20181110 Ver 1_401 Application_20180818

July 13, 2018
NC Division of Water Quality
Attn: Jennifer Burdette
1650 Mail Service Center
Raleigh, NC 27699-1650
ARM
vR-fEs,
COPY
2 0 1 8 1 1 1 0
RE: Jeff Riecken, Batson Road, NCPIN; 4224-47-0237-0000
Pender County, North Carolina
Ms. Burdette,
Geothermal, Environmental,
& Well Drilling
nCC�G�a[
Ailf, 0 8 2018
In an effort to further clarify the intent to construct a driveway and parking pad at the
above referenced location, please find enclosed the following documents for your
review;
Project Narrative Letter
Preliminary Jurisdictional Determination Form
Wetland Determination Data Forms -Coastal Plain
Pre -Construction Notification Form
Figure 1: Riecken Batson Road — Site Vicinity
Figure 2: Parcel ID 4224-47-0237-0000 — Proposed Impact site plan
If you have any questions, please do not hesitate to contact our office at [phone].
Sincerely,
Geneung,
Environ Scientist
Applied Keoouroe Management, 11C
F 0. Box 882, 257 Transfer Station (toad, Hampstead, NC 28443, 910.270.2919, Fax [phone]

July 13, 2018
NC Division of Water Quality
Attn: Jennifer Burdette
1650 Mail Service Center
Raleigh, NC 27699-1650
RE: Project Narrative
Riecken, Batson Road
Dear Ms. Burdette:
Geothermal, Environmental,
& Well Drilling
On behalf of Jeff Riecken (a prospective buyer for the above noted property) , Applied Resources
Management, P.C. is providing you with a project narrative for the above referenced site.
The project is located along Batson Road near Surf City in Pender County. The property is
approximately 0.54 acres. In order to construct a driveway and parking pad for a home, fill material
will be needed in a small portion of the noted wetlands; therefore a Nationwide Permit 29 is being
sought.
The proposed project consists of construction of a driveway and parking pad for a small home. The
site is permitted for a wastewater system that impacts driveway and home location. The wetland
areas appears to extend the entire width of the property and thus make this minimal impact
necessary to construct the home and driveway.
The impact is expected to be approximately 0.05 acres. This wetland impact has been minimized by
reducing the footprint of the driveway and parking area to a minimal extent in an attempt to allow for
surface flow through the wetland area. Furthermore, fill is only being proposed for driveway and
parking purposes only, no fill is proposed for lot fill. Also, the remainder of the home and all decks
are proposed to be on pilings and/or cantilevered over wetland areas.
If you have any questions or require any additional information, please feel free to contact me at
[phone].
Sincerely,
Gene o ng, R S
Environme cientist
Applied Ke5ource Management, PC
f'. 0. 13ox 882, 257 Transfer Station Road, Hampstead, NC 28443, 910.270.2919, Fax [phone]

Jurisdictional Determination Request
US Army Corps
of Engineers
Alflamgtrin Gl lt,d
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:
hqp•//www saw usace army mil/Missions/Re"iatoryPermitprojzram/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: [phone]
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

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Batson RD
City, State:
County:
Surf C
Pender
Parcel Index Number(s) (PIN):
, NC
4224-47-0237-0000
B. REQUESTOR INFORMATION
Name: Gene Younq, ARM
Mailing Address: 257 Transfer Station RD
Hampstead, NC 28443
Telephone Number: 910-617-4914
Electronic Mail Address: [e-mail]
Select one:
1-1 I am the current property owner.
ZI am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
F] Other, please explain. authorized agent for buyer
C. PROPERTY OWNER INFORMATION
Name: Ann English / Jeff Riecken-Buyer
Mailing Address: 377 Batson RD/ 145 Edgewood Ave
Hampstead, NC / Concord, NC
Telephone Number:
Electronic Mail Address:
' Must provide completed Agent Authorization Form/Letter.
'- Documentation of ownership also needs tobe provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Iuris(licti(,nal DetertninatiOn Request
1). 1'ItO1'I?It•I V ACCESS CERTIFICATION"'
Ili sif 11111y, hclow, I awhoriic representatives of the Wilmington District. U.S. Army Corps of
I livincers Wool)") to enter upon tl►c prt)perty herein described for the purpose of conducting on-
stlr nt�cstiE,ati(als, if necessary, and issuing; a jurisdictional determination pursuant to Section
•Ito ol'the ( Ican Water Act and/or Section 10 of the (livers and Harbors Act of 1899. 1, the
III Jcr.Iyflcd, at either a duly authorized owner oI'record of the property identified herein, or
actino a the duly authorised agent of the owner of record of the property.
Print 14- Ic
(apac i v : ( )w ner ❑ Authorised Agents
Date
tiiE,nal ore
E. RP ASON Olt J REQUEST: (Check as many as applicable)
QI intend to construct/develop a project or perform activities on this parcel which would be
, elv,ncd to avoid 311 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.
RI 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
imp is to jurisdictional aquatic resources and as an initial step in a future permitting
rt 'ess.
I intend to construct/develop a proiect 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.
R1 intend to construct/develop a project or perform activities in a navigable water of the
Ii.S. which is included on the district Section IU list and/or is subject to the ebb and flow of
the tide.
8 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 he comprised entirely of dry land.
Other:
I or NCDO 1 retqucsts following the current N('DO1Yt.ISAUE' protocols, skip to Pan E.
11 there are tnuluple rximeN owned by dillerent parties, plea. provide the following for each additional parcel on a
e(putinutltinn 4.hect.
s Must provide spent autlu)rinition form/letter si.vnvd by nwnMe.).
Versl+in, May 1017 Page 3
w

Date:
To Whom It May Concern:
RE: Agent and Access Authorization Letter
I authorize Gene Young or any employee of Applied Resource Management, PC to act
as an agent on my behalf in all matters dealing with wetland Jurisdictional
Determinations, reviews or permitting.
I furthermore authorize the US Army Corps of Engineers and/or the North Carolina
Division of Water Resources representative(s) to access my property as part of this
process.
Since ly,
l
Name��
ed/�/ 1?1.e6 Iif
Property Address:
0 F'19- ` Om -p
P/A) V7 2-q- 417- oz37-DD

BK 4668 PG 1640 -1642 (3) DOC# 20038886
This Document eRecorded: 07/12/2018 09:37:50 AM
Fee: $26.00 DocType: DEED Tax: $150.00
Pender County, North Carolina
Sharon Lear Willoughby, Register of Deeds
Excise Tax: $ 150.00 Parcel ID No: 4224-47-0237-0000
This instrument Prepared by & Returned to: Ray C. Blackburn, Jr., Attorney at Law, PO Box 895,
Hampstead, NC 28443.The preparer of this instrument has made no examination of the record
title to the property conveyed unless shown by his written and signed certificate herein and
renders no opinion on title nor has preparer of this instrument rendered any advice regarding any
tax matters affecting the lands transferred hereby.
STATE OF NORTH CAROLINA
COUNTY OF PENDER
GENERAL WARRANTY DEED
THIS DEED, made this 141day of July 2018, by and between, ANN B. ENGLISH,
WIDOW, by and thru her attorney in fact M. DAVID ENGLISH (Hereinafter called
"Grantor"), and JEFFREY LEE RIECKEN II, and wife AMY MARIE RIECKEN
(Hereinafter called "Grantee"). Whose mailing address is:JY6 e&3azxjj,�,
The designation Grantor and Grantee as used herein shall inc ude said parties, their heir ,
successors and assigns, and shall include singular, plural, masculine, feminine or neuter as
required by context.
WITNESSETH:
NOW THEREFORE, GRANTOR, for valuable consideration paid by the GRANTEE,
receipt of which is hereby acknowledged, has bargained and sold, and by these presents does
hereby bargain, grant, sell and convey unto GRANTEE in fee simple, the below described tract or
parcel of land located in Pender County, North Carolina and being more particularly described as
follows:
SEE ATTACHED EXHIBIT `°A"
property hereinabove described was acquired by Grantor by instrument recorded In Book
610 at Page 209, Pender County Registry.
This Property is _.�/is not the Grantors primary residence
submitted electronically by "tray C. Blackburn, Jr. Attorney at Law"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Pender county Register of Deeds.

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
❑✓ I am requesting that the Corps provide a preliminary 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.
❑ 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
❑✓ Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 0.54 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
17 Project Coordinates (Decimal Degrees): Latitude: 34.4213
Longitude: -77.5938
0 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.
QCompleted 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. hgR://www.saw.usace.anny.miVMissions/Re lato!X-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
NNW
✓❑ Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form and include the
Aquatic Resource Table
• AJDs• please complete an Approved Jurisdictional Determination Form'
Vicinity Map
Aerial Photograph
F] 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)
F] Landscape Photos (if taken)
F] NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
www.saw.usace.army.miVPortals/59/docs/re ul_ atory/regdocs/JD/RGL 08-02 App A Prelim JD Form fillable pdf
' Please see hn://www.saw.usace.anny.miUMissions/Re ug latory-Permit-Prozram/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

Appendix 1 - REQUEST FOR CORPS JURISDICTIONAL DETERMINATION WD)
To: District Name Here
• I am requesting a JD on property located at: Batson Road
(Street Address)
City/Township/Parish: Surf Clty County: Pander State: NC
Acreage of Parcel/Review Area for JD: o.ea
Section: Township: Range:
Latitude (decimal degrees): 34.4213 Longitude (decimal degrees): -77.5938
(For linear projects, please include the center point of the proposed alignment.)
• Please attach a survey/plat map and vicinity map identifying location and review area for the JD.
• �Icurrently own this property. _ I plan to purchase this property.
✓ I am an agent/consultant acting on behalf of the requestor.
=Other (please explain):
• Reason for 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.
Q 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.
01 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.
D 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 to obtain my local/state authorization.
[� I intend to contest jurisdiction over a particular aquatic resource and request the Corps confirm that
urisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:
• Type of determination being requested:
I am requesting an approved JD.
✓ I am requesting a preliminary JD.
I am requesting a "no permit required" letter as I believe my proposed activity is not regulated.
I am unclear as to which JD I would like to request and require additional information to inform my decision.
By signing below, you are indicating that you have the authority, or are acting as the duly authorized agent of a
person or entity with such authority, to and do hereby grant Corps personnel right of entry to legally access the
site if needed to perform the JD. Your signature shall be an affirmation that you possess the requisite property
rights to request a JD on the subject property.
�—
*Signature:
• Typed or printed nam Young, REHS
Company name: Applied Resource Management
Address: 257 Transfer Station RD
Hampstead, NC
Daytime phone no.: 91as17.4914
Email address: gene®amnc.com
Date: 41 SI It
"Authorities: Rivers and Harbors Act, Section 10, 33 USC 403; Clean Water Act, Section 404, 33 USC 1344; Marine Protection, Research, and Sanctuaries Act,
Section 103, 33 USC 1413; Regulatory Program of the U.S. Army Corps of Engineers; Final Rule for 33 CFR Parts 320-332,
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 USACE 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.

Appendix 2 -PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
A. REPORT COMPLETION DATE FOR PJD:
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Gene Young, REHS
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: City:
Center coordinates of site (lat/long in degree decimal format):
Lat.: 34.4213 Long.: -77.5938
Universal Transverse Mercator:
Name of nearest waterbody: Virginia 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
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 101404)
1
34.4213
-77.5938
0.4
wetland
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:
❑ 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:
❑ 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)
0 Photographs: Fn� Aerial (Name & Date): Pender County GIS tax map
or ❑ Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
J
Signatu d dat of
person req esti PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
I 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.

APPROVED JURISDICTIONAL DETERMINATION FORM
U.S. Army Corps of Engineers
This form should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook.
SECTION I: BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD):
B. DISTRICT OFFICE, FILE NAME, AND NUMBER:
C. PROJECT LOCATION AND BACKGROUND INFORMATION:
State: County/parish/borough: Pender City: Surf City, NC
Center coordinates of site (lat/long in degree decimal format): Lat. 34.4213° N, Long. -77.5938° W.
Universal Transverse Mercator:
Name of nearest waterbody: Virginia Creek
Name of nearest Traditional Navigable Water (TN W) into which the aquatic resource flows: Virginia Creek
Name of watershed or Hydrologic Unit Code (HUC): 03030001
❑ Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request.
❑ Check if other sites (e.g., offsite mitigation sites, disposal sites, etc... ) are associated with this action and are recorded on a
different JD form.
D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
SECTION II: SUMMARY OF FINDINGS
A. RHA SECTION 10 DETERMINATION OF JURISDICTION.
There 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 "waters of the U.S." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required]
1. Waters of the U.S.
a. Indicate presence of waters of U.S. in review area (check all that apply):
❑ TNWs, including territorial seas
® Wetlands adjacent to TNWs
❑ Relatively permanent watersz (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 acres.
Wetlands: 0.4 acres.
c. Limits (boundaries) of jurisdiction based on: Pick List
Elevation of established OHWM (if known):
2. Non-regulated waters/wetlands (check if applicable):'
❑ Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional.
Explain:
' Boxes checked below shall be supported by completing the appropriate sections in Section III below.
' For purposes of this form, an RPW is defined as a tributary that is not a TN W 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.I. 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 111.11 below.
1. TNW
Identify TNW: Virginia Creek.
Summarize rationale supporting determination:
2. Wetland adjacent to TNW
Summarize rationale supporting conclusion that wetland is "adjacent': wetland is adjacent to coastal wetland leading to Virginia
Creek.
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 III.D.4.
A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and
EPA regions will include in the record any available information that documents the existence of a significant nexus between a
relatively permanent tributary that is not perennial (and its adjacent wetlands if any) and a traditional navigable water, even
though a significant nexus finding is not required as a matter of law.
If the waterbody° is not an RPW, or a wetland directly abutting an RPW, a JD will require additional data to determine if the
waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must
consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for
analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is
the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for
the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite
and offsite. The determination whether a significant nexus exists is determined in Section III.0 below.
1. Characteristics of non-TNWs that flow directly or indirectly into TNW
(i) General Area Conditions:
Watershed size: Pick List
Drainage area: Pick List
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: .
'Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the and
West.
Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW.

(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: Wetland surface water releases at higher rain events. Wetlands flow into the culvert and
then into the tributary.
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. ExplainTorested/ 100% cover.
❑ 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.

Tributary stream order, if known:
(b) General Tributary Characteristics (check all that apply):
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 ofrun/rif%le/pool complexes. Explain:
Tributary geometry: Pick List
Tributary gradient (approximate average slope): %
(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:
Surface flow is: Pick List. Characteristics:
Subsurface flow: Pick List. Explain findings:
❑ Dye (or other) test performed:
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.

For each wetland, specify the following:
Directly abuts? (YM) 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:
Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain
findings of presence or absence of significant nexus below, based on the tributary itself, then go to Section III.D:
Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into
TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its
adjacent wetlands, then go to Section IIID:
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 I1I.1):
D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL
THAT APPLY):
TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area:
❑ TNWs: linear feet width (ft), Or, acres.
® Wetlands adjacent to TNWs: 0.4acres.
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 1II.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:
sSee Footnote # 3.
To complete the analysis refer to the key in Section III.D.6 of the Instructional Guidebook.
"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.

Identify water body and summarize rationale supporting determination:
Provide estimates for jurisdictional waters in the review area (check all that apply):
❑ Tributary waters: linear feet width (ft).
❑ Other non -wetland waters: acres.
Identify type(s) of waters:
❑ Wetlands
acres.
F. NON -JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLY):
❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers
Wetland Delineation Manual and/or appropriate Regional Supplements.
❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce.
❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solely on the
"Migratory Bird Rule" (MBR).
❑ Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain:
❑ Other: (explain, if not covered above):
Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR
factors (i.e., presence of migratory birds, presence of endangered species, use of water for irrigated agriculture), using best professional
judgment (check all that apply):
❑ Non -wetland waters (i.e., rivers, streams): linear feet width (ft).
❑ Lakes/ponds: acres.
❑ Other non -wetland waters: acres. List type of aquatic resource:
❑ Wetlands: acres.
Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such
a finding is required for jurisdiction (check all that apply):
❑ Non -wetland waters (i.e., rivers, streams): linear feet, width (ft).
❑ Lakes/ponds: acres.
❑ Other non -wetland waters: acres. List type of aquatic resource:
❑ Wetlands: acres.
SECTION IV: DATA SOURCES.
A. SUPPORTING DATA. Data reviewed for JD (check all that apply -checked items shall be
and requested, appropriately reference sources below):
® Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant:
® Data sheets prepared/submitted by or on behalf of the applicant/consultant.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report.
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
❑ U.S. Geological Survey map(s). Cite scale & quad name:
❑ USDA 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 Geodectic Vertical Datum of 1929)
® Photographs: ® Aerial (Name & Date):Pender County GIS Tax Map.
or ❑ Other (Name & Date): Site photographs.
❑ 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:
included in case file and, where checked

OAC � WA 7�90�
1
MOROMMWAt, 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:X❑
Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1 c.
Has the NWP or GP number been verified by the Corps?
❑ Yes 0 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
0 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
0 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 Na
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
0 Yes ❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes 0 No
2.
Project Information
2a.
Name of project:
Riecken site, Batson RD
2b.
County:
Pender
2c.
Nearest municipality / town:
Surf City
2d.
Subdivision name:
Virginia Creek
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Ann English
3b.
Deed Book and Page No.
687/264
3c.
Responsible Party (for LLC if
applicable):
3d.
Street address:
377 Batson Road
3e.
City, state, zip:
Hampstead, NC
3f.
Telephone no.:
3g.
Fax no.:
3h.
Email address:
Page 1 of 10
PCN Form — Version 1.4 January 2009

4.
Applicant Information (if different from owner)
4a. Applicant is:
❑ AgentX❑ Other, specify: potential buyer
4b.
Name:
Jeff Riecken
4c.
Business name
(if applicable):
4d.
Street address:
145 Edgewood Ave
4e. City, state, zip:
Concord, NC 28025
4f.
Telephone no.:
4g.
Fax no.:
4h.
Email address:
5.
Agent/Consultant Information (if applicable)
5a.
Name:
Gene Young, REHS
5b.
Business name
(if applicable):
Applied Resource Management
5c.
Street address:
257 Transfer Station RD
5d. City, state, zip:
Hampstead, NC 28443
5e. Telephone no.:
910-617-4914
5f.
Fax no.:
5g.
Email address:
[e-mail]
Page 2 of 10

B.
Project Information and Prior Project History
1.
Property Identification
1 a.
Property identification no. (tax PIN or parcel ID):
4224-47-0237-0000
1b. Site coordinates (in decimal degrees):
Latitude: 34.4213 Longitude: -77.5938
1 c.
Property size:
0.54 acres
2.
Surface Waters
2a.
Name of nearest body of water to proposed project:
Virginia Creek
2b. Water Quality Classification of nearest receiving water:
SA
2c.
River basin:
new river
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:
The current conditions of this site is a vacant building lot in an existing subdivision. The area land use is residential.
3b.
List the total estimated acreage of all existing wetlands on the property: 0.4
3c.
List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
3d. Explain the purpose of the proposed project:
The purpose is to allow a small impact for the construction of a parking pad and a portion of the house pad.
3e. Describe the overall project in detail, including the type of equipment to be used:
Fill impact is proposed for approximately 0.05 acres to allow for a parking pad and a portion of the house foundation. Typical construction equipment st
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 priorphases) in thepast?
❑ Yes ❑ No ❑X Unknown
Comments:
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):
Agency/Consultant Company:
Other:
4d.
If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5.
Project History
5a.
Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
❑Yes ❑ No ❑X Unknown
5b.
If yes, explain in detail according to "help file" instructions.
6.
Future Project Plans
6a.
Is this a phased project?
❑ Yes ❑X No
6b.
If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
© Wetlands ❑ Streams —tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Seep
No
Corps
0.05
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:
0.05
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
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
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 indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Tem ora
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:
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:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar -Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
131 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

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.
The project shows minimization by not filling the entire house foundation area. This should allow for surface flow of wetland areas further upslope.
Additionally, the house is to be built on pilings to minimize impact.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Construction of the home, and parking of equipment shall be completed from upland areas as much as possible. Any equipment entering wetland
areas shall use construction mats to minimize impact.
2. Compensatory Miti ation 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 ❑X 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
❑ Mitigation bank
❑ Payment to in -lieu fee programproject?
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
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):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete If Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 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
buffer mitigation?
Yes ❑X No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d,
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

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 ❑X No
within one of the NC Ri avian Buffer Protection Rules?
1 b.
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?
20
2b.
Does this project require a Stormwater Management Plan?
❑ Yes No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
the impervious percentage is below the threshold as shown in the PCN guidance document
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
2e.
Who will be responsible for the review of the Stormwater Management Plan?
3.
Certified Local Government Stormwater Review
3a.
In which localgovernment's jurisdiction is thisproject?
❑ 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
ZCoastal counties
❑HQW
4a.
Which of the following state -implemented stormwater management programs applyH
ORW
(check all that apply):
Session Law 2006-246
❑Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑X No
attached?
6. 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)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes ❑X 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
El 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 Q 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 Q 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.
The site is to be serviced by an on-site wastewater system. A permit application has been submitted and has been approved by Pender County.
Page 9 of 10
PCN Form — Version 1.4 January 2009

6. 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.
- website
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural heritage website
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑X Yes ❑ No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The site is adjacent to Virginia Creek.
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 X❑ 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?
HPOWEB website
8. Flood Zone Designation (Corps Requirement)
—T—
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
0 Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
Construction will meet all applicable building laws
8c. What source(s) did you use to make the floodplain determination?
pander county GIS tax map
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

7
,:
.1
Subject Property
Wetland boundary
fl
ti, cap;IT L-1
.
Watts
sloop, Point
Map adapted from USGS Topographic Map "Holly Ridge, NC 2016"
Riecken- Batson Road FIGURE:
Applied Site Vicinity
Management, E. C. JOB: - SCALE: DATE: - DRAWN BY:
H..am��d W2e,;W3 18156 V= 500' 7/13/18 GY

System Specifications:
3 Bedroom residence; 360 gal/day
LTAR 0.8
Initial: 1000 gallon septic tank (ST)
1000 gallon re -circulation tank (RT)
1000 gallon pump tank (PT)
450 Sq. Ft. Aerobic drip system with TS -II Pre-treatment
225 Ln. Ft. Drip tubing required
20'x 22.5' Drip area shown
Install drip tubing 6" into soil
Repair: Exempt; Lot platted in 1963
Note: Proposal assumes installation of proposed upslope interceptor drain
23 May 2018
Preliminary Wetland Area: wetland area has not been surveyed or reviewed by US Army Corps and
thus is to be considered preliminary and approximate
Proposed Fill Impact Area
'\\' (0.04 acres approximate)
- ----- Proposed Interceptor Drain
Solid PVC Outlet Pipe
Map adapted from Pender County GIS Tax Map I
O Soil Boring Locaiton
(approximate)

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Riecken- Batson RD City/County:
Pender Sampling Date: July 13, 2018
Applicant/Owner: Riecken (buyer) State: NC
Sampling Point: wetland
Investigator(s): Gene Young, RS-A.R.M.
Section, Township, Range: Surf City NC
Landform (hillslope, terrace, etc.): Side slope
Local relief (concave, convex, none): Linear Slope (%): 20%
Subregion (LRR or MLRA): LRR T Lat:
34.4213N Long: -77.5938W Datum:
Soil Map Unit Name: Marven -Craven
NCWAM classification: seep
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology
significantly disturbed? Are "Normal Circumstances" present? Yes x No_
Are Vegetation Soil or Hydrology
naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point
locations. transects. important features. etc.
Hydrophytic Vegetation Present? Yes X No
Hydric Soil Present? Yes X No Is the Sampled Area
Wetland Hydrology Present? Yes X No within a Wetland? Yes X No
Remarks: This does appear to be a wetland.
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two
required)
Primary Indicators fminimum of one is re uired6 check all that apply)
_ Surface Soil Cracks (136)
X Surface Water (A1)
_ Water -Stained Leaves (139)
r Sparsely Vegetated Concave Surface
(B8)
High Water Table (A2)
_ Aquatic Fauna (B13)
_ Drainage Patterns (610)
x Saturation (A3)
_ Marl Deposits (B15)(LRR U)
_ Moss Trim Lines (B16)
Water Marks (B1)
! Hydrogen Sulfide Odor (C1)
, Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Oxidized Rhizospheres on Living Roots
_ Crayfish Burrows (C8)
(C3)
Drift Deposits (63)
_ Presence of Reduced Iron (C4)
_ Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (64)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Geomorphic Position (D2)
Iron Deposits (135)
` Thin Muck Surface (C7)
_ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery ,_,
Other (Explain in Remarks)
x FAC -Neutral Test (135)
(B7)
Observations:
Water Present? Yes x No X Depth (inches):.<1"
Table Present? Yes x No Depth (inches): 0"
i Present? Yes x No_ Depth (inches):0"I Wetland Hydrology Present? Yes x No
capillary fringe)
Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), If available:

Tree Stratum (Plot size: 30' )
1. Willow (Salix nigra)
Absolute
% Cover
Dominant
Species?
Indicator
Status
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 5 (A)
Total Number of Dominant
Species Across All Strata: 5 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (A/B)
5
Y
Obl
2.
3.
4.
5.
6
—
_
Cover
7.
5
Sapling Stratum (Plot size: 30' )
1
= Total
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x2=
FAC species x3=
FACU species x4=
UPL species x5=
Column Totals: (A)
(B)
Prevalence Index = B/A =
2.
3.
4•
5•
6.
7.
Shrub Stratum (Plot size: 30' )
1. Willow (Salix nigra)
10
= Total
Y
Cover
ON
2.
3•
Hydrophytic Vegetation Indicators:
Dominance Test is >50%
Prevalence Index is s3.0'
Problematic Hydrophytic Vegetation'
(Explain)
'Indicators of hydric soil and wetland hydrology
must
4
5.
6.
7
Herb Stratum (Plot size: 30' )
1. Mixed grasses
30
= Total
Y
N
Cover
FAC
Definitions of 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. Includes
woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine — All woody vines, regardless of
height.
2.Virainia creeper (Parthenocissus guinguefolia)
10
FAC
3. Rush Ouncus spp.)
30
Y
FACW
4. Reed (Phragmites australis)
30
Y
FACW
5.
6.
7.
g•
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1
100
= Total
Cover
2.
3
4•
5•
= Total
Cover
Hydrophytic
Vegetation
Present? Yes X No
Remarks: (If observed, list morphological adaptations below).vegetation strata are very limited

Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of Indicators.)
Depth Matix Redox Features
Inches Color (moist) % Color (moist) % Type Loc Texture Remarks
0-18 10YR 3/1 Loamy sand/sandy loam
Type: C=Concentration, D=Depletion, RM= Reduced Matrix, CS=Covered or Coated Sand Grains. Location: PL= Pore Lining, M= Matrix
Histosoi (Al)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6)(LRR P, T, U)
5 cm Mucky Mineral (A7)(LRR P, T,
Muck Presence (A8)(LRR P, T)
1 cm Mucky Mineral (A7)(LRR P, T,
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16)(MLRA
Sandy Mucky Mineral (S1)(LRR O,S)
Sandy Gleyed Matrix (S4)
_ Polyvalue Below Surface (S8)(LRR S,
X Thin Dark Surface (S9) (LRR S, T, U)
_ Loamy Mucky Surface (F1) (LRR O)
_ Loamy Gleyed Matrix (F2)
_ Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Marl (F10) (LRR U)
_ Depleted Ochric (F11) (MRLA 151)
_ Iron -Manganese Masses (F12)(LRR
_ Unbric Surface (F13( (LRR P, T, U)
_ Delta Ochric (F17) (MRLA 151)
_ Reduce Vertic (F18) (MRLA 150A, 1508)
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)(outside MLRA 150A,B)
Piedmont Floodplain Soils (F19)
Anomalous Bright Loamy Soils (F20)
(MRLA 1538)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF1 2) (LRR T, U)
Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation
and
wetland hydrology must be present,
unless disturbed or problematic.
_ Sandy Redox (S6) _ Piedmont Floodplain Soils (MRLA 149A)
_ Stripped Matrix (S6) _, Anomalous Bright Loamy Soils (1720) (MRLA 149A, 153C, 153D)
Dark Surface S7 LRR P T U
Restrictive Layer (if observed):
Type:
Depth (inches): Hydric Soils Present? Yes _x No x__
Remarks:
soils appear to be hydric.

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: Riecken- Batson RD City/County:
Pender Sampling Date: July 13, 2018
Applicant/Owner: Riecken (buyer) State: NC
Sampling Point: Upland
Investigator(s): Gene Young, RS-A.R.M.
Section, Township, Range: Surf City NC
Landform (hillslope, terrace, etc.): Side slope
Local relief (concave, convex, none): Linear Slope (%): 20%
Subregion (LRR or MLRA): LRR T Lat:
34.4213N Long: -77.5938W Datum:
Soil Map Unit Name: Marven -Craven
NCWAM classification: seep
Are climatic / hydrologic conditions on the site typical for this time of year? Yes x No (If no,explain in Remarks.)
Are Vegetation Soil or Hydrology
significantly disturbed? Are "Normal Circumstances" present? Yes x No
Are Vegetation Soil or Hydrology
naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS —Attach site m
Hydrophytic Vegetation Present? Yes X No
Hydric Soll Present? Yes No X
Wetland Hydrology Present? Yes
This does not appear to be a wetland.
No x
tra
Is the Sampled Area
within a Wetland?
etc.
Yes No X
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two
required)
Primary Indicators Lminimum of one is required: check all that apply)
_ Surface Soil Cracks (136)
_ Surface Water (A1)
_ Water -Stained Leaves (139)
_ Sparsely Vegetated Concave Surface
(138)
High Water Table (A2)
_ Aquatic Fauna (613)
_ Drainage Patterns (1310)
Saturation (A3)
_ Marl Deposits (B15)(LRR U)
_ Moss Trim Lines (1316)
Water Marks (131)
_ Hydrogen Sulfide Odor (Cl)
_ Dry -Season Water Table (C2)
_ Sediment Deposits (132)
_ Oxidized Rhizospheres on Living Roots
_ Crayfish Burrows (C8)
(C3)
Drift Deposits (63)
_ Presence of Reduced Iron (C4)
—Saturation Visible on Aerial Imagery (C9)
Algal Mat or Crust (134)
_ Recent Iron Reduction in Tilled Soils (C6)
_ Geomorphic Position (D2)
Iron Deposits (135) _ Thin Muck Surface (C7) _ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery _ Other (Explain in Remarks) x FAC -Neutral Test (D5)
(137)
Field Observations:
Surface Water Present? Yes _ No X Depth (inches):
Water Table Present? Yes _ No X Depth (inches): >24"
Saturation Present? Yes _ No x Depth (inches):>24" Wetland Hydrology Present? Yes No x
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous Inspections), if available:

Tree Stratum (Plot size: 30' )
1. Dogwood (Cornus florida)
Absolute
% Cover
5
Dominant
Species?
Indicator
Status
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 1 (A)
Total Number of Dominant
Species Across All Strata: 2 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 50 (A/B)
Y
FACU
2.
3.
4.
5.
6.
7.
5
Cover
Sapling Stratum (Plot size: 30' )
1
= Total
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x2=
FAC species x 3 =
FACU species x4=
UPL species x 5 =
Column Totals: (A)
(g)
Prevalence Index = B/A =
2•
3.
4•
5.
6•
7.
Shrub Stratum (Plot size: 30' )
= Total
Cover
2•
3•
Hydrophytic Vegetation Indicators:
Dominance Test is >50%
Prevalence Index is s3.0'
Problematic Hydrophytic Vegetation'
(Explain)
'Indicators of hydric soil and wetland hydrology
must
4
5.
6,
7
Herb Stratum (Plot size: 30' )
1. Mixed grasses
90
= Total
Y
N
Cover
FAC
Definitions of 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. Includes
woody
plants, except woody vines, less than approximately
3 ft (1 m) in height.
Woody vine — All woody vines, regardless of
height.
2. Dogfennel (Eupatorium capiilifolim)
10
FACU
3.
4
5.
6.
7.
6•
9.
10.
11.
12.
Woody Vine Stratum (Plot size: 30' )
1
100
= Total
Cover
2.
3
4•
5.
= Total
Cover
Hydrophytic
Vegetation
Present? Yes _No x
Remarks: (If observed, list morphological adaptations below).vegetation strata are very limited

Point:
Profile Description: (Describe to the depth needed to document the Indicator or conflrm the absence of Indicators.)
Depth Matix Redox Features
Inches Color (moist) % Color (moist) % Tie Loc Texture Remarks
0-6 2.5Y 4/2 Loamy sand
6.18 2.5Y 6/4 Loamy Sand
Type: C=Concentration, D=Depletion, RM= Reduced Matrix, CS=Covered or Coated Sand Grains. Location: PL= Pore Lining, M= Matrix
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)(outside MLRA 150A, B)
Piedmont Floodplain Soils (F19)
Anomalous Bright Loamy Soils (F20)
(MRLA 153B)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF12) (LRR T, U)
Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation
and
wetland hydrology must be present,
unless disturbed or problematic.
_ Sandy Redox (S6) _ Piedmont Floodplain Soils (MRLA 149A)
_ Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (1720) (MRLA 149A, 153C, 153D)
Dark Surface S7 LRR P S T U
Restrictive Layer (if observed):
Type:
Depth (Inches): Hydric Soils Present? Yes _ No x
Remarks:
soils do not appear to be hydric.
_ Histosol (Al)
_ Polyvalue Below Surface (S8)(LRR S,
_ Histic Epipedon (A2)
_ Thin Dark Surface (S9) (LRR S, T, U)
_ Black Histic (A3)
_ Loamy Mucky Surface (171) (LRR O)
_ Hydrogen Sulfide (A4)
— Loamy Gleyed Matrix (F2)
_ Stratified Layers (A5)
_ Depleted Matrix (F3)
_ Organic Bodies (A6)(LRR P, T, U)
_ Redox Dark Surface (F6)
_ 5 cm Mucky Mineral (A7)(LRR P, T,
_ Depleted Dark Surface (177)
_ Muck Presence (A8)(LRR P, T)
_ Redox Depressions (F8)
_ 1 cm Mucky Mineral (A7)(LRR P, T,
_ Marl (F10) (LRR U)
_ Depleted Below Dark Surface (A11)
_ Depleted Ochric (F11) (MRLA 151)
_ Thick Dark Surface (Al2)
_ Iron -Manganese Masses (1712)(LRR
_ Coast Prairie Redox (A16)(MLRA
_ Unbric Surface (F13( (LRR P, T, U)
_ Sandy Mucky Mineral (S1)(LRR O,S)
_ Delta Ochric (F17) (MRLA 151)
_ Sandy Gleyed Matrix (S4)
_ Reduce Vertic (F18) (MRLA 150A, 150B)
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)(outside MLRA 150A, B)
Piedmont Floodplain Soils (F19)
Anomalous Bright Loamy Soils (F20)
(MRLA 153B)
Red Parent Material (TF2)
Very Shallow Dark Surface (TF12) (LRR T, U)
Other (Explain in Remarks)
3 Indicators of hydrophytic vegetation
and
wetland hydrology must be present,
unless disturbed or problematic.
_ Sandy Redox (S6) _ Piedmont Floodplain Soils (MRLA 149A)
_ Stripped Matrix (S6) _ Anomalous Bright Loamy Soils (1720) (MRLA 149A, 153C, 153D)
Dark Surface S7 LRR P S T U
Restrictive Layer (if observed):
Type:
Depth (Inches): Hydric Soils Present? Yes _ No x
Remarks:
soils do not appear to be hydric.