20170002 Ver 1_401 Application_20161216

Environmental Consultants,
8412 Falls of Neuse Road, Suite 104, Raleigh, NC 27615 • Phone: [phone]
sandec.com
To: US Army Corps of Engineers
Wilmington Regulatory Field Office
Attn: Emily Greer
69 Darlington Avenue
Wilmington, NC 28403
From: Bob Zarzecki
Soil & Environmental Consultants, P.A.
Re: Spruce Street Storm Drainage Improvements
Fayetteville, NC
12/29/16
S&EC Project # 12903.W4
N.C. Division of Water Resources
401 & Buffer Permitting Unit
Attn: Karen Higgins
Archdale Building — 91 Floor
512 North Salisbury Street,
Raleigh, NC 27604
On behalf of the owner, City of Fayetteville, please find attached a complete application and supplemental information
requesting written concurrence from the U.S. Army Corps of Engineers (USACE) and the N.C. Division of Water
Resources (DWR) that the activities proposed below may proceed under Nationwide Permit 12 and General Water
Quality Certification 3884. Please contact me at [phone] if you have any questions or require additional
information.
PROJECT SUMMARY
Project Name
Spruce Street Drainage
Project Tye
STORMWATER PIPE INSTALLATION
Owner / Applicant
City of Fayetteville
County
Cumberland
Nearest Town
Fayetteville
Waterbody Name
UT to Little Cross Creek
Index Number
18-27-4-(1)
Class
WS -N
USGS Cataloging Unit
03030004
IMPACT SUMMARY
Stream Impact (acres):
0.016
Wetland Impact (acres):
0.003
Open Water Impact (acres):
0
Total Impact to Waters of the U.S. (acres)
0.019
Total Stream Impact (linear feet):
84
Attachments: PCN Application & Supplemental Information
DWR Permit Application Fee

E3 O� VJA �<G
o � -r
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Page 1 of 14
PCN Form — Version 1.3 December 10, 2008 Version
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1a.
Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b.
Specify Nationwide Permit (NWP) number: 12 or General Permit (GP) number: N/A
1 c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ® Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes
® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
Spruce Street Drainage
2b.
County:
Cumberland
2c.
Nearest municipality / town:
Fayetteville
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state
project no:
N/A
3.
Owner Information
3a.
Name(s) on Recorded Deed:
City of Fayetteville
3b.
Deed Book and Page No.
N/A
3c.
Responsible Party (for LLC if
applicable):
Giselle Rodriguez
3d.
Street address:
Between Forest Hills Drive and Spruce Street
3e. City, state, zip:
Fayetteville, NC 28303
3f.
Telephone no.:
[phone]
3g.
Fax no.:
N/A
3h.
Email address:
grodriguez@ci. fay. ncsu
Page 1 of 14
PCN Form — Version 1.3 December 10, 2008 Version

4.
Applicant Information (if different from owner)
4a.
Applicant is:
❑ Agent ❑ Other, specify: Owner-please send correspondence to Agent and
Applicant
4b.
Name:
4c.
Business name
(if applicable):
4d.
Street address:
4e.
City, state, zip:
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Bob Zarzecki
5b.
Business name
(if applicable):
Soil & Environmental Consultants, PA
5c.
Street address:
8412 Falls of Neuse Road, Ste. 104
5d.
City, state, zip:
Raleigh, NC 27615
5e.
Telephone no.:
919-846-5900
5f.
Fax no.:
919-846-9467
5g.
Email address:
bzarzeckipsandec.com
Page 2 of 14

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Parcel ID: Multiple
1 b. Site coordinates (in decimal degrees):
Latitude: 38.083038 Longitude: -78.922343
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
± 3.6
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
UT to Little Cross Creek 18-27-4-(1)
proposed project:
2b. Water Quality Classification of nearest receiving water:
WS -IV
2c. River basin:
Cape Fear River Basin; Hydrologic Unit Code 03030004
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: Existing conditions consist of an existing drainage easement surounded by housing developments.
3b. List the total estimated acreage of all existing wetlands on the property:
Approximately 0.017 acres of wetlands.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
Approximately 1, 047 linear feet
3d. Explain the purpose of the proposed project:
The purpose of the proposed project is to construct a stormwater pipe.
3e. Describe the overall project in detail, including the type of equipment to be used:
The overall project consists of the construction of a city stormwater pipe within an existing sewer easement.
Equipment typically used for construction and earthwork such as backhoes, bulldozers, excavators, etc. will be
utilized for this project.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ElUnknown
project (including all prior phases) in the past?
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
® Preliminary ❑ Final
Comments:
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Soil & Environmental
Name (if known): David Gainey
Consultants, PA Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A copy of the PJD request is attached.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
N/A
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
[6—b. If yes, explain.
Page 3 of 14
PCN Form – Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ® Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
wetland
DWQ — non -404, other)
(acres)
Temporary T
if known
W 1(#1) ®P [-IT
Sewer Pipe
Headwater
® Yes
® Corps
0.003
Installation
Forest
❑ No
❑ DWQ
2g. Total wetland impacts
0.003
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number -Permanent
(PER) or
(Corps - 404, 10
stream
length
(P) or Temporary (T)
intermittent
DWQ — non -404,
width
(linear
(INT)?
other)
(feet)
feet)
S1 (#1) ® P ❑ T
Sewer Pipe
UT to Little
® PER
® Corps
8'
84'
Installation
Cross Creek
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
84'
3i. Comments:
4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individu Ily list all open water im acts below.
4a.
4b.
4c.
4d.
4e.
Open water impact
Name of waterbody
number —
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑ PEI T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then complete the chart below.
Page 4 of 14
PCN Form — Version 1.3 December 10, 2008 Version

5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose of
(acres)
number
pond
Flo
ode
Filled
Excavated
Flooded
Filled
Excavated
Flooded
d
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
® Neuse El Tar -Pamlico El Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number —
Reason for impact
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
Stream name
mitigation
(square feet)
(square feet)
Temporary T
required?
B1(#1)❑P❑T
F-1 Yes
❑ No
6h. Total buffer impacts
6i. Comments:
Page 5 of 14

D.
Impact Justification and Mitigation
1.
Avoidance and Minimization
1a.
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
S&EC completed a wetland delineation for the entire property in order to identify natural resources so that impacts could
be avoided & minimized to the maximum extent practicable. Impact 1 is a proposed stormwater pipe through an exisiting
drainage easment. Proposed impacts include 84 linear feet of perennial stream impact and 0.003 acres of wetland impact.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
As per the project engineer; Standard Erosion Control measures will be incorporated such as silt fencing, inlet
protection of all upstream structures and appropriately sized sediment riser basins will be utilized during
construction.
2.
Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a.
Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b.
If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c.
If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
El Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3.
Complete if Using a Mitigation Bank
3a.
Name of Mitigation Bank:
3b.
Credits Purchased (attach receipt and letter)
Type:
Quantity:
3c.
Comments:
4.
Complete if Making a Payment to In -lieu Fee Program
4a.
Approval letter from in -lieu fee program is attached.
❑
4b.
Stream mitigation requested:
4c.
If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d.
Buffer mitigation requested (DWQ only):
4e.
Riparian wetland mitigation requested:
4f.
Non -riparian wetland mitigation requested:
4g.
Coastal (tidal) wetland mitigation requested:
4h.
Comments:
5.
Complete if Using a Permittee Responsible Mitigation Plan
5a.
If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 14
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 14

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
Project involves a stormwater improvement with no significant impervious surface area
❑ Yes ® No
added.
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
N/A
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
The project consists of an improved stormwater pipe installation which will not cause
significant changes to the
stormwater system.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative
description of the plan:
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
City of Fayetteville
® Phase II
3b.
Which of the following locally -implemented stormwater management programs
® NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ❑ No
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 14
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
® Yes ❑ No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes ® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b.
If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
N/A
Page 9 of 14
PCN Form — Version 1.3 December 10, 2008 Version

5.
Endangered Species and Designated Critical Habitat (Corps Requirement)
5a.
Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b.
Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
EJ Raleigh
5c.
If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d.
What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat? The NC -Natural Heritage Programs Data Explorer Map was used to search for elemental occurrences of
federally protected species listed within 1 mile of the project boundaries. It was determined based on the search that
there are no elemental occurrences that are listed as federally Threatened/Endangered within 1 mile of the project
boundaries.
References: North Carolina Natural Heritage Program Data Explorer Search (October 27, 20161. http.//www.ncnhp.orq/
6.
Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b.
What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The NOAA Habitat Conservation/Habitat Protection: National Marine Fish Service; Essential Fish Habitat Mapper website
was referenced. No Essential Fish Habitat was identified near the project.
7.
Historic or Prehistoric Cultural Resources (Corps Requirement)
7a.
Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b.
What data sources did you use to determine whether your site would impact historic or archeological resources? The NC
State Historic Preservation Office HPOWEB GIS Service interactive map was referenced on October 27, 2016; no historic
listings or study list entries or determined eligible listings were identified within the property boundaries.
8. Flood Zone Designation (Corps Requirement)
8a.
Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b.
If yes, explain how project meets FEMA requirements: Per the project engineer.-
ngineer.8c.
8c.
What source(s) did you use to make the floodplain determination? Per project engineer & NC Floodplain Mapping
Program
Bob Zarzecki
Digitally signed by BobZarzecki
Bob Zarzecki _ail=bzzazecki@sande[&om,-USu=WePA tlands Department
Date: 2016.1229 142146-05'09'
December
29, 2016
Applicant/Agent's Signature
Applicant/Agent's Printed Name
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Date
Page 10 of 14

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Environmental Consultants,
8412 Fills of Neuse Road, Suite 104,Raleigh, N C 27615 '
sandec.com
PROPERTY OWNER CERTIFICATION / AGENT AUTHORIZATION
Project Name/Description: City of Fayetteville — Spruce Street Storm Drainage Improvements
S&EC Project #12903 Date: 2016
The Department of the Army
U.S. Army Corps of Engineers, Wilmington District
69 Darlington Avenue
Wilmington, NC 28403
Attn: Emily Greer Field Office: USACE Wilmington Re latory Field Office
I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do
authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) and Soil &
Environmental Consultants, PA (S&EC) staff (as my agent) to enter upon the property herein described
for the purpose of conducting on-site investigations and issuing a determination associated with Waters
of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of
the Rivers and Harbors Act of 1899. This document also authorizes S&EC (as my agent) to act on my
behalf and take all actions necessary for the processing, issuance and acceptance of a permit or
certification and any and all associated standard and special conditions.This notification supersedes any
previous correspondence concerning the agent for this project.
NOTICE: This authorization, for liability and professional courtesy reasons, is valid only for government
officials to enter the property when accompanied by S&EC staff. You should call S&EC to arrange a site
meeting prior to visiting the site.
PARCEL INFORMATION:
Parcel Index Number(s) (PIN):
City drainage easement within multiple parcels
Site Address:
north of & parallel to Spruce Street, Fayetteville, Cumberland Co., NC
Lat/Long:
35.082741/-078.921234 (east end) & 35.082326/-078.922752 (west end)
Watershed:
Little Cross Creek (Bonnie Doone Lake, Kornbow Lake, Mintz Pond),
18-27-4-(1), "WS -IV", Cape Fear Basin 03030004
Name: City of Fayetteville, NC — Engineering Division
Address: 433 Hay Street, Fayetteville, NC 28301
Phone No.: (YID) l4 33-131) 3 Fax No.: ( ) Mobile No.: ( )
Emai�►'od iIQt7LQ Ci f4.�, nt, IAC,
(please
Owner
lb11110
Date
We hereby certify the above information submitted in this application is true and accurate to
the best of our knowledge.

EM
B.
Jurisdictional Determination Request
PARCEL INFORMATION
Sheet Address: SotMwest of the Forest Was onus and Mulberry Saeel Irdwseclbn
City, State:
County:
Directions:
Fayetteville, NC
CumbMand
re.rrrr�rrrwr�.nrr mwrwwo�ru. w.rrwrrr�rmrr ti�
Bl �rnf^Y„rW Erronw eueeaM Tun rplp orb 9bnpr RA TunMb�m81a^g Re
Parcel Index Number(s) (PIN):
REQUESTOR INFORMATION
Name:
sat:C - Bob Zaaec ki
Marling Address.
8412 Falls of Neuse Road, Suite 104, Raaiph, NC 27815
Telephone Number:
(919) 84&5e00
Electronic Mail Address':
0¢arzoolu@sandecoom
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultaut2
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
City of Fayetarlille, NC
Mailing Address:
433 Nay street
Fayeae"lls. NC 28301
Telephone Nlnlber:
[phone]
Electronic Mail Address 3:
9mdriaezed•ay.nc.us
© Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcellrax Record data)
If available
Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTMCATION4
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wihnington 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.
See Agent Authorization Forth Attached
Property Owner (please print) Date
Property Owner Signature
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
I am requesting that the Corps provide a preliminary JD for the property identified herein.
This request does include a delineation.
I am requesting that the Corps provide a preliminary 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 WoUS5 and provide an ,approved 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 ani 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).
For NCDOT requests following the current NCDOT/USACE protocols, skip to Vast E
s Waters of the United States
Version: December 2013 Page 4

F
a
Jurisdictional Determination Request
ALL REQUESTS
Map of Property or Project Area (attached). Tlris Dlap must clearly depict the boundaries
of the area of evaluation.
Size of Property or Project Area 'l. 3.6
acres
❑✓ I verify that the property (or project) boundaries have recently been surveyed and nuuied
by a licensed land surveyor OR are otherwise clearly marled or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑ Completed and signed Preliminary Jurisdictional Detemrinalion Forni6
Project Coordinates: Latitude Longitude
Maps (no larger than 1 Ix 17) with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minim; 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 Wraps, LIDAR maps, FEMA floodplain maps)
See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated lune 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)':
Wetlands:
❑ Wetland Data Sheets°
Tributaries:
RUSACE Assessment Forms
❑ Upland Data Sheets Other Assessment Forms
(when appropriate)
Landscape Photos, if taken
Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
ZProject Coordinates: -78.921171 Latitude 35.082863 Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
❑✓ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
❑✓ USGS Topographic Map
✓❑ Soil Survey Map
❑✓ Other Maps, as appropriate (e.g. National Wetland Inventory Map. Proposed Site Plan.
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at
http://www.mactr.army.mil/Missions/CivilWorks/RegUlalpryPIORtaniatidPermlt5/reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
hito //Donal ncdenr ore/c/document library/act file?uuid 760086 dab84960 ba43 45b/faf06f4c&Rfoupld-38364 and,
hitp.//www saw mace army ml/Pondh/S9/dc_s/regulatory/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 Infonnation (when applicable):
Wetlands:
© Wetland Data Sheets
Tributaries:
❑ USACE Assessment Fonus
✓❑ Upland Data Sheets ❑ Other Assessment Fonus
(when appropriate)
Landscape Photos, if taken
❑ Field Sketch overlain on legible Map that includes:
• All aquatic resources (for sites with multiple resources, label and identify)
• Locations of wetland data points and/or tributary assessment reaches
• Locations of photo stations
• Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional htfonnation (for Approved JDs only)
❑✓ Approved Jurisdictional Deters nination Fonn(s) (also known as "Rapanos
Fomi(s)")
EJ Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
Delineation information must include, at minimum, one wetland data sheet for each wetlandJcommunity type
Version: December 2013 Page 7

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State:North Carolina County/parish/borough: Cumberland City: Fayetteville
Center coordinates of site (lat/long in degree decimal format): Lat. 35.082741° 1, Long. -078.921234°
Universal Transverse Mercator:
Name of nearest waterbody: UT to Little Cross Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Glenville Lake (WS-IV;CA)
Name of watershed or Hydrologic Unit Code (HUC): 03030004
® Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
❑ Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There M "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): '
❑ TNWs, including territorial seas
❑ Wetlands adjacent to TNWs
® Relatively permanent waters2 (RPWs) that flow directly or indirectly into TNWs
❑ Non-RPWs that flow directly or indirectly into TNWs
® Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
❑ Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
❑ Impoundments of jurisdictional waters
❑ Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non -wetland waters: 1,047 linear feet: 5.5 width (ft) and/or acres.
Wetlands: 0.017 acres.
Limits (boundaries) of jurisdiction based on: Established by OHWM.
Elevation of established OHWM (if known):
Non-regulated waters/wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
Boxes checked below shall be supported by completing the appropriate sections in Section III below.
s For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
s Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent":
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non -navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section IILD.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: 20 acres
Drainage area: 20 acres
Average annual rainfall: 47 inches
Average annual snowfall: 2 inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
® Tributary flows through I tributaries before entering TNW.
Project waters are 1-2 river miles from TNW.
Project waters are 1 (or less) river miles from RPW.
Project waters are 1-2 aerial (straight) miles from TNW.
Project waters are 1 (or less) aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNWS: UT to Little Cross Creek flows generally east into Little Cross Creek and then southeast
into Glenville Lake.
Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
'Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

Tributary stream order, if known:
(b) General Tributary Characteristics (check all that apply):
Tributary is: ® Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man -altered). Explain: Spill way from pond on property contributes flow to RPW.
Tributary properties with respect to top of bank (estimate):
Average width: 5.5 feet
Average depth: .5 feet
Average side slopes: W.
Primary tributary substrate composition (check all that apply):
® Silts ® Sands ❑ Concrete
❑ Cobbles ® Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type/% cover:
❑ Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain: Some Erosion.
Presence of run/riffle/pool complexes. Explain: Yes.
Tributary geometry: Relatively straight
Tributary gradient (approximate average slope): 5 %
(c) Flow:
Tributary provides for: Seasonal flow
Estimate average number of flow events in review area/year: 20 (or greater)
Describe flow regime: Perennial.
Other information on duration and volume:
Surface flow is: Discrete. Characteristics:
Subsurface flow: Unknow. Explain findings:
❑ Dye (or other) test performed:
Tributary has (check all that apply):
® Bed and banks
® OHWM' (check all indicators that apply):
❑ clear, natural line impressed on the bank
®
the presence of litter and debris
® changes in the character of soil
®
destruction of terrestrial vegetation
❑ shelving
❑
the presence of wrack line
® vegetation matted down, bent, or absent
®
sediment sorting
® leaf litter disturbed or washed away
❑
scour
❑ sediment deposition
❑
multiple observed or predicted flow events
❑ water staining
❑
abrupt change in plant community
❑ other (list):
❑ Discontinuous OHWM.1 Explain:
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
® High Tide Line indicated by: ® Mean High Water Mark indicated by:
❑ oil or scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings/characteristics ❑ vegetation lines/changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
'A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.

(iv) Biological Characteristics. Channel supports (check all that apply):
❑ Riparian corridor. Characteristics (type, average width):
❑ Wetland fringe. Characteristics:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW
(i) Physical Characteristics:
(a) General Wetland Characteristics:
Properties:
Wetland size: 0.017 acres
Wetland type. Explain: Headwater Forest.
Wetland quality. Explain:
Project wetlands cross or serve as state boundaries. Explain:
(b) General Flow Relationship with Non-TNW:
Flow is: Perennial flow. Explain:
Surface flow is: Discrete
Characteristics:
Subsurface flow: Unknown. Explain findings:
❑ Dye (or other) test performed:
(c) Wetland Adjacency Determination with Non-TNW:
® Directly abutting
❑ Not directly abutting
❑ Discrete wetland hydrologic connection. Explain:
❑ Ecological connection. Explain:
❑ Separated by berm/barrier. Explain:
(d) Proximity (Relationship) to TNW
Project wetlands are 1-2 river miles from TNW.
Project waters are 1-2 aerial (straight) miles from TNW.
Flow is from: Wetland to navigable waters.
Estimate approximate location of wetland as within the floodplain.
(ii) Chemical Characteristics:
Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed
characteristics; etc.). Explain:
Identify specific pollutants, if known:
(iii) Biological Characteristics. Wetland supports (check all that apply):
❑ Riparian buffer. Characteristics (type, average width):
❑ Vegetation type/percent cover. Explain:
❑ Habitat for:
❑ Federally Listed species. Explain findings:
❑ Fish/spawn areas. Explain findings:
❑ Other environmentally -sensitive species. Explain findings:
❑ Aquatic/wildlife diversity. Explain findings:
3. Characteristics of all wetlands adjacent to the tributary (if any)
All wetland(s) being considered in the cumulative analysis: 3
Approximately ( 0.017 ) acres in total are being considered in the cumulative analysis.

For each wetland, specify the following:
Directly abuts? (Y/N) Size (in acres) Directly abuts? ()/N) Size (in acres)
Y 0.003 Y 0.003
Y 0.011
Summarize overall biological, chemical and physical functions being performed:
C. SIGNIFICANT NEXUS DETERMINATION
A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed
by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity
of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent
wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW.
Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow
of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent
wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a
tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or
outside of a floodplain is not solely determinative of significant nexus.
Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and
discussed in the Instructional Guidebook. Factors to consider include, for example:
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants or flood waters to
TNWs, or to reduce the amount of pollutants or flood waters reaching a TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and
other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW?
• Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that
support downstream foodwebs?
• Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, or
biological integrity of the TNW?
Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented
below:
1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section IIID:
3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of
presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to
Section IIID:
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
❑ TNWs: linear feet width (ft), Or, acres.
❑ Wetlands adjacent to TNWs: acres.
2. RPWs that flow directly or indirectly into TNWs.
❑ Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide data and rationale indicating that
tributary is perennial:
❑ Tributaries of TNW where tributaries have continuous flow "seasonally" (e.g., typically three months each year) are
jurisdictional. Data supporting this conclusion is provided at Section III.B. Provide rationale indicating that tributary flows
seasonally:

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: 1,047 linear feet 5.5 width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
3. Non-RPWss that flow directly or indirectly into TNWs.
i Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a
TNW is jurisdictional. Data supporting this conclusion is provided at Section III.C.
Provide estimates for jurisdictional waters within the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non -wetland waters: acres.
Identify type(s) of waters:
Wetlands directly abutting an RPW that flow directly or indirectly into TNWs.
ED Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands.
Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale
indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is
directly abutting an RPW:
Wetlands directly abutting an RPW where tributaries typically flow "seasonally." Provide data indicating that tributary is
seasonal in Section III.13 and rationale in Section III.D.2, above. Provide rationale indicating that wetland is directly
abutting an RPW:
Provide acreage estimates for jurisdictional wetlands in the review area: 0.017 acres.
Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs.
Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent
and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supporting this
conclusion is provided at Section III.C.
Provide acreage estimates for jurisdictional wetlands in the review area: acres.
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs.
Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and
with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this
conclusion is provided at Section III.C.
Provide estimates for jurisdictional wetlands in the review area: acres.
Impoundments of jurisdictional waters.9
As a general rule, the impoundment of a jurisdictional tributary remains jurisdictional.
Demonstrate that impoundment was created from "waters of the U.S.," or
Demonstrate that water meets the criteria for one of the categories presented above (1-6), or
Demonstrate that water is isolated with a nexus to commerce (see E below).
E. ISOLATED [INTERSTATE OR INTRA -STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE,
DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY
SUCH WATERS (CHECK ALL THAT APPLY):1"
❑ which are or could be used by interstate or foreign travelers for recreational or other purposes.
❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce.
❑ which are or could be used for industrial purposes by industries in interstate commerce.
❑ Interstate isolated waters. Explain:
❑ Other factors. Explain:
Identify water body and summarize rationale supporting determination:
'See Footnote # 3.
9 To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for
review consistent with the process described in the Corps/EPA Memorandum Regarding CWA Act Jurisdiction Following Rapanos.

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
® Wetlands: acres.
F. NON -JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
❑ Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
❑ Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
Non -wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
Provide acreage estimates for non -jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
Non -wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes/ponds: acres.
Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
❑ Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit RUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name:NC Cumberland Quadrangle.
® USDA Natural Resources Conservation Service Soil Survey. Citation: Cumberland County Soil Survey Sheet 11.
® National wetlands inventory map(s). Cite name:
❑ State/Local wetland inventory map(s):
® FEMA/FIRM maps:
❑ ] 00 -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:
❑ Applicable/supporting case law:
❑ Applicable/supporting scientific literature:
❑ Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:

SAMPLE
Estimated amount of
Site
Cowardin
Class of aquatic
Latitude
Longitude
aquatic resource in
number
Class
resource
review area
Linear
35.082445
-78.921402
P-170-1
0.003 Acres
non -section 10 — wetland
Wetland
Seep
35.082668
-78.921865
P-170-1
0.003 Acres
non -section 10—wetland
Wetland
Abutting
35.083424
-78.920763
P-170-1
0.011 Acres
non -section 10 — wetland
Wetland
Stream A
35.082527
-78.922310
R -3 -SB -5
1,047 LF
Non -section 10 - Stream

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Spruce Street Drainage City/County: Fayetteville/Cumberland Sampling Date: 6/14/16
Applicant/Owner: City of Fayetteville State: NC Sampling Point: Upland
Investigator(s): S&EC - David Gainey Section, Township, Range: N/A
Landform (hillslope, terrace, etc.): Flat Local relief (concave, convex, none): None Slope (%): 0
Subregion (LRR or MLR,,,. MLRA 133A Lat: 35.082563 Long: -78.922181 Datum:
Soil Map Unit Name: (BdD) Blainey Loamy Sand NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF 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 X
within a Wetland? Yes No
Wetland Hydrology Present? Yes No X
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
❑ Surface Soil Cracks (136)
❑ Sparsely Vegetated Concave Surface (138)
Primary Indicators (minimum of one is required; check all that apply)
❑
Surface Water (Al) ❑ Aquatic Fauna (1313)
❑
High Water Table (A2)
Marl Deposits (1315) (LRR U)
❑ Drainage Patterns (1310)
❑
Saturation (A3)
TII
Hydrogen Sulfide Odor (Cl)
❑ Moss Trim Lines (B16)
❑
Water Marks (131)
1L—JT
IJ Oxidized Rhizospheres along Living Roots (C3)
❑ Dry -Season Water Table (C2)
❑
Sediment Deposits (132)
Presence of Reduced Iron (C4)
❑ Crayfish Burrows (C8)
❑
Drift Deposits (133)
1II
u Recent Iron Reduction in Tilled Soils (C6)
❑ Saturation Visible on Aerial Imagery (C9)
❑
Algal Mat or Crust (134)
❑ Thin Muck Surface (C7)
❑ Geomorphic Position (D2)
❑
Iron Deposits (135)
❑ Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
❑
Inundation Visible on Aerial Imagery (137)
❑ FAC -Neutral Test (D5)
❑
Water -Stained Leaves (69)
Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
No X Depth (inches):
Water Table Present? Yes
No X Depth (inches):
Saturation Present? Yes
No X Depth (inches):
Wetland Hydrology Present? Yes No X
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region – Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: Upland
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30' Radius )
% Cover
Species? Status
Number of Dominant Species
1 Pinus taeda
45%
Yes FAC
That Are OBL, FACW, or FAC: 4 (A)
2 Liquidambar styraciflua
20%
No FAC
Total Number of Dominant
3•
Species Across All Strata: 4 (B)
4.
Percent of Dominant Species
5•
That Are OBL, FACW, or FAC: 100% (A/B)
6.
Prevalence Index worksheet:
7
Total % Cover of: Multiply by:
8
65%
= Total Cover
OBL species x 1 =
°
50 /o of total cover:
32.5%
°
20 /o of
total cover: 13%
FACW species x 2 =
Sapling/Shrub Stratum (Plot size: 30' Radius
)
FAC species x 3 =
1 Liquidambar styraciflua
15%
Yes FAC
FACU species x 4 =
UPL species x 5 =
2
Column Totals: (A) (B)
3.
4.
Prevalence Index = B/A =
5•
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7.
X 2 - Dominance Test is >50%
8.
3 - Prevalence Index is 553.0'
15%
= Total Cover
_
Problematic Hydrophytic Vegetation (Explain)
50% of total cover:
7.5%
20% of total cover: 3%
Herb Stratum (Plot size: 30' Radius )
Indicators of hydric soil and wetland hydrology must
1 Microstegium vimineum
30%
Yes FAC
be present, unless disturbed or problematic.
2.
Definitions of Four Vegetation Strata:
3•
Tree —Woody plants, excluding vines, 3 in. (7.6 cm) or
4.
more in diameter at breast height (DBH), regardless of
5
height.
6•
Sapling/Shrub — Woody plants, excluding vines, less
7.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
8.
Herb — All herbaceous (non -woody) plants, regardless
g,
of size, and woody plants less than 3.28 ft tall.
10.
Woody vine — All woody vines greater than 3.28 ft in
11.
height.
12.
30%
= Total Cover
50% of total cover:
15%
20% of
total cover: 6%
Woody Vine Stratum (Plot size: 30' Radius
)
1 Smilax rotundifolia
20%
Yes FAC
2.
3.
4.
5
Hydrophytic
20%
= Total Cover
Vegetation
50% of total cover:
10%
20% of total cover: 4%
Present? Yes X No
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

SOIL
Sampling Point: Upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' Locz
Texture Remarks
0-12" 10YR 5/4 100%
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric
Soil Indicators: (Applicable to all LRRs,
unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
Histosol (Al)
❑ Polyvalue Below Surface (S8) (LRR S, T, U) ❑ 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
Thin Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A10) (LRR S)
❑
Black Histic (A3)
Loamy Mucky Mineral (F1) (LRR O)
T�
u Reduced Vertic (F18) (outside MLRA 150A,B)
_E1
Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5)
❑ Depleted Matrix (F3)
LJ Anomalous Bright Loamy Soils (F20)
❑
Organic Bodies (A6) (LRR P, T, U)
❑ Redox Dark Surface (F6)
(MLRA 1536)
❑
5 cm Mucky Mineral (A7) (LRR P, T, U)
❑ Depleted Dark Surface (F7)
❑Red Parent Material (TF2)
F]
Muck Presence (A8) (LRR U)
Muck
❑ Redox Depressions (F8)
�
Very Shallow Dark Surface (TF12)
❑
1 cm Muck (A9) (LRR P, T)
❑ Marl (F10) (LRR U)
❑ Other (Explain in Remarks)
❑
Depleted Below Dark Surface (A11)
❑ Depleted Ochric (F11) (MLRA 151)
❑
Thick Dark Surface (Al2)
❑ Iron -Manganese Masses (F12) (LRR O, P, T) 3Indicators of hydrophytic vegetation and
❑
Coast Prairie Redox (A16) (MLRA 150A)
❑ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
❑
Sandy Mucky Mineral (S1) (LRR O, S)
❑ Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
❑
Sandy Gleyed Matrix (S4)
❑ Reduced Vertic (F18) (MLRA 150A, 150B)
❑
Sandy Redox (S5)
❑ Piedmont Floodplain Soils (F19) (MLRA 149A)
❑
Stripped Matrix (S6)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
❑
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Spruce Street Drainage City/County: Fayetteville/Cumberland Sampling Date: 6/14/16
Applicant/Owner: City of Fayetteville State: NC Sampling Point: Wetland
Investigator(s): S&EC - David Gainey Section, Township, Range: N/A
Landform (hillslope, terrace, etc.): Flat Local relief (concave, convex, none): None Slope (%): 0
Subregion (LRR or MLRA): MLRA 133A Lat: 35.083424 Long: -78.920763 Datum:
Soil Map Unit Name: (BdD) Blainey Loamy Sand NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF 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 X
within a Wetland? Yes No
Wetland Hydrology Present? Yes X No
Remarks:
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
❑ Surface Soil Cracks (136)
❑ Sparsely Vegetated Concave Surface (138)
Primary Indicators (minimum of one is required; check all that apply)
❑
Surface Water (Al) ❑ Aquatic Fauna (1313)
❑
High Water Table (A2)
Marl Deposits (1315) (LRR U)
❑ Drainage Patterns (1310)
❑✓
Saturation (A3)
TII
Hydrogen Sulfide Odor (Cl)
❑ Moss Trim Lines (B16)
❑
Water Marks (131)
1II
IJ Oxidized Rhizospheres along Living Roots (C3)
❑ Dry -Season Water Table (C2)
❑
Sediment Deposits (132)
Presence of Reduced Iron (C4)
❑ Crayfish Burrows (C8)
❑
Drift Deposits (133)
1II
u Recent Iron Reduction in Tilled Soils (C6)
❑ Saturation Visible on Aerial Imagery (C9)
❑
Algal Mat or Crust (134)
❑ Thin Muck Surface (C7)
❑ Geomorphic Position (D2)
❑
Iron Deposits (135)
❑ Other (Explain in Remarks)
❑ Shallow Aquitard (D3)
❑
Inundation Visible on Aerial Imagery (137)
❑ FAC -Neutral Test (D5)
❑
Water -Stained Leaves (69)
Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes
No X Depth (inches):
Water Table Present? Yes
No X Depth (inches):
Saturation Present? Yes X
No Depth (inches): 0-12"
Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) — Use scientific names of plants.
Sampling Point: Wetland
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratum (Plot size: 30' Radius )
% Cover
Species? Status
Number of Dominant Species
1 Pinus taeda
20%
No FAC
That Are OBL, FACW, or FAC: 2 (A)
2 Liquidamabar styraciflua
40%
Yes FAC
Total Number of Dominant
3•
Species Across All Strata: 2 (B)
4.
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: 100% (A/B)
6.
Prevalence Index worksheet:
7.
Total % Cover of: Multiply by:
8
60%
= Total Cover
OBL species x 1 =
50% of total cover: 30%
20% of
total cover: 12%
FACW species x 2 =
Sapling/Shrub Stratum (Plot size: )
FAC species x 3 =
FACU species x 4 =
1
UPL species x 5 =
2
Column Totals: (A) (B)
3.
4•
Prevalence Index = B/A =
5.
Hydrophytic Vegetation Indicators:
6.
_ 1 - Rapid Test for Hydrophytic Vegetation
7•
X 2 - Dominance Test is >50%
8.
_ 3 - Prevalence Index is 553.0'
= Total Cover
_ Problematic Hydrophytic Vegetation' (Explain)
50% of total cover:
20% of total cover:
Herb Stratum (Plot size: 30' Radius )
Indicators of hydric soil and wetland hydrology must
1 Microstegium vimineum
40%
Yes FAC
be present, unless disturbed or problematic.
2 Juncus effusus
30%
No OBL
Definitions of Four Vegetation Strata:
3 Typha domingensis
10%
No OBL
Tree —Woody plants, excluding vines, 3 in. (7.6 cm) or
4.
more in diameter at breast height (DBH), regardless of
5
height.
6•
Sapling/Shrub — Woody plants, excluding vines, less
7.
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
8.
Herb — All herbaceous (non -woody) plants, regardless
g,
of size, and woody plants less than 3.28 ft tall.
10.
Woody vine — All woody vines greater than 3.28 ft in
11.
height.
12.
80%
= Total Cover
50% of total cover: 40%
20% of
total cover: 16%
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5•
Hydrophytic
= Total Cover
Vegetation
Present? Yes X No
50% of total cover:
20% of
total cover:
Remarks: (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

SOIL
Sampling Point: Wetland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
Color (moist) % Type' Locz
Texture Remarks
0-12 10YR 2/1 100%
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric
Soil Indicators: (Applicable to all LRRs,
unless otherwise noted.)
Indicators for Problematic Hydric Soils3:
Histosol (Al)
❑ Polyvalue Below Surface (S8) (LRR S, T, U) ❑ 1 cm Muck (A9) (LRR O)
Histic Epipedon (A2)
Thin Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A10) (LRR S)
❑
Black Histic (A3)
Loamy Mucky Mineral (F1) (LRR O)
T�
u Reduced Vertic (F18) (outside MLRA 150A,B)
_E1
Hydrogen Sulfide (A4)
❑ Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5)
❑ Depleted Matrix (F3)
LJ Anomalous Bright Loamy Soils (F20)
❑
Organic Bodies (A6) (LRR P, T, U)
❑ Redox Dark Surface (F6)
(MLRA 1536)
❑
5 cm Mucky Mineral (A7) (LRR P, T, U)
❑ Depleted Dark Surface (F7)
❑Red Parent Material (TF2)
F]
Muck Presence (A8) (LRR U)
Muck
❑ Redox Depressions (F8)
�
Very Shallow Dark Surface (TF12)
❑
1 cm Muck (A9) (LRR P, T)
❑ Marl (F10) (LRR U)
❑ Other (Explain in Remarks)
❑
Depleted Below Dark Surface (A11)
❑ Depleted Ochric (F11) (MLRA 151)
❑
Thick Dark Surface (Al2)
❑ Iron -Manganese Masses (F12) (LRR O, P, T) 3Indicators of hydrophytic vegetation and
❑
Coast Prairie Redox (A16) (MLRA 150A)
❑ Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
❑
Sandy Mucky Mineral (S1) (LRR O, S)
❑ Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic.
❑
Sandy Gleyed Matrix (S4)
❑ Reduced Vertic (F18) (MLRA 150A, 150B)
❑
Sandy Redox (S5)
❑ Piedmont Floodplain Soils (F19) (MLRA 149A)
❑
Stripped Matrix (S6)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
❑
Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Version 2.0

CC
tom. _P, D
Project Number: Map Title: N
12903.W1 Figure Fig p 2 -USGS Ma 0 650 1,300
Project Manager: I I I I I I I I I
BZ Spruce Street Drainage Project Feet
Scale: Cumberland County, NC mp J4
1" = 650'
SSoil & Environmental Consultants, PA
ource:Date: 2013 USGS M12 I+..1%p R -O. 4.j.I" R.06p6.\C 2%15. Ph. -(919)U6.59 -F_:(919)fi�� 7
6/3/16 Cumberland Quadran le

41
r: /k-
at -
I
- I'd
'fir,. 14 1
Project Number: Map Title: N
12903.W1 0 600 1,200
Project Manager: Figure 1 -Soil Survey Ma I I I I I I II
BZ Spruce Street Drainage Project Feet
Scale: 1 600' Cumberland County, NC 591.2-- J4
" =
Source: Cumberland CountySoll & Environmental Consultants, PA
Date • 9412 I W. .1 %. R—O. 4.j. I" R.06 . \C 2%15 • Ph— (9 19) U6•59Ua
6/3/16 Soil Survey Sheet 11 6e ry'9""

LEGEND
PROPERTY LINES
STREAM
JURISDICTIONAL WETLANDS
STREAMIMPACT
\
NEW HEADWALL /
EXIST. HEADWALL
(TO BE REMOVED)
i
STREAM IMPACT
44 L.F. (250 SQ. FT.)
EXIST. PERENNIAL
STREAM
/
U.S. 401 BY-Pacc
�- •, rcU, �V'
CQ
N.C. 24
N.T.S. B�GGStvo.
VICINITY MAP
O `
N
PROPOSED �� N
/ \ EASEMENT i
i
SS ss ss—
NEW
S—
NEW 84" PIPE
EXISTING
PIPELINE (TYP.) \
i
C/L BEG NEW PIPE
N= 4 4,890.8
E=2,02 1132.7 i
INV. PIP 1 . 2
STREAM ELE . 147.52
�J
TOTAL STREAM IMPACT = 84 LIN. FT.
TOTAL STREAM IMPACT AREA = 685 SQ. FT. (0.016 AC)
WETLAND IMPACT = 42 LIN. FT. (126 SQ. FT.)
"This certifies that this copy of this plat identifies as waters of
the U.S. or wetlands all areas of waters of the U.S., including
wetlands, regulated pursuant to Section 404 of the Clean Water Act
as determined by the undersigned on this date. Unless there is a
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. This determination was made
utilizing the 1987 Corps of Engineers Wetlands Delineation Manual."
Name:
Title:
Date:
0
Q
af
/ SS
/ EXIST. PERENNIAL
STREAM
/
0j
TREAM IMPACT \
L.F. (435 SQ. FT.)
/ EXIST. HEADWALL
kfO BE REMOVED)
/
NEW HEADWALL
a IMP _ J C/L END NEW PIPE
SQ. Fr) / / N= 485,033
�0
0
7—
T
STREAM IMPACTS
FOR
SPRUCE STREET DRAINAGE
E=2,023,55 .
INV. PIPE 127.16
STREAM ELEV. 12$.16
EXIST. T WIDE \
JURISDICTIONAL
WETLANDS
SHEET 1 OF 1
CROSS CREEK TWP. CUMBERLAND CO., N.C.
SCALE: 1"= 60' OCTOBER 2016
-60 -30 0 60 120 i8o
N.C. PROFESSIONAL SURVEYOR NO. L-3307
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DRAWN D.
Maples
PROJECT Spruce St. Storm
NAME Drainage Improvements
DESIGN D. Vaughn, PE, PLS
CHECK : J.
Reitzel, PE,PLS
SCALE : I"=40'
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Maples
PROJECT Spruce St. Storm
NAME Drainage Improvements
DESIGN D. Vaughn, PE, PLS
CHECK J.
Reitzel, PE,PLS
SCALE 1"=40'
APPROVED
DATE September, 2016
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SUB -LEDGER # SUB -LEDGER #
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ENGINEERING & INFRASTRUCTURE DEPARTMENT
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