20180827 Ver 1_401 Application_20180618

Preliminary ORM Data Entry Fields for New Actions 2 0 1 $ 0 8 2 T
SAW — 2017 - 1993 BEGIN DATE ftceived Date]: 05/29/2018
Prepare file folder ❑ Assign Action ID Number in ORMFI
1. Project Name [PCN Form A2a]: The Pond at McKee Glen
2. Work Type: PrivateInstitutional F-1Government ❑ Commercial F-1
3. Project Description / Purpose [PCN Form 63d and 133e]:
Construction of a residential subdivision. The site is approximately 25.5 acres.
4. Property Owner/ Applicant [PCN Form A3 or A4]: Piraino Brothers LLC / Cambridge Properties
5. Agent/ Consultant [PCN Form A5 —or ORM Consultant ID Number]: Atlas Environmental, Inc
6. Related Action ID Number(s) [PCN Form 65b]: 2017-01993
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form 61b]:
35.0813, -80.7162, 1501 McKee Road Matthews, NC 28105
8. Project Location - Tax Parcel ID [PCN Form 61a]: 23121 168
9. Project Location — County [PCN Form A2b]: Mecklenburg
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Matthews
11. Project Information — Nearest Waterbody [PCN Form 132a]: West Fork Twelve Mlle Creek; Class C
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 62c]: Lower Catawba, 03050103
Authorization: Section 10 ❑ Section 404
Regulatory Action Type:
Standard Permit
✓ Nationwide Permit # 29 (DWR only)
❑ Regional General Permit #
❑ Jurisdictional Determination Request
❑✓ Section 10 & 404 ❑
❑Pre -Application Request
Unauthorized Activity
0 Compliance
❑ No Permit
Revised 20150602

--
VIRONMENTAL
May 29, 2018
NC Division of Water Resources
401 and Buffer Permitting Unit
Attn: Mrs. Jennifer Burdette
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: McKee Road — 25.5 acres, Mecklenburg County, Parcel ID 23121168
1501 McKee Road Matthews, NC 28105, Nationwide Permit 29 Request
Jennifer/Alan:
Cambridge Properties, Mr. Andrew McDonald, is requesting approval of the enclosed
Nationwide Permit 29 application. There is approximately 0.27 acre of isolated wetland
(WL 1000) on the subject property. The enclosed permit application request is to
impact 0.1 acre of the isolated wetland to construct a road for The Pond at McKee Glen
residential subdivision. The road is necessary to access the project site on both sides of
an existing pond that will be retrofitted to serve as a BMP.
David Shaeffer, the Mecklenburg County Corps agent, has agreed that there are no
Corps jurisdictional Waters of the US on site. A copy of the email correspondence
regarding his assessment is included. The steepest road slope possible for local
approval is proposed to avoid additional impacts to the isolated wetland. 63% of the
isolated wetland has been avoided through use of the steep side slope which will be
stabilized during construction with matting and reinforced silt fence will be used at the
base of the slope. The Corps (David Schaeffer) and NC DWR (Alan Johnson) conducted
site visits in 2017.
Enclosed are the necessary permit documents and additional project information. A
copy of the jurisdictional determination package has been included in the digital and
hard NC DWR copies. Thank you for your attention to the enclosed permit application
request. Please contact me if you need any additional information.
Best regards,
�A+ dl"ZtW-'
Jennifer L Robertson, President, JRobertson (cbatlasenvi.com
Digital Copy To: Alan Johnson, Mooresville DWR Office
ATLAS Environmental, Inc.
712 English Tudor Lane
Charlotte, North Carolina 28211
704-512-1206 / 828-712-9205
www.atlasenvi.com / Serving the Southeast US

-41*
TAL
VIRONIVIENTAL
AGENT AUTHORIZATION FORM
U.S. Army Corps of Engineers, Wilmington District
Attn: Mr. Scott McLendon, Chief, Regulatory Division
PO Box 1890
Wilmington, North Carolina 28402-1890
-and-
NC Division of Water Resources, Water Quality Program
Wetlands, Buffers, Streams - Compliance and Permitting Unit
Attn: Mrs. Karen Higgins, Supervisor
1617 Mail Service Center
Raleigh, North Carolina 27699-1650
I, the current landowner, lessee, contract holder to purchase, or right to purchase holder of the
property identified below, hereby authorize Atlas Environmental Inc to act on my behalf as my
agent during the processing of permits to impact Wetlands and Waters of the US that are
regulated by the Clean Water Act and the Rivers and Harbors Act. Federal and State agents are
authorized to be on said property when accompanied by Atlas Environmental Inc staff. Atlas
Environmental Inc is authorized to provide supplemental information needed for delineation
approval and/or permit processing at the request of the Corps or WQP.
Project Name:
Property Owner of Record
Contact Name:
Address:
Address:
Phone/Fax Number:
Email Address:
t'117AtNO BRO"e" L4 -C-
76 4
4-C-
Toy
S' S P La cAmar -i b&* Pico. GO M
Project Address:
160) hlc.►c0E Ra
Project Address:
Y)Ar" "WS /,Y,-
)GTax
TaxPIN:
Z 31Z 11 I&S
Signature:
x/�
Date:
,477A.5 Environmental Inc.
712 English Tudor Lane
Charlotte, North Carolina 28211
704-512-1206/ 828-712-9205
[e-mail]
www.adasenvi.com

_0A
TF�9O6
o
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a. Type(s) of approval sought from the
Corps:
®Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
® Yes
❑ No
1 d.
Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ❑ No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes
® No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes
® No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2.
Project Information
2a.
Name of project:
The Pond at McKee Glen
2b. County:
Mecklenburg
2c.
Nearest municipality / town:
Matthews
2d. Subdivision name:
The Pond at McKee Glen
2e.
NCDOT only, T.I.P. or state
project no:
this is not a DOT project
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Piraino Brothers LLC
3b.
Deed Book and Page No.
23180/987
3c.
Responsible Party (for LLC if
applicable):
Cambridge Properties / Mr. Andrew McDonald
3d.
Street address:
5137 S Parview Drive
3e. City, state, zip:
Charlotte NC 28226
3f.
Telephone no.:
704-333-2393
3g. Fax no.:
no fax number
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
Mr. Andrew McDonald
4c. Business name
(if applicable):
Cambridge Properties
4d. Street address:
831 E. Morehead Street, Suite 245
4e. City, state, zip:
Charlotte, NC 28202
4f. Telephone no.:
704-333-2393
4g. Fax no.:
no fax number
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Jennifer L Robertson
5b. Business name
(if applicable):
Atlas Environmental, Inc.
5c. Street address:
712 English Tudor Lane
5d. City, state, zip:
Charlotte, NC 28211
5e. Telephone no.:
704-512-1206
5f. Fax no.:
no fax number
5g. Email address:
[e-mail]
Page 2 of 10
PCN Form — Version 1.4 January 2009

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
23121168
1 b. Site coordinates (in decimal degrees):
Latitude: 35.0813 Longitude: - 80.7162
1 c. Property size:
25.5 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
West Fork Twelve Mile Creek
2b. Water Quality Classification of nearest receiving water:
C
2c. River basin:
Lower Catawba, 03050103
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application: deciduous forested areas, evergreen forested areas, commercial development, residential development, and
undeveloped areas
3b. List the total estimated acreage of all existing wetlands on the property: 0.27 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: no streams are
present on site
3d. Explain the purpose of the proposed project: The purpose is to construct an residential development.
3e. Describe the overall project in detail, including the type of equipment to be used: The project involves the construction of
74 lots for homes and an access road between both sides of the devolpemnt that are separated by a large power line
right-of-way. Typical construction equipment such as bulldozers, dump trucks, and track hoes will be used to grade the
site.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past?
® Yes ❑ No ❑ Unknown
Comments: submitted but not issued
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
Preliminary ®Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Jennifer Robertson
Agency/Consultant Company: Atlas Environmental, Inc.
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
the JD has been submitted but not issued, the Corps and DWR have conducted site visits, there are no Waters of the US
on site, see the enclosed email from the Corps verifying the assessment
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes ®No El Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ® No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
® Wetlands ❑ Streams - tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a. 2b.
Wetland impact
number Type of impact
Permanent (P) or
Temporary T
2c.
Type of wetland
(if known)
2d. 2e.
Type of jurisdiction
Forested Corps (404, 10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P Fill
Seep
No DWQ
0.1
W2 - Choose one
Choose one
Yes/No -
W3 - Choose one
Choose one
Yes/No -
W4 - Choose one
Choose one
Yes/No
W5 - Choose one
Choose one
Yes/No -
W6 - Choose one
Choose one
Yes/No -
2g. Total wetland impacts:
0.1
2h. Comments: WL 1000 will be impacted by a road
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number -
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial
(PER) or
intermittent
(INT)?
3e.
Type of jurisdiction
(Corps - 404, 10
DWQ — non -404,
other)
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 -
Choose one
-
-
S2 -
Choose one
-
-
S3 -
Choose one
-
-
S4 -
Choose one
-
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts:
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
Open water
impact number-
Permanent (P) or
Tem ora T
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
02 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts:
4g. Comments: there is no open water impacts on site
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID
number
5b.
Proposed use or purpose
of pond
5c.
Wetland Impacts (acres)
5d.
Stream Impacts (feet)
5e.
Upland
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments: no pond contruction proposed
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require miti ation then you MUST fill out Section D of this form.
6a.Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer impact
number-
Permanent (P) or
Temporary (T)
6c.
Reason for impact
6d. 6e. 6f. 6g.
Buffer Zone 1 Zone 2
Stream name mitigation impact impact
required? (square (square
feet) feet
61 -
Yes/No
132 -
Yes/No
133 -
Yes/No
134 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total buffer impacts:
6i. Comments: there are no state or Mecklenburg County buffers on site
Page 5 of 10
PCN Form - Version 1.4 January 2009

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
63% of the isolated wetland has been avoided through use of the steep side slope which will be stabilized during construction
with matting and reinforced silt fence will be used at the base of the slope. The existing power line dictated where the access
road had to be constructed (below the existing pond).
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The steepest road slope possible for local approval is proposed to avoid additional impacts to the isolated wetland.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ® No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: none
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity none
Quantity none
Quantity none
3c. Comments: none
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
none square feet
4e. Riparian wetland mitigation requested:
none acres
4f. Non -riparian wetland mitigation requested:
none acres
4g. Coastal (tidal) wetland mitigation requested:
none acres
4h. Comments: no comments
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
not applicable
Page 6 of 10
PCN Form — Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
none
none
3 (2 for Catawba)
none
Zone 2
none
none
1.5
none
6f. Total buffer mitigation required:
none
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
not applicable
6h. Comments: no comments
Page 7 of 10
PCN Form — Version 1.4 January 2009

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
>24 %
2b. Does this project require a Stormwater Management Plan?
® Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
an existing pond that has been determined to be excavated in high ground and not jurisdictional will be retrofitted to serve
as a stormwater BMP
2e. Who will be responsible for the review of the Stormwater Management Plan?
Mecklenburg County
3. Certified Local Government Stormwater Review
3a. In which local government's jurisdiction is this project?
Mecklenburg County
® Phase II
3b. Which of the following locally -implemented stormwater management programs
❑ NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4. DWQ Stormwater Program Review
❑ Coastal counties
❑ HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
attached?
❑ Yes ® No
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
® Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ® No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes ❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
❑ Yes ❑ No
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes ® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑ Yes ® No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes ® No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
sanitary sewer
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NCDENR Natural Heritage Program Map Viewer and GIS Layer; USFWS iPAC
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
NCHPO GIS Service
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA floodmaps GIS layer
Jennifer L Robertson
05/29/2018
Applicant/Agent's Printed Name
fwdzkzti�v
Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.
Page 10 of 10
PCN Form - Version 1.4 January 2009

C�
CAMBRIDGE
PROPERTIES
THE POND AT MCKEE GLEN
CONSTRUCTION DOCUMENTS
CITY OF CHARLOTTE, MECKLENBURG COUNTY, NORTH CAROLINA
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GRADING PLAN
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CAMBRIDGE PROPERTIES
CITY OF CHARLOTTE. NORTH CAROLINA
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Jennifer Robertson
From: Shaeffer, David Leigh (Dave) CIV USARMY CESAW (US)
<[e-mail]>
Sent: Thursday, June 14, 2018 8:45 AM
To: Jennifer Robertson
Subject: RE: McKee Road - Cambridge Properties Project - Action ID 2017-01193
Jennifer,
This file number for that project is SAW -2017-01993.
We have reviewed the site in the field and believe the pond and wetland to be isolated non -jurisdictional
waters. This JD is making its way to the top of the pile. It is very busy as usual and we are down one project
manager. I appreciate your patience!
Sincerely,
David L. Shaeffer
Project Manager/Geographer
U.S. Army Corps of Engineers
Charlotte Regulatory Office
Desk: 704-510-1437
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure
we continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.miI/cm_apex/f?p=136:4:0
-----Original Message -----
From: Jennifer Robertson[mailto:[e-mail]]
Sent: Thursday, June 14, 2018 8:16 AM
To: Shaeffer, David Leigh (Dave) CIV USARMY CESAW (US) <[e-mail]>
Subject: [Non-DoD Source] FW: McKee Road - Cambridge Properties Project - Action ID 2017-01193
Any chance to get an email response for this one per below?
Thank you,
Jennifer L Robertson, President
ATLAS Environmental, Inc.
712 English Tudor Lane
Charlotte, NC 28211
[phone] <tel:%28704%29%20512-1206>
[phone] <tel:%28704%29%20512-1206>
Offices in Asheville and Charlotte
office
mobile www.atlasenvi.com <http://www.atiasenvi.com/>
From: Jennifer Robertson
Sent: Tuesday, May 29, 2018 2:03 PM
To: 'Shaeffer, David Leigh (Dave) CIV USARMY CESAW (US) ([e-mail]. mil)'
<David. [e-mail]. mil>
Subject: McKee Road - Cambridge Properties Project - Action ID 2017-01193

David,
Would it be possible to get an email from you stating that you agree that there are no Waters of the US on this
parcel? We had a site meeting on November 17, 2017. We are completing a permit application for Alan for
0.10 acre of the isolated wetland impact for road construction to access both sides of the property. It would be
good to having something in writing from you that they can share for their local approvals. I have attached the
site plans if you want them for your file.
Thank you,
Jennifer L Robertson, President
ATLAS Environmental, Inc.
712 English Tudor Lane
Charlotte, NC 28211
[phone] <tel:%28704%29%20512-1206> office
[phone] <tel:%28704%29%20512-1206> mobile www.atlasenvi.com <http://www.atlasenvi.com/>
Offices in Asheville and Charlotte

Corps Submittal Cover Sheet
Please provide the following info:
1. Project Name
McKee Road
2. Name of Property Owner/Applicant: Owner: Piraino Brothers LLC Applicant: Cambridge Park
3. Name of Consultant/Agent: Consultant: Atlas Environmental, Inc. Agent: Jennifer Robertson
*Agent authorization needs to be attached.
4. Related/Previous Action ID number(s): none known DWR # none known
5. Site Address: 1501 McKee Road Matthews, NC 28105
6. Subdivision Name: Cambridge Park
7. City: Matthews
8. County: Mecklenburg
9. Lat: 35•o813 Long: -80.7162 (Decimal Degrees Please)
10. Quadrangle Name: Matthews NW
1 L Waterway: West Twelve Mile Creek; Class C
12. Watershed: Lower Catawba, 03050103
13. Requested Action:
Nationwide Permit #
_ General Permit #
X Jurisdictional Determination Request
Pre -Application Request
The following information will be completed by Corps office:
Prepare File Folder Assign number in ORM
Authorization: Section 10 Section 404
Project Description/ Nature of Activity/ Project Purpose:
Site/Waters Name: West Twelve Mile Creek; Class C
Keywords:
Begin Date

-4"4IRONMENTAL
August 25, 2017
US Army Corps of Engineers
Asheville Regulatory Field Office
Attn: Mecklenburg County Agent
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
Re: Cambridge Park, McKee Road, +/- 27 Acres
Matthews, NC
Jurisdictional Determination / No Permit Required Request
To Whom It May Concern:
The applicant, Cambridge Park (Mr. Andrew McDonald), is requesting approval of the
enclosed Waters of the U.S. approved jurisdictional determination package as well as
verification that no permit is required to develop this property. Atlas staff traversed the
property on August 9, 2017 and again on August 11, 2017 to identify the presence of
jurisdictional waters. Atlas determined that there are no streams on the site, one
isolated polygonal wetland (WL 1000), and a non -jurisdictional pond that has been
excavated in high ground.
We have included our delineation report for your review. We are requesting that you
concur with our assessment that the pond and isolated wetland are non -jurisdictional
under Section 404. We plan to set up a site meeting with Alan Johnson to review the
delineation and confirm with Alan that he agrees that the wetland is an isolated Waters
of the State.
Enclosed are the necessary jurisdictional determination documents and additional
information. Thank you for your attention to the enclosed request. Please contact me
if you need any additional information.
Best regards,
�"+' o� 1&kztw-'
Jennifer L Robertson
][e-mail]
ATLAS Environmental, Inc.
712 English Tudor Lane
Charlotte, North Carolina 28211
704-512-1206 (o) / 828-712-9205 (m)
www.atlasenvi.com / Offices in Asheville and Charlotte

Jurisdictional Determination Request
US Army Corps
of Engineers
Wilmington District
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
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www. saw.usace.army.mil/Missions/RegulatoryPennitProgram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: (910) 2514025
All requestors must complete Parts A, B, C, D, E, F and G.
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 H.
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(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: 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.
NOTE TO USDA PROGRAM PARTICIPANTS: 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: May 2017 Page 1

A.
B.
C.
Jurisdictional Determination Request
PARCEL INFORMATION
Street Address: 1501 McKee Rd
City, State:
Matthews NC 28105
County: Mecklenburg
Parcel Index Number(s) (PIN): 23121168
REQUESTOR INFORMATION
Name: Jennifer L Robertson, Atlas Environmeg
Mailing Address: 712 English Tudor Lane, Charlotte, N(p
Telephone Number: [phone]
Electronic Mail Address: [e-mail]
Select one:
❑ I am the current property owner.
✓❑ I am an Authorized Agent or Environmental Consultant)
FInterested Buyer or Under Contract to Purchase
❑ Other, please explain.
PROPERTY OWNER INFORMATION
Name: Cambridge Properties, Inc.
Mailing Address: 831 E. Morehead Street, Suite 245
Charlotte NC 28202
Telephone Number: 704-333-2393 Mr. Jay Priester
Electronic Mail Address: [e-mail]
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION3,a
By signing below, I 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, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
*see agent authorization form
Print Name
Capacity: ❑ Owner Z Authorized Agents
August 25, 2017
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
❑✓ I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑✓ A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑ Other:
For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
I am requesting that the Corps provide a preliminarX JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"Preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
Fvel I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Pel Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 27 acres.
❑✓ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
F
Project Coordinates (Decimal Degrees): Latitude:
35.0813
Longitude: -80.7162
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).'
■ North Arrow
■ Graphical Scale
• Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
■ Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. http://www.saw.usace,army.mil/Missions/Re ug latory-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
Completed appropriate Jurisdictional Determination form
• PJDs. please complete a Prelimin= Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Forms
❑ Vicinity Map
❑ Aerial Photograph
❑ USGS Topographic Map
aSoil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
0 Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
7 www.saw.usace.army.mil/Portals/59/docs/reg lu atorv/regdocs/JD/RGL 08-02 App A Prelim JD Form fillable.pdf
8 Please see http://www.saw.usace.army.miUMissions/Re ug latoLy-Permit-Proarani/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

NC DENR - DIVISON OF WATER RESOURCES 2B .0300
.0308 CATAWBA RIVER BASIN
Name of Stream
Description
Class
Class Date
Index No.
Eagle Branch (Watt Lake, Eagle
From source to Dam at Eagle Lake
B
03/01/62
11-137-4-2-(1)
Lake)
Eagle Branch
From Dam at Eagle Lake to Coffey
C
09/01/74
11-137-4-2-(2)
Creek
Maynard Lake
Entire lake and connecting stream to
C
09/01/74
11-137-4-3
Coffey Creek
Moody Lake
Entire lake and connecting stream to
C
09/01/74
11-137-4-4
Coffey Creek
Johnson Lake
Entire lake and connecting stream to
C
09/01/74
11-137-4-5
Coffey Creek
Spratt Lake
Entire lake and connecting stream to
C
09/01/74
11-137-5
Sugar Creek
Kings Branch
From source to Sugar Creek
C
09/01/74
11-137-6
McCullough Branch
From source to Sugar Creek
C
09/01/74
11-137-7
Little Sugar Creek
From source to North Carolina -South
C
09/01/74
11-137-8
Carolina State Line
Dairy Branch
From source to Little Sugar Creek
C
09/01/74
11-137-8-1
Brier Creek
From source to Little Sugar Creek
C
08/01/85
11-137-8-2
Edwards Branch
From source to Brier Creek
C
03/01/77
11-137-8-2-1
Little Hope Creek
From source to Little Sugar Creek
C
08/01/85
11-137-8-3
McAlpine Creek (Waverly Lake)
From source to North Carolina -South
C
09/01/74
11-137-9
Carolina State Line
Campbell Creek
From source to McAlpine Creek
C
09/01/74
11-137-9-1
Irvins Creek (McEwen Lake)
From source to McAlpine Creek
C
09/01/74
11-137-9-2
Lake Windermere and Chillis
Entire lakes and connecting streams
C
09/01/74
11-137-9-3
Lake
to McAlpine Creek
Fourmile Creek
From source to McAlpine Creek
C
09/01/74
11-137-9-4
Rocky Branch
From source to Fourmile Creek
C
09/01/74
11-137-9-4-1
Lake Providence
Entire lake and connecting stream to
C
09/01/74
11-137-9-4-1-1
Rocky Branch
McMullen Creek
From source to McAlpine Creek
C
08/01/85
11-137-9-5
Steele Creek
From source to North Carolina -South
C
09/01/74
11-137-10
Carolina State Line
Walker Branch
From source to Steele Creek
C
09/01/74
11-137-10-1
Polk Ditch
From source to Walker Branch
C
09/01/74
11-137-10-1-1
Blankmanship Branch
From source to North Carolina -South
C
09/01/74
11-137-10-2
Carolina State Line
Clems Branch
From source to North Carolina -South
C
09/01/74
11-137-11
Carolina State Line
Twelvemile Creek
From source to North Carolina -South
C
03/01/62
11-138
Carolina State Line
West Fork Twelvemile Creek
From source to Twelvemile Creeek
C
09/01/74
11-138-1
Culvert Branch
From source to West Fork
C
09/01/74
11-138-1-1
Twelvemile Creek
Mundys Run
From source to West Fork
C
09/01/74
11-138-1-2
Twelvemile Creek
East Fork Twelvemile Creek
From source to Twelvemile Creek
C
09/01/74
11-138-2
Molly Branch
From source to East Fork Twelvemile
C
09/01/74
11-138-2-1
Creek
31

TLAS
I*iJVIRONMENTAL
AGENT AUTHORIZATION FORM
U.S. Army Corps of Engineers, Wilmington District
Attn: Mr. Scott McLendon, Chief, Regulatory Division
PO Box 1890
Wilmington, North Carolina 28402-1890
-and-
NC Division of Water Resources, Water Quality Program
Wetlands, Buffers, Streams - Compliance and Permitting Unit
Attn: Mrs. Karen Higgins, Supervisor
1617 Mail Service Center
Raleigh, North Carolina 27699-1650
I, the current landowner, lessee, contract holder to purchase, or right to purchase holder of the
property identified below, hereby authorize Atlas Environmental Inc to act on my behalf as my
agent during the processing of permits to impact Wetlands and Waters of the US that are
regulated by the Clean Water Act and the Rivers and Harbors Act. Federal and State agents are
authorized to be on said property when accompanied by Atlas Environmental Inc staff. Atlas
Environmental Inc is authorized to provide supplemental information needed for delineation
approval and/or permit processing at the request of the Corps or WQP.
Project Name: CAMar—IO&E ?A9 -c
Property Owner of Record: P12AINo LBfZ.OTlfe" LLcr
Contact Name: --'VA4 1ptuEsTEi-
Address: '17-3k E mo"f1EAD Sr
Address: 5vl-re Zys Ct4ftZ+.0'rrg 28Zoz
Phone/Fax Number: Toy' 333 -Z3g3
Email Address:
TSP La cAwwjI>&E f%pr- corn
Project Address:
1.5'01 Ar -V, 0e5 Rr>
Project Address:
#)A,-r-HJs Ax- mos -
Tax PIN:
Z 31Z I I [0$
Signature:
Date:
r/17 % U1-7
Environmental Inc.
712 English Tudor Lane
Charlotte, North Carolina 28211
704-512-1206 / 828-712-9205
j robertson@adasenvi. co m
www.adasenvi.com

Charlotte, NC to 1501 McKee Road, Matthews, NC - Google Maps Page I of 2
Go
gle Maps Charlotte, NC to 1501 McKee Road,
Drive 14.9 miles, 31 min
Matthews, NC
41 LLW—j
7 Rays Splash Planet()
Charlotte L1 1 1 - -
Douglas charica
- -: I � '7�
International
Airport
Freedom Park
-4
Billy Graham Library 0
ter 0
32 min
31 min
q4I
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Carowinds 0
Cedatwood Country Club 4j
Go
L.k.P.
gle
15011OWKeelitood
Ir6., 1-1
Map data @2017 Google
United States 2mil
Charlotte
North
Carolina
Take
US -74 E and Monroe Rd to Fullwood Ln in Matthews
24 min (11.6 mi)
t
1. Head southwest on S Tryon St toward E 4th St
0.2 mi
41
2. Turn left onto E 3rd St
0.7 mi
*1
3. Turn left onto S McDowell SI
0.3 mi
4. Turn right to merge onto US -74 E toward NC -27 E
4.9 mi
N
5. Turn right onto Ashmore Dr
0.3 mi
'$1
6. Turn left onto Monroe Rd
5.0 mi
7. Turn right onto Matthews Township Pkwy
0.4 mi
https://www.google.com/maps/dir/Charlotte,+NC/I 501+McKee+Road,+Matthews,+NC/@... 8/18/2017

Charlotte, NC to 1501 McKee Road, Matthews, NC - Google Maps Page 2 of 2
*9 8. Turn left onto Fullwood Ln
Take Pleasant Plains Rd to McKee Rd
r 9. Turn right onto S Trade St
t 10. Continue onto Pleasant Plains Rd
f' 11. Turn right onto McKee Rd
0 Destination will be on the left
1501 McKee Rd
Matthews, NC 28105
These directions are for planning purposes only. You may find that construction
projects, traffic, weather, or other events may cause conditions to differ from the
map results, and you should plan your route accordingly. You must obey all signs or
notices regarding your route.
2 min (1.0 mi)
4 min (2.3 mi)
0.5 mi
1.5 mi
0.3 mi
https://www.google.com/maps/dir/Charlotte,+NC/ 1501 +McKee+Road,+Matthews,+NC/@... 8/18/2017

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): 8/24/2017
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:Asheville/Charlotte Satellite Office
C. PROJECT LOCATION AND BACKGROUND INFORMATION: 1501 McKee Rd, Owner; Cambridge Park, Mr. Jay Priester
State:NC County/parish/borough: Mecklenburg City: Matthews
Center coordinates of site (lat/long in degree decimal format): Lat. 35.0813° N, Long. -80.7162° W.
Universal Transverse Mercator: NAD 83
Name of nearest waterbody: West Twelve Mile Creek
Name of nearest Traditional Navigable Water (TNW) into which the aquatic resource flows: Catawba River
Name of watershed or Hydrologic Unit Code (HUC): 03050103
0 Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
Check if other sites (e.g., offsite mitigation sites, disposal sites, etc...) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
Office (Desk) Determination. Date:
Field Determination. Date(s): 8/9/2017 and 8/11/2017
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There Are no "navigable waters of the U.S." within Rivers and Harbors Act (RHA) jurisdiction (as defined by 33 CFR part 329) in the
review area. [Required]
❑ Waters subject to the ebb and flow of the tide.
Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce.
Explain:
B. CWA SECTION 404 DETERMINATION OF JURISDICTION.
There Are no "waters orthe U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply): t
❑ TNWs, including territorial seas
[] Wetlands adjacent to TNWs
Relatively permanent waters' (RPWs) that flow directly or indirectly into TNWs
Non-RPWs that flow directly or indirectly into TNWs
Wetlands directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs
Wetlands adjacent to non-RPWs that flow directly or indirectly into TNWs
Impoundments of jurisdictional waters
® Isolated (interstate or intrastate) waters, including isolated wetlands
b. Identify (estimate) size of waters of the U.S. in the review area:
Non -wetland waters: linear feet: width (ft) and/or 0 acres.
Wetlands: WL 1000 = 0.27 Acres Total wetlands =-0.27 acres.
c. Limits (boundaries) of jurisdiction based on: 1987Delineation Manual
Elevation of established OHWM (if known):unknown.
2. Non-regulated waters/wetlands (check if applicable):3
Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain: Pond excavated in high ground (0.81 acres).
' Boxes checked below shall be supported by completing the appropriate sections in Section III below.
s For purposes of this form, an RPW is defined as a tributary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally"
(e.g., typically 3 months).
3 Supporting documentation is presented in Section III.F.

SECTION III: CWA ANALYSIS
A. TNWs AND WETLANDS ADJACENT TO TNWs
The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete
Section III.A.1 and Section III.D.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2
and Section III.D.1.; otherwise, see Section III.B below.
1. TNW
Identify TNW:
Summarize rationale supporting determination:
Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent':
B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNW) AND ITS ADJACENT WETLANDS (IF ANY):
This section summarizes information regarding characteristics of the tributary and its adjacent wetlands, if any, and it helps
determine whether or not the standards for jurisdiction established under Rapanos have been met.
The agencies will assert jurisdiction over non -navigable tributaries of TNWs where the tributaries are "relatively permanent
waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3
months). A wetland that directly abuts an RPW is also jurisdictional. If the aquatic resource is not a TNW, but has year-round
(perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial flow,
skip to Section HI.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section HI.0 below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: square miles
Drainage area: square miles
Average annual rainfall: inches
Average annual snowfall: inches
(ii) Physical Characteristics:
(a) Relationship with TNW:
❑ Tributary flows directly into TNW.
❑ Tributary flows through Pick List tributaries before entering TNW.
Project waters are Pick List river miles from TNW.
Project waters are Pick List river miles from RPW.
Project waters are Pick List aerial (straight) miles from TNW.
Project waters are Pick List aerial (straight) miles from RPW.
Project waters cross or serve as state boundaries. Explain:
Identify flow route to TNW5:
Tributary stream order, if known:
Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
5 Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

(b) General Tributary Characteristics (check all that appy
Tributary is: ❑ Natural
❑ Artificial (man-made). Explain:
❑ Manipulated (man -altered). Explain:
Tributary properties with respect to top of bank (estimate):
Average width: feet
Average depth: feet
Average side slopes: Pick List.
Primary tributary substrate composition (check all that apply):
❑ Silts ❑ Sands ❑ Concrete
❑ Cobbles ❑ Gravel ❑ Muck
❑ Bedrock ❑ Vegetation. Type/% cover:
❑ Other. Explain:
Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain:
Presence of run/riffle/pool complexes. Explain:
Tributary geometry: Pick List
Tributary gradient (approximate average slope): 3 %
(c) Flow:
Tributary provides for: Pick List
Estimate average number of flow events in review area/year: Pick List
Describe flow regime:
Other information on duration and volume: n/a.
Surface flow is: Pick List. Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed: N/A.
Tributary has (check all that apply):
❑ Bed and banks
❑ OHWM6 (check all indicators that apply):
❑ clear, natural line impressed on the bank
❑
❑ changes in the character of soil
❑
❑ shelving
❑
❑ vegetation matted down, bent, or absent
❑
❑ leaf litter disturbed or washed away
❑
❑ sediment deposition
❑
❑ water staining
❑
❑ other (list):
❑ Discontinuous OHWM.' Explain:
the presence of litter and debris
destruction of terrestrial vegetation
the presence of wrack line
sediment sorting
scour
multiple observed or predicted flow events
abrupt change in plant community
If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply):
High Tide Line indicated by: ❑ Mean High Water Mark indicated by:
❑ oil or scum line along shore objects ❑ survey to available datum;
❑ fine shell or debris deposits (foreshore) ❑ physical markings;
❑ physical markings/characteristics ❑ vegetation lines/changes in vegetation types.
❑ tidal gauges
❑ other (list):
(iii) Chemical Characteristics:
Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.).
Explain:
Identify specific pollutants, if known:
'A natural or man-made discontinuity in the OHWM does not necessarily sever jurisdiction (e.g., where the stream temporarily flows underground, or where
the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow
regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicators of flow above and below the break.
'Ibid.

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

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

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

Provide estimates for jurisdictional waters in the review area (check all that apply):
Tributary waters: linear feet width (ft).
Other non -wetland waters: acres.
Identify type(s) of waters:
Wetlands:0.27 acres.
F. NON -JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:No surface water
or groundwater connection to a seasonal or perennial RPW or Section 10 water. The topographic low was followed off the
subject parcel to the south. The area was discontinuious wetlands and non -jurisdictional wet weather flow paths.
❑ Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
U Non -wetland waters (i.e., rivers, streams): linear feet width (ft).
Lakes/ponds: acres.
❑ Other non -wetland waters: acres. List type of aquatic resource:
Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
Non -wetland waters (i.e., rivers, streams): linear feet, width (ft).
Lakes/ponds: 0.81 acres.
Other non -wetland waters: acres. List type of aquatic resource:
Wetlands:0.27acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked
and requested, appropriately reference sources below):
Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
® U.S. Geological Survey Hydrologic Atlas:Matthews NW.
® USGS NHD data.
® USGS 8 and 12 digit HUC maps.
U.S. Geological Survey map(s). Cite scale & quad name: 1:24,000, Matthews NW.
USDA Natural Resources Conservation Service Soil Survey. Citation: Web Soil Survey.
National wetlands inventory map(s). Cite name:NWI wetlands mapper.
State/Local wetland inventory map(s):
® FEMA/FIRM maps:FEMA NFHL GIS overlay.
❑ 100 -year Floodplain Elevation is: (National Geodectic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date):
or ® Other (Name & Date): Site visit photos 8/11/2017.
Previous determination(s). File no. and date of response letter:
❑ Applicable/supporting case law:
Applicable/supporting scientific literature:
❑ Other information (please specify):
B. ADDITIONAL COMMENTS TO SUPPORT JD:

WL 1000 NORTH CAROLINA PSS6 Area 0.27 ACRE ISOLATE 35.08041000 -80.71677000

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: McKee Road City/County: Matthews, Mecklenburg Sampling Date: 8/11/2017
Applicant/Owner: Cambridge Park State: NC Sampling Point: 1006
Investigator(s): Jacob Sinclair Austin Baggarley Section, Township, Range:
Landform (hilislope, terrace, etc.): depression Local relief (concave, convex, none): flat Slope (%): 2
Subregion (LRR or MLRA): LRR P Lat: 35.08041 Long: -80.71677 Datum: NAD 83
Soil Map Unit Name: Cecil 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? n0 Are "Normal Circumstances" present? Yes ✓ No
Are Vegetation Soil. or Hydrology. naturally problematic? no (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: WL Series 1000 0.2
WL Type Appx. Acreage
24 HR Weather no rain and hot
Recent Weather occasional afternoon storms
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is reauired: check all that apply)
_ Surface Soil Cracks (136)
Surface Water (A1)
True Aquatic Plants (614)
` Sparsely Vegetated Concave Surface (138)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
✓ Drainage Patterns (1310)
Saturation (A3)
✓ Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (1316)
Water Marks (131)
Presence of Reduced Iron (C4)
Dry -Season Water Table (C2)
Sediment Deposits (132)
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 (134)
Other (Explain in Remarks)
_ Stunted or Stressed Plants (D1)
Iron Deposits (65)
✓ Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (137)
` Shallow Aquitard (D3)
Water -Stained Leaves (69)
✓ Microtopographic Relief (D4)
Aquatic Fauna (1313)
✓ FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes ✓ No
Depth (inches):
Water Table Present? Yes ✓ No
Depth (inches):
Saturation Present? Yes ✓ No
Depth (inches): 0
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Isolated wetland, not Corps jurisdictional.
A Waters of the State.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
Tree Stratum (Plot size: WI boundary
1.
2.
3.
6.
McKee Road
Sampling Point: 1006
Absolute Dominant Indicator Dominance Test worksheet:
% Cover Species? Status Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
= Total Cover
50% of total cover: 20% of total cover:
Sapling Stratum (Plot size: WI boundary)
1. Sambucus canadensis 5 Y FAC
2. Acer rubrum 1 N FAC
3.
5.
6.
6 = Total Cover
50% of total cover: 3 20% of total cover: 1 .2
Shrub Stratum (Plot size: Wl boundary )
1. Baccharis halimifolia 5 Y FACV
2.
3.
4.
5.
6.
6.
7.
8.
9.
10.
11.
70 = Total Cover
50% of total cover: 35 20% of total cover: 14
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 2 Y FAC
2.
3.
Total Number of Dominant
Species Across All Strata: 6 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 83 (A/B)
Prevalence Index worksheet:
2
= Total Cover
50% of total cover: 2.5
20% of total cover:
1
Herb Stratum (Plot size: WI boundary)
55
x 2 =110
FAC species
1. Persicaria lapathifolia
10
N
FAMA
2. Juncus effusus
15
Y
FAMA
3. Rubus argutus
5
N
FAC
4. Scirpus cyperinus
25
Y
FAMA
5. Solidago altissima
15
Y
FACU
6.
7.
8.
9.
10.
11.
70 = Total Cover
50% of total cover: 35 20% of total cover: 14
Woody Vine Stratum (Plot size: )
1. Lonicera japonica 2 Y FAC
2.
3.
Total Number of Dominant
Species Across All Strata: 6 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 83 (A/B)
Prevalence Index worksheet:
Total % Cover of:
Multioly by:
OBL species
0
x 1 =
FACW species
55
x 2 =110
FAC species
13
x 3 = 39
FACU species
15
x 4 = 60
UPL species
0
x 5 =
Column Totals:
83
(A) 209 (B)
Prevalence Index = B/A = 2.51
❑ 1 - Rapid Test for Hydrophytic Vegetation
Q✓ 2 - Dominance Test is >50%
❑ X- Prevalence Index is :53.01
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.
Five Vegetation
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 - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
5. Hydrophytic
2 = Total Cover Vegetation
50% of total cover: 1 20% of total cover: 0.4 Present? Yes ✓ No
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

McKee Road
SOIL Sampling Point: -1oo6
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
(inches)
Color (moist) %
Color (moist) % Type'Loc�
Black Histic (A3)
Texture Remarks
0-3
5 YR 6 /4 95
5 YR 6 /6 5 C
PL
loam
3-5
10 YR 6 /3 80
5 YR 6 /6 20 C
PL
loam
5-18
10 YR 7 /2 80
5 YR 6 /6 20 C
PL
loam
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
_ Histosol (A1)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
` Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
` Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (Al 1)
Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al2)
✓ Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N,
Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Type:
Depth (inches):
Hydric Soil Present? Yes ✓ No
Upper soil (5 inches) is bright in color leading to a depleted matrix below (5-18 inches). Strong redox begins at —3
inches and continues to 18+ inches.
Redox depression exists due to pond (historically upland) outfall into power line easement that allows for ponding of
water during wet periods and is dry during periods without rain.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
project/Site: McKee Road City/County: Matthews, Mecklenburg Sampling Date: 8/11/2017
Applicant/Owner: Cambridge Park State: NC Sampling Point: Upland
Investigator(s): Jacob Sinclair Austin Baggarley Section, Township, Range:
Landform (hillslope, terrace, etc.): depression Local relief (concave, convex, none): flat Slope (%): 2
Subregion (LRR or MLRA): LRR P Let: 35.08069 Long: -80.71680 Datum: NAD 83
Soil Map Unit Name: Cecil 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? n0 Are "Normal Circumstances" present? Yes ✓ No
Are Vegetation Soil. or Hydrology. . naturally problematic? n0 (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:
o_Remarks: Upland WL Series -----
WL Type Appx. Acreage -----
24 HR Weather Hot and Dry
Recent Weather Occasional afternoon showers
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two reauired)
Primary Indicators (minimum of one is reauired: check all that apply)
— Surface Soil Cracks (136)
Surface Water (Al)
True Aquatic Plants (1314)
` Sparsely Vegetated Concave Surface (138)
High Water Table (A2)
Hydrogen Sulfide Odor (C1)
Drainage Patterns (810)
Saturation (A3)
Oxidized Rhizospheres on Living Roots (C3)
Moss Trim Lines (616)
Water Marks (131)
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 (133)
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 (135)
Geomorphic Position (D2)
Inundation Visible on Aerial Imagery (67)
` Shallow Aquitard (D3)
Water -Stained Leaves (139)
Microtopographic Relief (134)
Aquatic Fauna (613)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
✓ Depth (inches):
Water Table Present? Yes No
✓ Depth (inches):
Saturation Present? Yes No
✓ Depth (inches):
Wetland Hydrology Present? Yes No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
No Hydrology
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Five Strata) - Use scientific names of plants.
McKee Road
Sampling Point: Upland
( wl boundary Absolute Dominant Indicator Dominance Test worksheet:
Tree Stratum Plot size: % Cover Species? Status Number of Dominant Species
1. That Are OBL, FACW, or FAC: 2 (A)
2.
Total Number of Dominant
3. Species Across All Strata: 6 (B)
6.
= Total Cover
50% of total cover:
5
20% of total cover:
50% of total cover: 2.5
Sapling Stratum (Plot size: )
Herb Stratum (Plot size: 5 )
x 2 = 0
FAC species
1. Juniperous virginiana
2
Y
FACU
2. Liriodendron tulipfera
2
Y
FACU
3. Acer rubrum
1
N
FAC
4. Quercus phellos
1
N
FAC
6.
4 = Total Cover
50% of total cover: 2 20% of total cover: 0.6
Shrub Stratum (Plot size: Wl boundary )
1. Ligustum sinense 5 Y FACU
2.
3.
4.
5.
6.
6.
7.
S.
9.
10.
11.
39 = Total Cover
50% of total cover: 19.5 20% of total cover: 7.9
Woody Vine Stratum (Plot size: WI boundary
1. Lonicera japonica 5 Y FAC
2. Smilax rotundifolia 1 N FAC
3. Toxicodendron radicans 2 Y FAC
Percent of Dominant Species
That Are OBL, FACW, or FAC: 33.33 (A/B)
Prevalence Index worksheet:
5
= Total Cover
50% of total cover: 2.5
20% of total cover: 1
Herb Stratum (Plot size: 5 )
x 2 = 0
FAC species
1. Solidago altissima
30
Y FACU
2. Rubus arqutus
5
N FAC
3. Cirsium discolor
2
N UPL
4. Phytolacca americana
2
N FACU
5.
6.
7.
S.
9.
10.
11.
39 = Total Cover
50% of total cover: 19.5 20% of total cover: 7.9
Woody Vine Stratum (Plot size: WI boundary
1. Lonicera japonica 5 Y FAC
2. Smilax rotundifolia 1 N FAC
3. Toxicodendron radicans 2 Y FAC
Percent of Dominant Species
That Are OBL, FACW, or FAC: 33.33 (A/B)
Prevalence Index worksheet:
Total % Cover of:
Multiply by:
OBL species 0
x 1 = 0
FACW species 0
x 2 = 0
FAC species
x 3 =
FACU species
x4=
UPL species
x 5 =
Column Totals:
(A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
❑ 1 - Rapid Test for Hydrophytic Vegetation
❑ 2 - Dominance Test is >50%
❑ 3 - Prevalence Index is:53.0'
❑ 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 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 - Woody plants, excluding woody vines,
approximately 20 ft (6 m) or more in height and less
than 3 in. (7.6 cm) DBH.
Shrub - Woody plants, excluding woody vines,
approximately 3 to 20 ft (1 to 6 m) in height.
Herb - All herbaceous (non -woody) plants, including
herbaceous vines, regardless of size, and woody
plants, except woody vines, less than approximately 3
ft (1 m) in height.
Woody vine - All woody vines, regardless of height.
4.
5. Hydrophytic
8 = Total Cover Vegetation ✓
50% of total cover: 4 20% of total cover: 1 .6 Present? Yes No
Remarks: (Include photo numbers here or on a separate sheet.)
Upland
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

McKee Road
SOIL Sampling Point: Upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Tv Loc Texture Remarks
0-2 10 YR 5 A 70 10 YR 5 /6 30 C M Clay
2-6 10 YR 5 A 100 loam
6-18 10 YR 6 /3 100 sandy c
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils':
_ Histosol (Al)
_ Dark Surface (S7)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
` Polyvalue Below Surface (S8) (MLRA 147, 148)
_ Coast Prairie Redox (A16)
Black Histic (A3)
_ Thin Dark Surface (S9) (MLRA 147, 148)
(MLRA 147, 148)
Hydrogen Sulfide (A4)
— Loamy Gleyed Matrix (F2)
_ Piedmont Floodplain Soils (F19)
Stratified Layers (A5)
Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
_ Very Shallow Dark Surface (TF12)
Depleted Below Dark Surface (A11)
Depleted Dark Surface (F7)
Other (Explain in Remarks)
Thick Dark Surface (Al2)
Redox Depressions (F8)
Sandy Mucky Mineral (S1) (LRR N,
Iron -Manganese Masses (F12) (LRR N,
MLRA 147, 148)
MLRA 136)
_ Sandy Gleyed Matrix (S4)
_ Umbric Surface (F13) (MLRA 136, 122)
3Indicators of hydrophytic vegetation and
Sandy Redox (S5)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Stripped Matrix (S6)
Red Parent Material (F21) (MLRA 127, 147)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
✓
Depth (inches):
Hydric
Soil Present? Yes No
Remarks:
Non -Hydric. Bright, No redox
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

McKee Road Site Photographs
01: Pond excavated in high ground
02: Golden Rod and Dog Fennel adjacent to wetland

03: Isolated wetland vegetation/overview
04: Flow path in isolated wetland

05 Isolated wetland vegetation
06: Isolated wetland vegetation

07: Isolated wetland hydric soils

Sketch Map provided for Waters of the U.S. Delineation Sketch Map
illustrative purposes and McKee Road Matthews NC
preliminary planning only. Not
I/ / / Q
intended to be relied upon for IRONMENTAL
exact location, dimension, or Site Photographs Location Map
orientation. All findings and
assessments are subject to 0
verification from the Army Corps
of Engineers, NC Division of
Water Resources, and/or other
appropriate local authorities. /
Legend
o Streets
Q project boundary
Q Marginal Wetland
0 Pond
U
>-' ZX 0 100 200 300 400 ft
8/14/2017 1

Polaris 3G Map — Mecklenburg County, North Carolina
[McKee Road Tax Parcel Map
Date Printed: 8/8/2017 2:40:59 PM
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This map or report is prepared for the inventory of real property within Mecklenburg County and is compiled from recorded deeds, plats, tax maps, surveys, planimetric maps, and other public records and data.
Users of this map or report are hereby notified that the aforementioned public primary information sources should be consulted for verification. Mecklenburg County and its mapping contractors assume no legal
responsibility for the information contained herein.

Polaris 3G Map — Mecklenburg County, North Carolina
McKee Road Aerial Map
Date Printed: 8/8/2017 2:35:31 PM

�� •, McKee Rd USGS Topographic Map
r . ' 16+ •
• r
� r
~y
- r "lowa
Legend
o Streets
Q project boundary
Q Marginal Wetland
USGS Topo
1 �, "WIL
-le
•.. -;
� IL
1
ILS►' ,
r�
i
1 00 200 300 -00
t

35° 5'5"N
35° 4'44"N
3 Soil Map—Mecklenburg County, North Carolina 3
to (McKee Road)
v a
525520 525200 525M 525867 525940
3
a Map Scale: 1:3,250 f printed on A portrait (8.5" x 11") street.
--MeRfrs
N
0 45 90 180 270
Feet
0 150 300 600 900
A Map projection: Web Mercator Coater- mord: WGS84 Edge tics: UTM Zone 17N WGS84
USDA Natural Resources Web Soil Survey
211111111111 Conservation Service National Cooperative Soil Survey
p 35° 5 5"N
a
o_
35° 4' 44" N
526720 M6100
3
a
8/8/2017
Page 1 of 3

MAP LEGEND
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Soil Map Unit Polygons
Soil Map Unit Lines
0
Soil Map Unit Points
Special
Point Features
V
Blowout
®
Borrow Pit
X
Clay Spot
0
Closed Depression
Warning: Soil Map may not be valid at this scale.
Gravel Pit
,
Gravelly Spot
0
Landfill
A.
Lava Flow
misunderstanding of the detail of mapping and accuracy of soil
Marsh or swamp
s
Mine or Quarry
line placement. The maps do not show the small areas of
Miscellaneous Water
0
Perennial Water
,W
Rock Outcrop
+
Saline Spot
Sandy Spot
Severely Eroded Spot
Please rely on the bar scale on each map sheet for map
Sinkhole
Slide or Slip
Transportation
Sodic Spot
Soil Map—Mecklenburg County, North Carolina
(McKee Road)
MAP INFORMATION
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 8/8/2017
Conservation Service National Cooperative Soil Survey Page 2 of 3
Spoil Area
The soil surveys that comprise your AOI were mapped at
1:24,000.
®
Stony Spot
Very Stony Spot
Warning: Soil Map may not be valid at this scale.
+�
Wet Spot
Enlargement of maps beyond the scale of mapping can cause
'
misunderstanding of the detail of mapping and accuracy of soil
Other
line placement. The maps do not show the small areas of
,.
Special Line Features
contrasting soils that could have been shown at a more detailed
scale.
Water Features
Streams and Canals
Please rely on the bar scale on each map sheet for map
measurements.
Transportation
Rails
Source of Map: Natural Resources Conservation Service
Web Soil Survey URL:
,y
Interstate Highways
Coordinate System: Web Mercator (EPSG:3857)
r
US Routes
Maps from the Web Soil Survey are based on the Web Mercator
Major Roads
projection, which preserves direction and shape but distorts
distance and area. A projection that preserves area, such as the
Local Roads
Albers equal-area conic projection, should be used if more
accurate calculations of distance or area are required.
Background
.
Aerial Photography
This product is generated from the USDA-NRCS certified data as
of the version date(s) listed below.
Soil Survey Area: Mecklenburg County, North Carolina
Survey Area Data: Version 15, Sep 20, 2016
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Date(s) aerial images were photographed: Jun 14, 2015—Feb 8,
2017
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
USDA Natural Resources Web Soil Survey 8/8/2017
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map—Mecklenburg County, North Carolina
Map Unit Legend
Mecklenburg County, North Carolina (NC119)
Map Unit Symbol Map Unit Name Acres in AOI Percent of AOI
McKee Road
CeB2
Cecil sandy clay loam, 2 to 8
17.2
63.6%
percent slopes, moderately
eroded
CeD2
Cecil sandy clay loam, 8 to 15
8.8
32.7%
percent slopes, moderately
eroded
W
Water
1.0
3.7%
Totals for Area of Interest
27.0
100.0%
usDA Natural Resources Web Soil Survey 8/8/2017
Conservation Service National Cooperative Soil Survey Page 3 of 3

r t f �-
FEMA Map
��as
Q Parcel Boundery
LJ 1 PCT CONTAINED IN STRUCTURE, FLOODWAY
1 PCT FUTURE CONDITIONS, FLOODWAY
1 PCT FUTURE IN STRUCTURE, FLOODWAY
AREA OF MINIMAL FLOOD HAZARD
EM COMMUNITY ENCROACHMENT AREA
- FLOODWAY
0 1 miles

U
HUC 8 Watershead Map
Catawba
Lower Catawba
Legend
Q Parcel Boundery
0 HUC 8
Mecklenburg County
Rocky
IRONMENTAL
13
1 0 1 2 3 4 miles

HUC 12 Watershead Map
McAlpine Creek
Fourmile Creek
Sixmile Creek
Legend
F—I HUC 12
0 Parcel Boundery
Irvins Creek
West Fork Twelvemile Creek
VIRONMENTAL
Crooked Creek
0 1 2 3 4 k

Sketch Map provided for
illustrative purposes and
preliminary planning only. Not
intended to be relied upon for
exact location, dimension, or
orientation. All findings and
assessments are subject to
verification from the Army Corps
of Engineers, NC Division of
Water Resources, and/or other
appropriate local authorities.
Pond
Marginal Isolated Wetland
0.27 Acres
Wetland Data form
Upland Data form
Legend
o Streets
Q project boundary
Q Marginal Wetland
0 Pond
Waters of the U.S. Delineation Sketch Map
McKee Road Matthews NC
ITL/6
IRONMENTAL
D
0 100 200 300 400 ft
8/14/2017