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HomeMy WebLinkAboutPJD_Pack_R5768_final.pdfROY COOPER GOVERNOR STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION September 27, 2017 Mr. James Lastinger USACE 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 James.C.Lastinger@usace.army.mil JAMES H. TROGDON, III SECRETARY SUBJECT: STIP Project Number R-5768 US 311 at NC 65 — Upgrade I�ltersection and Improve Railroad Crossing in Stokes County, WBS #44670.1.1 Dear Mr. Lastinger, Enclosed is a draft Preliminary Jurisdictional Determination (PJD) package for your review, which includes the following attachments: ■ Figure 1 — Vicinity Map ■ Figure 2— USGS Quad Map ■ Figure 3 — Water Resources ■ Jurisdictional Determination Request Fonn ■ NCDWR Wetland Rating Worksheets ■ USACE Wetland Detennination Data Forms ■ Preliminary JD Form Landowner property access notification letters have been mailed and include reference to the USACE site visit. NCDOT requests that agency personnel not enter the railroad right- of-way for independent site reviews. In reference to page 11 of the JD Request Form, the GPS equipment utilized to locate features on this project was the TrimbleOO R1TM sub-meter accurate GPS receiver. The following table provides a summary of stream an.d wetland characteristics for features within the project study area. Mailing 4ddress: Teleplione: (336) 747-7800 Gocntion: NC DEPARTMENT OF TRANSPORTATION Fa,r: (336) 703-6693 375 SILAS CREEK PARICWAY DIVISION 9 Ca�sto�:verSer��ice: 1-877-368-4968 W[NSTON-SALEM, NC 27127 375 SILAS CREEK PARKWAY WINSTON-SALEM, NC 27127 Weh.�rte: www.ncdot.gov Table 1. Water resources in the study area Stream Name Map ID NCDWR Index Best Usage Number Classification UT to Town Fork Creek SA 22-25 C UT to Town Fark Creek SB 22-25 C Table 2. Physical characteristics of water resources in the study area Bank Bankful Water Map ID Height Width Depth Channel Velocity Clarity (ft) (ft) (in) Substrate SA 4 3 6 Gravel Moderate Clear SB 6 8 12 Sand Moderate Clear Table 3. Jurisdictional characteristics of water resources in the study area Map ID Length Classification Compensatory River Basin (ft.) Miti�ation Reauired Buffer SA 124 Perennial SB 773 Perennial Total 897 Yes No Yes No Table 4. Jurisdictional characteristics of wetlands in the study area NCWAM Hydrologic NCDWR Map ID Classification Classification Wetland Ratin Area (ac.) WA Riverine Swamp Riparian 59 0.03 Forest WB Bottomland Riparian 38 0.02 Hardwood Forest WC Floodplain Pool Riparian 43 0.04 wD Bottomland Riparian 31 0.03 Hardwood Forest Total 0.12 Please contact me at 336.747.7800 (aeuliss@ncdot.gov) or our consultant, Pete Stafford at 919.878.9560 (pstafford@rkk.com) if you have any questions or would like additional information. 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' �`- ie+'. `�.� � '4 _ _ _ r �.?? o ,� N�, s� '' � Y ; ,r „ra! -+� Y �� + ti� • : �V T• _ �., � �e Q�Q. DIVISION 9 �, :� � ' `� �_ � � µ , ° ,�` �� � 'ti Y� �. �` - --�a, - ; ,�� � Le g e n d N>� Taw s / "st`' , ` � . ' "" ' , _.,1; � � ' STiP PROJECT: R-5768 '`�� � s°� ��� ���r i� f'S O r �, Y n � y r �,. � ` � '�� ��r� � � ;'��.. � ' ` � p�� ,;� , �+�,.r �- z ,_. � � Original StudyArea � /�,� ` •de�" , � �"� . � ' � "" ��; � � �- � � UPGRADE US 311 1NTERSECTiON WiTH NC 65 yt 7 `\ � '�� ry 0. "�`r, - � � � � �� '=�� Additional Stud Area � �,, '�'�� � ` f ,� - � �'� :�„ �� + - � '�. � �'; � y AND iMPROVE THE NORFOLK SOUTHERN RAiLROAD �'���� v�` �` � � � , � �"� ; ��,� +���, , �.� ;� �, T`� , Delineated Streams CROSSING AT NC 65/ STOKESBURG ROAD (SR 1928) L. �.�. � ,t• a� � �1 �2'�� �� � ��:� �� 1 �1 � Sxi �'i' jI� � ;,f � r ,;, � �+ � � � . 4 ,-. � �� Delineated Wetlands . �,�. -, ,�' .. y� � ` w-�' , ` �. ;a� ` � , � .. . ,� n r JURISDICTIONAL FEATURES FIGURE 3 F a�:, � F�' � ,�.�a� .r�w: ... _�s - , �. a ; , + � " _ .�: WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region ProjecUSite: R-582$ City/County: Stokes County Sampling Date: 10/20/2016 ApplicanUOwner: NCDOT State: NC Sampling Point: WA Investigator(s): John Merritt Section, Township, Range: N/A Landform (hillslope, terrace, etc.): Floodplain Local relief (concave, convex, none): Concave Slope (%): 2 Subregion (LRR or MLRA): LRR-N Lat: 36.287716 Long: -$0.144308 Datum: NAD 83 Soil Map Unit Name: Dan River and Comus soils, 0 to 4 percent slopes, occasionally flooded NWI classification: PFOi A 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? No Are "Normal Circumstances" present? Yes �✓ No Q Are Vegetation � Soil �, or Hydrology � naturally problematic? n,o (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� �s the Sampled Area Hydric Soil Present? Yes � No� within a Wetland? Yes � No � Wetland Hydrology Present? Yes � No� Remarks: Wetland hydrology, hydrophytic vegetation, and hydric soil are present at this location. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl Primarv Indicators (minimum of one is reauired: check all that apnlvl ❑ Surtace Soil Cracks (B6) ❑ Surface Water (A1) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8) ❑✓ High Water Table (A2) ❑ Hydrogen Sulfide Odor (C1) 0 Drainage Patterns (B10) Q Saturation (A3) Q Oxidized Rhizospheres on Living Roots (C3) ❑ Moss Trim Lines (B16) ❑ Water Marks (B1) � Presence of Reduced Iron (C4) ❑ Dry-Season Water Table (C2) ❑ Sediment Deposits (62) � Recent Iron Reduction in Tilled Soils (C6) ❑✓ Crayfish Burrows (C8) ❑ Drift Deposits (B3) � Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9) ❑ Algal Mat or Crust (64) � Other (Explain in Remarks) ❑ Stunted or Stressed Plants (D1) ❑ Iron Deposits (B5) ❑✓ Geomorphic Position (D2) ❑ Inundation Visible on Aerial Imagery (B7) � Shallow Aquitard (D3) ❑� Water-Stained Leaves (B9) � Microtopographic Relief (D4) ❑ Aquatic Fauna (613) � FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes � No ✓ Depth (inches): NiA WaterTable Present? Yes ✓ No Depth (inches): 10 Saturation Present? Yes ✓ No Depth (inches): $ Wetland Hydrology Present? Yes � No� includes ca illa frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology present at this location. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. Absolute Dominant Indicator Tree Stratum (Plot size: N/A ) % Cover Snecies? Status 1. 2. 3. 4. 6. 7. 50% of total cover: ° Sapling/Shrub Stratum (Plot size: N/A � 1. 4. 5. 7. 8. 9. 50% of total cover: ° Herb Stratum (Plot size: 1000 sq. ft. � � Carex spp. 2 Microstegium vimineum 3 Polygonum sagittatum 4 Sagittaria latifolia 5 Polygonum pensylvanicum 7. 8. 9. 10. 11. 50% of total cover: 60 Woodv Vine Stratum (Plot size: 1000 sq. ft. � � Smilax rotundifolia 2. 3. 5. 50% of total cover: 5 � = Total Cover 20% of total cover: ° � = Total Cover 20% of total cover: ° 60 30 �o �o �o No NiA Yes FAc No oe� No oe� No Facw 120 = Total Cover 20% of total cover: 24 � o Yes FAc 10 = Total Cover 20% of total cover: 2 Remarks: (Include photo numbers here or on a separate sheet.) Hydrophytic vegetation present at this location. Sampling Point: WA Dominance Test worksheet: Number of Dominant Species That Are OBL, FACW, or FAC: 2 (A) Total Number of Dominant Species Across All Strata: 2 (B) Percent of Dominant Species 1 QQ.��% That Are OBL, FACW, or FAC: (A/B) Prevalence Index worksheet: Total % Cover of: Multiolv bv: OBL species x 1 = ° FACW species x 2 = � FAC species x 3 = � FACU species x 4 = � UPL species x 5 = � Column Totals: � (A) � (B) Prevalence Index = B/A = ❑ 1- Rapid Test for Hydrophytic Vegetation ❑✓ 2 - Dominance Test is >50% ❑ 3 - Prevalence Index is <_3.0' ❑ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) ❑ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub — Woody plants, excluding vines, less than 3 in. DBH and greater than or equal to 3.28 ft(1 m) tall. Herb — All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine — All woody vines greater than 3.28 ft in Hydrophytic Vegetation Present? Yes � No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 SOIL Sampling Point: WA Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks 0-2 10YR 4/4 Loamy clay 2-10 10YR 5/1 80 10YR 5/8 20 C PL Clay 10-16 10YR 5/3 90 10YR 5/6 10 C PL Clay Hydric Soil Indicators: [] Histosol (A1) 0 Histic Epipedon (A2) _] Black Histic (A3) 0 Hydrogen Sulfide (A4) L] Stratified Layers (A5) _] 2 cm Muck (A10) (LRR N) [] Depleted Below Dark Surface (A11) [] Thick Dark Surtace (Al2) _] Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) ❑ Sandy Gleyed Matrix (S4) � Sandy Redox (S5) � Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: � Dark Surface (S7) 0 Polyvalue Below Surtace (S8) (MLRA 147, 148) � Thin Dark Surface (S9) (MLRA 147, 148) � Loamy Gleyed Matrix (F2) p Depleted Matrix (F3) � Redox Dark Surface (F6) � Depleted Dark Surface (F7) � Redox Depressions (F8) 0 Iron-Manganese Masses (F12) (LRR N, MLRA 136) � Umbric Surtace (F13) (MLRA 136, 122) � Piedmont Floodplain Soils (F19) (MLRA 148) � Red Parent Material (F21) (MLRA 127, 147) Hydric soils present at this location. Indicators for Problematic Hydric Sc 0 2 cm Muck (A10) (MLRA 147) 0 Coast Prairie Redox (A16) (MLRA 147, 148) 0 Piedmont Floodplain Soils (F19) (MLRA 136, 147) 0 Very Shallow Dark Surface (TF12) 0 Other (Explain in Remarks) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes a No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region ProjecUSite: R-582$ City/County: Stokes County Sampling Date: 10/20/2016 ApplicanUOwner: NCDOT State: NC Sampling Point: WB Investigator(s): Hal Bain Section, Township, Range: N/A Landform (hillslope, terrace, etc.): Flat Local relief (concave, convex, none): Concave Slope (%): � Subregion (LRR or MLRA): LRR-N Lat: 36.287767 Long: -$0.142913 Datum: NAD 83 Soil Map Unit Name: Dan River and Comus soils, 0 to 4 percent slopes, occasionally flooded NWI classification: N/A 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? No Are "Normal Circumstances" present? Yes �✓ No Q Are Vegetation � Soil �, or Hydrology � naturally problematic? n,o (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� �s the Sampled Area Hydric Soil Present? Yes � No� within a Wetland? Yes � No � Wetland Hydrology Present? Yes � No� Remarks: Wetland hydrology, hydrophytic vegetation, and hydric soil are present at this location. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl Primarv Indicators (minimum of one is reauired: check all that apnlvl ❑ Surtace Soil Cracks (B6) ❑ Surface Water (A1) ❑ True Aquatic Plants (B14) ❑� Sparsely Vegetated Concave Surface (B8) ❑✓ High Water Table (A2) ❑ Hydrogen Sulfide Odor (C1) IJ Drainage Patterns (B10) Q Saturation (A3) ❑✓ Oxidized Rhizospheres on Living Roots (C3) ❑ Moss Trim Lines (B16) ❑ Water Marks (B1) � Presence of Reduced Iron (C4) ❑ Dry-Season Water Table (C2) ❑ Sediment Deposits (62) � Recent Iron Reduction in Tilled Soils (C6) ❑ Crayfish Burrows (C8) ❑ Drift Deposits (B3) � Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9) ❑ Algal Mat or Crust (64) � Other (Explain in Remarks) ❑ Stunted or Stressed Plants (D1) ❑ Iron Deposits (B5) ❑✓ Geomorphic Position (D2) ❑ Inundation Visible on Aerial Imagery (B7) � Shallow Aquitard (D3) Q Water-Stained Leaves (B9) � Microtopographic Relief (D4) ❑ Aquatic Fauna (613) � FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes � No ✓ Depth (inches): NiA Water Table Present? Yes ✓ No Depth (inches): � Saturation Present? Yes ✓ No Depth (inches): 6 Wetland Hydrology Present? Yes � No� includes ca illa frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology present at this location. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. Absolute Dominant Indicator Tree Stratum (Plot size: 2000 sq. ft. � % Cover Snecies? Status � Salix nigra 2o Y2S ag� 2 Liriodendrontulipifera 10 YeS FACU 3 Acer negundo 10 YeS FAC 4. 6. 7. 50% of total cover: 20 Sapling/Shrub Stratum (Plot size: 2000 sq. ft. � � Acer negundo 2 Sambucus nigra 4. 5. 7. 8. 9. 50% of total cover: 5 Herb Stratum (Plot size: 2000 sq. ft. � � Dulichium arundinaceum 2 Polygonum pensylvanicum 3 Microstegium vimineum 4 Boehmeria cylindrica 5. 7. 8. 9. 10. 11. 50% of total cover: 10 Woodv Vine Stratum (Plot size: N/A � 1. 2. 3. 5. 50% of total cover: ° ao = Total Cover 20% of total cover: 8 s Yes Fac s Yes Fac �� = Total Cover 20% of total cover: 2 5 5 s 5 Yes o6� Yes Facw Yes FAc Yes Facw 20 = Total Cover 20% of total cover: ^ ° = Total Cover 20% of total cover: ° Remarks: (Include photo numbers here or on a separate sheet.) Hydrophytic vegetation present at this location. Sampling Point: WB Dominance Test worksheet: Number of Dominant Species That Are OBL, FACW, or FAC: 9 (A) Total Number of Dominant Species Across All Strata: 9 (B) Percent of Dominant Species 1 QQ.��% That Are OBL, FACW, or FAC: (A/B) Prevalence Index worksheet: Total % Cover of: Multiolv bv: OBL species x 1 = ° FACW species x 2 = � FAC species x 3 = � FACU species x 4 = � UPL species x 5 = � Column Totals: � (A) � (B) Prevalence Index = B/A = ❑ 1- Rapid Test for Hydrophytic Vegetation ❑✓ 2 - Dominance Test is >50% ❑ 3 - Prevalence Index is <_3.0' ❑ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) ❑ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub — Woody plants, excluding vines, less than 3 in. DBH and greater than or equal to 3.28 ft(1 m) tall. Herb — All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine — All woody vines greater than 3.28 ft in Hydrophytic Vegetation Present? Yes � No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 SOIL Sampling Point: WB Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks 0-5 10YR 3/2 90 7.5YR 3/4 10 C PL Silty loam 5-10 10YR 2/2 100 Silty loam 10-16 10YR 2/1 95 10YR 3/6 5 C PL Organic Adjacent relic sawdust pile Hydric Soil Indicators: [] Histosol (A1) 0 Histic Epipedon (A2) _] Black Histic (A3) 0 Hydrogen Sulfide (A4) L] Stratified Layers (A5) _] 2 cm Muck (A10) (LRR N) [] Depleted Below Dark Surface (A11) [] Thick Dark Surtace (Al2) _] Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) ❑ Sandy Gleyed Matrix (S4) � Sandy Redox (S5) � Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: � Dark Surface (S7) 0 Polyvalue Below Surtace (S8) (MLRA 147, 148) � Thin Dark Surface (S9) (MLRA 147, 148) � Loamy Gleyed Matrix (F2) p Depleted Matrix (F3) � Redox Dark Surface (F6) � Depleted Dark Surface (F7) � Redox Depressions (F8) 0 Iron-Manganese Masses (F12) (LRR N, MLRA 136) � Umbric Surtace (F13) (MLRA 136, 122) � Piedmont Floodplain Soils (F19) (MLRA 148) � Red Parent Material (F21) (MLRA 127, 147) Hydric soils present at this location. Indicators for Problematic Hydric Sc 0 2 cm Muck (A10) (MLRA 147) 0 Coast Prairie Redox (A16) (MLRA 147, 148) 0 Piedmont Floodplain Soils (F19) (MLRA 136, 147) 0 Very Shallow Dark Surface (TF12) 0 Other (Explain in Remarks) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes a No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region ProjecUSite: R-582$ City/County: Stokes County Sampling Date: 10/20/2016 ApplicanUOwner: NCDOT State: NC Sampling Point: W� Investigator(s): Hal Bain Section, Township, Range: N/A Landform (hillslope, terrace, etc.): Flat Local relief (concave, convex, none): Concave Slope (%): � Subregion (LRR or MLRA): LRR-N Lat: 36.287304 Long: -$0.138773 Datum: NAD 83 Soil Map Unit Name: Clover fine sandy loam, 8 to 15 percent slopes NWI classification: N/A 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? No Are "Normal Circumstances" present? Yes �✓ No Q Are Vegetation � Soil �, or Hydrology � naturally problematic? n,o (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� �s the Sampled Area Hydric Soil Present? Yes � No� within a Wetland? Yes � No � Wetland Hydrology Present? Yes � No� Remarks: Wetland hydrology, hydrophytic vegetation, and hydric soil are present at this location. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl Primarv Indicators (minimum of one is reauired: check all that apnlvl ❑ Surtace Soil Cracks (B6) ❑✓ Surface Water (A1) ❑ True Aquatic Plants (B14) ❑� Sparsely Vegetated Concave Surface (B8) ❑✓ High Water Table (A2) ❑ Hydrogen Sulfide Odor (C1) IJ Drainage Patterns (B10) Q Saturation (A3) ❑✓ Oxidized Rhizospheres on Living Roots (C3) ❑ Moss Trim Lines (B16) ❑ Water Marks (B1) � Presence of Reduced Iron (C4) ❑ Dry-Season Water Table (C2) ❑ Sediment Deposits (62) � Recent Iron Reduction in Tilled Soils (C6) ❑ Crayfish Burrows (C8) ❑ Drift Deposits (B3) � Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9) ❑ Algal Mat or Crust (64) � Other (Explain in Remarks) ❑ Stunted or Stressed Plants (D1) ❑ Iron Deposits (B5) ❑✓ Geomorphic Position (D2) ❑ Inundation Visible on Aerial Imagery (B7) � Shallow Aquitard (D3) Q Water-Stained Leaves (B9) � Microtopographic Relief (D4) ❑ Aquatic Fauna (613) � FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes �✓ No Depth (inches): 2 Water Table Present? Yes ✓ No Depth (inches): � Saturation Present? Yes ✓ No Depth (inches): � Wetland Hydrology Present? Yes � No� includes ca illa frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology present at this location. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. Absolute Dominant Indicator Tree Stratum (Plot size: 2000 sq. ft. � % Cover Snecies? Status � Fraxinus pennsylvanica 2o Y2S FACW 2 Acer rubrum 20 YeS FAC 3. 4. 6. 7. 50% of total cover: 20 Sapling/Shrub Stratum (Plot size: 2000 sq. ft. � � Acer rubrum 2 Fraxinus pennsylvanica 3 Lindera benzoin 4 Ligustrum sinense 5. 7. 8. 9. 50% of total cover: 22.5 Herb Stratum (Plot size: 2000 sq. ft. � � Ligustrum sinense 4. 5. 7. 8. 9. 10. 11. 50% of total cover: ' S Woodv Vine Stratum (Plot size: 2000 sq. ft. � � Rosa multiflora 2 Lonicerajaponica 3 Smilax rotundifolia 5. 50% of total cover: 3'.s ao = Total Cover 20% of total cover: 8 15 10 10 10 Yes FAc Yes Facw Yes FAc Yes Facu as = Total Cover 20% of total cover: 9 � s Yes Fac 15 = Total Cover 20% of total cover: 3 so Yes FACU 10 j�Jp FACU 5 jVp FAC 75 = Total Cover 20% of total cover:15 Remarks: (Include photo numbers here or on a separate sheet.) Hydrophytic vegetation present at this location. Sampling Point: WC Dominance Test worksheet: Number of Dominant Species That Are OBL, FACW, or FAC: 7 (A) Total Number of Dominant Species Across All Strata: 8 (B) Percent of Dominant Species 1 QQ.��% That Are OBL, FACW, or FAC: (A/B) Prevalence Index worksheet: Total % Cover of: Multiolv bv: OBL species x 1 = ° FACW species x 2 = � FAC species x 3 = � FACU species x 4 = � UPL species x 5 = � Column Totals: � (A) � (B) Prevalence Index = B/A = ❑ 1- Rapid Test for Hydrophytic Vegetation ❑✓ 2 - Dominance Test is >50% ❑ 3 - Prevalence Index is <_3.0' ❑ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) ❑ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub — Woody plants, excluding vines, less than 3 in. DBH and greater than or equal to 3.28 ft(1 m) tall. Herb — All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine — All woody vines greater than 3.28 ft in Hydrophytic Vegetation Present? Yes � No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 SOIL Sampling Point: WC Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks 0-5 10YR 4/2 95 10YR 4/6 5 C PL Silty loam 5-13 10YR 4/1 80 10YR 5/8 20 C M, PL Silty loam 13-16 2.5Y 4/2 60 2.5Y 5/4 30 C PL Clay 10 7.5YR 5/8 10 C PL Hydric Soil Indicators: [] Histosol (A1) 0 Histic Epipedon (A2) _] Black Histic (A3) 0 Hydrogen Sulfide (A4) L] Stratified Layers (A5) _] 2 cm Muck (A10) (LRR N) [] Depleted Below Dark Surface (A11) [] Thick Dark Surtace (Al2) _] Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) ❑ Sandy Gleyed Matrix (S4) � Sandy Redox (S5) � Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: � Dark Surface (S7) 0 Polyvalue Below Surtace (S8) (MLRA 147, 148) � Thin Dark Surface (S9) (MLRA 147, 148) � Loamy Gleyed Matrix (F2) p Depleted Matrix (F3) � Redox Dark Surface (F6) � Depleted Dark Surface (F7) � Redox Depressions (F8) 0 Iron-Manganese Masses (F12) (LRR N, MLRA 136) � Umbric Surtace (F13) (MLRA 136, 122) � Piedmont Floodplain Soils (F19) (MLRA 148) � Red Parent Material (F21) (MLRA 127, 147) Hydric soils present at this location. Indicators for Problematic Hydric Sc 0 2 cm Muck (A10) (MLRA 147) 0 Coast Prairie Redox (A16) (MLRA 147, 148) 0 Piedmont Floodplain Soils (F19) (MLRA 136, 147) 0 Very Shallow Dark Surface (TF12) 0 Other (Explain in Remarks) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes a No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region ProjecUSite: R-582$ City/County: Stokes County Sampling Date: 6/14/2017 ApplicanUOwner: NCDOT State: NC Sampling Point: W� Investigator(s): Pete Stafford Section, Township, Range: N/A Landform (hillslope, terrace, etc.): Floodplain Local relief (concave, convex, none): Concave Slope (%): Flat Subregion (LRR or MLRA): LRR-N Lat: 36.282361920 Long: -$0.1443665 Datum: NAD 83 Soil Map Unit Name: Clover-Urban land complex, 2 to 10 percent slopes NWI classification: N/A 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? No Are "Normal Circumstances" present? Yes �✓ No Q Are Vegetation � Soil �, or Hydrology � naturally problematic? n,o (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� �s the Sampled Area Hydric Soil Present? Yes � No� within a Wetland? Yes � No � Wetland Hydrology Present? Yes � No� Remarks: Wetland hydrology, hydrophytic vegetation, and hydric soil are present at this location. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl Primarv Indicators (minimum of one is reauired: check all that apnlvl ❑ Surtace Soil Cracks (B6) ❑ Surface Water (A1) ❑ True Aquatic Plants (B14) ❑� Sparsely Vegetated Concave Surface (B8) ❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (C1) IJ Drainage Patterns (B10) Q Saturation (A3) ❑✓ Oxidized Rhizospheres on Living Roots (C3) ❑ Moss Trim Lines (B16) ❑ Water Marks (B1) � Presence of Reduced Iron (C4) ❑ Dry-Season Water Table (C2) ❑ Sediment Deposits (62) � Recent Iron Reduction in Tilled Soils (C6) ❑ Crayfish Burrows (C8) ❑ Drift Deposits (B3) � Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9) ❑ Algal Mat or Crust (64) � Other (Explain in Remarks) ❑ Stunted or Stressed Plants (D1) ❑ Iron Deposits (B5) ❑✓ Geomorphic Position (D2) ❑ Inundation Visible on Aerial Imagery (B7) � Shallow Aquitard (D3) Q Water-Stained Leaves (B9) � Microtopographic Relief (D4) ❑ Aquatic Fauna (613) � FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes � No ✓ Depth (inches): NiA Water Table Present? Yes No ✓ Depth (inches): N�A Saturation Present? Yes ✓ No Depth (inches): $ Wetland Hydrology Present? Yes � No� includes ca illa frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology present at this location. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. Absolute Dominant Indicator Tree Stratum (Plot size: N/A ) % Cover Snecies? Status 1. 2. 3. 4. 6. 7. 50% of total cover: 20 Sapling/Shrub Stratum (Plot size: 1000 sq. ft. � � Salix nigra 4. 5. 7. 8. 9. 50% of total cover: 5 Herb Stratum (Plot size: 1000 sq. ft. � � Juncus effusus 2 Carex sp. 3 Bidensfrondosa 4 Rubus argutus 5 Verbesina alternifolia 6 Microstegium vimineum � Andropogon virginicus $ Ludwigia alternifolia 9. 10. 11. 50% of total cover: so Woodv Vine Stratum (Plot size: 1000 sq. ft. � � Smilax rotundifolia 2. 3. 5. 50% of total cover: ' S ao = Total Cover 20% of total cover: 8 �o Yes oe� �� = Total Cover 20% of total cover: 2 20 20 s �5 s 15 �s 5 Yes Yes No No No No No No ioo = Total Cover 20% of total cover: 20 OBL N/A FACW FACU FAC FAC FACU FACW 15 Yes FAc 15 = Total Cover 20% of total cover: 3 Remarks: (Include photo numbers here or on a separate sheet.) Hydrophytic vegetation present at this location. Sampling Point: W� Dominance Test worksheet: Number of Dominant Species That Are OBL, FACW, or FAC: 3 (A) Total Number of Dominant Species Across All Strata: 4 (B) Percent of Dominant Species 1 QQ.��% That Are OBL, FACW, or FAC: (A/B) Prevalence Index worksheet: Total % Cover of: Multiolv bv: OBL species x 1 = ° FACW species x 2 = � FAC species x 3 = � FACU species x 4 = � UPL species x 5 = � Column Totals: � (A) � (B) Prevalence Index = B/A = ❑ 1- Rapid Test for Hydrophytic Vegetation ❑✓ 2 - Dominance Test is >50% ❑ 3 - Prevalence Index is <_3.0' ❑ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) ❑ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub — Woody plants, excluding vines, less than 3 in. DBH and greater than or equal to 3.28 ft(1 m) tall. Herb — All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine — All woody vines greater than 3.28 ft in Hydrophytic Vegetation Present? Yes � No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 SOIL Sampling Point: W� Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks 0-5 10YR 5/1 90 7.5YR 5/6 10 C PL Clay Loam 5-16+ 7.5YR 4/2 60 10YR 5/4 40 C M Sandy Clay Loam Hydric Soil Indicators: [] Histosol (A1) 0 Histic Epipedon (A2) _] Black Histic (A3) 0 Hydrogen Sulfide (A4) L] Stratified Layers (A5) _] 2 cm Muck (A10) (LRR N) [] Depleted Below Dark Surface (A11) [] Thick Dark Surtace (Al2) _] Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) ❑ Sandy Gleyed Matrix (S4) � Sandy Redox (S5) � Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: � Dark Surface (S7) 0 Polyvalue Below Surtace (S8) (MLRA 147, 148) � Thin Dark Surface (S9) (MLRA 147, 148) � Loamy Gleyed Matrix (F2) p Depleted Matrix (F3) � Redox Dark Surface (F6) � Depleted Dark Surface (F7) � Redox Depressions (F8) 0 Iron-Manganese Masses (F12) (LRR N, MLRA 136) � Umbric Surtace (F13) (MLRA 136, 122) � Piedmont Floodplain Soils (F19) (MLRA 148) � Red Parent Material (F21) (MLRA 127, 147) Hydric soils present at this location. Indicators for Problematic Hydric Sc 0 2 cm Muck (A10) (MLRA 147) 0 Coast Prairie Redox (A16) (MLRA 147, 148) 0 Piedmont Floodplain Soils (F19) (MLRA 136, 147) 0 Very Shallow Dark Surface (TF12) 0 Other (Explain in Remarks) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes a No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region ProjecUSite: R-582$ City/County: Stokes County Sampling Date: 10/20/2016 ApplicanUOwner: NCDOT State: NC SamplingPoint:`"A'WB,`"c,`"°"°�a°° Investigator(s): Hal Bain Section, Township, Range: N/A Landform (hillslope, terrace, etc.): Hillslope Local relief (concave, convex, none): Convex Slope (%): � Subregion (LRR or MLRA): LRR-N Lat: 36.287734 Long: -$0.142630 Datum: NAD 83 Soil Map Unit Name: Clover fine sandy loam, 8 to 15 percent slopes NWI classification: N/A 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? No Are "Normal Circumstances" present? Yes �✓ No Q Are Vegetation � Soil �, or Hydrology � naturally problematic? n,o (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� Is the Sampled Area Hydric Soil Present? Yes � No� within a Wetland? Yes � No � Wetland Hydrology Present? Yes � No� Remarks: Wetland hydrology and hydric soil are absent at this location. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two reauiredl Primarv Indicators (minimum of one is reauired: check all that apnlvl ❑ Surtace Soil Cracks (B6) ❑ Surface Water (A1) ❑ True Aquatic Plants (B14) ❑ Sparsely Vegetated Concave Surface (B8) ❑ High Water Table (A2) ❑ Hydrogen Sulfide Odor (C1) ❑ Drainage Patterns (B10) ❑ Saturation (A3) ❑ Oxidized Rhizospheres on Living Roots (C3) ❑ Moss Trim Lines (B16) ❑ Water Marks (B1) � Presence of Reduced Iron (C4) ❑ Dry-Season Water Table (C2) ❑ Sediment Deposits (62) � Recent Iron Reduction in Tilled Soils (C6) ❑ Crayfish Burrows (C8) ❑ Drift Deposits (B3) � Thin Muck Surface (C7) ❑ Saturation Visible on Aerial Imagery (C9) ❑ Algal Mat or Crust (64) � Other (Explain in Remarks) ❑ Stunted or Stressed Plants (D1) ❑ Iron Deposits (B5) ❑ Geomorphic Position (D2) ❑ Inundation Visible on Aerial Imagery (B7) � Shallow Aquitard (D3) ❑ Water-Stained Leaves (B9) � Microtopographic Relief (D4) ❑ Aquatic Fauna (613) � FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes �✓ No Depth (inches): NiA Water Table Present? Yes ✓ No Depth (inches): N�A � Saturation Present? Yes ✓ No Depth (inches): N�A Wetland Hydrology Present? Yes � No� includes ca illa frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology is absent at this location. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. Absolute Dominant Indicator Tree Stratum (Plot size: 2000 sq. ft. � % Cover Snecies? Status � Liriodendron tulipifera 2s YeS FACU 2 Acer negundo 20 YeS FAC 3. 4. 6. 7. 50% of total cover: 20 Sapling/Shrub Stratum (Plot size: 2000 sq. ft. � � Acer rubrum 4. 5. 7. 8. 9. 50% of total cover: 5 Herb Stratum (Plot size: 2000 sq. ft. � � Euonymus americanus 4. 5. 7. 8. 9. 10. 11. 50% of total cover: 10 Woodv Vine Stratum (Plot size: 2000 sq. ft. � � Lonicerajaponica 2. 3. 5. 50% of total cover: 15 ao = Total Cover 20% of total cover: 8 s Yes Fac �� = Total Cover 20% of total cover: 2 2o Yes FAc 20 = Total Cover 20% of total cover: ^ 3o Yes FACU 3o = Total Cover 20% of total cover: 6 Remarks: (Include photo numbers here or on a separate sheet.) Hydrophytic vegetation present at this location. WA, WB, WC, WD Upland Sampling Point: Dominance Test worksheet: Number of Dominant Species That Are OBL, FACW, or FAC: 3 (A) Total Number of Dominant Species Across All Strata: 5 (B) Percent of Dominant Species 1 QQ.��% That Are OBL, FACW, or FAC: (A/B) Prevalence Index worksheet: Total % Cover of: Multiolv bv: OBL species x 1 = ° FACW species x 2 = � FAC species x 3 = � FACU species x 4 = � UPL species x 5 = � Column Totals: � (A) � (B) Prevalence Index = B/A = ❑ 1- Rapid Test for Hydrophytic Vegetation ❑✓ 2 - Dominance Test is >50% ❑ 3 - Prevalence Index is <_3.0' ❑ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) ❑ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree — Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub — Woody plants, excluding vines, less than 3 in. DBH and greater than or equal to 3.28 ft(1 m) tall. Herb — All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine — All woody vines greater than 3.28 ft in Hydrophytic Vegetation Present? Yes � No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 SOIL WA, WB, WC, WD Upland Sampling Point: Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) % Type' LocZ Texture Remarks 0-3 7.5YR 4/2 100 Loam 3-16 7.5YR 5/1 75 10YR 4/6 20 C M, PL Clay loam Hydric Soil Indicators: [] Histosol (A1) 0 Histic Epipedon (A2) _] Black Histic (A3) 0 Hydrogen Sulfide (A4) L] Stratified Layers (A5) _] 2 cm Muck (A10) (LRR N) [] Depleted Below Dark Surface (A11) [] Thick Dark Surtace (Al2) _] Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) ❑ Sandy Gleyed Matrix (S4) � Sandy Redox (S5) � Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): � Dark Surface (S7) 0 Polyvalue Below Surtace (S8) (MLRA 147, 148) � Thin Dark Surface (S9) (MLRA 147, 148) � Loamy Gleyed Matrix (F2) p Depleted Matrix (F3) � Redox Dark Surface (F6) � Depleted Dark Surface (F7) � Redox Depressions (F8) 0 Iron-Manganese Masses (F12) (LRR N, MLRA 136) � Umbric Surtace (F13) (MLRA 136, 122) � Piedmont Floodplain Soils (F19) (MLRA 148) � Red Parent Material (F21) (MLRA 127, 147) Remarks: Hydric soils are absent at this location. Indicators for Problematic Hydric Sc 0 2 cm Muck (A10) (MLRA 147) 0 Coast Prairie Redox (A16) (MLRA 147, 148) 0 Piedmont Floodplain Soils (F19) (MLRA 136, 147) 0 Very Shallow Dark Surface (TF12) 0 Other (Explain in Remarks) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes a No � US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 Wetland WA WETLAND RATING WORKSHEET Fourth Version Project Name R-5768 COUll� Stokes County Name of evaluator J Merritt and H Bain Wetland location on pond or lake ✓ on perennial stream on intermittent stream within interstream divide other: Nearest Road Nc ss Wetland area o.03 acres Wetland width 20 Soil series � Dan River and Comus soils, 0 to 4 percent slopes, occasionally flooded Q predominantly organic - humus, muck, or peat e✓ predominantly mineral - non-sandy _ predominantly sandy �H draulic factors steep topography ditched or channelized total wetland width > 100 feet Wetland t pe (select one)� Bottomland hardwood forest Headwater forest Swamp forest Wet flat Pocosin Bog forest Date 1 oi2oi2o1 s Adjacent land use within 1/2 mile upstream, upslope, or radius) ✓ forested/natural vegetation �o % ✓ agriculture, urban/suburban 30 % ✓ impervious surface 15 % Dominant vegetation (1) Carex spp. �2) Microstegium vimineum (3) Polygonum sagittatum feet Flooding and wetness Q semipermanently to permanently flooded or inundated ✓ seasonally flooded or inundated intermittently flooded or temporary surface water no evidence of flooding or surface water Pine savanna Freshwater marsh Bog/fen Ephemeral wetland Carolina bay ✓ �ther: Riverine Swamp Forest � The rating system cannot be applied to salt or brackish marshes or stream channels = R Water storage 3 X 4.00 = 12 ; A Bank/Shoreline stabilization a x 4.00 = is Wetland ' � rating � T Pollutant removal a ** x 5.00 = 20 I Wildlife habitat s x 2.00 = 0 N A uatic life value , = a 5 9 q x 4.00 0 ; G Recreation/Education , x 1.00 = 0 � � =** Add 1 point if in sensitive watershed and >10% nonpoint source disturbance within '/z mile upstream, upslope, or radius Wetland WB WETLAND RATING WORKSHEET Fourth Version Project Name R-5768 COUll� Stokes County Name of evaluator J Merritt and H Bain Wetland location on pond or lake on perennial stream on intermittent stream ✓ within interstream divide other: Nearest Road Nc ss Wetland area ��02 acres Wetland width 25 Soil series � Dan River and Comus soils, 0 to 4 percent slopes, occasionally flooded Q predominantly organic - humus, muck, or peat �✓ predominantly mineral - non-sandy _ predominantly sandy �H draulic factors steep topography ditched or channelized total wetland width > 100 feet Wetland t pe (select one)� ✓ Bottomland hardwood forest Headwater forest Swamp forest Wet flat Pocosin Bog forest Date 1 oi2oi2o1 s Adjacent land use within 1/2 mile upstream, upslope, or radius) ✓ forested/natural vegetation �o % ✓ agriculture, urban/suburban 30 % ✓ impervious surface 15 % Dominant vegetation (il Salixnigra ♦ (21 Liriodendron tulipifera .� �3� Acer negundo feet Flooding and wetness Q semipermanently to permanently flooded or inundated seasonally flooded or inundated ✓ intermittently flooded or temporary surface water 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 2 x 4.00 = s� ; A Bank/Shoreline stabilization , x 4.00 =� �'etland ' � rating � T Pollutant removal 3 ** X S.00 = 15 I Wildlife habitat s x 2.00 = 0 N A uatic life value , — a �� q x 4.00 0 ; G Recreation/Education , x 1.00 = 0 � ; =** Add 1 point if in sensitive watershed and >10% nonpoint source disturbance within '/z mile upstream, upslope, or radius Wetland WC WETLAND RATING WORKSHEET Fourth Version Project Name R-5768 COUll� Stokes County Name of evaluator J Merritt and H Bain Wetland location on pond or lake on perennial stream on intermittent stream ✓ within interstream divide other: Nearest Road Nc ss Wetland area o.oa acres Wetland width ao Soil series' Clover fine sandy loam, 8 to 15 percent slopes Q predominantly organic - humus, muck, or peat �✓ predominantly mineral - non-sandy _ predominantly sandy �H draulic factors steep topography ditched or channelized total wetland width > 100 feet Wetland t pe (select one)� Bottomland hardwood forest Headwater forest Swamp forest Wet flat Pocosin Bog forest Date 1 oi2oi2o1 s Adjacent land use within 1/2 mile upstream, upslope, or radius) ✓ forested/natural vegetation so % ✓ agriculture, urban/suburban 40 % ✓ impervious surface 20 % Dominant vegetation (il Fraxinuspennsylvanica � / (21 Acer rubrum .� (31 Ligustrum sinense feet Flooding and wetness Q semipermanently to permanently flooded or inundated seasonally flooded or inundated ✓ intermittently flooded or temporary surface water no evidence of flooding or surface water Pine savanna Freshwater marsh Bog/fen Ephemeral wetland Carolina bay ✓ �ther: Floodplain Pool � The rating system cannot be applied to salt or brackish marshes or stream channels = R Water storage 2 x 4.00 = s� ; A Bank/Shoreline stabilization , x 4.00 =� �'etland ' � rating � T Pollutant removal a ** x 5.00 = 20 I Wildlife habitat s x 2.00 = 0 N A uatic life value , — a �� q x 4.00 0 ; G Recreation/Education , x 1.00 = 0 � ; =** Add 1 point if in sensitive watershed and >10% nonpoint source disturbance within '/z mile upstream, upslope, or radius Wetland WD WETLAND RATING WORKSHEET Fourth Version Project Name R-5768 COUll� Stokes County Name of evaluator Pete Stafford Wetland location on pond or lake on perennial stream ✓ on intermittent stream within interstream divide other: Nearest Road Nc ss Wetland area o.03 acres Wetland width 30 Soil series' Clover-Urban land complex, 2 to 10 percent slopes Q predominantly organic - humus, muck, or peat e✓ predominantly mineral - non-sandy _ predominantly sandy �H draulic factors steep topography ditched or channelized total wetland width > 100 feet Wetland t pe (select one)� ✓ Bottomland hardwood forest Headwater forest Swamp forest Wet flat Pocosin Bog forest Date 6/14/2017 Adjacent land use within 1/2 mile upstream, upslope, or radius) ✓ forested/natural vegetation 30 % ✓ agriculture, urban/suburban �� % ✓ impervious surface 50 % Dominant vegetation (il Juncuseffusus � / �2) Carex sp. �3� Rubus argutus feet Flooding and wetness Q semipermanently to permanently flooded or inundated seasonally flooded or inundated ✓ intermittently flooded or temporary surface water 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 2 x 4.00 = s� ; A Bank/Shoreline stabilization , x 4.00 =� �'etland ' � rating � T Pollutant removal 2 ** x 5.00 = io I Wildlife habitat 2 x 2.00 = 0 N A uatic life value , — a �� q x 4.00 0 ; G Recreation/Education , x 1.00 = 0 � ; =** Add 1 point if in sensitive watershed and >10% nonpoint source disturbance within '/z mile upstream, upslope, or radius Jurisdictional Determination Request � US Army Corps of Engineers Wilminqton Dislnct This form is intended for use by anyone requesting a jurisdictional deterrnination (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 Of�ce (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: 1��:�`����wvw.,���v.usa�e.�rmy.ra�ilil��iwsi«��s.�'�Z�Qul��t��eyf'�rsnitPr�a�rar�l.as��x , by telephoning: 910-251-4633, or by contacting any of the field offices listed below: ASHEVILLE REGULATORY FIELD OP'TiCE US Army Corps of Engineers 151 Pa[ton Avenue, Room 208 Asheville, North Carolina 28801-5006 General Number: (828) 271-7980 Fax Number: (828) 281-8120 RALEIGH REGULATORY FIELD OFFICE US Army Corps of Engineers 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 General Number: (4l9) 554-4884 Fax Number: (919) 562-0421 WASHINGTON REGULATORY FTELD OFFICE US Army Corps of Engineers 2407 West Fifth Street Wasbington, North Carolina 27889 General Number: (910) 251-4610 Fax Number: (252) 975-1399 WILMINGTOPI REGULATORY FIELD OFFICE US Arrny Corps of Engineers 69 Darlington Avenue Wilmington, North Carolina 28403 General Number: 910-251-4633 Fax Number: (910) 251-4025 Version: December 2013 Page 1 Jurisdictional Determination Request INSTRUCTIONS: All requestors must complete Parts A, B, C, D, E and F. NC}TL TC) �'�NSULT.�NTS AI'�ID A�ENC[ES: 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— PRnPERTY f_)WNER AUTH(�RIZATIQN: 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 necessaty. This form must be signed by the current property owner to be considered a complete request. NC7TE C�N PAf�T I� - NCDOT REQUCSTS: Property owner authorization/notification for JD requests associated with North Carolina Department of Transportation (NCDOT) projects will be conducted according to the current NCDOT/USACE protocols. �(OTE T(7 �15L1,�, PR�GRAPvT PART�CIPr"�,NTS: A Corps approved or preliminary 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 participants, 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: ��,e�se��io� of 3„ a�d Hwv 65 Clt}�� St1te: Walnut Cove, NC 27052 COUTITy: Stokes D1TeCt1011S: See Figure Parcel Index Number(s) (PIN): "�A B. REQUESTOR INFORMATION Name: AmY E�uss Malllllg AddTeSS: NCDOT Division 9- 375 Silas Creek Parkway Winston Salem, 27127 Telephone Number: csss� �a�aaoo E10CiTOI11C Mall ACi(�T'eSSt: aeuliss@ncdot.gov Select one: � I am the current property owner. � I am an Autharized Agent or Environmental Consultantz ❑ Interested Buyer or Under Contract to Purchase ❑✓ Other, please explain. North Carolina Department of Transportation regarding Project No. R-5768 C. PROPERTY OWNER INFORMATION Name: see Attacnment Mailing Address: Telephone Number: Electronic Mail Address3: � Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data) 1 If available z Must attach completed Agent Authorization Form 3 If available Version: December 2013 Page 3 Jurisdictional Determination Request D. PROPERTY OWNER CERTIFICATION4 I, the undersigned, a duly authorized owner of record of the property/properties identified herein, do authorize representatives of the Wilmington District, U.S. Army Corps of Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-site investigations and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. Amy Euliss 9/29/2017 Property Owner (please print) Date —DocuSigned by: Qw�� �,iSS Signature E. JURISDICTIONAL DETERMINATION TYPE Select One: � I am requesting that the Corps provide a preliminary JD for the property identified herein. This request does include a delineation. � I am requesting that the Corps provide a preliminary JD for the property identified herein. This request does NOT include a delineation. � I am requesting that the Corps investigate the properiy/project area for the presence or absence of WoUSS and provide an anproved JD for the property identified herein. This request does NOT include a request for a verified delineation. � I am requesting that the Corps delineate the boundaries of all WoUS on a property/project area and provide an approved JD (this may or may not include a survey plat). �I I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted by others) on a property/project area and provide an �proved JD (may or may not include a survey plat). ° Far 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 35.09 acres � I verify that the property (or project) boundaries have recently been surveyed and marked by a licensed land surveyor OR are otherwise clearly marked or distinguishable. G. JD REQUESTS FROM CONSULTANTS OR AGENCIES (1) Preliminary JD Requests: � Completed and signed Preliminarv Jurisdictional Determination Form6. ✓❑ Project Coordinates: 36.289077 Latitude -80.141490 Longitude Maps (no larger than l 1x17) with Project Boundary Overlay: � ✓❑ � ,� ❑ Large and small scale maps that depict, at minimum: streets, intersections, towns Aerial Photography of the project area USGS Topographic Map Soil Survey Map Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps) 6 See Appendix A of this Form. From Regulatory Guidance Letter No. OS-02, dated June 26, 2008 Version: December 2013 Page 5 Jurisdictional Determination Re�quest Delineation Information (when applicable)�: Wetlands: '� Wetland Data Sheets8 � � Upland Data Sheets Landscape Photos, if taken Tributaries; � USACE Assessment Forms � Other Assessment Forms (when appropriate) Field Sketch overlain on legible Map that includes: ■ All aquatic resources (for sites with multiple resources, label and identify) ■ Locations of wetland data points and/or tributary assessment reaches ■ Locations of photo stations ■ Approximate acreage/linear footage of aquatic resources (2) Approved JDs including Verification of a Delineation: � Project Coordinates: Latitude Longitude Maps (no larger than l 1x17) with Project Boundary Overlay: Large and small scale maps that depict, at minimum: streets, intersections, towns Aerial Photography of the project area USGS Topographic Map Soil Survey Map aOther 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: htt , www•usace.aTm .m�{ Misslons CivilWarks Re ukatnr Prc� r�mandFerrtrits re su .as x Wetland and Stream Assessment Methodologies can be found at: ��tt : c�raal.ncdenr.or e dflcument Irbrar et fl4e?uuid=76f�c5�b•dab8-4960_-ha43-45i�7faf 6f4c& ou Id=38364 and, htt : www,s�w.usa�e.arin mi4 Pflrtal� 59 ti4cs re ulaio u6iit�o'tices 2013 NCSAM draft LEser Manual 13I}31$. df � Delineation information must include, at msnimum, orne wetland data sheet for each wet'iand/community type. �Version: December 2013 Page 6 Jurisdictional Determination Request Delineation Information (when applicable): V►'�;tla€�cis: � Wetland Data Sheets9 � �� �I. Upland Data Sheets Landscape Photos, if taken Tei6utarics: �! USACE Assessment Forms ,� Other Assessment Forms (when appropriate) Field Sketch overlain on legible Map that includes: • All aquatic resources (for sites with multiple resources, label and identify) • Locations of wetland data points and/or tributary assessment reaches • Locations of photo stations � Approximate acreage/linear footage of aquatic resources Supporting Jurisdictional Information (for Approved JDs only) � ❑ Approved Jurisdictional Determination Form(s) (also known as "Rapanos Form(s)") Map(s) depicting the potential (or lack of potential) hydrologic connection(s), adjacency, etc. to navigable waters. 9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type. Version: December 2013 Page 7 Jurisdictional Determination Rec�uest I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT Prior to iinal 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 deast one c�ri�it�aC F'lat f t� sca4e) ll1�t is no lar�er t�ia« l!"x V 7" (the use of match lines for larger tracts acceptable). Additional copies of a plat, including those larger than 11 "x 17", may also be submitted for Corps signature as needed. The Corps also accepts electronic submittals of plats, such as those transmitted as a Portable Document Format (PDF) file. Upon verification, the Corps can electronically sign these plats and return them via e-mail to the requestor. (1) PLATS SUBMITTED FOR APPROVAL � u I� � � � � Must be sealed and signed by a licensed professional land surveyor Must be to scale (all maps must include both a graphic scale and a verbal scale) Must be legible Must include a North Arrow, Scale(s), Title, Property Information Must include a legible WoUS Delineation Table of distances and bearings/metes and bounds/GPS coordinates of all surveyed delineation points Must clearly depict surveyed property or project boundaries Must clearly identify the known surveyed point(s) used as reference (e.g. property corner, USGS monument) When wetlands are depicted: • Must include acreage (or square footage) of wetland polygons • Must identify each wetland polygon using an alphanumeric system Version: December 2013 Page 8 Jurisdictional Determination Request � When tributaries are depicted: • Must include either a surveyed, approximate centerline of tributary with approximate width of tributary OR surveyed Ordinary High Water Marks (OHWM) of tributary • Must identify each tributary using an alphanumeric system • Must include linear footage of tributaries and calculated area (using approximate widths or surveyed OHWM) • Must include name of tributary (based on the most recent USGS topographic map) or, when no USGS name exists, identify as `i�nnamed tributary" aall depicted WoUS (wetland polygons and tributary lines) must intersect or tie-to surveyed project/property boundaries � Must include the location of wetland data points and/or tributary assessment reaches ❑ Must include, label accordingly, and depict acreage of all waters not currently subject to the requirements of the CWA (e.g. "isolated wetlands", "non- jurisdictional waters"). NOT�: An approved JD must be conducted in order to make an official Corps determination that a particular waterbody or wetland is not jurisdictional. � Must include and survey all existing conveyances (pipes, culverts, etc.) that transport WoUS Version: December 2013 Page 9 Jurisdictional Determination Request (2) CERTIFICATION LANGUAGE � When the entire actual Jurisdict�r���al 13atindary is dcpictecl: include the following Corps Certification language: "This certifies that thrs copy of this plat accurately depicts the boundary of the jurisdiction of Section 404 of the Clean WaterAct as determined by the undersigned on this date. Unless there is a change in the law or our published regulations, the determination of Section 404 jurisdiction may be relied upon for a period not to exceed five (5) years from this date. The undersigned completed this determination utilizing the appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual." Regulatory Official: Title: Date: USACE Action ID No.: � W��n « lands rna be reset�l wiC�tin a de icked Jurisdieti�iial I3c�und�r : include the following Corps Certification language: "This certifies that this copy of this plat identifies all areas of waters of the United States regulated pursuant to Section 404 of the Clean WaterAct as determined by the undersigned on this date. Unless there is change in the law or our published regulations, this determination of Section 404 jurisdiction may be relied upon for a period not to exceed five years from this date. The undersigned completed this determination utilizing the appropriate Regional Supplement to the 1987 U.S. Army Corps of Engineers Wetlands Delineation Manual." Regulatory Official: Title: Date: USACE Action ID No.: Version: December 2013 Page 10 Jurisdictional Determination Request (3) GPS SURVEYS For Surveys prepared using a Global Positioning System (GPS), the Survey must include all of the above, as well as: � be at sub-meter accuracy at each survey point. � include an accuracy verification: One or more known points (property corner, monument) shall be located with the GPS and cross-referenced with the existing traditional property survey (metes and bounds). � include a brief description of the GPS equipment utilized. Version: December 2013 Page 11 Appendix 2- PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM BACKGROUND INFORMATION A. REPORT COMPLETION DATE FOR PJD: B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Amy Eu�iss, NCDOT Division 9, 375 Silas Creek Parkway Winston Salem, 2��2� C. DISTRICT OFFICE, FILE NAME, AND NUMBER: D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: (USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR AQUATIC RESOURCES AT DIFFERENT SITES) State: NC County/parish/borough: StOkeS c�ty: Walnut Cove Center coordinates of site (lat/long in degree decimal format): Lat.: 36.289077 Long.: -80.141490 Universal Transverse Mercator: N/A Name of nearest waterbody: Town Fork Creek E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY): ❑ Office (Desk) Determination. Date: ❑ Field Determination. Date(s): TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY JURISDICTION. Site Latitude Longitude Estimated amount Type of aquatic Geographic authority number (decimal (decimal of aquatic resource resource (i.e., wetland to which the aquatic degrees) degrees) in review area vs. non-wetland resource "may be" (acreage and linear waters) subject (i.e., Section feet, if applicable) 404 or Section 10/404) �/A 36.287447 -80.144522 0.03 Wetland Section 404 �/B 36.287767 -80.142913 0.02 Wetland Section 404 �/C 36.287304 -80.138773 0.04 Wetland Section 404 �/� 36.282357 -80.144411 0.03 Wetland Section 404 SA 36.288158 -80.143477 124 Non-Wetland Section 404 SB 36.287924 -80.144144 773 Non-Wetland Section 404 1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an approved JD (AJD) for that review area based on an informed decision after having discussed the various types of JDs and their characteristics and circumstances when they may be appropriate. 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 AJD for the activity, the permit applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit authorization based on a PJD, which does not make an official determination of jurisdictional aquatic resources; (2) the applicant has the option to request an AJD before accepting the terms and conditions of the permit authorization, and that basing a permit authorization on an AJD could possibly result in less compensatory mitigation being required or different special conditions; (3) 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) 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) undertaking any activity in reliance upon the subject permit authorization without requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (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 PJD constitutes agreement that all aquatic resources in the review area affected in any way by that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction in any administrative or judicial compliance or enforcement action, or in any administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD or a PJD, the JD will be processed as soon as practicable. Further, an AJD, 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. If, during an administrative appeal, it becomes appropriate to make an official determination whether geographic jurisdiction exists over aquatic resources in the review area, or to provide an official delineation of jurisdictional aquatic resources in the review area, the Corps will provide an AJD to accomplish that result, as soon as is practicable. This PJD finds that there "may be"waters of the U.S. and/or that there "may be" navigable waters of the U.S. on the subject review area, and identifies all aquatic features in the review area that could be affected by the proposed activity, based on the following information: SUPPORTING DATA. Data reviewed for PJD (check all that apply) Checked items should be included in subject file. Appropriately reference sources below where indicated for all checked items: �■ Maps, plans, plots or plat submitted by or on behalf of the PJD requestor: Map:Potential Jurisdictional Features Map 0 Data sheets prepared/submitted by or on behalf of the PJD requestor. � Office concurs with data sheets/delineation report. � Office does not concur with data sheets/delineation report. Rationale: ❑ 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: Walnut Cove, NC 1:24000 � Natural Resources Conservation Service Soil Survey. Citation: � National wetlands inventory map(s). Cite name: � State/local wetland inventory map(s): ❑ FEMA/FIRM maps: ❑ 100-year Floodplain Elevation is: .(National Geodetic Vertical Datum of 1929) � Photographs: ❑ Aerial (Name & Date): or � Other (Name & Date): � Previous determination(s). File no. and date of response letter: 0 Other information (please specify): Lidar used for fieldwork 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 staff member completing PJD DocuSigned by: a►�� �ss 9/29/2017 Signa ure and date of person requesting PJD (REQUIRED, unless obtaining the signature is impracticable)' � Districts may establish timeframes for requestor to return signed PJD forms. If the requestor does not respond within the established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an action. Waters_Name SA SB WA WB WC WD State NORTH CAROLINA NORTH CAROLINA NORTH CAROLINA NORTH CAROLINA NORTH CAROLINA NORTH CAROLINA Cowardin_Code R1 UB2 R1UB2 PSS1 PSS1 PSS1 PSS1 HGM_Code RIVERINE RIVERINE RIVERINE RIVERINE Meas_Type Linear Linear Area Area Area Area Amount Units 124.00 FOOT 773 FOOT 0.03 ACRE 0.02 ACRE 0.04 ACRE 0.03 ACRE W aters_Type DELINEATE DELINEATE DELINEATE DELINEATE DELINEATE DELINEATE Latitude 36.288158 36.287924 36.287447 36.287767 36.287304 36.282357 Longitude Local_Waterway -80.143477 Town Fork Creek -80.144144 `Town Fork Creek -80.144522 Town Fork Creek -80.142913 Town Fork Creek -80.138773 Town Fork Creek -80.144411 Town Fork Creek