway Local Relief: COtICaV@ Slope (°�o):
Subregion: LRR P Lat: 36.172972 Long: -79.953534 Datum
Soil Map Unit Name: Dan River loam NWI classification: PFO
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:
Ditch/drainageway between SB and roadside ditch; sediment on plants due to recent high flows
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water(A1)
X High Water Table (A2)
X Saturation (A3)
Water Marks (B1)
Sediment Deposits (B2)
Drift Deposits (B3)
Algal Mat or Crust (64)
X Iron Deposits (65)
Inundation on Aerial Imagery (B7)
Water Stained Leaves (69)
check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (614)
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)
ndary Indicators (minimum of 2 required)
Surface Soil Cracks (66)
X 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)
Field Observation:
Surtace Water Present? Yes No X Depth (inches)
Water Table Present? Yes X No Depth (inches) 10
Saturation Present? Yes X No Depth (inches) 8
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
Standing water in areas
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 (Plot Size 30
1. Platanus occidentalis
2.
3.
4.
5.
6.
Cover Species?
50% Yes
Sampling Point: WB-08 wet
Indicator
Status Number of Dominant Speices
That Are
FACW OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Speicies Across All Strata: 3 �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 67% (A/B)
50% =Total cover Prevalence Index Worksheet:
50% of total cover: 25% 20% total cover: 10% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Sapling/Shrub Stratum: (Plot Size 30 feet) Cover Species? Status FACW species x 2=
1. Fraxinus pennsylvanica 30% Yes FACW FAC species x 3=
2. Ligustrum sinense 10% Yes FACU FACU species x 4=
3. UPL species X 5=
4. Column totals (A) (B)
5.
6. Prevalence Index = B/A =
Herb Stratum:
1.
2.
3.
4.
5.
6.
Vine Stratum:
1. None observed
2.
3.
4.
5.
6.
40% =Total cover
so% of total cover: 20% Zo% total cover: 80�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Size 30 feet) Cover Species? Status Yes Dominance Test is >50%
50% of total cover:
Size 30
Prevalence Index is <_3.0�
Problematic Hydrophytic
Vegetation�(Explain)
' Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
0% =Total cover Tree-Woody Plants, excluding vines
0% 20% total cover: 0% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
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 X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WB-08 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
0-2 10YR 3/2 80% 7.5YR 4/6 20% C PL
2-12+ 10YR 4/1 90% 7.5YR 4/6 10% C PL
� 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) 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 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 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-4958 City/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WC-01 W@t
Investigator(s): RObeft LepSIC, EPR Section, Township, Range:
Landform: flOodplain Local Relief: COtICaV@ Slope (%):
Subregion: LRR P Lat: 36.172847 Long: -79.953944 Datum
Soil Map Unit Name: Codorus loam NWI classification: PFO
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:
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water(A1)
High Water Table (A2)
X 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)
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)
ndary Indicators (minimum of 2 required)
Surface Soil Cracks (66)
Sparsley Vegetated Concave Surface (B8)
X Drainage 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)
X FAC-Neutral Test (DS)
Field Observation:
Surtace Water Present? Yes No X Depth (inches)
Water Table Present? Yes No X Depth (inches)
Saturation Present? Yes X No Depth (inches) 10
(includes capillary fringe)
Describe Recorded Data (stream guage, monitoring well, aerial photos, previous inspections). If available:
Remarks:
Sediment on leaves, recent overland flow
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 (Plot Size 30 feet) Cover
1. Acer rubrum 70%
2. Fraxinus pennsy/vanica 20%
3.
4.
5.
6.
Sapling/Shrub Stratum
1. Acer rubrum
2. Asimina triloba
3.
4.
5.
6.
Species?
Yes
Yes
Sampling Point: WC-01 wet
Indicator
Status Number of Dominant Speices
That Are
FAC OBL, FACW, or FAC: 8 (A)
FACW Total Number of Dominant
Speicies Across All Strata: $ �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 100% (A/B)
90% =Total cover Prevalence Index Worksheet:
50% of total cover: 45% 20% total cover: 18% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Q Size 30 feet) Cover Species? Status FACW species x 2=
15% Y6S FAC FAC species x 3=
5% Yes FAC FACU species x 4=
UPL species X 5 =
Column totals (A) (B)
Prevalence Index = B/A =
20% =Total cover
so% of total cover: 10% Zo% total cover: 40�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Herb Stratum: (Plot Size 30 feet) Cover Species? Status Yes Dominance Test is >50%
1. Microstegium vimineum 80% Yes FAC Prevalence Index is <_3.0'
2. Saururus cernuus 30% Yes OBL Problematic Hydrophytic
3. Boehmeria cylindrica 5°/a No FACW Vegetation'(Explain)
4• ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
115% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 58% 20% total cover: 23% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. Toxicodendron radicans 10% Yes FAC
Sapling - Woody plant, excluding woody vines
2. Vitis rotundifolia 10% Yes FAC
3.
4.
5.
6.
20% =Total cover
50% of total cover: 10% 20% total cover: 4%
Remarks: (If observed. List morphological adaptations below).
approximatley 20 ft or more m 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: WC-01 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
0-4 7.5YR 4/4 95% 5YR 4/6 5% C PL Clay Loam
4-12+ 10YR 4/1 80% 7.5YR 4/6 15% C PL Clay
5YR 4/6 5% C PL
� 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) 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 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 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
ProjecUSite: B-4958 city/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WB & WC Upl
Investigator(s): Robel't LepsiC, EPR Section, Township, Range:
Landform: flOOdplain Local Relief:
Slope (%):
Subregion: LRR P Lat: 36.172831 Long: -79.95354 Datum
Soil Map Unit Name: Dan River 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)
NAD 83
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 No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Floodplain between SA and SB
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
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)
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 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 (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 No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum (Plot Size 30 feet) Cover
1. P/atanus occidentalis 40%
2. Liriodendron tulipifera 30%
3. Jug/ans nigra 30%
4. Acer negundo 20%
5.
6.
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Asimina triloba
2. Carpinus caroliniana
3. Acer negundo
4.
5.
6.
50% of total cover:
Herb Stratum: (Plot Size 30 feet)
1. Microstegium vimineum
2. Verbesina alternifolia
3. Boehmeria cylindrica
4. Rosa multiflora
5.
6.
Vine Stratum:
1. None observed
2.
3.
4.
5.
6.
50% of total cover:
Plot Size 30
50% of total cover:
US Army Corps of Engineers
Species?
Yes
Yes
Yes
No
Sampling Point: WB & WC upl
Status Number of Dominant Speices
That Are
FACW OBL, FACW, or FAC:
FACU Total Number of Dominant
FACU Speicies Across All Strata:
FAC Percent of Dominant Speices
That Are
OBL, FACW, or FAC:
6 (A)
8 (B)
75% (A/B)
120% =Total cover Prevalence Index Worksheet:
60% 20% total cover: 24% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2=
50% Yes FAC FAC species x 3=
30% Y2S FAC FACU species x 4=
20% YeS FAC UPL species x 5=
Column totals (A) (B)
Prevalence Index = B/A =
100% =Total cover
50% 20% total cover: 200�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Cover Species? Status Yes Dominance Test is >50%
20% Yes FAC Prevalence Index is <_3.0�
10% Yes FAC Problematic Hydrophytic
5% No FACW Vegetation�(Explain)
5% No FACU � Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
40% =Total cover Tree-Woody Plants, excluding vines
20% 20% total cover: 8% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Cover Species? Status
0% =Total cover
0% 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
Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WB & WC upl
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
0-2 10YR 3/4 100% Clay
2-12+ 7.5YR 4/6 100% Clay
' 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) 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 No X
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-4958 City/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WD W@t
Investigator(s): RObeft LepSIC, EPR Section, Township, Range:
Landform: IlllpOUilC1171G'Clt Local Relief: Slope (%):
Subregion: LRR P Lat: 36.17233 Long: -79.953637 Datum
Soil Map Unit Name: Poplar forest clay loam, 6-10% slopes NW I 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:
Impoundment dominated by herbs; separated from SA by a dam/culvert
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)
X Inundation on Aerial Imagery (B7)
Water Stained Leaves (69)
check all that apply)
Aquatic Fauna (613)
True Aquatic Plants (614)
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:
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:
Point taken closer to edge of wetland; standing water present throughout wetland interior
y Indicators (minimum of 2 required)
Surface Soil Cracks (66)
Sparsley Vegetated Concave Surface (B8)
Drainage 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 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.
Sapling/Shrub Stratum
1. None observed
2.
3.
4.
5.
6.
Plot Size 30 feet) 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:
WD wet
100% (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 10 feet) Cover Species? Status Yes Dominance Test is >50%
1. Persicaria pensylvanica 100°/a Yes FACW Prevalence Index is <_3.0'
2. Peltandra virginica 1% No OBL Problematic Hydrophytic
3. Hibiscus moscheutos 1°/a No OBL Vegetation'(Explain)
4• ' Indicators of hydric soil and wetland hydrology
5. must be present unless disturbed
6. Definitions of Five Vegetation Strata:
102% =Total cover Tree-Woody Plants, excluding vines
50% of total cover: 51 % 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
Vine Stratum: (Plot Size 30 feet) Cover Species? Status
1. None observed
2.
3.
4.
5.
6.
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 X No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WD 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
0-3 10YR 4/1 100% Clay
3-12+ 10YR 4/1 90% 7.5YR 4/6 10% C PL Clay
� 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) 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 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 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
ProjecUSite: B-4958 city/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WD Upl
Investigator(s): Robel't LepsiC, EPR Section, Township, Range:
Landform: hIIISId@ Local Relief: IlO1l@ Slope (%): 1%
Subregion: LRR P Lat: 36.172478 Long: -79.953565 Datum
Soil Map Unit Name: Poplar forest clay loam, 6-10% slopes NW I 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:
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
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)
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 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 (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 No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Absolute % Dominant
Tree Stratum (Plot Size 30 feet) Cover Species?
1. Acer rubrum 90% Yes
2.
3.
4.
5.
6.
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Carpinus caroliniana
2.
3.
4.
5.
6.
50% of total cover:
Herb Stratum: (Plot Size 30 feet)
1. Quercus alba
2. Rubus argutus
3.
4.
5.
6.
50% of total cover:
Vine Stratum: (Plot Size 30 feet)
1. Smilax rotundifolia
2. Lonicera japonica
3.
4.
5.
6.
Sampling Point: WD upl
idicator
Status Number of Dominant Speices
That Are
FAC OBL, FACW, or FAC: 3 (A)
Total Number of Dominant
Speicies Across All Strata: 6 �B�
Percent of Dominant Speices
That Are
OBL, FACW, or FAC: 50% (A/B)
90% =Total cover Prevalence Index Worksheet:
45% 20% total cover: 18% Total % Cover of: Multiply by:
OBL species x 1= 0
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2= 0
40% Y2S FAC FAC species 135 x 3= 405
FACU species 15 x 4= 60
UPL species x 5= 0
Column totals 150 (A) 465 (B)
Prevalence Index = B/A = 3. �
40% =Total cover
200�0 20% total cover: 80�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Cover Species? Status No Dominance Test is >50%
5% Yes FACU No Prevalence Index is <_3.0�
5% Yes FACU Problematic Hydrophytic
Vegetation�(Explain)
� Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
10% =Total cover Tree-Woody Plants, excluding vines
5% 20% total cover: 2% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Cover Species? Status
5% Yes FAC
5% Yes FACU Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
10% =Total cover
50% of total cover: 5% 20% total cover:
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
2% 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: WD upl
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
0-8 10YR 4/4 100% Sandy Loam
8-12+ 5YR 4/4 100% Sandy Loam
' 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) 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 No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
ProjecUSite: B-4958 city/County: Guilford Sampling Date: 10/18/2016
ApplicanUOwner: NCDOT State: NC Sampling Point: WE Upl
Investigator(s): Robel't LepsiC, EPR Section, Township, Range:
Landform: flOOdplain Local Relief: Slope (%):
Subregion: LRR P Lat: 36.172688 Long: -79.953346 Datum NAD 83
Soil Map Unit Name: Poplar forest clay loam, 6-10% slopes NW I 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 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:
HYDROLOGY
Wetland Hydrology Indicators:
Primary Indicators minimum of one is
Surface Water (A1)
High Water Table (A2)
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)
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 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 (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 No X
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION - Use Scientific Names of Plants
Tree Stratum (Plot Size 30 feet) Cover
1. Jug/ans nigra 60%
2. Carya tomentosa 20%
3. Carpinus caroliniana 10%
4.
5.
6.
50% of total cover:
Sapling/Shrub Stratum: (Plot Size 30 feet)
1. Liquidambar styracif/ua
2. Carpinus caroliniana
3. Cornus amomum
4. Ligustrum sinense
5. Fraxinus pennsy/vanica
6.
50% of total cover:
Herb Stratum: (Plot Size 30 feet)
1. Po/ystichum acrostichoides
2. Asimina triloba
3. Vernonia noveboracensis
4.
5.
6.
50% of total cover:
Vine Stratum: (Plot Size 30 feet)
1. Smilax rotundifolia
2. Lonicera japonica
3.
4.
5.
6.
50% of total cover:
US Army Corps of Engineers
Species?
Yes
Yes
No
Sampling Point: WE upl
Status Number of Dominant Speices
That Are
FACU OBL, FACW, or FAC:
FACU Total Number of Dominant
FAC Speicies Across All Strata:
Percent of Dominant Speices
That Are
OBL, FACW, or FAC:
6 (A)
10 (B)
60% (A/B)
90% =Total cover Prevalence Index Worksheet:
45% 20% total cover: 18% Total % Cover of: Multiply by:
OBL species x 1 =
Absolute % Dominant Indicator
Cover Species? Status FACW species x 2=
20% Yes FAC FAC species x 3=
10% Y2S FAC FACU species x 4=
10% YeS FACW UPL species x 5=
5% NO FACU Column totals (A) (B)
5% No FACW
Prevalence Index = B/A =
50% =Total cover
25% 20% total cover: � �o�o Hydrophytic Vegetation Indicators:
Rapid Test for Hydrophytic Vegetation
Absolute % Dominant Indicator
Cover Species? Status Yes Dominance Test is >50%
5% Yes FACU Prevalence Index is <_3.0�
5% Yes FAC Problematic Hydrophytic
5% Yes FACW Vegetation�(Explain)
� Indicators of hydric soil and wetland hydrology
must be present unless disturbed
Definitions of Five Vegetation Strata:
15% =Total cover Tree-Woody Plants, excluding vines
8% 20% total cover: 3% approximately 20 ft or more and 3 in. or larger
diameter at breast height (DBH).
so u e o ominan n ica or
Cover Species? Status
5% Yes FAC
5% Yes FACU Sapling - Woody plant, excluding woody vines
approximatley 20 ft or more in height and less
than 3 in. DBH.
10% =Total cover
5% 20% total cover:
Shrub- Woody plants, excluding woody vines,
approximately 3 to 20 ft in height.
2% 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
Atlantic and Gulf Coastal Plain - Version 2.0

SOIL Sampling Point: WE upl
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 2/2 100% Sand
1-12+ 10YR 5/6 100% Sand
' 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) 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 No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain - Version 2.0