20181337 Ver 1_JD_10/3/2018 4:09 PM

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Rossborn Lane and Waynor Road
City, State: Carthage, NC
County: Moore
Directions:
Parcel Index Number(s) (PIN): 857404800800, 857404712368, 857404719666
857404819125,857404708356
B. REQUESTOR INFORMATION
Name: Mike Eaker, Southeastern Soil & Environmental Assoc., Inc.
Mailing Address: PO Box 9321, Fayetteville, NC 28311
Telephone Number: 910-822-4540
Electronic Mail Addressl: [e-mail]
Select one:
❑ I am the current property owner.
❑✓ I am an Authorized Agent or Environmental Consultant
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION
Name:
Mailing Address:
See attached list
Telephone Number:
Electronic Mail Address3:
Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
1 If available
Z Must attach completed Agent Authorization Form
3 If available
Version: December 2013 Page 3

jurisdictional Deter, lination Request
1. the undersitgreed- a duly authorized owner
do zothuri-re represumatives of die- Wilminj
to utter lap -n the .proper het -tin described
said iswing a detenninataan associated with
un&r Section 404 of the Clean Water Act a
1999.
Jirrmie Ross
Property OiAmer (please print)
Property Owner Signature
ON
record of the pertylpropetties identified hexei.rx.
i Disfiict. U.S- Army Corps ofEnpzineer-3 (CDrps)
tht purpusc of conducting on-site lnvestigaums
titers c f tlio U. S. subi eet to Federal j urisd iction
for S orlon 10 of toe River, and Harbors Act of
E. JURISDICTIONAL DETERMINATION TYPY,
Seiee€ One -
Date
W1I art} requesting that the Corps pro --id ! a WD Ji�minaty JD f'nr [lie property idrn ifed herein.
This zequist does include a. delineatio -
I ain requestingthat the Corps pyovid.e a pretint• _ imiry JD for the propei-N i��ixtifled hezein_
'This request does NOT include a del irwation.
I ana requesting that the Corps investf to the property/project area for the prcmer<-0, or
absence of WoUS and pro -vide ars a oved JD for the property identified herein- This
rcquest does ?NOT include a request fo a vim:fed delineation.
E] 1 am rcquisting that the Corps dalneatthe boundaries of all WoUS on a property/proiect
area and provide an a rove this ay or may ric�t include a survey plat.
1 nm requesting that the Corps n,-aluate and approve a de -lineation of WGUS (conducted
by adrers) on a propertyfprgject area Md pTov ide an approved _IQ {rnay {nayar may -nc)t
include a survey plat).
s For NCDOT requests fefIowing the current NCDOTJU CE Rrotocols, skip to Part E_
5 Waters of tKgn United StzAms
Versiuri= December 2.013 4 e

juari dictional Determination Bequest
D. PROPERTY OWNER CERTIFICATION'
ATION'
1, the undersigned. a drily author-1yed owner of rec ord of the property/properties ideriti ied herein,
do autltorize mpresentatives of the Wilmington District. U.S. Arm} Corps of Engineers (Corps)
to enter upon the property herein described fOr the purpow of conducting 01 -1 -she investigations
and issuing a determination assuciated witli Waters of the U.S. sLibive;t to Federal iurisdialon
under Section 404 of the Clean Water Act and/or Section 10 of the Divers ar i Harbors Act of
11199,
P J3Ir
P
E. JURISDICTIONAL DETERMINATION TYPE"
Select Dile.
T-- +-1�
Date
I ant requesting that the Corps provide a pp--li-mingJD for the property identified herein.
This request does include a delineation,
I am requesting that llic Corps provide a preliminary JD for [lie properly identified herein.
This request does NOT include a delineatiw-
1 am requesting that the Carps investigate the prop ertylpreject arca for the presence or
absence cif Wol J S `rind provide ark approved JD for the property identified herein. 'flus
request does NOT include a request for a verified delincalion.
1 ain requesting that the Corps delineate the boundaries of all WoUS on a prop ertylproject
area anti provide an aVuroved J1) (this may or may not inc Iude a survey plat).
F1I aryl requesting that the Corps eN-aluate aii-d approve a delnletLU011 of WOUS (col dud -ted
by others) on a property project area and provido an approved ,1 D (may or may not
include a survey plat).
A Fpr MCI)OT req ue5ts foliowing tfie carrent NCDOTfUSACE protocols, skip to Pari E.
5 Waters of the United States
Version: December 2013 Page 4

()omSgrr Envelope ID: 511135E�Ai95D
uri dfctjonal De�erminafion.
D. PROPERTY OWNER CE 'TIVI
I, the uodor-31gried- a dLily aulhoriZed 01-�IICT of
do auihorixk rcpres(vatives of the Wi:lmin to:
to emer upon the pro fry lieoein described fo:
alid ilst€i;ni~ a deten-n nation associatcd �k-,nth '
Under Svc tion 404 car the Clean Water Act and
1999.
Adriane C. Dehghan _
Property (viper (PIeast print)
I'r�tpar�t�r ._�lr�
E. ,juRISI)ICTIONAL DE'I'),f#MINA
Select One:
I am requeslilig that the Corps prox
Ibis request rocs Incl.ndc a didinca
❑ i aro requesting that the Corps Prov
'Phis request coo c -,s NO F include a d4
❑ I aria Tequesting ihat the Corps investi
absence of Wo t IS 5 acrd pro -vi do an qp
ION'
gest
record of'the propeTr v+properties Atntified herelM
z District, U.S. Army Corps of Engineers �C'orps)
the purpose ofconducting an -site investi ltiortS
aws cif die U. S. subject to Federal jurisd-1cti-0a1
-'or Section ] 0 of the Rig ers and I larbor� Act of
Dote
TY ISE
2/9/2017
a r�-mf��ry Jr> t'[�t: thL praaprrt�- x�3�ti.fi�. l��re.3r�,
a M-1irninar M f~or the property identified herein -
the pmperjy.'pt'oject area for The presence or
L-4_JD fo-r the property idenrif -ted h reia- This
request does ANUTincla& a reqkicst fq a -verified &Tineariorr-
Y am requesting iha[ the Corps deIineaie the boundaries of all WoUS on a pmp-crx] /prq]al
aria and pro)-ide an approves] JD (this L132Y o.t may DOI I11clUde a s11rvey plat).
1 � requestIn2 that the Corps e va 1wil 1, and approve a delineation of'4 OUS fcoraciuLted
by otliersI on a propw.*/project ama and provide ars appro- ed JD May car way not
mcEudr -. qurve} plat),
for NCI)OT requests following the current NCWTY L11 ACE pmtoc ulSL, Skip t4 Part r.
Waters Df the United States
Version= December 2013 Page 4

F.
❑✓
Jurisdictional Determination Request
ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
❑✓ Size of Property or Project Area 93.5
F, I
G.
acres
I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
❑✓ Completed and signed Preliminary Jurisdictional Determination Form6.
❑✓ Project Coordinates: 35.236485
Latitude -79.408402
Maps (no larger than 11x17) with Project Boundary Overlay:
Longitude
7 Large and small scale maps that depict, at minimum: streets, intersections, towns
❑✓ Aerial Photography of the project area
a USGS Topographic Map
❑✓ Soil Survey Map
F, Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
6 See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
Version: December 2013 Page 5

Jurisdictional Determination Request
Delineation Information (when applicable):
Wetlands:
7 Wetland Data Sheets
Tributaries:
❑ USACE Assessment Forms
❑✓ Upland Data Sheets ❑ Other Assessment Forms
(when appropriate)
❑ Landscape Photos, if taken
W-1 Field Sketch overlain on legible Map that includes:
■ All aquatic resources (for sites with multiple resources, label and identify)
■ Locations of wetland data points and/or tributary assessment reaches
■ Locations of photo stations
■ Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Latitude
Longitude
Maps (no larger than 11x17) with Project Boundary Overlay:
❑ Large and small scale maps that depict, at minimum: streets, intersections, towns
❑ Aerial Photography of the project area
❑ USGS Topographic Map
❑ Soil Survey Map
❑ Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site Plan,
previous delineation maps)
1987 Manual Regional Supplements and Data forms can be found at:
http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits/reg supp.aspx
Wetland and Stream Assessment Methodologies can be found at:
http://portal.ncdenr.org/c/document library/get file?uuid=76f3c58b-dab8-4960-ba43-45b7faf06f4c&groupld=38364 and,
http://www.saw.usace.army.mil/Portals/59/docs/regulatory/publicnotices/2013/NCSAM Draft User Manual 130318.pdf
6 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
Version: December 2013 Page 6

Southeastern Soil & Environmental Associates, Inc.
P,O. Box 9321
Fayetleville, NC 28311
Plione/Fax [phone]
Email mike 0southeasternsoil.coln
AGENT AUTHORIZATION FORM
US Army Corps of Engineers
Wilmington Regulatory Field Office
69 Darlington Avenue
Wilmington, NC 28403
To wham it may concern:
NC Division of Water Quality
Central Office
Mail Service Center 1650
Raleigh, NC 27699
By signing below, the current property owner gives representatives of Southeastern Soil & Environmental
Associates. Incorporated permission to act as their authorized agent for jurisdictional and isolated waters
and riparian buffer determinations, delineation and permitting for the subject project. This authorization
includes permission to enter the site to conduct site meetings with US Army Corps of Engineers and NC
Division of Water Quality personnel, as necessary.
Project Name:
SSEA Project #
Current Property Owner or Easement Holder
Name:
(include comae! person ij"a coq,)orafion, parr'nership or government]
Mailing Address:
Telephone:
Fax:
Date
SOILJSITE EVALUATION + SOIL PHYSICAL ANALYSIS • LAND USE/SUBDIVISION PLANNING • WETLANDS
GROUNDWATER DRAINAGE/MOUNDING • SURFACE/SUBSUHFACE WASTE TREATMENT SYSTEMS, EVALUATION 8 DESIGN

DocuSign Envelope 1D-- 511OC6FB-0760-49914888[1-941%E54195D
'A."utheastern Soil & Eng . e.
r
�'. 8ox 0=32'
Fav>e +isle, NC 25311
phCnelF (910:; 622-4540
TMfT?�It R1iiB�` Otfliii;c5lu�t!�Cli.�if;i
AGENT A
US Army Corps of Engineers
Wihninglon Regulatory Field Office
69 13arlimtou Avenue
Wilmington, NC 28403
To whom it nw):r concern:
By sigBing below, the current property owner give;
Associates, Incorporated permission to act as their
and riparian buffer determinations, delineation and
includes permission to enter the site to conduct sit€
Division of khfater Quality personvei, as necessan•.
Project NaIne:
SSEA Project
Current i'rapert) Owner or Easement Holder
N annex
(inchude Contact Person Ta corporation,
Mailing Address:
Teiephone:
33tr u5ign d 6r
Signa€UI E—F29C4370138C-8484...
2/9/2017
Elate
TION FORM
ANC Division of Water Quality
Central Office
Mail Service Center 1650
Raleiiht IC 27699
representatives of Southeastern Soil & Environmental
itithorized agent for jurisdictional and isolated waters
permitting for the subject pngiect. This authorizatior
nnce in s with LIS Army Corps of Engineers and NC
fi7� �£JYC'ii'FI7i7L'Ri�
Fax:
Adriane C_ Dehghan
Flyint'Name
SOLS` H E'VA UAT CNC a S(III, 3 - i..A•NO U3FzSiJPDIVJS1�D N PLI ANf'.lINC5' - `VVE li.M06
ahs+JNl t' Zs E 1 rXIAIl'NA `N4()' dVDiN ' ; ,4C i - A- T 4 r s t E -Si
s�: -- U :a = Si, hi;_�S.JC�J".F E 4 ,i.*"rTt" "t'Fscr � i�?rwPJ SYS s:zhr€ . F'�h�•lAi_�i!+i tv�.� GN

&%...n #oiler n eon i :, Inc.
a
.. . Box 93"
=u 8t;e sitleINC 20311
s=tione/F. _;arl0" Li -4541-1
Erneal m.:Ike' Gi1rh?$?&i�r375Q1?„1:T[
AGENT A
US Army Carps of Engineer
Wilmington Regulatory Field Office
69 Darlington avenue
W €lmingtont NC 28403
To %0om it rnav concern:
TION FORM
NC Division of Water Quality
Central Office
Mail Service Center 1.650
€taleiei. NC 27699
Ry signing below- the current property owner gives represctztatiFes ofSoatheastern Soil & Environmental
Associates, Incorporated permission to act as their amhorized agent for jurisdictional and isolated waters
and ripat-ian buffer determinations. delineation and permitting for tho sublect prolcct. This authorization
includes permission to enter the site to conduct site mecrings with US Army Corps of Engineers and NC
Division of Ufater Quality personnel_ as necessary.
Project Name:
SSEA Project 4
Current Property (hurter or Easement t iolder
Name:
(incluck Cor dict Pel -son it a cal j]Qraliun.
Mailine Address:
Telephone
Si a
Date
or goverftlhew)
Fax_
Jimmie Ross
Print Name
'0LSF E EVAD-�A T iON ° Snit. PHY81C L ,1NA1.1'l S - LAND tGEiai SDlVi�lE�!�t PLANNING � �tETia �l l�'5
rv'�-+OUNI)VYAit 7 i iid4 lv%ik£�taF.7fh C _ �LMFAGci .iJu��t�'t- CE V'IASiC TRIcATMNE SYSTEMS, E%,A',JATION & 0F IGN

Parcel Data
http: //mo oregi sw eb. moorec ountync. gov/mooreinfo20l 0/Parcel . aspx?PA...
`OJNIy OF /W
COUNTY
Tuesday, April 25, 2017 by Moore County GIS Department
Ownership Data
Location Data
Pin:
857404800800
City Code:
N/A
Parcel Id:
00041610
Fire District:
R
Owner Name:
DEHGHAN, ADRIANE CHANDLER
Watershed:
WS -III -BW
Tax Address:
2901 ISABELLA DRIVE
Class Code:
RA
RALEIGH, NC,27603
Deed/Bk Page:
4500/337
Land Use Type:
R13
Trans Date:
6/5/2015
Zoning:
RR
Sale Amt:
N/A
NBHD#:
725
Accessed Acres:
9.5740
Property Desc.:
PEE DEE ROAD
Cal. Acreage:
9.5740
Assessment Summary/ Rates Per $100 Value
Values
Land Value:
Assessed Value:
Bldg Imp Value:
Parcel Map
$68,750.00
$6,630.00
$3,520.00
Moore County GIS Disclaimer
Al the information contained on this media is prepared for the inventory of real property found within Moore. All data is compiled from recorded deeds, plats, and other public records and
data. Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. information contained
herein was created for the County's internal use. MOORECOUNTY, ITS OFFICIALS, AGENTS AND EMPLOYEES MAKE NO WARRANTY AS TO THE CORRECTNESS OR
ACCURACY OF THE INFORMATION SET FORTH ON THIS MEDIA WHETHER EXPRESS OR IMPLIED, IN FACT OR IN LAW, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE.Any resale of this data is strictly prohibited in accordance with North Carolina General Statutes
132-10. Grid is based on North Carolina State Plane Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:14 AM

Parcel Data
http: //mo oregi sw eb. moorec ountync. gov/mooreinfo20l 0/Parcel . aspx?PA...
`OJNIy OF /W
COUNTY
Tuesday, April 25, 2017 by Moore County GIS Department
Ownership Data
Location Data
Pin:
857404712368
City Code:
N/A
Parcel Id:
00038374
Fire District:
R
Owner Name:
ROSS, J E
Watershed:
WS -III -BW
Tax Address:
701 JOEL RD
Class Code:
FV
CARTHAGE, NC,28327
Deed/Bk Page:
294/74
Land Use Type:
Roo
Trans Date:
1/1/1900
Zoning:
RR
Sale Amt:
N/A
NBHD#:
725
Accessed Acres:
27.0000
Property Desc.:
BLACK LAND
Cal. Acreage:
26.9740
Assessment Summary/ Rates Per $100 Value
Values
Land Value:
Assessed Value:
Bldg Imp Value:
Parcel Map
$165,300.00
$165,300.00
N/A
t
Moore County GIS Disclaimer
Al the information contained on this media is prepared for the inventory of real property found within Moore. All data is compiled from recorded deeds, plats, and other public records and
data. Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. information contained
herein was created for the County's internal use. MOORECOUNTY, ITS OFFICIALS, AGENTS AND EMPLOYEES MAKE NO WARRANTY AS TO THE CORRECTNESS OR
ACCURACY OF THE INFORMATION SET FORTH ON THIS MEDIA WHETHER EXPRESS OR IMPLIED, IN FACT OR IN LAW, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE.Any resale of this data is strictly prohibited in accordance with North Carolina General Statutes
132-10. Grid is based on North Carolina State Plane Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:15 AM

Parcel Data
http: //mo oregi sw eb. moorec ountync. gov/mooreinfo20l 0/Parcel . aspx?PA...
`OJNIy OF /W
COUNTY
Tuesday, April 25, 2017 by Moore County GIS Department
Ownership Data
Location Data
Pin:
857404719666
City Code:
N/A
Parcel Id:
00032317
Fire District:
R
Owner Name:
DEHGHAN, ADRIANE CHANDLER
Watershed:
WS -III -BW
Tax Address:
2901 ISABELLA DRIVE
Class Code:
RV
RALEIGH, NC,27603
Deed/Bk Page:
4500/333
Land Use Type:
Roo
Trans Date:
6/5/2015
Zoning:
RR
Sale Amt:
N/A
NBHD#:
725
Accessed Acres:
6.0910
Property Desc.:
PEE DEE ROAD
Cal. Acreage:
6.0910
Assessment Summary/ Rates Per $100 Value
Values
Land Value:
Assessed Value:
Bldg Imp Value:
Parcel Map
00038374
$48,060.00
$1,980.00
N/A
sss
Moore County GIS Disclaimer
Al the information contained on this media is prepared for the inventory of real property found within Moore. All data is compiled from recorded deeds, plats, and other public records and
data. Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. information contained
herein was created for the County's internal use. MOORECOUNTY, ITS OFFICIALS, AGENTS AND EMPLOYEES MAKE NO WARRANTY AS TO THE CORRECTNESS OR
ACCURACY OF THE INFORMATION SET FORTH ON THIS MEDIA WHETHER EXPRESS OR IMPLIED, IN FACT OR IN LAW, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE.Any resale of this data is strictly prohibited in accordance with North Carolina General Statutes
132-10. Grid is based on North Carolina State Plane Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:16 AM

Parcel Data
http: //mo oregi sw eb. moorec ountync. gov/mooreinfo20l 0/Parcel . aspx?PA...
`OJNIy OF /W
COUNTY
Tuesday, Apr#25, 2017by Moore County GIS Department
Ownership Data
Location Data
Pin:
857404819125
City Code:
N/A
Parcel Id:
00038372
Fire District:
R
Owner Name:
ROSS, J E
Watershed:
WS -III -BW
Tax Address:
701 JOEL RD
Class Code:
FI
CARTHAGE, NC,28327
Deed/Bk Page:
241/222
Land Use Type:
R01
Trans Date:
1/1/1900
Zoning:
RR
Sale Amt:
N/A
NBHD#:
725
Accessed Acres:
21.3200
Property Desc.:
CHANDLER
Cal. Acreage:
21.3210
Assessment Summary/ Rates Per $100 Value
Values
Land Value:
Assessed Value:
Bldg Imp Value:
Parcel Map
1
$178,430.00
$211,550.00
$33,120.00
garN(Dti RE
z
z
0
396
�a
Moore County GIS Disclaimer
Al the information contained on this media is prepared for the inventory of real property found within Moore. All data is compiled from recorded deeds, plats, and other public records and
data. Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. information contained
herein was created for the County's internal use. MOORECOUNTY, ITS OFFICIALS, AGENTS AND EMPLOYEES MAKE NO WARRANTY AS TO THE CORRECTNESS OR
ACCURACY OF THE INFORMATION SET FORTH ON THIS MEDIA WHETHER EXPRESS OR IMPLIED, IN FACT OR IN LAW, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE.Any resale of this data is strictly prohibited in accordance with North Carolina General Statutes
132-10. Grid is based on North Carolina State Plane Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:16 AM

Parcel Data
http: //mo oregi sw eb. moorec ountync. gov/mooreinfo20l 0/Parcel . aspx?PA...
`OJNIy OF /W
COUNTY
Tuesday, April 25, 2017 by Moore County GIS Department
Ownership Data
Location Data
Pin:
857404708356
City Code:
N/A
Parcel Id:
00038373
Fire District:
R
Owner Name:
ROSS, J E
Watershed:
WS -III -BW
Tax Address:
701 JOEL RD
Class Code:
FV
CARTHAGE, NC,28327
Deed/Bk Page:
241/222
Land Use Type:
Roo
Trans Date:
1/1/1900
Zoning:
RR
Sale Amt:
N/A
NBHD#:
725
Accessed Acres:
26.9300
Property Desc.:
CHANDLER LAND
Cal. Acreage:
26.9260
Assessment Summary/ Rates Per $100 Value
Values
Land Value:
Assessed Value:
Bldg Imp Value:
Parcel Map
$164,900.00
$164,900.00
N/A
`n c5 rERrOWN OR
Moore County GIS Disclaimer
Al the information contained on this media is prepared for the inventory of real property found within Moore. All data is compiled from recorded deeds, plats, and other public records and
data. Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. information contained
herein was created for the County's internal use. MOORECOUNTY, ITS OFFICIALS, AGENTS AND EMPLOYEES MAKE NO WARRANTY AS TO THE CORRECTNESS OR
ACCURACY OF THE INFORMATION SET FORTH ON THIS MEDIA WHETHER EXPRESS OR IMPLIED, IN FACT OR IN LAW, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE.Any resale of this data is strictly prohibited in accordance with North Carolina General Statutes
132-10. Grid is based on North Carolina State Plane Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:16 AM

Parcel Data
http: //mo oregi sw eb. moorec ountync. gov/mooreinfo20l 0/Parcel . aspx?PA...
1784
MOORE COUNTY
Tuesday, April 25, 2017by Moore County GIS Department
Ownership Data Location Data
Pin: 857404815642 City Code: SP
Parcel Id: 97000413 Fire District: R
Owner Name: CHAMBERS, TREATER C & HARRY L Watershed: WS -III -BW
Tax Address: 122 FORREST DR Class Code: RI
ABERDEEN, NC,28315
Deed/Bk Page: 99E/38
Land Use Type: R01
Trans Date: 1/1/1999
Zoning: RR
Sale Amt: N/A
NBHD#: 725
Accessed Acres: 2.6200
Property Desc.: CHAVIS LAND LOT 2
Cal. Acreage: 2.5050
Assessment Summary/ Rates Per $100 Value
Values
Land Value:
$36,590.00
Assessed Value:
$36,770.00
Bldg Imp Value:
$180.00
Parcel Map
p 66991662
ODU32261 368 O
CP
97006413 (2.51A)
00032317 +y
5642
D0040331
CD
000383U CO
A
Moore County GIS Disclaimer
Al the information contained on this media is prepared for the inventory of real property found within Moore. All data is compiled from recorded deeds, plats, and other public records and
data. Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. information contained
herein was created for the County's internal use. MOORECOUNTY, ITS OFFICIALS, AGENTS AND EMPLOYEES MAKE NO WARRANTY AS TO THE CORRECTNESS OR
ACCURACY OF THE INFORMATION SET FORTH ON THIS MEDIA WHETHER EXPRESS OR IMPLIED, IN FACT OR IN LAW, INCLUDING WITHOUT LIMITATION THE IMPLIED
WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR USE.Any resale of this data is strictly prohibited in accordance with North Carolina General Statutes
132-10. Grid is based on North Carolina State Plane Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:17 AM

Rossborn Lane Properties
Moore
Site# Parcel ID
PIN
Deed
Book
Deed
Page
Acres Owner's Name
1 00041610
857404800800
4500
337
9.6 DEHGHAN, ADRIANE CHANDLER
2 00038374
857404712368
294
74
27.0 ROSS, J E (C/O JIMMIE ROSS)
3 00032317
857404719666
4500
333
6.1 DEHGHAN, ADRIANE CHANDLER
4 00038372
857404819125
241
222
21.3 ROSS, J E (C/O JIMMIE ROSS)
5 100038373
1857404708356
1241
1222
1 26.9 ROSS, J E (C/O JIMMIE ROSS)
6 197000413
1857404815642
199E
138
1 2.6 CHAMBERS, TREATER C & HARRY L
Mailina Addresses:
ADRIANE CHANDLER DEHGHAN
2901 ISABELLA DR
RALEIGH, NC 27603
J E ROSS
C/O JIMMIE ROSS
701 JOEL RD
CARTHAGE, NC 28327
Total 93.5
TREATER & HARRY CHAMBERS
122 FORREST DR
ABERDEEN, NC 28315
1 : SUO Feet

Vicinity Map
Rossborn Lane Properties, Center Coordinates are 35.236485 and -79.408402
S:ar
Lillin
Olivia
710
Carthage
Cameron
� �
Barbecue
Candor
Anderson
Seven Lakes
Johnsonville
Creek
9D
� Vass
�A
WestEnd t-�
z„
Overhills
73 Pinehurst
(H� a o
Norman
Foxfire Southern Pines
Spring Lake
Fort Bragg
320
Aberdeen
310
Ashley Heights
Ellerbe
sal
24
Fayetteville
Hnfrmon 211
4uvan Dr f
�
Itaihbury CI`
�
i'
�
'bellhwEn 6r I
#
a
a
Moore County
+
Airport
.
1843
-
...,o
FI kl�l pr � �lrrotiuor`4f
-
�
7
ar�4�11Ee
?2
pp,
4
.
y 5andhills
dCommunity
Z.
w
Col Iege
v
�' C1 ivrnkCP
E
kd
�
- w
�
v

ConnectGIS Feature Report
http: //mooregisweb.moorecountync. gov/ComectGIS_v6/DownloadFile. ashx?i=_ags_mapa88dd...
AWIVI�+IE IGl Ml 25, 2017
Printed April 25, 2017
WES HU5TING See Below for Disclaimer
Ad(J re5 5
3 6 County
.,-AYNQR RD 0
_ Streets
} .z —
4
Highways
Lakes and Rivers
s
4
11
`4 5
.rr +
S,Il.. 1:800 Feet
IS DISCLAIMER All the information contained on this media is prepared for the inventory of real property found within Moore County. All data is compiled from recorded deeds, plats, and other public records and data.
Users of this data are hereby notified that the aforementioned public primary information sources should be consulted for verification of the information. All information contained herein was created for the County's internal
use. Moore County, its agents and employees make NO warranty as to the correctness or accuracy of the information set forth on this media whether express or implied, in fact or in law, including without limitation the
mplied warranties of merchantability and fitness for a particular use. Any resale of this data is strictly prohibited in accordance with North Carolina General Statute 132-10. Grid is based on North Carolina State Plan
Coordinate System NAD83 (feet).
1 of 1 4/25/2017 11:32 AM

US
U.S. DEPARTMENT
GEOLOGICAL G AL SURVEYERIOR.
science for a chxnffirng woad
SOUTHERN PINES QUADRANGLE
NORTH CAROLINA-MOORE CO.
7.5 -MINUTE SERIES (2016)
SCALE 1:24 000
1 0.5 0 KILOMETERS 1 2
1008 500 0 .METERS 1DDC FDDB
1 0.5 0 1
MILES
IDDO 6 1000 2060 3000 4000 5000 b606 3606 5000 9008 10000
FEET
CONTOUR INTERVAL 10 FEET
NORTH AMERICAN VERTICAL DATUM OF 1908

MAP LEGEND
Area of Interest (AOI)
Area of Interest (AOI)
Soils
Spoil Area
The soil surveys that comprise your AOI were mapped at
Soil Map Unit Polygons
im 0
Soil Map Unit Lines
0
Soil Map Unit Points
Special
Point Features
Vo
Blowout
Borrow Pit
measurements.
Clay Spot
Wet Spot
Closed Depression
4�,
Gravel Pit
Web Soil Survey URL:
Gravelly Spot
Landfill
•�
Lava Flow
Marsh or swamp
+
Mine or Quarry
Water Features
Miscellaneous Water
Perennial Water
distance and area. A projection that preserves area, such as the
Rock Outcrop
Saline Spot
4
Sandy Spot
Severely Eroded Spot
Sinkhole
Slide or Slip
oa
Sodic Spot
Soil Map—Moore County, North Carolina
MAP INFORMATION
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
UUP Natural Resources Web Soil Survey 4/25/2017
Conservation Service National Cooperative Soil Survey Page 2 of 3
Spoil Area
The soil surveys that comprise your AOI were mapped at
1:24,000.
Stony Spot
Please rely on the bar scale on each map sheet for map
Very Stony Spot
measurements.
Wet Spot
Source of Map: Natural Resources Conservation Service
4�,
Other
Web Soil Survey URL:
Coordinate System: Web Mercator (EPSG:3857)
•�
Special Line Features
Maps from the Web Soil Survey are based on the Web Mercator
Water Features
projection, which preserves direction and shape but distorts
Streams and Canals
distance and area. A projection that preserves area, such as the
Albers equal-area conic projection, should be used if more
Transportation
accurate calculations of distance or area are required.
Rails
This product is generated from the USDA-NRCS certified data as
Interstate Highways
of the version date(s) listed below.
US Routes
Soil Survey Area: Moore County, North Carolina
Major Roads
Survey Area Data: Version 18, Sep 20, 2016
Local Roads
Soil map units are labeled (as space allows) for map scales
1:50,000 or larger.
Background
®
Aerial Photography
Date(s) aerial images were photographed: Feb 11, 2011—Apr 2,
2011
The orthophoto or other base map on which the soil lines were
compiled and digitized probably differs from the background
imagery displayed on these maps. As a result, some minor
shifting of map unit boundaries may be evident.
UUP Natural Resources Web Soil Survey 4/25/2017
Conservation Service National Cooperative Soil Survey Page 2 of 3

Soil Map—Moore County, North Carolina
Map Unit Legend
Moore County, North Carolina (NC125)
Map Unit Symbol
Map Unit Name
Acres in AOI
Percent of AOI
AeB
Ailey loamy sand, 2 to 8
percent slopes
6.1
1.7%
AeD
Ailey loamy sand, 8 to 15
percent slopes
17.9
5.1%
4.6%
Bb
Bibb loam, 0 to 2 percent
slopes, frequently flooded
16.0
CaB
Candor sand, 0 to 4 percent
slopes
114.8
32.7%
CaC
Candor sand, 4 to 12 percent
slopes
43.2
12.3%
VaB
Vaucluse loamy sand, 2 to 8
percent slopes
30.2
8.6%
VaD
Vaucluse loamy sand, 8 to 15
percent slopes
119.5
34.1%
W
Water
3.3
0.9%
Totals for Area of Interest
350.9
100.0%
USDA Natural Resources Web Soil Survey 4/25/2017
Conservation Service National Cooperative Soil Survey Page 3 of 3

�
�
a)
CL
0
a-
(1)
C-
W
�
�
�
0
-0
U)
ch
0
ril
t22
ƒi
5
�
{,
y22
�a
§Mfg
�i\7
#Q
7E
e$$�
!§f k{
rE\%t
/ )(
,2/gym
3
s!a=«
(*]±«
pawa--.m
MIM

-V
ci
SE
O
LL
C
ap ;
a nj +n 4u
C a dA N
A O -W O �
a a w 0
:uulp

��
P�
E
■
easteffiSoff-uronff
P.C. Box 9321
Favetteville, NC 28311
■
W70
T!
-4 o a
n
1!]If
�• O
N Q
o
r!
O �'
p fu(D
n
Z
O
` J
O
CD
Z T
a t0 (D
`°
..'
0 i
ro
��
D 8
z �oU o
o
C
CD
CD
CD
e
--
Q
EVALUATION SOIL PHYSICALANALY515 LAND14-SE/SUBDIVISION
PLANNING
•WETLANDSSOIL3tTE
GROUNDWATER DRAINAGE/MOUNDING • SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION & DESIGN

■
14■
P.O. Box 9321
Fayetteville, NC 28311 E1878750
gone/Fax [phone]
[e-mail]
Additional Wetland Points, Chambers Property
Waynor Road, Moore County, NC
' �a:rxo i . � ,catrca yr crtmss�E ca:aai .
North Carolina 3200
NAD 1983 (Conus) N 0 200.0 4/21/2017
GPSPa#hfinder�Of€ice
' Feet 4Z -Trimble,
fHovr' l f�L��.�r�L of Zo^jl) - - -
- y -� z /-. --
u� %19 NQ / I a-uI S D! GTi dr+ri@-Z
501USITE EVALUATION 6 301L PHYSICAL ANALYSIS • LAND U3E13UBDIV13ION PLANNING • WETLANDS
GROUNDWATER DRAINAGE/MOUNDING - SURFACE/SUBSURFACE WASTE TREATMENT SYSTEMS, EVALUATION & DESIGN

WETLAND DETERMINATION DATA, FORM -Atlantic and Gulf Coastal Plain Region
Project,6ate: _ Cr 5 `j C / P1 [/4i City' Coun
: �0C f Sampling Date: D$ tfa X11,
Applicant/owner:,
State: r. ` Sampling Point:
Investigator(s):-L-2 �
Landform (hillslope, terrace, etc.):g
Subregion (LRR or MLRA);`
Let:
Soil Map Unit Name: _
Are climatic ! hydrologic conditions on the site typical for this time of y
Are Vegetation ❑, Soil © or Hydrology ❑significantil
Are Vegetation E-1 Soil ©, or Hydrology — © naturally pi
SUMMARY OF FINDINGS - Attach site map showinj
F_
Hydrophytic Vegetation Present? Yes /© No
Hydric Soil Present? Yes No
Wetiand Hydrology Present? Yes No ❑
be le
HYDROLOGY
Indicators -
Section, Township, Range;
Local relief (concave, convex, none); a,r, c- c- v Slope
Long; Datum:
NWI classification:
ar? Yes . O�No ❑ (If no, explain in Remarks.)
disturbed? Are "Normal Circumstances" present? Yes C_l No ❑
blematic? (if needed, explain any answers in Remarks.)
sampling point locations, transects, important features, etc
Is the Sampled Area
within a Wetland? Yes i= -I No ❑
1=4 Surface Soil Cracks (66)
Surface Water (Al) © Water -Stained Leaves89
( ) ©Sparsely Vegetated Concave Surface (BS)
2'High Water Tarlo (A2) Aquatic Fauna (B13)
Drainage Patterns (1390)
Saturation (A3) CEJ Marl Deposits (1315) (LRR U) Moss Trim Lines (816)
EWater Marks Deposits
� Hydrogen Sulfide Odor (C9)
Dry -Season Water Table (C2)
Sediment Deposits (82) Oxidized Rhizospheres on Laving Roots (C3) _ Crayfish Surrows'(C8)
Drift Deposits (83) Presence of Reduced IronC4
( ) maturation Visible on Aerial Imagery (C9)
�_ Algal Mat or Crust (84) ecent Iron Reduction in Tilled Soils (06) Geomorphic Position (02)
12yiron Deposits (135) -per Thin Muck Surf ce (C7) Shallow Aquitard (03)
lnundation Visible on Aerial Imagery (87) Cm Other (Explain i Remarks)pp�
LJ FieFAC-Netltrai Test (D5) ld Observations:
Surface Water Present? Yes Q�o ❑ Depth (inches):
Water Table Present? Yes _W
NNo ❑ Depth (inches):
Saturation Present? Yes _ rpt No ❑ Depth (inches):
corded Data (stream gaugo, monitoring woll, aerial
-71
US Army Corp$ of Engineers
Wetland ktydraogy Present? Yes1 tvo ❑
ms), if available:
Atlantic and Gulf Coastal Plain Region - Interim Version
rti%

SOIL
Profile
to document the indicator or confirm
Depth Matrix Redox Features
inches Calor (moist) % Color (moist) % Type Loc
V 11
I
Sampling Point:
Texture Remarks
S C -L
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. ZLocation: PL=Pore Lining, M=Matrix.
H dric Soil Indicators:
OPolyvalue
Indicators for Problematic Hydric Solls3:
Histosol (Al)
Below Surface (S8) (LRR S, T, U)
-OThin
1 cm Muck (A9) (LRR O)
Q Histic Epipedon (A2)
Dark Surface (S9) (LRR S, T, U)
2 cm Muck (All 0) (LRR S)
l__L Black Histic (A3)
DLoamy Mucky Mineral (F1) (LRR 0)
Reduced Veriic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4)
_01-oamy Gleyed Matrix (F2)
{7 Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5)
Depleted Matrix (F3)
_E] Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
Redox Dark Surface (F6)
ODepleted Dark Surface (F7)
(MLRA 1536)
Red Parent Material (TF2)
Muck Presence (A8) (LRR U)
Redox Depressions (F8)
_
Very Shallow Dark Surface (TF12) (LRR T, U)
Muck (A9) (LRR P, T)
Marl (F10) (LRR U)
Other (Explain in Remarks)
✓cm
Depleted Below Dark Surface (All)
Depleted Ochric (F11) (MLRA 151)
'Indicators
Q Thick Dark Surface (Al2)
Iron -Manganese Masses (F12) (LRR A, P, T)
of hydrophytic vegetation and
[I Coast Prairie Redox (Al 6) (MLRA 150A)
Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
Q Sandy Mucky Mineral (S1) (LRR 0, S)
Sandy Cleyed Matrix (S4)
-i�I Delta Ochric (F17) (MLRA 151)
L-tReduced Vertic (1`118) (MLRA 150A, 1508)
unless disturbed or problematic,
Sandy Redox (S5)
Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6)
Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
a Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches)
Hydric Soil Present? Yes 01"No ❑
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants
Sampling Point:/ 47`/
Tree_S_tr_atum (Plot size: )
% Cover Species? Status
Number of Dominant Species
1.
❑
That Are OBL, FACW, or FAC: (A)
2-
❑
❑
Total Number of Dominant
3.
Species Across All Strata: (B)
a.
❑
1
El
Percent of Dominant Species
5 �
That Are OBL, FACW, or FAC: (AIB)
6.
El
Prevalence Index worksheet:
7 ❑
= Total Cover
Total % Cover of: _ Multiply by:
Sapling Stratum (Plot size: )
CBL species x 1 =
1.
❑
FACW species x 2 =
2.
❑
FAC species x 3 =
3.
❑
FACU species x 4 =
4.
❑
UPL species x 5 =
5.
❑
Column Totals: (A) (B)
6.
❑
El
Prevalence Index = BIA=
7
Hydrophytic Vegetation Indicators:
= Total Cover
Shrub Stratum (Plot size; }
— Dominance Testis >50%
9
❑
_ Prevalence Index is 53.01
Problematic Hydrophytic Vegetation' (Explain)
2, ❑
3. ❑
4
❑
'Indicators of hydric soil and wet€and hydrology must
be present, unless disturbed or probiematic.
❑
5
6.
❑
Definitions of Vegetation Strata:
7. ❑
Tree -Woody plants, excluding woody vines,
= Total Cover
approximately 20 ft (6 m) or more in height and 3 in
HerbStratum (Plot size. )
(7.6 cm) or larger in dfamotet at breast height (DBH).
1._7Cy/t�CtC'C�Q `�CiHs"U51�Sit,
�� ❑chf
�
2. a r" a mo Io t
❑
Sapling -Woody plants, excluding woody vines,
ck4p 1% IA -
approximately 20 ft (6 m) or more in height and less
3. �'PU. i.+ t--'�
❑ J�l$G
than 3 in. (7.6 cm) DBH.
4•
Shrub - Woody plants, excluding woody vines,
5. _
❑
approximately 3 to 20 ft (t to 6 m) in height.
6,
❑
❑
Herb -All herbaceous (non -woody) plants, including
7.
herbaceous vines, regardless of size. Includes woody
8
❑
plants, except woody vines, fess than approximately
3 ft inieight.
❑
(1 m)
9.
10
❑
Woody vine - All woody vines, regardless of height-
12.
❑
�= Total Cover
WoodVine Stratum (Plot size: )
1.
2. ❑
3. ❑
4. ❑
❑
Hydrophytic
5
Vegetation
QN. ❑
= Total Cover
Present? Yes
Rernarks: (if observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

WETLAND DETERMINATION DATA FORM - Atlantic and Gulf Coastal Plain Region
Project,�'Fite: City/County: L"g, r ar. 1e Sampling Oato:
AppticantfOwner: state: Sampling Point:-2�- f
investigator(s): A, r. Section, Township, Range:
Landform (hillslope, terrace, etc.): Loral relief (concave, convex, none): Slope
Subregion (LRR or MLRA): r Lat: Long: Datum:
Soil Map knit Name: NWI classification:
Are climatic I hydrologic conditions on the site typical for this time of year? Yes ---gNo ❑ (1f no, explain in Remarks.) r
Are Vegetation ❑, Soil El, or Hydrology 0 significantly disturbed? Are "Normal Circumstances" present? Yes No ❑
Are Vegetation ❑, Soil ❑, or Hydrology 0 naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS - Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ❑ No Is the Sampled Area
Hydric Soil Present? Yes No within a Wetland? Yes ❑ No
Wetland Hydrology Present? Yes _p No
Remarks
Wetland Hydrology indicators:
Secondary Indicators minimum of two required)
Primary Indicators inimum of one is re uired check all that a I
0 Surface Soil Cracks (B6)
Surface Water (Al)
_© Water -Stained Leaves (B9)
© Sparsely Vegetated Concave Surface ($8)
High Water Table (A2)
❑ Aquatic Fauna (B13)
©Drainage Patterns (B10)
❑_ Saturation (A3)
Marl Deposits (615} {LRR U)
Moss Trim Lines (1315)
Water Marks (131)
Hydrogen Sulfide Odor (Cl)
Dry -Season Water Table (C2)
Crayfish Burrows (C8)
Sediment Deposits (132)
Oxidized Rhizospheres on Living Roots (C3)
Drift Deposits (63)
Presence of Reduced Iron (C4)
in Tilled Soils
Saturation Visible on Aerial Imagery (C9)
Geomorphic Position (02)
_ Algal Mat or Crust (134)
Recent Iron Reduction (C8)
Shallow Aquitard (D3)
Iron Deposits (65) Thin Muck Surface (C7)
Inundation Visible on Aerial imagery (87) 1J Other (Explain in Remarks)
FAC -Neutral Test (05)
Field Observations:
r
© No Depth
Surface Water Present? Yes
(inches):
��
Water Table Present? Yes
Saturation Present? Yes
❑ No Depth (inches):
❑ No 1 -t Depth (inches):
Wetland
Flydrgy Present? Yes © No
includes capfllarfflnqe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Above
�d
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - interim version

VEGETATION •- Use scientific names of plants.
sampling Point: 2 o'F 4f
Absolute
Dominant indicator
Dominance Test worksheet:
Tree Stratum (Plot size: ) % Cover
Species? Status
Number of Dominant Species
1
❑
That Are OBL, FACW, or FAC: _ (A)
❑
2
❑
Total Number of Dominant
3
Species Across All Strata: {B)
J
❑
4.
❑
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: (A!B)
El
Index worksheet:
7.
Total %Cover of: MulSiply bV:
Total
= Total Coves
Sapling Stratum (Plot size: )
061- species x 1 =
1
❑
FACW species x 2 =
2
❑
FAC species x 3 =
❑
FACU species x 4 =
3
4
❑
UPL species x 5 =
S
❑
Column Totals: (A) (B)
❑
6,
ElPrevalence
Index = 61A=
7.
Hydrophytic Vegetation Indicators:
= Total Cover
Dominance Testis X50%
Shrub Stratum (Plot size: )
❑
_
_ Prevalence Index is 53.01
1
❑
Problematic Hydrophytic Vegetation' (Explain)
2
❑
3.
[]
'Indicators of hydric soil and wetland hydrology must
4
—
be present, unless disturbed or problematic.
5.
6
❑
Definitions of Vegetation Strata:
❑
7.
Tree — Woody plants, excluding woody vines,
= Total Cover
approximately 20 ft (6 m) or more in height and 3 in,
Herb Stratum (Plot size: )
(7.6 cm) or larger in diameter at breast height (DBH).
!�
❑
Sapling —Woody plants, excluding woody vines,
2 T ^ n = �" d `h h +� u 1 01 At55 J �
approximately 20 ft (6 m) or more in height and less
3. �i ar aa r— Z3�_.• . nc. ._ Jam-
❑ �C Li
than 3in. (l.6cm)DBH.
❑
4.
Shrub — Woody plants, excluding woody vines,
❑
approximately 3 to 20 ft (1 to 6 m) in height.
5
El
6.
Herb — All herbaceous (non -woody) plants, including
7
❑
herbaceous vines, regardless o►size- Includes woody
❑
plants, except woody vines, less than approximately
99..
El
ft (1 m) ineighk.
[]
Woody vine — All woody vines, regardless of height.
10
❑
11.
❑
12.
= Total Cover
Woody Vine Stratum (Plot size: )
❑
2.
❑
3.
©
4.
❑
Hydrophytic
5.
Vegetation r—y
❑ b'J
= Total Cover
Present? Yes No
Remarks: (If observed, list morphological adaptations below).
r . !., i -e .� `P" !�' / . 5—e .S
/ f
lJS Army Corps of Engineers Atlantic and Gulf Coastal Plain Region -- Intorim Version

SOIL
Profile Description: (Describe to the depth needed to document the indicator or confirr
Depth Matrix Redox Features
(inches) Calor (moist % Color (moist) % Type Loc
/Lace,q1z[vv,
Sampling Point: Z � 1� if
Texture Remarks
0C.- tr--
Sem
'Type: =Concentration, 17=Depletion, RWReduced Matrix, CS=Covered or Coated Sand Grains. location: PL=Pore Lining, M=Matrix
H dric Soil Indicators:
Indicators for Problematic Hydric Soils3:
Histosol (Al)
E]Polyvalue Below Surface (S8) (LRR S, T, U)]
—OThin
1 cm Muck (A9) (LRR O)
Qr—I Histic Epipedon (A2)
Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A10) (LRR S)
Black Histic (A3)
Loamy Mucky Mineral (F1) (LRR O)
Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4)
_01-oamy Gleyed Matrix (F2)
_E] Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (AS)
Depleted Matrix (F3)
Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral P, T, U)
uDepleted
Redox Dario Surface (F6)
Dark Surface
(MLRA 15313)
}
_ (A7) (LRR
(F7)
Red Parent Material (TF2)
Q Muck Presence (A8) (LRR U)
Redox Depressions (F8)
_❑�t Very Shallow Dark Surface (TF12) (LRR T, U)
❑_ 1 cm Muck (A9) (LRR P, T)
]Marl (F10) (LRR U)
1.J Other (Explain in Remarks)
Q Depleted below Dark Surface (Al 1)
uDepleted Ochric (F11) (MLRA 151)
Q Thick Dark Surface (Al2)
Iron -Manganese Masses (F12) (LRR O, P, T)
3Indicators of hydrophytic vegetation and
Coast Prairie Redox (A16) (MLRA 150A)
�Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
Q Sandy Mucky Mineral (S1) (LRR 0, S)
Delta Ochric (F17) (MLRA 151)
OReduced
unless disturbed or problematic.
Q Sandy Gleyed Matrix (84)
Vertic (F18) (MLRA 150A, 1506)
Sandy Redox (S5)
Stripped Matrix
Piedmont Floodplain Soils (F19) (MLRA 149A)
(S6)
Anomalous Bright Loamy Soils (F20) (MLRA 148A,
153C, 153D)
Q Dark Surface (S7) (LRR P, 5, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches) -
Hydric Soil Present? Yes Q No
"Ikl
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

WETLAND DETERMINATION DATA FORM-Atllaa�nttic and Gulf Coastal Plain Region
Pro}ecv'l"ite: e, � -M I t a City/County: (�c€'�""&RS41ii��[,I��ampling Date: d -/16 12-01--)
Applicant/Owner: State & - Sampfng Point:%
Investigator(s); e»e �� Section, Township, Range:
Landform (hillslope, terrace, etc.); Lrwy ���% v --e Local relief (concave, convex, none): 4E4&oq e -d'-' ✓'e Slope (04
Subregion (LRR or MLRA): _ Lat: ? Long: •-7 9, #OF 41' 2-V Datum:
Soil Map Unit Name; NVVI classification:
Are climatic 1 hydrologic conditions on the site typical for this time of year? Yes LNo ❑ (if no, explain in Remarks.)
Are Vegetation El, Soil ❑, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes i J 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 B11No El
Is the Sampled Area
Hydric Soli Present? Yes No within a Wetland? Yes E3' --N, ❑
Wetland Hydrology Present? Yes No ❑
Remarks
HYDROLOGY
Welland Hydrology Indicators:
Secondary Indicators_(minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
0 Surface Soil Cracks (136)
L] Surface Water (Al)
_❑ Water -Stained Leaves (139)
❑❑j Sparsely Vegetated Concave Surface (BS)
High W%terTable (A2)
❑ Aquatic Fauna (1313)
lJ Drainage Patterns (B#Q)
Saturation (A3)
U Marl Deposits (B15) (L.RR U)❑�'
ss Trim Lines (81,6)
Water Marks (B1)
Hydrogen Sulfide Odor (Cl)
M D .Season Water Table (C2)
Sediment Deposits (B2)
Oxidized, Rhizospheres on Living Roots {C3)
C-1 Crayf€sh Burrows (C8)
Drift Deposits (83)
� Presence of Reduced iron (04)ration
Visible on Aerial Imagery (C9)
E
_ Algal Mat or Crust (B4)
Iron Deposits (65)
Recent Iron Reduction in Tilled Solis (C6)
7�+y Thin Muck Surface (C7)
Geomorphlc Position (D2)
Shallow Aquitard
Inundation Visible on Aerial Imagery
(137) 1=t Other (Explaln in Remarks)
(03)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
*^�
0 No © Depth (inches):
Water Table Present? Yes
❑ No ❑ Depth (inches):
❑ ❑
2/No ❑
Saturation Present? You
No Depth (inches);
Weiland Hydra�ogy Present? Yes
includes ca lila fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

SOIL Sampling Point: Y G-tr-e7
Description: (Describe to the depth needed to document the indicator or confirm the absence
Depth Matrix Redox Features
(inches) % Color (moist) % Color (moist) % Type_ Loc TextureRemarks
Sri r. ` � 4M4 V /eG
At" rA ' lnt eA
-Type_ C=Concentration, D=De ietion, RM=Reduced Matrix, CS=Covered or Coated Sand Grains. 'Location: PL=Pore Lining, M=Matrix.
dric Soil Indicators:
Histosol (Al)
OPolyvalue
Indicators for Problematic Hydric Soils': v
Q Histic Epipedon (A2)
Below Surface (SB) (LRR S, T, U)
-OThin Dark Surface (Sg) (LRR S, T, U)
1 cm Muck (Ag) (LRR O)
2 Muck
[� Black Histic (A3)
Loamy Mucky Mineral (F1) (LRR O)
cm (A10) (LRR S)
Reduced Vertic (F18) (outside MLRA 150A,8)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5)
Depleted Matrix (F3)
Anomalous Bright Loamy Soils (1720)
Organic Bodies (A6) (LRR P, T, U)
_ cm Mucky Mineral (A7) (LRR P, T, U)
_Depleted
Redox Dark Surface (F6)
Dark Surface (F7)]
(MLRA 1538)
Red Parent Material (TF2)
Muck Presence (AB) (LRR U)
Redox Depressions (F8)
_❑ Very Shailow Dark Surface (TF1 2) (LRR T, U)
_ 1 cm Muck (A9) (LRR P, T)
Mari (F10) (LRR U)
Other (Explain in Remarks)
Q Depleted Below Dark Surface (A11)
Depleted Ochric (F11) (MLRA 161)
[� Thick Dark Surface (Al 2)
Iron -Manganese Masses (F12) (LRR O, P, T)
IUmbric
'Indicators of hydrophytic vegetation and
a Coast Prairie Redox (A16) (MLRA i50A)
❑ Sandy Mucky Mineral O, S)
Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
(S1) (LRR
Delta Ochnc (F17) (MLRA 151)
unless disturbed or problematic.
U Sandy Gleyed Matrix (S4) ❑Reduced Vertic (F18) (MLRA 150A, 1546)
Sandy Redox (S5) Piedmont Floodplain Soils (F19) (MLRA 149A)
Stripped Matrix (S6) � Anomalous Bright Loamy Soils (F20) (MLRA 148A, 153C, 1530)
❑ Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:
Depth (inches):
Dhfe—, —..,__ or
ov At
Hydric Soil Present? Yes 2 No ❑
1-7- L+ 1" rte``
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

VEGETATION — Use scientific names of plants.
Sampling Point:
Absolute
Dominant Indicator
Dominance Test worksheet;
Tree Stratum (Plot size: )
1. f 1 ?"n Sty"'?('�� yCAW Ci
°Ni Cover
�
Species? Status
❑
Number of Dominant Species
That Are OBI , FACW, or FAC: (A)
2 FiW'44 S� Ct
_
❑
� f
�"
Total Number of Dominant
3. C7, AA fQa
_
g
Species Across All Strata: (B)
4.
❑
Percent of Dominant Species
5.
That Are OBL, FACW, or FAC: (A/B)
❑
6.
❑
-
Prevalence Index worksheet.-
orksheet:Total
Total% Cover of: Multiply b
= Total Cover
Sapling Stratum (Plot size: } ,
❑ F1Li
OB]_ species x t =
2 =
E,
1. er 1r
FACW species x
2
❑
FAG species x 3 -
3
❑
4=4
FACU species x4=-
4,
❑
UPL species x ca =
5
❑
Column Totals: (A) (B)
❑
6,
ElPrevalence
Index = B/A =
7_
�_
Hydrophytic Vegetation Indicators:
= Total Cover
Test is >50%
Shrub Stratum Plot size: )
❑ FAC_
_Dominance
_Prevalence Index is 53.0'
2 cot?
❑ FRC
_ Problematic Hydrophytic Vegetation (Explain)
S f, v,t� a
-VI
Z
❑ eL4
3. n
❑
11ndicators of hydric soil and wetland hydrology must
4
❑
be present, unless disturbed or problematic.
5. �.
6
❑
Definitions of Vegetation Strata:
❑
7
Tree - Woody plants, excluding woody vines,
= Total Cover
approximately 20 ft (6 m) or more in height and 3 in.
Herb Stratum (Plot size: )
1.'h. /rrr� Ywrrrrr �/`Gc
CTjjy
(7.B cm) or larger in diameter at breast height (pBH).
_
Sapling -Woody plants, excluding woody vines,
2.
approximately 20 ft (6 m) or more in height and less
3
❑
than 3 in. (7.6 cm) DBH.
4.
❑
Shrub - Woody plants, excluding woody vines,
5
❑
approximately 3 to 20 ft (1 to 6 m) in height -
B.
❑
Herb - All herbaceous (non -woody) plants, including
7
herbaceous vines, regardless of size_ Includes woody
❑
plants, except woody vines, less than approximately
$ -
—
ft (1 m) in&ight.
9.
El
❑
Woody vine - All woody vines, regardless of height.
1p
12.
❑
= Total Cover
Woody. Vine Stratum (Plot size: )
_i eo/,,- �t
2
ElPc
,. rr..fr«���
❑
2.
El
3.
❑
4.
❑
Hydrophytic
5.
Vegetation ❑
❑
W Total Cover
Present? Yes No
Remarks- (If observed, list morphological adaptations below)
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Projecb6ite: Aisa.6,*r-^ 1,,opCity[County: OrIM e$ w_oritampling Date: Cl"1 2,0'47
Applicant/Owner: State:(- Sampfing Point: gv�'�
Investigator(s): at Section, Township, Range:
Landform (hillslope, terrace, etc.): + Local relief (concave, convex, none): Slope (9r6):
Subregion (LRR or MLRA): Lat: 5�, G_ `1052, Long: "-7 ryes- Datum:
Soil Map Unit Name: NWI classification:
Are climatic ! hydrologic conditions on the site typical for this time of year? Yes �No —El (if no, explain in Remarks.)
Are Vegetation 11, Soil ❑, or Hydrology ❑ significantly disturbed? Are "Normal Circumstances" present? Yes ff No ❑
Are Vegetation Q, Soil �, or Hydrology _ EInaturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes ❑ No 11'Isthe Sampled Area
Hydric Soil Present? Yes= No
Wetland Hydrology Present? Yes
❑ No within a Wetland? Yes ❑ No u
Remarks:
HYDROLOGY
Wetland Hydrology Indicators-
Secondary Indicators (minimum of two teguired)
Primary Indicators (minimum of one is required; check all that apply)
❑ Surface Soil Cracks (86)
QSurface Water (A1)
El Mater -Stained Leaves (89)
❑ Sparsely Vegetated Concave Surface (68)
High Water Table (A2)
Aquatic Fauna (1313)
Drainage Patterns (810)
❑ Saturation (A3)
�Elt
L-1 Marl Deposits (B15) (L.RR U)
t J Moss Trim Lines (816)
EWater Marks (131)
Hydrogen Sulfide Odor (Cl)
Dry Season Water Table (C2)
9
Sediment Deposits (132)
Oxidized.Rhizospheres on Living Roots (C3)
Crayfish Burrows (C8)
Drift Deposits (63)
Presence of Reduced Iron (04)
Saturation Visible on Aerial Imagery (C9)
9
_ Alga! Mat or Crust (64)
Iron Deposits (85)
Recent Iran Reduction in Tilled Soils (06)
Thin Muck Surface (C7)
Goomorphlc Position (D2)
tJ Shallow Aquitard (D3)
Inundation Visible on Aerial Imagery
(67) LJ Other (Explain in Remarks)
17 FAC-Neutrai Test (D5)
Field Observations:
Surfaco Water Present? Yes
❑ No Q Depth
(inches):
Water Table Present? Yes
❑ No t�-I Depth (inches):
❑
Saturation Present? Yes
El No L2 Depth (inches):
Welland Hydreogy Present? Yes No
includes capillary fon e
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), it availab{e:
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version

SOIL Sampling Point: �
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix
Redox Features
(inches) Color (moist) %
_Color (moist) % Type Loc
Texture Remarks
la -7/
Zs
(0 4q
Type: C-- Concentration, D=De letion, RM -Reduced Matrix, CS=Covered or Coated Sand Grains. Location: PL=Pore Lining, M=Matrix.
H dric Soil Indicators:
Indicators for Problematic Hydric Soils':
Histosol (Al)
Below Surface (S8) (LRR 5, T, U)
1 CM Muck (A9) (LRR 0)
Q Histic Epipedon (A2)
T'O^�Polyvalue
LJThin Dark Surface (S9) (LRR S, T, U)
2 cm Muck (A10) (LRR S)
Black Histic (A3)
❑Loamy Mucky Mineral (F1) (LRR 0)
Reduced Vertic (F18) (outside MLRA 150A,B)
Hydrogen Sulfide (A4)
Loamy Gleyed Matrix (F2)
Piedmont Floodplain Soils (F19) (LRR P, S, T)
Stratified Layers (A5)Depleted
Matrix (F3)
Redox
Anomalous Bright Loamy Soils (F20)
Organic Bodies (A6) (LRR P, T, U)
_ 5 cm Mucky Mineral (A7) (LRR P, T, U)
Dark Surface (F6)
_L1Depleted Dark Surface (F7)
(MLRA 153s)
fl Red Parent Material (TF2)
Muck Presence (A8) U)
Redox Depressions
❑
(LRR
(F8)
Very Shallow park Surface (TF12) (LRR T, U)
_ 1 cm Muck (A9) (LRR P, T)
�Mar1 (F10) (LRR U)
Other (Explain in Remarks)
E2 Depleted Below Dark Surface (At 1)
Depleted Ochric (F 11) (MLRA 151)
[:[ Thick Dark Surface (Al2)
Iron -Manganese Masses (F12) (LRR O, P, T) 'Indicators of hydrophytic vegetation and
C1 Coast Prairie Redox (A16) (MLRA 150A)
�Umbric Surface (F13) (LRR P, T, U)
wetland hydrology must be present,
Q sandy Mucky Mineral (S1) (LRR O, S)
Delta Ochric (F17) (MLRA 151)
unless disturbed or problematic,
Q Sandy Gleyed Matrix (SSI)
�DReduced Vertic (F18) (MLRA 150A, 150B)
Sandy Redox (S5)
I--lPiedmont Floodplain Soi3s (F19) (MLRA 149A)
Stripped Matrix (S6)
_ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Q Dark Surface (S7) (LRR P, S, T, U)
Restrictive Layer (if observed):
Type:..
Depth (inches):
Hydric Soil Present? Yes O No
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region — Interim Version

VEGETATION -- Use scientific names of plants.
sampling Point:
Absolute
Dominant Indicator
Dominance Test worksheet:
Tree Stratwm (Plot size:r)
% Cover
5pecios? Status
Number of Dominant Species
1. (ai i"Lp—Y-.L aS / � yrs
��/�G1
That Are OBL, FACW, or FAC' (A)
���
ElP
2. L.s - --
=
❑
Total Number of Dominant
3
Species Across All Strata: (B)
Percent of Dominant Species
5.
That Are 013L, FACW, or FAC: (AIB)
6.
❑
Prevalence Index worksheet:
7. -•--•
Total % Cover of: _ Multiply by:
= Total Cover
Sapling Stratum (Plot size: )
OBL species x 1 =
1 _
❑
FACW species x 2 =
2
—
❑
FAC species x 3 =
3
❑
FACU species x 4 R
a
❑
UPL species x 5 =
5
❑
Column Totals: (A) (B)
❑
6.
❑
Prevalence Index =81A=
7.
Hydrophytic Vegetation Indicators:
= Total Cover
Dominance Testis >50%
Shrub Stratum (Plot size: }
rpC J4
_
Prevalence Index is 53.0'
2 -+ r •*� C'�
e°J
L
Problematic Hydrophytic Vegetation' (Fxplain)
3.
❑
'Indicators of hydric soil and wetland hydrology must
4
❑
be present, unless disturbed or problematic.
5.
6
❑
❑efinitions of Vegetation Strata:
❑
7.
Tree - Woody plants, excluding woody vines,
= Total Cover
approximately 20 ft (6 m) or more in height and 3 in.
Herb Stratum (Plot siz
I t
PAC
(7.6 cm) or larger in diameter at breast height (D(0131-1),(0131-1),).
'L
❑
Sapling -Woody plants, excluding w ody vines,
2
approximately 20 ft (6 m) or more in height and less
❑
than 3 in. (7,6 cm) DBH.
3
❑
4,
Shrub - Woody plants, excluding woody vines,
❑
approximately 3 to 20 ft 0 to 6 m) in height.
5
❑
6.
Herb - All herbaceous (non -woody) plants, including
7
❑
herbaceous vines, regardless of size. Includes weedy
plants, except woody vines, less than approximately
�
3 ft (1 m) in ight.
9.
❑
Woody vine - All woody vines, regardless of height.
10
❑
11.
El
12.
= Total Cover
Woody Vine Stratum (Piot size: )
El
❑
2
E]3.
134.
El
Hydrophytic
Hydrophytic
5.
t
❑
= Total Cover
Present? Yes Na
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers Atlantic and Gulf Coastal Plain Region - Interim Version