U-5770_PJD Packet_draft_20170321

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER
GOVERNOR
March 21, 2017
Andrew Williams
U.S. Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
JAMES H. TROGDON, III
SECRETARY
Rob Ridings
NCDWR
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Preliminary JD Request
U-5770 — Interchange improvements at SR 1993 (S. Main Street)/US 311 and I-85 in
Randolph County, NC
Dear Mr. Williams:
On behalf of the North Carolina Department of Transportation (NCDOT) this submittal serves as
a preliminary jurisdictional determination (PJD) and stream determination request for your
review and approval.
Project Location
NCDOT proposes intersection improvements at SR 1993 (South Main Street)/LJS 311 and I-85
near Archdale, NC (Figure 1). The coordinates of 35.903831 Latitude, -79.953964 Longitude
generally correspond to the center of the site.
Project Site Description
The project study area is a total of 101.6 acres consisting of approximately 100.8 acres of
maintained/disturbed roadsides, residential developments, and successional forested areas; and
0.8 acres of Mesic Mixed Hardwood forest. Figure 2 depicts the project area on the USGS
Quadrangle (High Point East, 2013) and Figure 3 depicts the project area on the Randolph
County Soil Survey 2006, Sheet 2.
Jurisdictional Features
A delineation of jurisdictional features conducted by SEPI on February 16, 2017 identified four
wetlands (WA, WB, WC, and WD) and an entrenched stream (SA) that rated as intermittent in
its upper reach and perennial in its lower reach using the North Carolina Division of Water
Quality (NCDWQ) Stream Identification Form version 4.11 (Figure 4). The stream does not
appear on either the Randolph County soil survey or USGS quadrangle.
We appreciate the opportunity to work with you. Please contact us if you have any questions
regarding the information we have provided.
MailingAddress: Telephone: [phone] Location:
NC DEPARTMENT OF TRANSPORTATION Fax• [phone] 902 N. SANDHILLS BLVD.
DNISION 8 Customer Service: 1-877-368-4968 ABERDEEN, 28315
902 NORTH SANDHILLS BLVD.
ABERDBEN, NC 28315 Website: www.ncdot.gov

Sincerely,
Art C. King,
NCDOT DIV 8-Division Environmental Officer
[phone]
Attachments:
1) Figures
2) JD Request Form
3) PJD Form
4) USACE Wetland Determination Data Forms
5) NCDWQ Wetland Rating Worksheet, Fourth Version
6) NCDWQ Stream Identification Forms
7) USACE Stream Quality Assessment Worksheets
8) Photos

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Project Vicinity
U-5770
SR 1993 (South Main Street)/US 311 & I-85 Interchange
Improvements in the Town of Archdale
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This Exhibit is for planning purposes only and shown herein does not meet NC 47-30 Requirements and y Fi g u re 2: P ro j ect Study Area Ma p
therefore is not for desigq construction, or recording or transfer of title. The Exhibit was compiled from 1 inch �� 000 �eeL ---Noeni -�-�
available information obtained from the sources listed below. Streams and Wetlands: All features located 7 -�i°F ��9qo,9
in the fieid were recorded using a survey grade TOPCON GRS-1 GPS with Glonass receiver with ��5770 SR 1993 (S. Main St.)/US 311 & I-85 Interehange '
i N�P
supposed sub-50 centimeter accuracy, !x x
GRAPHIC SCALE Improvements in the Town of Archdale.
Sources: ESRI Base Mapping, NCDOT, SEPI, USGS Topographic Quadrangle High Point East, NC O .� ,000 2,000 4 � o
�m
February2017 Feet Randolph County �''��FNo`RnNSQOQ`` E N G I N E E R I N G &
C 0 N S T R U C T I 0 N

This Exhibit is for planning purposes only and shown herein does not meet NC 47-30 Requirements and GRAPHIC SCALE Figure 3: Soils Map
therefore is not for desigq construction, or recording or transfer of title. The Exhibit was compiled from ---Noeni -�-�
available information obtained from the sources listed below. Streams and Wetlands: All features located U-5770 SR 1993 (S. Main St.)/US 311 8� I-85 Interchange ���°` c9qO%9
in the fieid were recorded using a survey grade TOPCON GRS-1 GPS with Glonass receiver with 1 inch = 500 ft ��
S�PPosed SUb-So �e�t�mete�a����a�Y, Improvements in the Town of Archdale. !* x
Sources: ESRI Base Mapping, NCDOT, and SEPI O �CO GOO �I 000 Randolph County Soil Survey� GOOV ., o
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March20�7 Feet Sheet 2 'FN��/iR�Nseo C 0 N S T R U C T I 0 N

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This Exhibit is for planning purposes only and shown herein does not meet NC 47-30 Requirements and GRAPHIC SCALE Fig u re 4: J u risd ietional Featu res M ap
therefore is not for desigq construction, or recording or transfer of title. The Exhibit was compiled from ---Noeni -�-�
available information obtained from the sources listed below. Streams and Wetlands: All features located -��°F c9q�,9
in the field were recorded using a survey grade TOPCON GRS-1 GPS with Glonass receiver with 1 inch = 500 ft �'5770 SR 1993 (S. Main St.)/US 311 & I-85 Interchange ��
supposed sub-50 centimeter accuracy, !x x
Sources: ESRI Base Mapping, NCDOT, and SEPI 0 250 �00 ��000 Im provements in the Town of Archdale. �'�'oA ' �
Feet ENGINEERING &
March2017 Randolph County 'FNr���R�NseoQ C 0 N S T R U C T I 0 N

Jurisdictional Determination Request
�
US Army Cmps
of Engineers-
Wllminglon Dislrkt
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
to the appropriate Corps Field Office (or project manager, if known) via mail, electronic mail, or
facsimile. A current list of county assignments by Field Office and project manager can be
found on-line at: http://www.saw.usace.armv.mil/Missions/RegulatorvPermitPro r�spx , by
telephoning: 910-251-4633, or by contacting any of the field offices listed below:
ASHEVILLE REGULATORY FIELD OFFICE
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number. [phone]
Far Number. [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
333I Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
6eneral Number. [phone]
Fa� Number. [phone]
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: (910) 251 •4610
Fax Number. [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
W ilmington, North Carolina 28403
General Number. 910-251-4633
Fax Number. [phone]
Version: December 2013 Page 1

Jurisdictional Determination Request
INSTRUCTIONS:
All requestors must complete Parts A, B, C, D, E and F.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part G.
NOTE ON PART D— PROPERTY OWNER AUTHORIZATION: Please be aware that all JD
requests must include the current property owner authorization for the Corps to proceed with the
determination, which may include inspection of the property when necessary. This form must be
signed by the current property owner to be considered a complete request.
NOTE ON PART D- NCDOT REOUESTS: Property owner authorization/notification for JD
requests associated with North Carolina Department of Transportation (NCDOT) projects will be
conducted according to the cunent NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminazy JD may not
be valid for the wetland conservation provisions of the Food Security Act of 1985. If you or
your tenant are USDA Program paRicipants, or anticipate participation in USDA programs, you
should also request a certified wetland determination from the local office of the Natural
Resources Conservation Service, prior to starting work.
Version: December 2013 Page 2

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: i�ter�ec��oo ors. Mam st.ius s>> aod i-se
City, St3tC: Archdale, NC
COUllty: Rantlolph
DITCCtlOI1S: From I-40 W. Merge onto I-85 S. Take exit 111 site S.Main St.IUS 311
& i-85 intersedion.
Paroel Index Number(s) (PIN): NiA
B. REQUESTOR INFORMATION
Na�pe: Art C. King, Division 8 Environmental Officer
Mailing Address: soz N. saodn�ns ewd., nnemeeo, Nc zss�s
Telephone Number: (si o� saa-zsaa
Electronic Mail Address�: a��n9@r,cdo�.9o�
Select one:
�
�
�
�
I am the current property owner.
1 am an Authorized Agent or Environmental ConsultantZ
Interested Buyer or Under Contract to Purchase
Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address3:
❑ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
' If available
Z Must attach completed Agent Authorization Form
' If available
Version: December 2013 Page 3

Jurisdictional Determination Request
D. PROPERTY OWNER CERTIFICATION4
1, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
Property Owner (please print) Date
Property Owner Signature
E. NRISDICTIONAL 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.
aI am requesting that the Corps provide a preliminarv JD for the property identified herein.
This request does NOT include a delineation.
� 1 am requesting that the Corps investigate the property/project area for the presence or
absence of WoUSs and provide an aonroved JD for the property identified herein. This
request does NOT include a request for a verified delineation.
� 1 am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an anproved 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 apnroved JD (may or may not
include a survey plat).
° 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 101.6 acres
�
G.
1 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 Formb.
� Project Coordinates: 35.903831 Latitude -�9.953964 Longitude
Maps (no larger than 1 1 x 17) 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 Wedand 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. OS-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable)�:
Wetlands:
� Wetland Data Sheetsg
❑✓
❑�
I�I
Upland Data Sheets
Landscape Photos,iftaken
Tributaries:
� USACE Assessment Forms
� Other Assessment Forms
(when appropriate)
Field Sketch overlain on legible Map that includes:
• AII 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 Longitude
Maps (no larger than 11 x 17) with Project Boundary Overlay:
❑�
C
�
�
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/Re¢ulatorvProaramandPermits/rez suooasox
Wetland and Stream Assessment Methodologies can be found at:
http�//portal ncdenr ore/c/document librarv/eet file�uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&¢rouold=38364 and,
http�//www saw usace armv mil/Portals/59/docs/reeulatorv/oublicnotices/2013/NCSAM Draft User Manual 130318 odf
a 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
❑
C
❑
Upland Data Sheets
Landscape Photos,iftaken
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 luformation (for Approved JDs only)
I�J
�
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.
' 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 ori¢inal Plat (to scale) that is no larger than 1 P'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 retum them via e-mail to the requestor.
(1) PLATS SUBMITTED FOR APPROVAL
❑
❑�
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 verba] scale)
� Must be legible
I�I
u
�
C
�
Must include a North Arrow, Scale(s), Title, PropeRy 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 potygons
• 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 sarveyed 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 acwrdingly, and depict acreage of all waters not currently
subject to the requirements ofthe CWA (e.g. "isolated wetlands", "non-
jurisdictional waters"). NOTE: An approved JD must be conducted in order to
make an official Corps deterrnination 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 Boundar, i�s depicted:
include the following Corps Certification language:
'This certifies that this copy of this plat accurately depicts the boundary of the jurisdiction
of Section 404 of the Clean Water Act os determined by the undersigned on this date.
Unless there is a change in the low or our published regulations, the determination of
Section 404 jurisdiction may be relied upon for a period not to exceed five (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 Monual."
Regulatory Official:
Title:
Dote:
USACE Action ID No.:
� When uplands may be present within a depicted Jurisdictional Boundarx
include the following Corps Certification language:
"This certifies that this copy of this plat identifies all areas of waters of the United Stafes
regulated pursuant to Section 404 of the Clean Water Act 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 Regional5upplement to the 1987 U.S. Army Corps of Engineers Wetlands
Delineation Manual."
Regulatory Official:
Title:
Dote:
USACE Action ID No.:
Version: December 2013 Page 10

Jurisdictional Determination Request
(3) GPS SURVEYS
For Surveys prepared using a Global Positioning System (GPS), the Survey must indude
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 comer, 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
BACKGROUNDINFORMATION
A. REPORT COMPLETION DATE FOR PRELIMINARY JURISDICTIONAL
DETERMINATION (JD):
B. NAME AND ADDRESS OF PERSON REQUESTING PRELIMINARY JD:
Art C. King - NCDOT Division 8 Environmental Officer
902 N. Sandhills Blvd., Aberdeen, 28315
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
Interchange improvements at SR1993 (S. Main SL)NS 311 and I-85 in Archdale, NC.
(USE THE ATTACHED TABLE TO DOCUMENT MULTIPLE WATERBODIES AT DIFFERENT
SITES)
State: NC County/parish/borough: Re�doiPn Cj�; Archdale
Center coordinates of site (lat/long in degree decimal format):
Lat. 35.903831 °N; Long. -�s.ssassa °W,
Universal Transverse Mercator: ��sssaasssa�s�ao
Name of nearest waterbody: M�aaY creek �Ncowa i�aeX No. n-s-��>, ws-iv�
Identify (estimate) amount of waters in the review area:
Non-wetland waters:
_,�°°�^p^�^^^�°n*°�linearfeet: ��°°^^°�^�U�°�°^�� width (ft) and/or acres.
COWBfdif1C18SS: �ntermittent-rtasBa,Perennia�-R5us2
Stream Flow: o
Wetlands: 0121 acres.
Cowardin Class: W�- PFo�, wc a�d wo- aeMi
Name of any water bodies on the site that have been identified as Section 10
waters:
Tidal: NiA
Non-Tidal: N�A

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
applicanUconsultant:
❑✓ Data sheets prepared/submitted by or on behalf of the
appl�nUconsultant.
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:+Z4.000HrenPo��te,zo,a
❑✓ USDA Natural Resources Conservation Service Soil Survey.
CIt8t1011: Randolph County, NC 2006
❑ 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
Q Other (Name & Date): s�ce Pnoros-v�si2on
� Previous determination(s). File no. and date of response letter:
� Other information (please specify):
2

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 applicanYs 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 orjudicial 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 iurisdictional determinations.
Signature and date of
Regulatory Project Manager
(REQUIRED)
0
Signature and date of
person requesting preliminary JD
(REQUIRED, unless obtaining
the signature is impracticable)

Estimated amount of aquatic
Site Number Latitude Longitude Cowardin Class Class of aquatic Resource
resource in review Area
WA 35.898741 -79.949959 PF01 0.02 ac Non section 10 - wetland
WB 35.898828 -79.955009 PF01 0.083 ac Non section 10 - wetland
WC 35.901140 -79.947229 PEM1 0.004 ac Non section 10 - wetland
WD 35.902693 -79.953006 PEM1 0.014 ac Non section 10 - wetland

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-5770 City/County: Randolph Sampling Date: 16-Feb-17
Applicant/Owner: NCDOT State: NC Sampling Point: WA/WB UP
Investigator(s): E. Black, J. Mathis Section, Township, Range: S T R
Landform (hillslope, terrace, etc.): Undulating Local relief (concave, conve�c, none): concave Slope: 0.0% � 0.0 °
Subregion (LRR or MLRA): LRR P �-at.: 35.898696 �ong.: -7g.g4gg2( Datum:
soil Map unit Name: HeC - Helena sandy loam, 6 to 10 percent slopes Nwt classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes � No � (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes � 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 � NO �
Hydric Soil Present? Yes � No � Is the Sampled Area �
Wetland Hydrology Present? Y25 � NO �
within a Wetland? Yes � No �
Remarks:
Sample point not in wetland.
Hydrology
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reouiredl
Primarv Indicators (minimum of one reauired; check all that aaplv) ❑ Sur�ace Soii Cracks (s6)
❑ Surface Water (Al) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl) ❑ Drainage Patterns (B10)
❑ Saturation (A3) ❑ Oxidized Rhizospheres along Living Roots (C3) ❑ Moss Trim Lines (616)
❑ Water Marks (Bl) ❑ Presence of Reduced Iron (C4) ❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2) ❑ Recent Iron Reduction in Tilled Soils (C6) ❑ Cra�sh Burrows (C8)
❑ Drift deposits (B3) ❑ Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4) ❑ Other (Explain in Remarks) ❑ Stunted or Stressed Plants (Dl)
❑ Iron Deposits (BS) ❑ Geomorphic Position (D2)
❑ Inundation Visible on Aerial Imagery (B7) ❑ Shallow Aquitard (D3)
❑ Water-Stained Leaves (B9) ❑ Microtopographic Relief (D4)
❑ Aquatic Fauna (B13) ❑ FAC-neutral Test (DS)
Field Observations:
Surface Water Present? Y25 � NO � Depth (inches):
Water Table Present? Yes � NO � Depth (inches):
Saturation Present? Wetland Hydrology Present? Y25 � NO 0
(includes ca illa frin e Yes � No � Depth (inches):
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology does not meet wetland criteria.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five/Four Strata)- Use scientific names of plants.
Dominant Sampling Point: yyqM►B UP
Tree Stratum (Plot size: 30' linear )
� , Acer rubrum
2, Liquidambar stvraciflua
3, Ulmus americana
4.
5.
6.
7.
8.
Sapling-Sapling/Shrub Stratum (Plot size: 30' linear )
� , Acer rubrum
2, ]uniperus virqiniana
3.
4.
5.
6.
7.
$.
9.
10.
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
$.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30'linear )
� , Lonicera iaponica
2.
3.
4.
5.
6.
Species?
Absolute Rel.Strat. Indicator pominance Test worksheet:
% COVCI' Cnver S�tUS
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation meets wetland criteria
40 ❑� 50.0% FAC
20 0 25.0% FAC
20 �❑ 25.0% FAC
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
0 ❑ 0.0%
80 = TotalCover
10 ❑� 66.7% FAC
5 �❑ 33.3% FACU
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
15 = TotalCover
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 = Total Cover
20 �❑ 100.0% FACU
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
20 = TotalCover
Number of Dominant Species
That are OBL, FACW, or FAC: 4 (A)
Total Number of Dominant
Species Across All Strata: 6 (B)
Percent of dominant Species
That Are OBL, FACW, or FAC: 66•7% �A�g�
Prevalence Index worksheet:
Total % Cover of: Multiqlv bv:
OBL species p x 1= p
FACW Sp2C125 � X 2= �
FaC species 90 x 3= 270
FACU species Z5 x 4= 100
UPL species � x 5= �
column Totals: 115 CA) 370 �g�
Prevalence Index = B/A = 3.217
Hydrophytic Vegetation Indicators:
❑ Rapid Test for Hydrophytic Vegetation
❑d Dominance Test is > 50%
❑ Prevalence Index is _<3.0 1
❑ Morphological Adaptations 1 (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be uresent, unless disturbed or oroblematic.
Definition of Vegetation Strata:
Four Vegetation Strata:
Tree stratum - Consists of woody plants, excluding vines, 3 in.
(7.6 cm) or more in diameter at breast height (DBH), regardless
of height.
Sapling/shrub stretum - Consists of woody plants, excluding
vines, less than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb stratum - Consists of all herbaceous (non-woody) plants,
regardless of size, and all other plants less than 3.28 ft tall.
Woody vines - Consists of all woody vines greater than 3.28 ft
in height.
Five Vegetation Strata:
Tree - Woody plants, excluding woody vines, approximately 20
ft(6 m) or more in height and 3 in. (7.6 cm) or larger in
diameter at breast height (DBH).
Sapling stratum - Consists of woody plants, excluding woody
vines, approximately 20 ft(6 m) or more in height and less than
3 in. (7.6 cm) DBH.
Shrub stretum - Consists of woody plants, excluding woody
vines, approximately 3 to 20 ft(1 to 6 m) in height.
Herb stratum - Consists of all herbaceous (non-woody) plants,
including herbaceous vines, regardless of size, and woody
species, except woody vines, less than approximately 3 ft(1 m)
in height.
Woody vines - Consists of all woody vines, regardless of
height.
Hydrophytic
Vegeta?on Ye5 � NO �
Present. �
*Indicator suffix = National status or professional decision assigned because Regional status not d�ned by FWS.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

Soil
Sampling Point: H►/�/yyg �p
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
linchesl Color (moistl % Color (moist) "/o Tvne 1 Locz Texture Remarks
0-2 lOYR 3/3 100 Clay Loam
2-12 SYR 5/8 50 2.5Y 6/8 50 M Clay
1Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains
Hydric Soil Indicators:
zLocation: PL=Pore Lining. M=Matrix
❑ Histosol (AS) ❑ Dark Surface (S7)
❑ Histic Epipedon (A2) ❑ Polyvalue Below SurFace (S8) (MLRA 147,148)
❑ Black Histic (A3) ❑ Thin Dark Surface (S9) (MLRA 147, 148)
❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2)
❑ Stratified Layers (AS) ❑ Depleted Matrix (F3)
❑ 2 cm Muck (A10) (LRR N) ❑ Redox Dark Surface (F6)
❑ Depleted Below Dark Surface (A31) ❑ Depleted Dark Surface (F7)
❑ Thick Dark Surface (Al2) ❑ Redox Depressions (F8)
❑ Sandy Muck Mineral (Sl) (LRR N, ❑ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
❑ Sandy Gleyed Matrix (S4) ❑ Umbric Surface (F33) (MLRA 136, 122)
❑ Sandy Redox (SS) ❑ Piedmont Floodplain Soils (F19) (MLRA 148)
❑ Stripped Matrix (S6) ❑ Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soil does not meet wetland criteria.
Indicators for Problematic Hydric Soils 3:
❑ 2 cm Muck (ASO) (MLRA 147)
❑ Coast Prairie Redox (A16)
(MLRA 147,148)
❑ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
❑ Very Shallow Dark Surface (TF12)
❑ Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No �
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-5770 City/County: Randolph Sampling Date: 16-Feb-17
Applicant/Owner: NCDOT State: NC Sampling Point: Wp/Wg WET
Investigator(s): E. Black, J. Mathis Section, Township, Range: S T R
Landform (hillslope, terrace, etc.): Undulating Local relief (concave, conve�c, none): concave Slope: 0.0% � 0.0 °
Subregion (LRR or MLRA): LRR P �-at.: 35.898696 �ong.: -79.949826 Datum:
soil Map unit Name: HeC - Helena sandy loam, 6 to 10 percent slopes Nwi classification: PFO
Are climatic/hydrologic conditions on the site typical for this time of year? Yes � No � (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes � 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 � NO �
Hydric Soil Present? Yes � No � Is the Sampled Area �
Wetland Hydrology Present? Y25 � NO �
within a Wetland? Yes � No �
Remarks:
Sample point in wetland.
Hydrology
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reouiredl
Primarv Indicators (minimum of one reauired; check all that aaplv) ❑ Sur�ace Soii Cracks (s6)
❑ Surface Water (Al) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl) ❑� Drainage Patterns (B10)
❑� Saturation (A3) ❑ Oxidized Rhizospheres along Living Roots (C3) ❑ Moss Trim Lines (616)
❑ Water Marks (Bl) ❑ Presence of Reduced Iron (C4) ❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2) ❑ Recent Iron Reduction in Tilled Soils (C6) ❑ Cra�sh Burrows (C8)
❑ Drift deposits (B3) ❑ Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4) ❑ Other (Explain in Remarks) ❑ Stunted or Stressed Plants (Dl)
❑ Iron Deposits (BS) ❑ Geomorphic Position (D2)
❑ Inundation Visible on Aerial Imagery (B7) ❑ Shallow Aquitard (D3)
❑ Water-Stained Leaves (B9) ❑ Microtopographic Relief (D4)
❑ Aquatic Fauna (B13) ❑ FAC-neutral Test (DS)
Field Observations:
Surface Water Present? Y25 � NO � Depth (inches):
Water Table Present? Yes � NO � Depth (inches):
Saturation Present? Wetland Hydrology Present? Y25 � NO 0
includes ca illa frin e Yes � No � Depth (inches): 0
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology meets wetland criteria.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five/Four Strata)- Use scientific names of plants.
Dominant Sampling Point: yyqM►B WET
Tree Stratum (Plot size: 30' linear )
� , Liquidambar stvraciflua
2, Ulmus americana
3.
4.
5.
6.
7.
8.
Sapling-Sapling/Shrub Stratum (Plot size: 30' linear )
�, Acernequndo
2.
3.
4.
5.
6.
7.
$.
9.
10.
Shrub Stratum (Plot size: 30'linear )
� . Rosa multiFlora
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
$.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 15' linear )
� , Lonicera iaponica
2.
3.
4.
5.
6.
Species?
Absolute Rel.Strat. Indicator pominance Test worksheet:
% COVCI' Cnver S�tUS
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation meets wetland criteria.
60 ❑� 75.0% FAC
20 ❑� 25.0% FAC
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
0 ❑ 0.0%
80 = TotalCover
2 ❑ 100.0% FAC
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
Z = Total Cover
5 ❑� 100.0% FACU
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
5 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 = Total Cover
2 ❑ 100.0% FACU
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
2 = Total Cover
Number of Dominant Species
That are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Species Across AIl Strata: 3 (B)
Percent of dominant Species
That Are OBL, FACW, or FAC: 66•7% �A�g�
Prevalence Index worksheet:
Total % Cover of: Multiqlv bv:
OBL species p x 1= p
FACW Sp2C125 � X 2= �
FaC species 82 x 3= 246
FACU species � x 4= Z$
UPL species � x 5= �
column Totals: 89 CA) 274 �g�
Prevalence Index = B/A = 3.079
Hydrophytic Vegetation Indicators:
❑ Rapid Test for Hydrophytic Vegetation
❑d Dominance Test is > 50%
❑ Prevalence Index is _<3.0 1
❑ Morphological Adaptations 1 (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be uresent, unless disturbed or oroblematic.
Definition of Vegetation Strata:
Four Vegetation Strata:
Tree stratum - Consists of woody plants, excluding vines, 3 in.
(7.6 cm) or more in diameter at breast height (DBH), regardless
of height.
Sapling/shrub stretum - Consists of woody plants, excluding
vines, less than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb stratum - Consists of all herbaceous (non-woody) plants,
regardless of size, and all other plants less than 3.28 ft tall.
Woody vines - Consists of all woody vines greater than 3.28 ft
in height.
Five Vegetation Strata:
Tree - Woody plants, excluding woody vines, approximately 20
ft(6 m) or more in height and 3 in. (7.6 cm) or larger in
diameter at breast height (DBH).
Sapling stratum - Consists of woody plants, excluding woody
vines, approximately 20 ft(6 m) or more in height and less than
3 in. (7.6 cm) DBH.
Shrub stretum - Consists of woody plants, excluding woody
vines, approximately 3 to 20 ft(1 to 6 m) in height.
Herb stratum - Consists of all herbaceous (non-woody) plants,
including herbaceous vines, regardless of size, and woody
species, except woody vines, less than approximately 3 ft(1 m)
in height.
Woody vines - Consists of all woody vines, regardless of
height.
Hydrophytic
Vegeta?on Ye5 � NO �
Present. �
*Indicator suffix = National status or professional decision assigned because Regional status not d�ned by FWS.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

Soil
Sampling Point: H►/�/yyg yyET
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
linchesl Color (moistl % Color (moist) "/o Tvne 1 Locz Texture Remarks
0-1 lOYR 3/6 100 Clay Loam
1-7 10YR 5/6 80 7.5YR 5/8 20 C M Clay Loam
7-12 lOYR 4/2 95 lOYR 5/8 5 C M Silt Loam
1Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains
Hydric Soil Indicators:
zLocation: PL=Pore Lining. M=Matrix
❑ Histosol (AS) ❑ Dark Surface (S7)
❑ Histic Epipedon (A2) ❑ Polyvalue Below SurFace (S8) (MLRA 147,148)
❑ Black Histic (A3) ❑ Thin Dark Surface (S9) (MLRA 147, 148)
❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2)
❑ Stratified Layers (AS) ❑d Depleted Matrix (F3)
❑ 2 cm Muck (A10) (LRR N) ❑ Redox Dark Surface (F6)
❑ Depleted Below Dark Surface (A31) ❑ Depleted Dark Surface (F7)
❑ Thick Dark Surface (Al2) ❑ Redox Depressions (F8)
❑ Sandy Muck Mineral (Sl) (LRR N, ❑ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
❑ Sandy Gleyed Matrix (S4) ❑ Umbric Surface (F33) (MLRA 136, 122)
❑ Sandy Redox (SS) ❑ Piedmont Floodplain Soils (F19) (MLRA 148)
❑ Stripped Matrix (S6) ❑ Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soil meets wetland criteria.
Indicators for Problematic Hydric Soils 3:
❑ 2 cm Muck (ASO) (MLRA 147)
❑ Coast Prairie Redox (A16)
(MLRA 147,148)
❑ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
❑ Very Shallow Dark Surface (TF12)
❑ Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No �
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-5770 City/County: Randolph Sampling Date: 16-Feb-17
Applicant/Owner: NCDOT State: NC Sampling Point: WC UP
Investigator(s): E. Black, J. Mathis Section, Township, Range: S T R
Landform (hillslope, terrace, etc.): Local relief (concave, conve�c, none): Slope: 0.0% � 0.0 °
Subregion (LRR or MLRA): LRR P �-at.: 35.901091 Long.: -7g,g47252 Datum:
Soil Map Unit Name: ApB - Appling fine sandy loam, 2 to 6 percent slopes NWI classification: None
Are climatic/hydrologic conditions on the site typical for this time of year? Yes � No � (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes � 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 � NO �
Hydric Soil Present? Yes � No � Is the Sampled Area �
Wetland Hydrology Present? Y25 � NO �
within a Wetland? Yes � No �
Remarks:
Sample point not in wetland.
Hydrology
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reouiredl
Primarv Indicators (minimum of one reauired; check all that aaplv) ❑ Sur�ace Soii Cracks (s6)
❑ Surface Water (Al) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl) ❑ Drainage Patterns (B10)
❑ Saturation (A3) ❑ Oxidized Rhizospheres along Living Roots (C3) ❑ Moss Trim Lines (616)
❑ Water Marks (Bl) ❑ Presence of Reduced Iron (C4) ❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2) ❑ Recent Iron Reduction in Tilled Soils (C6) ❑ Cra�sh Burrows (C8)
❑ Drift deposits (B3) ❑ Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4) ❑ Other (Explain in Remarks) ❑ Stunted or Stressed Plants (Dl)
❑ Iron Deposits (BS) ❑ Geomorphic Position (D2)
❑ Inundation Visible on Aerial Imagery (B7) ❑ Shallow Aquitard (D3)
❑ Water-Stained Leaves (B9) ❑ Microtopographic Relief (D4)
❑ Aquatic Fauna (B13) ❑ FAC-neutral Test (DS)
Field Observations:
Surface Water Present? Y25 � NO � Depth (inches):
Water Table Present? Yes � NO � Depth (inches):
Saturation Present? Wetland Hydrology Present? Y25 � NO 0
includes ca illa frin e Yes � No � Depth (inches):
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology does not meet wetland criteria.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five/Four Strata)- Use scientific names of plants.
Dominant Sampling Point: WC UP
Tree Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
Sapling-Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
$.
9.
10.
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: 15' )
�. Festuca arundinacea
2, Taraxacum officinale
3.
4.
5.
6.
7.
$.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
Species?
Absolute Rel.Strat. Indicator pominance Test worksheet:
% COVCI' Cnver S�tUS
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation meets wetland criteria
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�io
o ❑ o.o�ro
0 = Total Cover
95 �❑ 95.0% FAC
5 ❑ 5.0% FACU
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
100 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
0 = Total Cover
Number of Dominant Species
That are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across AIl Strata: 1 (B)
Percent of dominant Species
That Are OBL, FACW, or FAC: 100.0°/a (A/g)
Prevalence Index worksheet:
Total % Cover of: Multiqlv bv:
OBL species p x 1= p
FACW Sp2C125 � X 2= �
FaC species 95 x 3= 285
FACU species 5 x 4= Z�
UPL species � x 5= �
column Totals: 100 CA) 305 �g�
Prevalence Index = B/A = 3.050
Hydrophytic Vegetation Indicators:
❑ Rapid Test for Hydrophytic Vegetation
❑d Dominance Test is > 50%
❑ Prevalence Index is _<3.0 1
❑ Morphological Adaptations 1 (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be uresent, unless disturbed or oroblematic.
Definition of Vegetation Strata:
Four Vegetation Strata:
Tree stratum - Consists of woody plants, excluding vines, 3 in.
(7.6 cm) or more in diameter at breast height (DBH), regardless
of height.
Sapling/shrub stretum - Consists of woody plants, excluding
vines, less than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb stratum - Consists of all herbaceous (non-woody) plants,
regardless of size, and all other plants less than 3.28 ft tall.
Woody vines - Consists of all woody vines greater than 3.28 ft
in height.
Five Vegetation Strata:
Tree - Woody plants, excluding woody vines, approximately 20
ft(6 m) or more in height and 3 in. (7.6 cm) or larger in
diameter at breast height (DBH).
Sapling stratum - Consists of woody plants, excluding woody
vines, approximately 20 ft(6 m) or more in height and less than
3 in. (7.6 cm) DBH.
Shrub stretum - Consists of woody plants, excluding woody
vines, approximately 3 to 20 ft(1 to 6 m) in height.
Herb stratum - Consists of all herbaceous (non-woody) plants,
including herbaceous vines, regardless of size, and woody
species, except woody vines, less than approximately 3 ft(1 m)
in height.
Woody vines - Consists of all woody vines, regardless of
height.
Hydrophytic
Vegeta?on Ye5 � NO �
Present. �
*Indicator suffix = National status or professional decision assigned because Regional status not d�ned by FWS.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

Soil
Sampling Point: WC UP
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
linchesl Color (moistl % Color (moist) "/o Tvne 1 Locz Texture Remarks
0-12 lOYR 4/3 50 lOYR 3/2 50 M Silty Clay Loam
1Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains
Hydric Soil Indicators:
zLocation: PL=Pore Lining. M=Matrix
❑ Histosol (AS) ❑ Dark Surface (S7)
❑ Histic Epipedon (A2) ❑ Polyvalue Below SurFace (S8) (MLRA 147,148)
❑ Black Histic (A3) ❑ Thin Dark Surface (S9) (MLRA 147, 148)
❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2)
❑ Stratified Layers (AS) ❑ Depleted Matrix (F3)
❑ 2 cm Muck (A10) (LRR N) ❑ Redox Dark Surface (F6)
❑ Depleted Below Dark Surface (A31) ❑ Depleted Dark Surface (F7)
❑ Thick Dark Surface (Al2) ❑ Redox Depressions (F8)
❑ Sandy Muck Mineral (Sl) (LRR N, ❑ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
❑ Sandy Gleyed Matrix (S4) ❑ Umbric Surface (F33) (MLRA 136, 122)
❑ Sandy Redox (SS) ❑ Piedmont Floodplain Soils (F19) (MLRA 148)
❑ Stripped Matrix (S6) ❑ Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soil does not meet wetland criteria.
Indicators for Problematic Hydric Soils 3:
❑ 2 cm Muck (ASO) (MLRA 147)
❑ Coast Prairie Redox (A16)
(MLRA 147,148)
❑ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
❑ Very Shallow Dark Surface (TF12)
❑ Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No �
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-5770 City/County: Randolph Sampling Date: 16-Feb-17
Applicant/Owner: NCDOT State: NC Sampling Point: WC WET
Investigator(s): E. Black, J. Mathis Section, Township, Range: S T R
Landform (hillslope, terrace, etc.): Undulating Local relief (concave, conve�c, none): concave Slope: 0.0% � 0.0 °
Subregion (LRR or MLRA): LRR P �-at.: 35.901108 Long.: -79.947261 Datum:
Soil Map Unit Name: ApB - Appling fine sandy loam, 2 to 6 percent slopes NWI classification: PEM
Are climatic/hydrologic conditions on the site typical for this time of year? Yes � No � (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes � 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 � NO �
Hydric Soil Present? Yes � No � Is the Sampled Area �
Wetland Hydrology Present? Y25 � NO �
within a Wetland? Yes � No �
Remarks:
Sample point in wetland.
Hydrology
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reouiredl
Primarv Indicators (minimum of one reauired; check all that aaplv) ❑ Sur�ace Soii Cracks (s6)
❑� Surface Water (Al) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8)
� High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl) ❑ Drainage Patterns (B10)
❑� Saturation (A3) ❑ Oxidized Rhizospheres along Living Roots (C3) ❑ Moss Trim Lines (616)
❑ Water Marks (Bl) ❑ Presence of Reduced Iron (C4) ❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2) ❑ Recent Iron Reduction in Tilled Soils (C6) ❑ Cra�sh Burrows (C8)
❑ Drift deposits (B3) ❑ Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4) ❑ Other (Explain in Remarks) ❑ Stunted or Stressed Plants (Dl)
❑ Iron Deposits (BS) ❑ Geomorphic Position (D2)
❑ Inundation Visible on Aerial Imagery (B7) ❑ Shallow Aquitard (D3)
❑ Water-Stained Leaves (B9) ❑ Microtopographic Relief (D4)
❑ Aquatic Fauna (B13) �❑ FAC-neutral Test (DS)
Field Observations:
Surface Water Present? Y25 � NO � Depth (inches): 2.5
Water Table Present? Yes � NO � Depth (inches): 0
Saturation Present? Wetland Hydrology Present? Y25 � NO 0
(includes ca illa frin e Yes � No � Depth (inches): 0
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology meets wetland criteria.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five/Four Strata)- Use scientific names of plants.
Dominant Sampling Point: WC WET
Tree Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
Sapling-Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
$.
9.
10.
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: 5' )
� , ]uncus effusus
2.
3.
4.
5.
6.
7.
$.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
Species?
Absolute Rel.Strat. Indicator pominance Test worksheet:
% COVCI' Cnver S�tUS
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation meets wetland criteria
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�io
o ❑ o.o�io
0 = TotalCover
90 �❑ 100.0% OBL
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
90 = TotalCover
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
0 = Total Cover
Number of Dominant Species
That are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across AIl Strata: 1 (B)
Percent of dominant Species
That Are OBL, FACW, or FAC: 100.0°/a (A/g)
Prevalence Index worksheet:
Total % Cover of: Multiqlv bv:
oe� species 9p x 1= gp
FACW Sp2C125 � X 2= �
FaC species 0 x 3= 0
FACU species � x 4= �
UPL species � x 5= �
column Totals: 90 CA) 90 �g�
Prevalence Index = B/A = 1.000
Hydrophytic Vegetation Indicators:
❑d Rapid Test for Hydrophytic Vegetation
❑d Dominance Test is > 50%
❑d Prevalence Index is _<3.0 1
❑ Morphological Adaptations 1 (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be uresent, unless disturbed or oroblematic.
Definition of Vegetation Strata:
Four Vegetation Strata:
Tree stratum - Consists of woody plants, excluding vines, 3 in.
(7.6 cm) or more in diameter at breast height (DBH), regardless
of height.
Sapling/shrub stretum - Consists of woody plants, excluding
vines, less than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb stratum - Consists of all herbaceous (non-woody) plants,
regardless of size, and all other plants less than 3.28 ft tall.
Woody vines - Consists of all woody vines greater than 3.28 ft
in height.
Five Vegetation Strata:
Tree - Woody plants, excluding woody vines, approximately 20
ft(6 m) or more in height and 3 in. (7.6 cm) or larger in
diameter at breast height (DBH).
Sapling stratum - Consists of woody plants, excluding woody
vines, approximately 20 ft(6 m) or more in height and less than
3 in. (7.6 cm) DBH.
Shrub stretum - Consists of woody plants, excluding woody
vines, approximately 3 to 20 ft (1 to 6 m) in height.
Herb stratum - Consists of all herbaceous (non-woody) plants,
including herbaceous vines, regardless of size, and woody
species, except woody vines, less than approximately 3 ft(1 m)
in height.
Woody vines - Consists of all woody vines, regardless of
height.
Hydrophytic
Vegeta?on Ye5 � NO �
Present. �
*Indicator suffix = National status or professional decision assigned because Regional status not d�ned by FWS.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

Soil
Sampling Point: WC WET
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
linchesl Color (moistl % Color (moist) "/o Tvne 1 Locz Texture Remarks
0-12 lOYR 6/2 90 lOYR 5/8 10 C M Sandy Clay
1Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains
Hydric Soil Indicators:
zLocation: PL=Pore Lining. M=Matrix
❑ Histosol (AS) ❑ Dark Surface (S7)
❑ Histic Epipedon (A2) ❑ Polyvalue Below SurFace (S8) (MLRA 147,148)
❑ Black Histic (A3) ❑ Thin Dark Surface (S9) (MLRA 147, 148)
❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2)
❑ Stratified Layers (AS) ❑d Depleted Matrix (F3)
❑ 2 cm Muck (A10) (LRR N) ❑ Redox Dark Surface (F6)
❑ Depleted Below Dark Surface (A31) ❑ Depleted Dark Surface (F7)
❑ Thick Dark Surface (Al2) ❑ Redox Depressions (F8)
❑ Sandy Muck Mineral (Sl) (LRR N, ❑ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
❑ Sandy Gleyed Matrix (S4) ❑ Umbric Surface (F33) (MLRA 136, 122)
❑ Sandy Redox (SS) ❑ Piedmont Floodplain Soils (F19) (MLRA 148)
❑ Stripped Matrix (S6) ❑ Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soil meets wetland criteria.
Indicators for Problematic Hydric Soils 3:
❑ 2 cm Muck (ASO) (MLRA 147)
❑ Coast Prairie Redox (A16)
(MLRA 147,148)
❑ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
❑ Very Shallow Dark Surface (TF12)
❑ Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No �
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-5770 City/County: Randolph Sampling Date: 16-Feb-17
Applicant/Owner: NCDOT State: NC Sampling Point: WD UP
Investigator(s): E. Black, J. Mathis Section, Township, Range: S T R
Landform (hillslope, terrace, etc.): Undulating Local relief (concave, conve�c, none): concave Slope: 0.0% � 0.0 °
Subregion (LRR or MLRA): LRR P �-at.: 35.902726 �ong.: -79.952946 Datum:
Soil Map Unit Name: WtB-WynOtt-EnOn COmplex 2-8% SlOpes NWI classification: NOne
Are climatic/hydrologic conditions on the site typical for this time of year? Yes � No � (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes � 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 � NO �
Hydric Soil Present? Yes � No � Is the Sampled Area �
Wetland Hydrology Present? Y25 � NO �
within a Wetland? Yes � No �
Remarks:
Sample point not in wetland.
Hydrology
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reouiredl
Primarv Indicators (minimum of one reauired; check all that aaplv) ❑ Sur�ace Soii Cracks (s6)
❑ Surface Water (Al) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl) ❑ Drainage Patterns (B10)
❑ Saturation (A3) ❑ Oxidized Rhizospheres along Living Roots (C3) ❑ Moss Trim Lines (616)
❑ Water Marks (Bl) ❑ Presence of Reduced Iron (C4) ❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2) ❑ Recent Iron Reduction in Tilled Soils (C6) ❑ Cra�sh Burrows (C8)
❑ Drift deposits (B3) ❑ Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4) ❑ Other (Explain in Remarks) ❑ Stunted or Stressed Plants (Dl)
❑ Iron Deposits (BS) ❑ Geomorphic Position (D2)
❑ Inundation Visible on Aerial Imagery (B7) ❑ Shallow Aquitard (D3)
❑ Water-Stained Leaves (B9) ❑ Microtopographic Relief (D4)
❑ Aquatic Fauna (B13) ❑ FAC-neutral Test (DS)
Field Observations:
Surface Water Present? Y25 � NO � Depth (inches):
Water Table Present? Yes � NO � Depth (inches):
Saturation Present? Wetland Hydrology Present? Y25 � NO 0
(includes ca illa frin e Yes � No � Depth (inches):
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology greater 12 inches; Hydrology does not meet wetland criteria.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five/Four Strata)- Use scientific names of plants.
Dominant Sampling Point: WD UP
Tree Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
Sapling-Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
$.
9.
10.
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: 15' )
�. Festuca arundinacea
2.
3.
4.
5.
6.
7.
$.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
Species?
Absolute Rel.Strat. Indicator pominance Test worksheet:
% COVCI' Cnver S�tUS
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation meets wetland criteria
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�io
o ❑ o.o�io
0 = TotalCover
99 �❑ 100.0% FAC
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
99 = TotalCover
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
0 = Total Cover
Number of Dominant Species
That are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across AIl Strata: 1 (B)
Percent of dominant Species
That Are OBL, FACW, or FAC: 100.0°/a (A/g)
Prevalence Index worksheet:
Total % Cover of: Multiqlv bv:
OBL species p x 1= p
FACW Sp2C125 � X 2= �
FaC species 99 x 3= 297
FACU species � x 4= �
UPL species � x 5= �
column Totals: 99 CA) 297 �g�
Prevalence Index = B/A = 3.000
Hydrophytic Vegetation Indicators:
❑ Rapid Test for Hydrophytic Vegetation
❑d Dominance Test is > 50%
❑d Prevalence Index is _<3.0 1
❑ Morphological Adaptations 1 (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be uresent, unless disturbed or oroblematic.
Definition of Vegetation Strata:
Four Vegetation Strata:
Tree stratum - Consists of woody plants, excluding vines, 3 in.
(7.6 cm) or more in diameter at breast height (DBH), regardless
of height.
Sapling/shrub stretum - Consists of woody plants, excluding
vines, less than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb stratum - Consists of all herbaceous (non-woody) plants,
regardless of size, and all other plants less than 3.28 ft tall.
Woody vines - Consists of all woody vines greater than 3.28 ft
in height.
Five Vegetation Strata:
Tree - Woody plants, excluding woody vines, approximately 20
ft(6 m) or more in height and 3 in. (7.6 cm) or larger in
diameter at breast height (DBH).
Sapling stratum - Consists of woody plants, excluding woody
vines, approximately 20 ft(6 m) or more in height and less than
3 in. (7.6 cm) DBH.
Shrub stretum - Consists of woody plants, excluding woody
vines, approximately 3 to 20 ft (1 to 6 m) in height.
Herb stratum - Consists of all herbaceous (non-woody) plants,
including herbaceous vines, regardless of size, and woody
species, except woody vines, less than approximately 3 ft(1 m)
in height.
Woody vines - Consists of all woody vines, regardless of
height.
Hydrophytic
Vegeta?on Ye5 � NO �
Present. �
*Indicator suffix = National status or professional decision assigned because Regional status not d�ned by FWS.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

Soil
Sampling Point: WD UP
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
linchesl Color (moistl % Color (moist) "/o Tvne 1 Locz Texture Remarks
0-12 7.SYR 5/2 90 7.SYR 5/8 10 C M Clay Loam
1Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains
Hydric Soil Indicators:
zLocation: PL=Pore Lining. M=Matrix
❑ Histosol (AS) ❑ Dark Surface (S7)
❑ Histic Epipedon (A2) ❑ Polyvalue Below SurFace (S8) (MLRA 147,148)
❑ Black Histic (A3) ❑ Thin Dark Surface (S9) (MLRA 147, 148)
❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2)
❑ Stratified Layers (AS) ❑d Depleted Matrix (F3)
❑ 2 cm Muck (A10) (LRR N) ❑ Redox Dark Surface (F6)
❑ Depleted Below Dark Surface (A31) ❑ Depleted Dark Surface (F7)
❑ Thick Dark Surface (Al2) ❑ Redox Depressions (F8)
❑ Sandy Muck Mineral (Sl) (LRR N, ❑ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
❑ Sandy Gleyed Matrix (S4) ❑ Umbric Surface (F33) (MLRA 136, 122)
❑ Sandy Redox (SS) ❑ Piedmont Floodplain Soils (F19) (MLRA 148)
❑ Stripped Matrix (S6) ❑ Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soil meets wetland criteria.
Indicators for Problematic Hydric Soils 3:
❑ 2 cm Muck (ASO) (MLRA 147)
❑ Coast Prairie Redox (A16)
(MLRA 147,148)
❑ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
❑ Very Shallow Dark Surface (TF12)
❑ Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No �
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND DETERMINATION DATA FORM - Eastern Mountains and Piedmont Region
Project/Site: U-5770 City/County: Randolph Sampling Date: 16-Feb-17
Applicant/Owner: NCDOT State: NC Sampling Point: WD WET
Investigator(s): E. Black, J. Mathis Section, Township, Range: S T R
Landform (hillslope, terrace, etc.): Undulating Local relief (concave, conve�c, none): concave Slope: 0.0% � 0.0 °
Subregion (LRR or MLRA): LRR P �-at.: 35.90271 Long.: -79.952947 Datum:
Soil Map Unit Name: WtB-Wynott-Enon Complex 2-8% slopes NWI classification: PEM
Are climatic/hydrologic conditions on the site typical for this time of year? Yes � No � (If no, explain in Remarks.)
Are Vegetation ❑ , Soil ❑ , or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes � 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 � NO �
Hydric Soil Present? Yes � No � Is the Sampled Area �
Wetland Hydrology Present? Y25 � NO �
within a Wetland? Yes � No �
Remarks:
Sample point in wetland.
Hydrology
Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reouiredl
Primarv Indicators (minimum of one reauired; check all that aaplv) ❑ Sur�ace Soii Cracks (s6)
❑ Surface Water (Al) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8)
❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (Cl) ❑� Drainage Patterns (B10)
❑ Saturation (A3) ❑ Oxidized Rhizospheres along Living Roots (C3) ❑ Moss Trim Lines (616)
❑ Water Marks (Bl) ❑ Presence of Reduced Iron (C4) ❑ Dry Season Water Table (C2)
❑ Sediment Deposits (B2) ❑ Recent Iron Reduction in Tilled Soils (C6) ❑ Cra�sh Burrows (C8)
❑ Drift deposits (B3) ❑ Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9)
❑ Algal Mat or Crust (B4) ❑ Other (Explain in Remarks) ❑ Stunted or Stressed Plants (Dl)
❑ Iron Deposits (BS) ❑ Geomorphic Position (D2)
❑ Inundation Visible on Aerial Imagery (B7) ❑ Shallow Aquitard (D3)
❑ Water-Stained Leaves (B9) ❑ Microtopographic Relief (D4)
❑ Aquatic Fauna (B13) �❑ FAC-neutral Test (DS)
Field Observations:
Surface Water Present? Y25 � NO � Depth (inches):
Water Table Present? Yes � NO � Depth (inches):
Saturation Present? Wetland Hydrology Present? Y25 � NO 0
includes ca illa frin e Yes � No � Depth (inches):
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Hydrology meets wetland criteria.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five/Four Strata)- Use scientific names of plants.
Dominant Sampling Point: WD WET
Tree Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
8.
Sapling-Sapling/Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
$.
9.
10.
Shrub Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
7.
Herb Stratum (Plot size: 15' )
� , ]uncus effusus
2.
3.
4.
5.
6.
7.
$.
9.
10.
11.
12.
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
6.
Species?
Absolute Rel.Strat. Indicator pominance Test worksheet:
% COVCI' Cnver S�tUS
Remarks: (Include photo numbers here or on a separate sheet.)
Vegetation meets wetland criteria
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 ❑ 0.0%
0 = Total Cover
0 ❑ 0.0%
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�ro
o ❑ o.o�io
o ❑ o.o�io
0 = TotalCover
30 �❑ 100.0% OBL
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�io
o ❑ o.o�ro
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
30 = TotalCover
0 ❑ 0.0%
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
o ❑ o.o�ro
0 ❑ 0.0%
0 = Total Cover
Number of Dominant Species
That are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across AIl Strata: 1 (B)
Percent of dominant Species
That Are OBL, FACW, or FAC: 100.0°/a (A/g)
Prevalence Index worksheet:
Total % Cover of: Multiqlv bv:
oe� species 30 X 1= 30
FACW Sp2C125 � X 2= �
FaC species 0 x 3= 0
FACU species � x 4= �
UPL species � x 5= �
column Totals: 30 CA) 30 �g�
Prevalence Index = B/A = 1.000
Hydrophytic Vegetation Indicators:
❑d Rapid Test for Hydrophytic Vegetation
❑d Dominance Test is > 50%
❑d Prevalence Index is _<3.0 1
❑ Morphological Adaptations 1 (Provide supporting
data in Remarks or on a separate sheet)
❑ Problematic Hydrophytic Vegetation 1 (Explain)
1 Indicators of hydric soil and wetland hydrology must
be uresent, unless disturbed or oroblematic.
Definition of Vegetation Strata:
Four Vegetation Strata:
Tree stratum - Consists of woody plants, excluding vines, 3 in.
(7.6 cm) or more in diameter at breast height (DBH), regardless
of height.
Sapling/shrub stretum - Consists of woody plants, excluding
vines, less than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb stratum - Consists of all herbaceous (non-woody) plants,
regardless of size, and all other plants less than 3.28 ft tall.
Woody vines - Consists of all woody vines greater than 3.28 ft
in height.
Five Vegetation Strata:
Tree - Woody plants, excluding woody vines, approximately 20
ft(6 m) or more in height and 3 in. (7.6 cm) or larger in
diameter at breast height (DBH).
Sapling stratum - Consists of woody plants, excluding woody
vines, approximately 20 ft(6 m) or more in height and less than
3 in. (7.6 cm) DBH.
Shrub stretum - Consists of woody plants, excluding woody
vines, approximately 3 to 20 ft (1 to 6 m) in height.
Herb stratum - Consists of all herbaceous (non-woody) plants,
including herbaceous vines, regardless of size, and woody
species, except woody vines, less than approximately 3 ft(1 m)
in height.
Woody vines - Consists of all woody vines, regardless of
height.
Hydrophytic
Vegeta?on Ye5 � NO �
Present. �
*Indicator suffix = National status or professional decision assigned because Regional status not d�ned by FWS.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

Soil
Sampling Point: WD WET
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
linchesl Color (moistl % Color (moist) "/o Tvne 1 Locz Texture Remarks
0-12 7.SYR 5/2 90 7.SYR 5/8 10 C M Clay Loam
1Type: C=Concentration. D=Depletion. RM=Reduced Matrix, CS=Covered or Coated Sand Grains
Hydric Soil Indicators:
zLocation: PL=Pore Lining. M=Matrix
❑ Histosol (AS) ❑ Dark Surface (S7)
❑ Histic Epipedon (A2) ❑ Polyvalue Below SurFace (S8) (MLRA 147,148)
❑ Black Histic (A3) ❑ Thin Dark Surface (S9) (MLRA 147, 148)
❑ Hydrogen Sulfide (A4) ❑ Loamy Gleyed Matrix (F2)
❑ Stratified Layers (AS) ❑d Depleted Matrix (F3)
❑ 2 cm Muck (A10) (LRR N) ❑ Redox Dark Surface (F6)
❑ Depleted Below Dark Surface (A31) ❑ Depleted Dark Surface (F7)
❑ Thick Dark Surface (Al2) ❑ Redox Depressions (F8)
❑ Sandy Muck Mineral (Sl) (LRR N, ❑ Iron-Manganese Masses (F12) (LRR N,
MLRA 147, 148) MLRA 136)
❑ Sandy Gleyed Matrix (S4) ❑ Umbric Surface (F33) (MLRA 136, 122)
❑ Sandy Redox (SS) ❑ Piedmont Floodplain Soils (F19) (MLRA 148)
❑ Stripped Matrix (S6) ❑ Red Parent Material (F21) (MLRA 127, 147)
Restrictive Layer (if observed):
Type:
Depth (inches):
Remarks:
Soil meets wetland criteria.
Indicators for Problematic Hydric Soils 3:
❑ 2 cm Muck (ASO) (MLRA 147)
❑ Coast Prairie Redox (A16)
(MLRA 147,148)
❑ Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
❑ Very Shallow Dark Surface (TF12)
❑ Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes � No �
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

WETLAND RATING WORKSHEET Fourth Version
Project Name u5no
COUlttj� Randolph
Name of evaluator E. eiack
Wetland location
on pond or lake
on perennial stream
on intermittent stream
within interstream divide
✓ OthOi: dreinage feature
Wetland A
Nearest Road APad,e Rd.
Wetland area o 0z acres Wetland width 16 feet
$011 S¢I'ICS: Helena sandy loam 6-10% slopes
Q predominantly organic - humus, muck, or
peat
Il✓ predominantly mineral - non-sandy
n predominantly sandy
Hydraulic factors
n steep topography
n ditched or channelized
� total wetland width >] 00 feet
Wetland type (select one)%
� Bottomland hardwood forest
� Headwater forest
Q Swamp forest
Q Wet flat
� Pocosin
� Bog forest
Date znsizon
Adjacent land use
(within %Z mile upstream, upslope, or radius)
✓ forested/natural vegetation 5 %
✓ agriculture, urban/suburban 45 %
✓ impervious surface 55 %
Dominant vegetation
�j� liquidambarstyraciFlua
�2� Ulmus americana
�3� Acernegundo
Flooding and wetness
n semipermanently to permanently flooded or
inundated
seasonally flooded or inundated
intermittently flooded or temporary surface water
n no evidence of flooding or surface water
(� Pine savanna
�Freshwater marsh
Bog/fen
(� Ephemeral wetland
� Carolina bay
� QYher: Upper Headwater Forest
� The rating system cannot be applied to salt or brackish marshes or stream channels
------ ----
: R Water storage i x 4.00 — a
� ------ - - - -- - — i
; A BanWShoreline stabilization o x 4.00 = 0 �'etland �
� T Pollutant removal � �� x 5.00 =� ratin i
I I Wildlife habitat 2 �$
x 2.00 = 40
, N Aquatic life value i x 4.00 = 4� �
', G Recreation/Education t x 1.00 = 1� j
I** Add 1 point if in sensitive watershed and >10% nonpoin[ source disturbance wi[hin %: mile upstream, upslope, or radius �

WETLAND RATING WORKSHEET Fourth Version
Project Name u-sno
COUltty Randolph
Name of evaluator E. Biack
Wetland location
on pond or lake
on perennial stream
on intermittent stream
within interstream divide
✓ Oti10C: dreinage Teature
Wetland B
Nearest Road Ava�ne Rd.
Wetland area o 08 acres Wetland width 46 feet
SOII 3C1'105: Helena sandy loam 6-10% slopes
Q predominantly organic - humus, muck, or
peat
Il predominantly mineral - non-sandy
Il predominantly sandy
Hydraulic factors
n steep topography
n ditched or channelized
n total wetland width > 100 feet
Wetland type (select one)A
� Bottomland hardwood forest
� Headwater forest
Q Swamp forest
�Wet flat
Pocosin
� Bog forest
Date znsizo»
Adjacent land use
(within %2 mile upstream, upslope, or radius)
✓ forested/natural vegetation 5 %
✓ agriculture, urban/suburban 45 %
✓ impervious surface 55 %
Dominant vegetation
�]� LiquidambarstyraciFlua
�2� Uimus americana
�3� Acernegundo
Flooding and wetness
n semipermanently to permanently flooded or
inundated
n seasonally flooded or inundated
Il intermittently flooded or temporary surface water
n✓ no evidence of flooding or surface water
Q Pine savanna
Q Freshwater marsh
� Bog/fen
� Ephemeral wetland
� Carolina bay
Q �tilei: Upper Headwater Forest
� The rating system cannot be applied to salt or brackish marshes or stream channels
R
A
T
Water storage
Bank/Shoreline stabilization
Pollutant removal
x 4.00 =
x 4.00 =
k� x 5.00 =
Wetland
rating
I Wildlifehabitat 2 �$
x 2.00 = 4�
N Aquatic life value � x 4.00 = 4�
G Recreation/Education � x 1.00 = 1�
** Add I point if in sensitive watershed and >10% nonpoint source disturbance within 'h mile upstream, upslope, or radius

WETLAND RATING WORKSHEET Fourth Version
Project Name u-s��o
COunty Randolph
Name of evaivator E. Biack
Wetland location
on pond or lake
on perennial stream
on intermittent stream
within interstream divide
✓ Ot}ICC drainage feature
Wetland C
Nearest Road Raod eiod
Wetland area 000a acres Wetland width �� feet
$OI� S01'18S: Appling sandy loam 2-6°k slopes
II predominantly organic - humus, muck, or
peat
�✓ predominantly mineral - non-sandy
n predominantly sandy
Hydraulic factors
n steep topography
n ditched or channelized
n total wetland width > 100 feet
Wetland type (select one)�
� Bottomland hardwood forest
Headwater forest
Swamp forest
Wet flat
Pocosin
Bog forest
Date znsizon
Adjacentland use
(within %2 mile upstream, upslope, or radius)
✓ forested/natural vegetation 5 %
✓ agriculture, urban/suburban 45 %
✓ impervious surface 55 %
Dominant vegetation
( j � Juncus effusus
�2)
(3)
Flooding and wetness
n semipermanently to permanently flooded or
inundated
seasonally flooded or inundated
✓ intermittently flooded or temporary surface water
n no evidence of flooding or surface water
(� Pine savanna
�Freshwater marsh
Bog/fen
� Ephemeral wetland
� Carolina bay
� Other:
' The rating system cannot be applied to salt or brackish marshes or stream channels
R Water storage t x 4.00 = a�
A Bank/Shoreline stabilization o x 4.00 = p� �'�'etland
T Pollutant removal i rating
x 5.00 = 5�
I Wildlife habitat o 13
x 2.00 = 0�
N Aquatic life value � x 4.00 = 4�
G Recreation/Education o x 1.00 = 00
** Add 1 point if in sensitive watershed and > 10% nonpoint source disturbance within '/: mile upstream, upslope, or radius

WETLAND RATING WORKSHEET Fourth Version
Project Name u-e��o
COU171y Randolph
Name of evaluator E. Black
Wetland location
❑ on pond or lake
II on perennial stream
�on intermittent stream
within interstream divide
✓ other: drainage teature
Nearest Road S. Main Streel
Wetland area oo� acres Wetland width ��
SOII Se1'1¢S: WYnott-enon complex 2-8% slopes
II predominantly organic - humus, muck, or
peat
�✓ predominantly mineral- non-sandy
Il predominantly sandy
Hydraulic factors
n steep topography
n ditched or channelized
n total wetland width >] 00 feet
Wetland type (select one)�
O Bottomland hardwood forest
� Headwater forest
Q Swamp forest
Q Wet flat
o Pocosin
� Bog forest
Date y�snon
Adjacent land use
(within %z mile upstream, upslope, or radius)
✓ forested/natural vegetation 5 %
✓ agriculture, urban/suburban 45 %
✓ impervious surface 55 %
Dominant vegetation
�] � Juncus eftusus
�Z)
(3)
Wetland D
feet
Flooding and wetness
n semipermanently to permanently flooded or
inundated
seasonally flooded or inundated
✓ intermittently flooded or temporary surface water
n no evidence of flooding or surface water
� Pine savanna
O Freshwater marsh
(> Bog/fen
� Ephemeral wetland
� Carolina bay
� Other:
� The rating system cannot be applied to salt or brackish marshes or stream channels
x W ater storage
x 4.00 =
A Bank/Shoreline stabilization o x 4.00 = p� �'etland
T Pollutant removal i rating
`� x 5.00 = 5�
I Wildlife habitat o 13
x 2.00 = 00
N Aquatic life value � x 4.00 = 4�
G Recreation/Education o x 1.00 = 0�
** Add 1 point if in sensitive watershed and >10% nonpoint source disturbance within %z mile upstream, upslope, or radius

NC DWQ Stream Identification Form Version 4.11
Date:02/16/2017 Project/Site: U-5770 Latitude:35.903497
Evaluator: E. Black County: Randolph Longitude: -79.955680
Total Points: Other:
stream �s ac leasc �ncenn�cte�,c �t 27.75 Stream Determination: Intermittent USGS Quad: High Point
>_ 19 or perennial if >_30 E•
A. Geomorphology (Subtotal = 15.5) Absent Weak Moderate Strong SCORE
1a. Continuous bed and bank 0 1 2 3 3
2. Sinuosity of channel along thalweg 0 1 2 3 1
3. In-Channel structure: ex. riffle-pool, step-pool, 0 1 2 3 1
ripplepool sequence
4. Particle size of stream substrate 0 1 2 3 1
5. Active/relic floodplain 0 1 2 3 0
6. Depositional bars or benches 0 1 2 3 2
7. Recent alluvial deposits 0 1 2 3 3
8. Headcuts 0 1 2 3 3
9. Grade controls 0 0.5 1 1.5 0.5
10. Natural valley 0 0.5 1 1.5 1
11. Second or greater order channel No = 0 Yes = 3 0
a
B. Hydrology (Subtotal = 6)
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaflitter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of hiah water table?
C. Biology (Subtotal = 6.25)
18. Fibrous roots in streambed
19. Rooted upland plants in streambed
20. Macrobenthos (note diversity and abundance
21. Aquatic Mollusks
22. Fish
23. Crayfish
24. Amphibians
25. Algae
26. Wetland plants in streambed
'perennial stream may also be identified using other methods. See p.35 of manual.
Absent
0
0
1.5
0
0
Weak
1
1
1
0.5
0.5
Moderate
2
2
0.5
1
1
Strong
3
3
0
1.5
1.5
No=O I Yes=3
Absent Weak Moderate Strong
3 2 1 0
3 2 1 0
0 1 2 3
0 1 2 3
0 0.5 1 1.5
0 0.5 1 1.5
0 0.5 1 1.5
0 0.5 1 1.5
FACW=0.75; OBL=1.5 Other=0
SCORE
0
0
0.5
1.5
1
3
SCORE
3
3
0
0
0
0
0
0.25
0
Notes: Four major nick points along entire channel reach; Evaluation performed in upper most reach; Rain within 24 hrs.
Sketch:

NC DWQ Stream Identification Form Version 4.11
Date:02/16/2017 Project/Site: U-5770 Latitude:35.902526
Evaluator: E. Black County: Randolph Longitude: -79.955985
Total Points: Other:
stream �s ac leasc �ncenn�cte�,c �t 31.75 Stream Determination: Perennial USGS Quad: High Point
>_ 19 or perennial if >_30 E•
A. Geomorphology (Subtotal = 16.5) Absent Weak Moderate Strong SCORE
1a. Continuous bed and bank 0 1 2 3 3
2. Sinuosity of channel along thalweg 0 1 2 3 1
3. In-Channel structure: ex. riffle-pool, step-pool, 0 1 2 3 1
ripplepool sequence
4. Particle size of stream substrate 0 1 2 3 1
5. Active/relic floodplain 0 1 2 3 0
6. Depositional bars or benches 0 1 2 3 2
7. Recent alluvial deposits 0 1 2 3 3
8. Headcuts 0 1 2 3 3
9. Grade controls 0 0.5 1 1.5 1
10. Natural valley 0 0.5 1 1.5 1.5
11. Second or greater order channel No = 0 Yes = 3 0
a
B. Hydrology (Subtotal = 9)
12. Presence of Baseflow
13. Iron oxidizing bacteria
14. Leaflitter
15. Sediment on plants or debris
16. Organic debris lines or piles
17. Soil-based evidence of hiah water table?
C. Biology (Subtotal = 6.25)
18. Fibrous roots in streambed
9. Rooted upland plants in streambed
+20. Macrobenthos (note diversity and abundance
21. Aquatic Mollusks
22. Fish
23. Crayfish
24. Amphibians
25. Algae
26. Wetland plants in streambed
'perennial stream may also be identified using other methods. See p.35 of manual.
Absent
0
0
1.5
0
0
Weak
1
1
1
0.5
0.5
Moderate
2
2
0.5
1
1
Strong
3
3
0
1.5
1.5
No=O I Yes=3
Absent Weak Moderate Strong
3 2 1 0
3 2 1 0
0 1 2 3
0 1 2 3
0 0.5 1 1.5
0 0.5 1 1.5
0 0.5 1 1.5
0 0.5 1 1.5
FACW=0.75; OBL=1.5 Other=0
SCORE
1
2
0.5
1.5
1
3
SCORE
3
3
0
0
0
0
0
0.25
0
Notes: Four major nick points along entire channel reach; Evaluation performed from culvert to nick 2; Rain greater 24 hrs.
Sketch:

CUSACE AID# DWQ # Site #_ (indicate on attached map)
-- — --- — --- --
� STREAM QUALITY ASSESSMENT WORKSHEET �
Provide the following information for the stream reach under assessment:
1. ApplicanYs name: NCDOT 2. Evaluator's name: E. Black, J. Mathis
3. Date of evaluation: 02/21 /17 4. Time of evaluation: 1330
5. Name of sueam: UT to MUddy C�22k 6. River basin: C8p8 F88f
7. Approximate drainage area: �•53 8Cf8S 8. Sheam order: FIfSi
9. Length of reach evaluated: 150 ft 10. County: Randolph
1 L Site coordinates (if known): prefer in decimal degrees.
�arimae �ex. sa.a�zs�z�: 35.903497
12. Subdivision name (if
�ongimae �ex.-��ssaei q:'79•955680
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Downstream from Main St. and 1-85 Intersection.
14. Proposed channel work (if
15. Recent weather
16. Site conditions at time
No rain within 48 hours
Sunny, warm
17. Identify any special waterway classifications known: _Section ]0 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrien[ Sensi[ive Waters X Wa[er Supply Watershed �V (I-IV)
18. ls there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES NO
21. Estimated watershed land use: 45 % Residential
5 0�o Forested
22. Bankfull width:4-6'
20. Does channel appear on USDA Soil Survey? YES NO
_%Commercial _%Industrial _%Agricultural
_% Cleared / Logged 55 % Other (111IpeNlOus
23. Bank height (from bed to top of bank): 4_6'
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: _Straight X Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion ot worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terzain, vegetation, stream classification, eta Every characteristic mus[ be scored using the same ecoregion. Assign points
to each chazacteristic 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 s[ream 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 continuiry, and a separa[e form used to evalua[e each
reach. The total swre assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 35 Comments: No Flow, standing water, cobble, gravel, sand, silt all present, water 0-2"
Evaluator's Signature / A/� V�l�� Date �Z1�/7
This channel evaluation f is intend to b d 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 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
# CHARACTERISTICS ECOREGION POINT RANGE SCORE
Coastal Piedmont Mountain
� Presence of flow / persistent pools in stream 0- 5 0- 4 0- 5
(no flow or saturation = 0; strong flow = max points) �
2 Evidence of pas[ human alteration 0- 6 0- 5 0- 5 3
(extensive alteration = 0; no alteration = ma�c points)
3 Riparianzone 0-6 0-4 0-5 2
(no buffer = 0; conti uous, wide buffer = m� oints
4 Evidence of nutrien[ or chemical discharges 0- 5 0-4 0- 4 �
(extensive discharges = 0; no discharges = max points)
�5 Groundwater discharge 0- 3 0- 4 0- 4 2
U (no discharge= 0; springs, seeps, wetlands, etc. = mas points)
r. Presence of adjacent floodplain O
rn 6 0-4 0-4 0-2
y (no floodplain = 0; ex[ensive floodplain = max points)
� � Entrenchmen[ / iloodplain aceess p_ i p- 4 p- 2 Q
(deeply entrenched = 0; frequent Flooding = max points)
$ Presence of adjacent wetlands p_ 6 0- 4 0- 2 Q
(no wetlands = 0; large adjacent wetlands = max points)
9 Channel sinuosity 0- 5 0- 4 0- 3 �
(extensive channelization = 0; natural meander= man points)
�p Sedimentinput 0-5 0-4 0-4 3
(extensive deposition= 0; little or no sediment= max points)
� � Size & diversity of channel bed substrate NA* 0- 4 0- 5 2
(fine, homogenous = 0; Iarge; diverse sizes = max points)
� Z F.vidence of channel incision or widening 0- 5 0- 4 0- 5 Q
,�. (dee 1 incised = 0; stable bed & banks - max oin[s)
aPresence of major bank failures O
13 0-5 0-5 0-5
i„i (severe erosion = 0; no erosion, stable banks = max points)
� 14 Rootdepthanddensityonbaoks 0-3 0-4 0-5 2
F„ (no visible roots = 0; dense roots throughou[ = max points)
� Impact by agriculture, lives[ock, or [imber production 4
IS 0-5 0-4 0-5
(substantial impact =0; no evidence = mas points)
� 6 Presence of riflle-pooUripple-pool complexes 0- 3 0- 5 0- 6 �
�, no riffles/ri ples or ools = 0; well-develo ed = max oints)
Q Habita[ complexity 2
F 17 0-6 0-6 0-6
�„� Qittle or no habitat = 0; frequent, varied habitats = ma�c points)
� � 8 Canopy coverage over streambed 0- 5 0- 5 0- 5 �j
x (oo shading vegetation = 0; continuous canopy = ma�c points)
� � Substrate embeddedness NA* 0- 4 0- 4 3
(deeply embedded = 0; loose structure = max)
20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 Q
� (no evidence = Q common, numerous t es = max oin[s
� Z � Presence of amphibians 0- 4 0- 4 0- 4 Q
O (no evidence = 0; common, numerous pes = max points)
"� Presence of fis6 O
� 22 (no evidence = 0; common, numerous types = max points) 0- 4 0- 4 0- 4
23 Evidence of wildlife use p_ 6 0- 5 0- 5 3
(no evidence = 0; abundant evidence= max points)
Total Points Possible 100 100 100
TOTAL SCORE (also enter on first page) 35
• Ihese charactens[�cs are �ot assessetl m coastal streams.

USACE AID# DWQ #
Site #_ (indicate on attached map)
;,� STREAM QUALITY ASSESSMENT WORKSHEET �
Provide the following information for [he stream reach under assessment:
� A IicanYs ^�^�a� NCDOT 2 Evaluator's name� E. 618Ck, J. MathlS
pP
3. Date of evaluation: 02/21 /2017
5. Name of stream: UT to Muddy Creek
7. Approximate drainage area: �•53 aC�2S
9. Length of reach evaluated: 200 ft
4. Time of evaluation: 1330
6. River basin: Cape F28�
8. Stream order: Fi�st
10. County: Randolph
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latimde (e:. 3a,s7z3 �z): 35.902526 Longitude (ez. —77.556611): -79.95S9HS
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS O[her
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
Downstream from Main St. and 1-85 Intersection.
14. Proposed channel work (if
15. Recent weather
16. Site conditions at time of
No rain within 48 hours
Sunny, warm
17. Identify any special watenvay classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _Nutrient Sensitive Waters X Water Supply Watershed �V (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface azea:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: 45 0�o Residential
5 0�o Forested
22. Bankfull width:2.5-3.5'
_%Commercial _%Indushial _%Agricultural
_% Cleared / L,ogged 55 0�o p�her ( �mpeNIOUS �
23. Bank height (from bed to top of bank): 2"3.5'
24. Channel slope down center of stream: _Flat (0 to 2%) X Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>]0%)
25. Channel sinuosity: _Shaight X 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
bcation, temain, vegetation, stream classification, etc. Every characteristic mus[ be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief descrip[ion 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 [here are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the s[ream may be divided into smaller reaches that display more continuiry, and a separate form used to evaluate each
reach. The total score assigned to a s[ream reach must range between 0 and I OQ with a score of 100 representing a stream of the
highest quality.
Total Score (trom reverse): 39 Comments: Little Flow, standing water; gravel, sand, silt all present; water 0.25-6"
Evaluator's5ignature �5/`�'""`(-, �i%� Date Z'Z�'1�
This channel evaluation form i�ed to be used only as a guide to assist landowners and enviro�mental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminaty assessmen[ of stream
quality. The total swre resulting from the completion of this form is subject to U5ACE approval and does not imply a
particular mitigation ratio or requiremenL Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
ECOREGION POINT RANGE
# CHARACTERISTICS Coastal Piedmont Mountain SCORE
� Presence of flow / persisten[ pools in s[ream 0— 5 0— 4 0— 5 �
(no flow or saturation = 0; strong flow = max points)
2 Evidence of past human alteration 0— 6 0—_ 0— 5 3
5
(extensive alteration = 0; m alteration = max points)
3 Riparian zone 0— 6 0— 4 0— 5 2
(no buffer = 0; conti uous, wide buffer = mar oints
4 Evidence of nutrient or chemical discharges 0— 5 0— 4 0— 4 �
(extensive dischar es = 0; no discharges = max oints)
�5 Groundwater discharge 0— 3 0— 4 0— 4 2
� (no discharge = 0; springs, seeps, wetlands, etc. = ma� points)
� 6 Presence of adjacent Ooodplain Q 4 0 4 � 2 O
� (no floodplain = 0; extensive floodplain = max points)
� � Entrenchment / iloodplain access 0— 5 0— 4 0— 2 �
(deeply entrenched = 0; frequent flooding = max points)
g Presence of adjacent wetlands 0— 6 0— 4 0— 2 Q
(no wetlands = 0; large adjacent wetlands = max points)
� Chan�el sinuosity 0— 5 0— 4 0— 3 �
(extensive channelization = 0; natural meander = max points)
10 Sediment input 0— 5 0— 4 0— 4 �
(extensive deposition= 0; little or no sediment= maa points)
� � Size & diversity of channel bed substrate NA* 0— 4 0— 5 2
(fine, homogenous = 0; large, diverse sizes = max points)
� 2 Evidence of chancel incision or widening 0— 5 0— 4 0— 5 �
�. (dee I incised = 0; s[able bed & banks = max oints)
�Presence of major bank failures 2
a 13 0-5 0-5 0-5
� (severe erosion = 0; no erosion, stable banks = max points)
E 14 Root depth and density on banks p_ 3 0— 4 0— 5 2
(no visible roo[s = 0; dense roots throughout = maac points)
� Impact by agriculture, lives[ock, or timber production 4
I S (substantial impact -0; no evidence = ma�c poinls) 0— 5 0— 4 0— 5
16 presence of rifile-pooUripple-pool complexes 0— 3 0— 5 0— 6 �
F no riffles/ri les or ools = 0; well-develo ed = max oints)
y� Habitat complexity 4
F 17 0-6 0-6 0-6
� Qittle or no habitat = 0: frequent, varied habitats = max points)
Q1 � 8 Canopy coverage over streambed 0— 5 0— 5 0— 5 rj
� (no shading vegetation = 0; con[inuous canopy = max poin[s)
�g Substrateembeddedness NA' 0-4 0-4 3
(deeply embedded = 0; loose strucmre = max)
20 Presence of stream imertebrates (see page 4) 0— 4 0— 5 0— 5 0
� no evidence = 0; common, numerous t es = max oints
� 2� Presenceofamphibians 0-4 0-4 0-4 Q
� (no evidence = 0; common, numerous types = max points)
� ZZ Presenceoffish 0-4 0-4 0-4 Q
� (no evidence = 0; common, numerous types = max points)
z3 Evidence of wildlife use 0— 6 0— 5 0— 5 3
(no evidence = 0; abundant evidence = max points)
Total Points Possible ]00 100 100
TOTAL SCORE (also enter on first page) 3g
'�I hese characten5tic5 are not assessetl m coastal streams.

Photos

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Photo 3. Stream SA (UT to Muddy CreekJ - intermittent
facing upstream (Lat. 35. 903333, Long. -79.955556J.
Photo 7. Wetland WA/WB (Lat. 35.898611, Long. -
79.950000J.
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Photo 4. Stream SA (UT to Muddy CreekJ - intermittent,
facing upstream (Lat. 35. 903333, Long. -79.955833J.
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Photo 9. Wetiand VvD (Lat. 35.902726, Long.-79.952960J.