20070030 Ver 1_Application_20070105

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STATE OF NORTH CAROLINA ~~zaH°Ekk. p `~~0
DEPARTMENT OF TRANSPORTATIONSA"0 T~~~~'QU ~~
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MICHAEL F. EASLEY W. LYNI~,~'ETT
GOVERNOR SECRETARYy
January 3, 2007
U.S. Army Corps of Engineers
Wilmington Regulatory Field Office
P.O. Box 1890
Wilmington, North Carolina 28402-1890 O ~ ®® ~
ATTN: Mr. Richard Spencer
NCDOT Coordinator
Dear Sir:
Subject: Notification for Nationwide Permit 14 (Minor Road Crossing)
NCDENR 401 WQC 3404
Culvert Replacement: SR-1927 Columbus County
State Project Number: 6C.024068
The North Carolina Department of Transportation (NCDOT) has scheduled to grade, drain, base
and pave SR-1927 (Snake Island Rd.), in Columbus County. Total project length is 0.85 miles.
The roadway will be widened from 16 feet to 20 feet and stabilized grass shoulders (6 foot) will
be provided. This project will require placement of fill material as shown below:
Stream Crossin Roadwa Station Existin Culvert Pro osed Culvert

Crossing #1 Sta. 11+25 32 LF 15" RCP 52 LF 30" RCP

New Stream Impacts = 201inear feet
Wetland Crossin Roadwa Station Wetland Im act

Wetland #1 Sta. 18+85--22+85 0.15 Ac.

Total Wetland Impacts =0.15 Ac.
P. O. Box 11 ~0, Fayetteville, NC 28302-1150 -Telephone [phone]- FaX [phone]

MICHAEL F. EASLEY.
GOVERNOR
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STATE OF NORTH CAROLINA
DEPARTMENT OF TYZANSPORTATION
JANUARY 3, 2007
NCDENR Division of Water Quality
John Hennessy
2321 Crabtree Blvd.
Suite 250
Raleigh, NC 27604-2260
RE: Minor Road Crossings / SR 1927 /Columbus County
State Project # bC.024068
USACOE NWP#14 / NCDENR WQC 3404
Dear Mr. Hennessy:
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Enclosed, please find seven (7) copies of a PCN and related documentation for a 1Vfinor Road
Crossing along SR 1927 in Columbus County. The project will be completed in compliance with
NCDENR Division of Water Quality General Certification 3404, and, USACE Nationwide Permit
#14.
This project is being submitted under the 401 Automated Payment Procedure. The State
Project Number is 6C.024068 and, the permit fee is 2$ 00.00•
A separate copy of this submission has been forwarded to Ken Averitte of the Fayetteville
Regional Office.
If you should have any questions or comments regarding this notification, please feel free to
contact me.
Sincerel
n~~
es J. Rerko, PWS
ivision 6 Environmental Officer
P. O. Box 1150, Fayetteville, NC 28302-1150 -Telephone [phone] -Fax [phone]

Construction of this project will require impacts to waters of the United States in the Lumber
River Basin. This project is located in the 03040206 Hydrologic Unit; subbasin 03-07-58.
SR-1927 was improved to paved road status several years ago. The pavement extends 1.21 miles
from NC 130 to the end of this project. The primary land use in this area is forestry with minor
rural residential. A borrow pit is located along Sta. 15+00 outside of the NCDOT Right-of--Way.
Stream Crossing #1 is located at Sta. 11+25. Currently, there is a 32 LF 15" RCP that conveys
the UT to White Marsh Swamp. The contributing drainage area is comprised of forested and
agricultural fields. The UT is an excavated ditch that has intermittent flow. The existing culvert
will be removed and a 52 LF 30" RCP will be installed. Although this channel experiences
intermittent flow, the culvert will be buried 6 inches to provide passage for aquatic life
movement.
Wetland Crossing #1 will impact 6509 ft2 or 0.15 acres in size and must be filled between Sta.
18+85 to 22+85. This area is located along the right side of the project within the powerline
easement. Right of way maintenace equipment has created significant ruts along this section. Red
maple, gallberry, and wax myrtle dominated the wetlands with giant cane appearing along the
edges. Leon soils (Hydric) were verified along with wetland hydrology.
RESOURCE STATUS
This project will impact a total of 0.15 acres of non-riverine wetlands. In general, there will be
minor impacts proposed as a result of the replacement of culverts along SR-1927 in Columbus
County. Approximately 0.15 Ac. of wetland impacts are expected, along with 20 LF of stream
impacts. A Nationwide Permit #14 / NCDENR 401 WQC 3404 is required for the project.
Endangered Species: Plants and animals with Federal classification of Endangered (E) or
Threatened (T) are protected under provisions of Section 7 and Section 9 of the Endangered
Species Act of 1973, as amended. As of January 29, 2004, the U.S. Fish and Wildlife Service
lists five federally protected species for Columbus County.
Federally Protected Species fcr (^:nlnmhnc (~rnmty
SCIENTIFIC NAME COMMON NAME STATUS
Acipenser brevirostrun~ Shortnose Sturgeon E
Picoides borealis Red-cockaded woodpecker E
Menidia extensa Waccamaw Silverside T
Thalictru~n cooleyi Cooley 's nteadowrzre E'
Lysimachia
asperulaefolia Rough-leaved
loosestrife E
"E" denotes endangered (a species that is in danger of extinction throughout
all or a significant portion of its range).
T(S/A)- Threatened due to similarity of appearance, a species that is threatened
Due to similarity of appearance with other rare species and is listed for its

Protection. These species are not biologically endangered or threatened and
Are not subject to Section 7 consultation.
A biological conclusion of "No Effect" was reached for all species during the November 8, 2006
survey for protected species. Protected species were not identified, nor, was the general habitat
for each species identified.
REGULATORY APPROVALS
Application is hereby made for a Department of the Army Nationwide Permit 14 / NCDENR 401
WQC 3404 as required by the above-described activities.
The National Register was reviewed in addition to conducting a field view of the project for
significant historic features.
The project impacts are minor in nature and should not remove or degrade existing water quality
uses. Pipe sizes proposed should address most flooding concerns, but they will not eliminate the
potential to flood.
Attached is a Preconstruction Notification Form, plan sheets, marked county road map, quad
location map and photographs.
If you should have any questions, or, need additional information please contact James J. Rerko,
PWS at [phone].
incerely,
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James .Rerko, PWS
Division 6 Environmental Officer
ATTACHMENTS
Cc: John Hennessy, Division of Water Quality (7 copies)
Ken Averitte, Division of Water Quality (1 copy)
Terry Gibson, P.E., Division Engineer
H. L. "Drew" Cox , P.E., District Engineer
Freddie Edwards, County Maintenance Engineer

Office Use Only: Form Version May 2002
USAGE Action ID No. DWQ No.
(lt any particular item is not applicable to this project, please enter "Not Applicable" or "N/A".)
I. Processing
1. Check all of the approval(s) requested for this project:
® Section 404 Permit ^ Riparian or Watershed Buffer Rules
^ Section 10 Permit ^ Isolated Wetland Permit from DWQ
® 401 Water Quality Certification
2. Nationwide, Regional or General Permit Number(s) Requested: NWP #14
3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: ^
4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: ^
5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concern (see the top of page 2 for further details), check here: ^
II. Applicant Information
1. Owner/Applicant Information
Name: Terry R. Gibson, P.E. /NCDOT/Div 6/Division Engineer
Mailing Address: P.O. Box 1150
Fayetteville, NC 28302
Telephone Number: 910-486-1493 Fax Number: 910-486-1959
E-mail Address: _ t~ibsonna,dot.state.nc.us
2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: James J. Rerko. PWS
Company Affiliation: NCDOT/Div 6/Division Environmental Officer
Mailing Address: Same
Telephone Number: 910-437-0208 Fax Number: 910-486-1959
E-mail Address: jjrerko(a,dot.state.nc.us
III. Project Information
Attach a vicinity map clearly showing the location of the property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
Page 5 of 12

and site plan must include a scale and north arrow. The specific footprints of all buildings,
impervious surfaces, or other facilities must be included. If possible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be included at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires information to be submitted on sheets no larger than 11 by 17-inch format;
however, DWQ may accept paperwork of any size. DWQ prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, the applicant will be informed that
the project has been placed on hold until decipherable maps are provided.
1. Name of project: SR-1927 (Snake Island Rd.
2. T.I.P. Project Number or State Project Number (NCDOT Only): 6C.024068
3. Property Identification Number (Tax PIN):
4. Location
County: Columbus Nearest Town: Old Dock
Subdivision name (include phase/lot number):
Directions to site (include road numbers, landmarks, etc.): Hwy. 130 south to towards
Brunswick county. Travel 11.5 +/- miles south of Whiteville, turn left on to SR-1927.
5. Site coordinates, if available (UTM or Lat/Long): Crossing #1(78.606405--34.1992755)
Wetland #1 (78.602080--34.197126)
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)
6. Property size (acres)
6.198 Acres
7. Nearest body of water (stream/river/sound/ocean/lake): White Marsh (C; Sw )
8. River Basin: Lumber River seventeen designated major river basins. The River Basin map
is available at http://h2o.enr.state.nc.us/admin/maps/.)
9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: Existing 20 foot dirt road with maintenance limits 60
foot in width. Surrounding land use is agriculture/forested.
10. Describe the overall project in detail, including the type of equipment to be used. In
brinain~ SR-1927 (Snake Island Rd.) up to current safety standards, i.e. 20 foot paving
w /6 foot stabilized shoulders and 3:1 side slopes within a 60 foot right-of--way, NCDOT
must impact upon 0.15 acres of wetlands. The existing culvert. are severely deteriorated
with ioint failures and must be replaced. Impacts were minimized as much as possible;
3:1 side slopes are required due to the sandy material found in the area and the
Page 6 of 12

inability to stabilize such material. The culvert; will be replaced utilizing atrack-hoe
excavator. While front end loaders will place material. Eventually, a motor grader will
finish grade the project prior to paving.
1 l . Explain the purpose of the proposed work: By Statue, NCDOT is required to pave all
unpaved Secondary Roads. To ensure that the roadway meets current safety standards,
the road will be paved to a width of 20 feet, 6 foot grass shoulders will be installed on
each side and 3:1 side slopes will be provided within the 60 foot right-of way.
IV. Prior Project History
If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the USACE Action ID Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
None
V. Future Project Plans
Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
None
VI. Proposed Impacts to Waters of the United States/Waters of the State
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intermittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.
1. Provide a written description of the proposed impacts: Remove and replace existing
culverts along SR-1927 (Snake Island Rd.), which is necessary to provide the minimum
current safety standards.
Page 7 of 12

2. Individually list wetland impacts below:
Wetland Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres) Located within
100-year Floodplain**
(yes/no) Distance to
Nearest Stream
(linear feet)
Type of Wetland***
Wetland #1 Fill O.15Ac No 0 LF PFO1/4A

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc. For dams, separately list impacts due to both structure and flooding.
** 100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps. Maps are available through the FEMA Map Service Center at 1-800-3~8-9616, or
online at http:/hvww.fema.eov.
*** List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltwater marsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by USACE only).
List the total acreage (estimated) of all existing wetlands on the property: 0.15 acre
Total area of wetland impact proposed: 0.15 acre
3. Individually list all intermittent and perennial stream impacts below:
Stream Impact
Site Number
(indicate on ma)
Type of Impact* Length of
Impact
(linear feet)
Stream Name** Average Width
of Stream
Before Im act Perennial or
Intermittent?
(leases eci )
Crossing #1 Culvert 20 LF UT to White Marsh 3' Intermittent

* List each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and afrer, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gabions, etc.), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated streams must be included.
"* Stream names can be found on USGS topographic maps. If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-3~8-9616, or online at
www.uses.gov. Several Internet sites also allow direct download and printing of USGS maps (e.g., www.topozone.com,
wvvw.map~c uest.com, etc.).
Cumulative impacts (linear distance in feet) to all streams on site: 20 LF
Page 8 of 12

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration /Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
XI. Stormwater (required by DWQ)
Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
Erosion and Sedimentation Control Plan shall be incorporated into the Construction Plans
XII. Sewage Disposal (required by DWQ}
Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available capacity of the subject facility.
N/A
XIII. Violations (required by DWQ)
Is this site in violation of DWQ Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes ^ No
Is this an after-the-fact permit application?
Yes ^ No
XIV. Other Circumstances (Optional):
It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates associated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).
None
ApplicantlAgent's Signature date
(Agent's signature is valid only if an authorization letter from the applicant is provided.)
Page 8 of 8

4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water of the U.S.) below:
Open Water Impact
Site Number
(indicate on map)
Type of Impact* Area of
Impact
(acres)
Name of Waterbody
(if applicable) Type of Waterbody
(Lake, pond, estuary, sound,
bays, ocean, etc.)
N/A

List each impact separately antl ~tlenrity temporary impacts. Impacts include, but are not limited to: till, excavation, dredging,
flooding, drainage, bulkheads, etc.
5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that applies): ^ uplands ^ stream ^ wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N/A
Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.):
Size of watershed draining to pond: Expected pond surface area:
VII. Impact Justification (Avoidance and Minimization)
Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
The existing culvert is severely deteriorated and must be replaced..
VIII. Mitigation
DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.
USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Permits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
Page 9 of 12

including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as streams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed.
If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for USACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
http://h2o.enr.state.nc.us/ncwetlands/strm~ide.html.
1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to: site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the current site conditions and proposed method of construction. Please attach
a separate sheet if more space is needed.
Mitigation will be provided by EEP via quarterly report (0.15 Ac. Non-Riverine
Wetland .
2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the.
NCWRP, check the NCWRP website at http://h2o.enr.state.nc.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:
Amount of stream mitigation requested (linear feet): 0.0 Lf.
Amount of buffer mitigation requested (square feet): 0.0 FtZ
Amount of Riparian wetland mitigation requested (acres): 0.0 ac.
Amount ofNon-riparian wetland mitigation requested (acres): 0.0 ac.
Amount of Coastal wetland mitigation requested (acres): 0.0 ac.
IX. Environmental Documentation (required by DWQ)
Page 10 of 12

Yes ® No ^
If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEPA/SEPA)?
Note: If you are not sure whether a NEPA/SEPA document is required, call the SEPA
coordinator at [phone] to review current thresholds for environmental documentation.
Yes ^ No
If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEPA or SEPA final approval letter.
Yes ^ No ^
X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)
It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be included at the
applicant's discretion.
Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Meuse), 15A NCAC 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply Buffer Requirements), or other (please identify )?
Yes ^ No ® If you answered "yes", provide the following information:
Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.
*
Zone Impact
(square feet)
Multiplier Required
Mitigation
1 3
2 1.5
Total
'^ Gone 1 extends out .SU ieet perpentl~cular trom near bank oY channel; Gone 2 extends an
additional 20 feet from the edge of Zone I.
If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration /Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.
Page 11 of 12

COLUMBUS COUNTY, N.C.
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NOTE: APPROX. 1125' NW FROM 15" RCP TO CL OF S.R. 1001
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Hinson 799/306
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PLAN VIEW OF
EXISTING PIPE
COLUMBUS COUNTY9 NoCo
SoR 1927
11/13/06
SCALE - I" = 60'

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Hinson 799/306
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PLAN VIEW OF
PROPOSED CONSTRUCTION
COLUMBUS COUNTY9 NoCo
SoR 1927
11/13/06
SCALE - i" = 60'

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STATION 18+85
BEGIN WETLANDS
/ 60, Walter Ho Powell Sro Heirs
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ENVIRONMENTAL WETLANDS \ ~
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Walter He Powell Sre Heirs
STATION 22+85
END WETLANDS
PLAN VIEW OF
WETLAND DELINEATION
COLUMBUS COUNTY9 NoCo
SoR 1927
11/13/06
NOT TO SCALE
pan view of wetland delmeatfon[1].dgn 12/14/2006 07:32:05 AM

DATA FORM
ROUTINE WETLAND DETERMINATION
(1987 COE Wetlands Determination Manual) Up~a~
Project /Site: .S~- Iq2~ S~.Er ~sfc.~+a '~d ~ Date: 2 O~
Applicant /Owner: rae ZbT County: Coin w~b~s
Investigator: State: nlc
Do normal circumstances exist on the site? Yes No ~ Community ID:
Is the site significantly disturbed (Atypical situation)? Yes /No Transect ID:
Is the area a potential problem area? Yes Nom Plot ID:
(explain on reverse if needed)
VEGETATION
Dominant Plant Saecies Stratum Indicator Dominant Plant Saecies Stratum Indicator
1. ~/e~4uy~ 5 L F~- j 9.
2. ~oi71o I lv ~IN2 s ~+e_ 1~.
3.2 J Ma ~~ S i=acw- 11.
~~ ~aa,X xvrv 5 gPuJ.
4 ~ 12.
_
5. `' 13.
6. 14.
7. 15.
8. ~ 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). /U4°~
Remarks: Wetland Vegetation Present Based Upon G reater than 50% of the Plant Species are/are not
Classified asFAC-OBL in the National List of Plant Species that Occur in Wetlands. Sample plot was taken-..

HYDROLOGY
Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
_ Stream, Lake, or Tide Gauge
_ Aeriat Photographs Primary Indicators:
_ Other _ Inundated
/
/ No Recorded Data Available -Saturated in Upper 12"
_ Water Marks
~,4 Drift Lines
Field Observations: _ Sediment Deposits
_ Drainage Patterns in Wetlands
Depth of Surface Water: N A (in.) Secondary Indicators:

Depth to Free Water in Pit: N ~ (in.) Oxidized Roots Channels in Upper 12"
Water-Stained Leaves
Local Soil Survey Data
.I
A
Depth to Saturated Soil: ~ ~ • (in.) _
N
~ _FAC-Neutral Test
_ Other (Explain in Remarks)
Remarks: ,.,,; , ~. ~ ;,

SOILS
Map Unit Name ~
(Series and Phase): ~-.~,--,~ {{ ;
Drainage Class: ~~. ~~, dt~cc~~.., ~.E
Taxonomy (Subgroup): ~e~~~~c =1F~ :^ r~c~ ;~~~~?r. , pis Confirm Mapped Type? Yes_ No
` ~~
Profile Description:
Depth Matrix Colors Mottle Colors Mottle Texture, Concretions,
finches) Horizon (Munsell Moist) (Munsell Moistl Abundance/Contrast Structure. etc.
~.. ~~ ~ ~l

Hydric Soil Indicators:
_ Histosol _ Concretions
_ Histic Epipedon _ High Organic Content in Surface Layer in Sandy Soils
_ Sulfidic Odor Organic Streaking in Sandy Soils;
Aquic Moisture Regime Listed On Local Hydric.Soils List'
_ Reducing Conditions Listed on National Hydric Soils List
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks: ,~ < ~ ~~ ~ '~ ~: ~h. i"

WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes / No Is the Sampling Point
Wetland Hydrology Present? Yes No ~ Within a Wetland? Yes_ No ~
Hydric Soils Present? Yes No /~
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corps of Engineers Wetlands Delineation Manual.
lQ~

DATA FORM
ROUTINE WETLAND DETERMINATION •
(1987 COE Wetlands Determination Manual) ~~~'~
Project /Site: S~ ' 192'1 SNa-~e t~ • Date: 1220 ~v ~
Applicant /Owner: I •IC 'fin a -DEW ~ lD County: „/~,,.,b~s
Investigator State: n/G
Do normal circumstances exist on the site? Yes No / Community fD:
Is the site significantly disturbed (Atypical situation)? Yes~_ No Transect ID:
Is the area a potential problem area? Yes No / Plot ID:
(explain on reverse if needed)
VFhFT~TIC)N
Dominant Plant Species Stratum Indicator Dominant Plant Species Stratum Indicator
1. CnEet~~m .S ~- 9. ~.o~-ilo 6Av 4~rN~ S ~ t~,G~
2. -~ Sf~ic ~- 10. tr3i4~k. ~,:Ifo~ S '~~~
3. LoG, lot\v 'En1C ~_ Fi4G 11.

5. ~A-~"f3 ~a~, 5 ~r~ c ~~ ~" 13.
6. ~I ~ ~ I~,r 5 1'tactJ 14.
7. ~k Muy~'1C-
5, ~Ac~
15.
8. G:on~- `' ~~e - i ~9u~1 16.
Percent of Dominant Species that are OBL, FACW, or FAC excluding FAC-). /•~1`,?~~
Remarks: Wetland Vegetation Present Based Upon Greater than 50% of the Plant Species are/are not
Classified as FAC-OBL in the f Plant Species that Occur in Wetlands. Sample plot was taken...
National List o
,~Lt~7~_`t.tr'./l~i-t+J~~J ~:l.~i;. r
.%e-~, ~'1~~~~(~n~-d ;f~.•r'e1.. ,
HYDROLOGY
- Recorded Data (Describe In Remarks): Wetland Hydrology Indicators
Stream, Lake, or Tide Gauge
_
Aerial Photographs Primary Indicators:
-
Other
- Inundated
Saturated in Upper 12"
/'
V No Recorded Data Available
- -Water Marks
Drift Lines
Field Observations: _ Sediment Deposits
/Drainage Patterns in Wetlands
Depth of Surface Water: N A. (in.) Secondary Indicators:
Oxidized Roots Channels in Upper 12"
Depth to Free Water in Pit: ~ (in.) Water-Stained Leaves
- Local Soil Survey Data
Depth to Saturated Soil: D (in.) FAC-Neutral Test
Other (Explain in Remarks)
Remarks: ~rG ~a.pL ~i,m ~.#1-~~u q~r~~. ~.~~ ~,; ~~~,R, 1;r,1~ ~~,.t^~cc.~ ~~..~~V"
E.b„~ ~wkwt..k r1 ~'l A'P.~F 11 ~~e

SOILS
Map Unit Name
(Series and Phase): ~~'c~~ Drainage Class: ~%~~% ~/ ,~-%~, ~:
Taxonomy (Subgroup): ~~~:~: rn~~C'. ;~e•r 1C ~-f a~~~7,~~„~SConfirm Mapped Type? Yes
No
_
Profile Description:
Depth Matrix Colors
inches Horizon fMunsell Moistl Mottle Colors Mottle Texture, Concretions,
(Munsell Moist) Abundance/Contrast Structure, etc
.
((
. ~ i.....~.
J t
~ ~ ,. ~~ ~!
<<, ,I~, ~..~~
Hydric Soil Indicators:
_ Histosol Concretions
_ Histic Epipedon ~gh Organic Content in Surface Layer in Sandy Soils
- Sulfidic Odor Organic Streaking in Sandy Soils
- Aquic Moisture Regime /Listed On Local Hydric Soils List
Reducing Conditions Llsted on National Hydric Soils List
_ Gleyed or Low-Chroma Colors _ Other (Explain in Remarks)
Remarks: S~ al>vr ~~~ ~.~ w~ ~ 6~ic~t~ ~~a~~u~ c u,a.{:4v,
WETLAND DETERMINATION
Hydrophytic Vegetation Present? Yes ~ No Is the Sampling Point
Wetland Hydrology Present? Yes ~ )`lo Within a Wetland? Yes ~''rNo
Hydric Soils Present? Yes ~No
Remarks: Location (describe) is/is not classified as a wetland based upon the criteria set forth in the 1987
Army Corpps of Engineers Wentl~lands Delineation Manual.
AY(4 ~ if^^oIl S~y.~~c~ ~-YY ..~SVs trrr ~ty4 K~ a,• ce/G~~C.wt~,