20190174 Ver 1_401 Application_20190206

Preliminary ORM Data Entry Fields for New Actions
SAW — 2018 - 01892 BEGIN DATE [Received Date]:
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: South Fork Winston
2. Work Type: Private ❑ Institutional ❑ Government F-471 Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
Public Utilities Replacement
4. Property Owner/ Applicant [PCN Form A3 or A4]:
Owner: City of Winston-Salem POC: Courtney Driver, P.E.
5. Agent / Consultant [PCN Form A5 — or ORM Consultant ID Number]: CWS; POC: Mr. Daniel Roberts, PWS
6. Related Action ID Number(s) [PCN Form 135b]:
7. Project Location - Coordinates, Street Address, and/or Location Description [PCN Form 131b]:
West of Peters Creek Parkway and extends eastward to just east of Highway 52, in Winston Salem,
North Carolina 36.019290, -80.2508340
8. Project Location - Tax Parcel ID [PCN Form 131a]: Linear project encompassing multiple parcels
9. Project Location — County [PCN Form A2b]: Forsyth County
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Winston Salem
11. Project Information — Nearest Waterbody [PCN Form 132a]: South Fork Muddy Creek
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 132c]: Yadkin Pee Dee River 03040101
Authorization: Section 10 ❑ Section 404
Regulatory Action Type:
❑✓
Standard Permit
Nationwide Permit # 12
❑ Regional General Permit #
❑ Jurisdictional Determination Request
❑� Section 10 & 404
❑Pre -Application Request
Unauthorized Activity
0 Compliance
❑ No Permit Required
Revised 20150602

CAROLINA WETLAND SERVICES, INC.
550 E. Westinghouse Blvd.
Charlotte, NC 28273
704-527-1177 (office)
704-527-1133 (fax)
To: Mr. Bryan Roden -Reynolds Date: February 1, 2019
U.S. Army Corps of Engineers, Charlotte Satellite Office
151 Patton Avenue, Room 208
Asheville, NC 28801
Subject: Submittal of Pre -Construction Notification Pursuant to Nationwide Permit No. 12
South Fork Muddy Creek Sewer Line Replacement
Forsyth County, NC
CWS Project No. 2017-0446 (SAW -2018-01892)
Dear Mr. Roden -Reynolds,
South Fork Muddy Creek Sewer Line Replacement site is approximately 98 acres in extent and is located
west of Peters Creek Parkway and extends eastward to just east of Highway 52, in Winston Salem, North
Carolina (Figures 1 and 2, Attachment A). On behalf of the city of Winston-Salem Utilities Administration,
Gavel and Dorn Engineering have subcontracted Carolina Wetland Services, Inc. (CWS) to provide Section
404/401 permitting services for this project.
On behalf of the City of Winston-Salem Utilities Administration, CWS is submitting a Pre -Construction
Notification pursuant to Nationwide Permit No. 12 to the U.S. Army Corps of Engineers and Water Quality
Certification No. 4133 to the North Carolina Division of Environmental Quality (NCDEQ) for proposed
impacts to jurisdictional waters of the U.S. associated with sewerline installation along South Fork Creek.
This PCN includes the wetland delineation for the study area. A Preliminary Jurisdictional Determination was
requested and a field visit occurred on November 1, 2018. CWS is the Authorized Agent and should be
copied on all project correspondence. An executed Agent Authorization Form is attached (Attachment B).
ATTACHMENTS INCLUDED:
Please do not hesitate to contact Daniel Roberts at 704-527-1177 ext. 707 or [e-mail] should
you have any questions or comments regarding this report.
Sincerely,
Daniel Roberts, PWS
Project Scientist
Christine Geist, PWS, CE
Principal Scientist
DESCRIPTION
Attachment A -
Figures 1-8
Attachment B - Agent Authorization Form
Attachment C -
Photopa e (Photographs 1-14
Attachment D -
NCDEQ Steam Dataforms SCP1-SCP7
Attachment E -
USACE Wetland Dataforms DP1-DP5
Attachment F -
Impact Sheets
Attachment G -
Alternative Plans
Attachment H -
Construction Plan Sheets
Attachment I -
NCNHP Report
Attachment J -
SHPO Correspondence
Please do not hesitate to contact Daniel Roberts at 704-527-1177 ext. 707 or [e-mail] should
you have any questions or comments regarding this report.
Sincerely,
Daniel Roberts, PWS
Project Scientist
Christine Geist, PWS, CE
Principal Scientist

Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 14
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 (NW P) number: 12 or General Permit (GP) number:
1c.
Has the NW P or GP number been verified by the Corps?
❑x Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑x 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 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:
❑ Yes N No
For the record only for Corps Permit:
❑ Yes N No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
❑ Yes ® No
1g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below.
❑ Yes N No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes © No
2.
Project Information
2a.
Name of project:
South Fork Interceptor No. 3 Outfall
2b.
County:
Forsyth
2c.
Nearest municipality / town:
Winston-Salem
2d.
Subdivision name:
N/A
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Multiple (linear sewerline project)
3b.
Deed Book and Page No.
Multiple
3c.
Responsible Party (for LLC if
applicable):
City of Winston- Salem: Utilities Administration, POC: Courtney Driver, P.E., Utilities
Director
3d.
Street address:
101 N Main St., Suite 357
3e.
City, state, zip:
Winston-Salem, NC 27101
3f.
Telephone no.:
[phone]
3g.
Fax no.:
N/A
3h.
Email address:
[e-mail]
Page 1 of 14
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
N Agent e Other: City of Winston -Salem: Utilities Administration
4b. Name:
Courtney Driver, P.E., Utilities Director
4c. Business name
(if applicable):
City of Winston -Salem: Utilities Administration
4d. Street address:
101 N Main St., Suite 357
4e. City, state, zip:
Winston -Salem, NC 27101
4f. Telephone no.:
[phone]
4g. Fax no.:
N/A
4h. Email address:
[e-mail]
5. Agent/Consultant Information (if applicable)
5a. Name:
Daniel Roberts, PWS
5b. Business name
(if applicable):
Carolina Wetland Services, Inc.
5c. Street address:
550 E. Westinghouse Blvd.
5d. City, state, zip:
Charlotte, NC 28273
5e. Telephone no.:
704-527-1177 ext 707
5f. Fax no..
N/A
5g. Email address:
[e-mail]
Page 2 of 14
PCN Form — Version 1.4 January 2009

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
Multiple parcels
1 b. Site coordinates (in decimal degrees):
Latitude: 36.01929 Longitude: -80.250834
1 c. Property size:
98 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
South Fork Muddy Creek
2b. Water Quality Classification of nearest receiving water:
Class C
2c. River basin:
Yankin Pee Dee River (03040101)
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 proposed South Fork Muddy Creek Sewer Line Replacement will be located just west of Peters Creek Parkway and
extend approximately 9,800 linear feet along South Fork Muddy Creek in Winston-Salem, NC (Figures 1 and 2,
Attachment A). The current land use for this project consists of undeveloped forest, a maintained sewer line right-of-way,
and a golf course (Figure 2).
According to the United States Department of Agriculture - Natural Resources Conservation Service (USDA-NRCS) Web
Soil Survey of Forsyth County (Figure 4) and the NRCS 1979 Soil Survey for Forsyth County (Figure 5), current and
historic on-site soils consist of Banister fine sandy loam (BaB), Chewacla loam (ChA), Codorus (CoA), Dan River loam
(DaA), Fairview clay loam (FcD2), Hatboro loam (HaA), Soliam sandy loam (SmD), Wickham fine sandy loam (WmB)
Wickham fine sandy loam, mesic (WmC).
Of the on-site soils, Banister fine sandy loam (BaB), Chewacla loam (ChA), Codorus (CoA), Dan River loam (DaA),
Fairview clay loam (FcD2), and Hatboro loam (HaA) are all listed as containing hydric inclusions for Forsyth county.
A review of the National Wetlands Inventory (NWI) GIS layer depicts one potential wetland feature within the project limits
(Figure 6, attached).
3b. List the total estimated acreage of all existing wetlands on the property: 1.55 ac.
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
11,582 If of stream channel
3d. Explain the purpose of the proposed project:
The existing South Fork Interceptor No. 3 Outfall system consists of parallel 36" diameter pipelines. The pipe sections
immediately upstream and downstream of the project limits have recently been replaced (Phases 1 — 54", Phase 2 — 42"), both
on the north side of South Fork Muddy Creek. The City of Winston-Salem is planning to replace the existing sewer line with a
54" diameter sewer in order to increase capacity and replace pipes damaged by corrosive wastewater from a nearby corn syrup
plant. This will enhance pipe performance, provide increased wastewater capacity for current and future customers, and protect
the water quality of South Fork Muddy Creek.
Page 3 of 14
PCN Form — Version 1.4 January 2009

3e. Describe the overall project in detail, including the type of equipment to be used:
This project will increase the diameter of an existing sewer pipe along South Fork Muddy Creek in Winston Salem, North
Carolina.
Under Nationwide Permit (NWP) No. 12, unavoidable stream impacts associated with this sewerline construction project are
due to nine temporary stream impacts for trench excavation sewer installation and four temporary stream crossings for
construction access. There is one permanent stream impact totaling 15 linear feet for pipe removal and restoration.
There are no proposed wetland impacts.
The proposed impacts are illustrated in Attachment F. The construction plan details are also included in Attachment
F. The proposed impacts are described in detail below.
Trench Excavation Sewer Installation— Temporary Impact
New sewerlines will be installed through streams using trench excavation and working in the dry, either during no flow or
using temporary dewatering. After installation, the banks will be restored to original contours and stabilized with native plant
seed mix per erosion control notes (Attachment F, Detail Pages D-5 and D-6). Riprap may be placed in the footprint of the
open cut trench (no more than 1 Oft wide) and buried to grade to help further stabilize banks and protect the newly installed
pipe (Attachment F, Detail Page D-6).
Construction Access Crossing— Permanent Impact
The permanent construction access stream crossing will be constructed with armorflex or similar material embedded within
he streambed with surface flow to be diverted using constructed swales along the side of the stream bank. The creek bottom
ill be lined with filter fabric (Attachment F, Detail Page D-7).
Pipe Removal— Temporary Impact
Existing aerial sewerline pipes will be removed. If the pipe must be removed without a coffer dam, the pipe will be excavated
at the top of the bank, the pipes plugged at both ends, and removed upon the curing of the pipe plugs. Work will be
conducted in the dry (Attachment F, Detail Page D-4).
Temporary Dewatering— Temporary Impact
pump around system will be utilized to complete the construction activities in the dry and as needed if construction during
no flow is not possible. For large systems, two overlapping coffer dams will be used sequentially. All temporary structures will
be removed from the channel after the work is complete. Disturbed stream banks will be restored to pre -construction grade
and elevation, and any disturbed stream banks will be stabilized with seeding and matting (Attachment F, Detail Page D-5).
Typical heavy equipment will be used in grading operations (bulldozers, excavators, dump trucks, graders, etc.). After
grading, fork lifts and man lifts will be used for loading materials and access.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by
Yes
the Corps or State been requested or obtained for this
property / project (including all prior phases) in the
past?
4b. If the Corps made the jurisdictional determination,
D Preliminary El Final
what type of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: CWS
Name (if known):
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
A Request for Preliminary Jurisdictional Determination was submitted to the USACE on September 27, 2018 (SAW -2018-
01892). Since that submission the project limits have changed and a new PJD request will be submitted with this NWP
application.
5. Project History
Page 4 of 14
PCN Form — Version 1.4 January 2009

5a. Have permits or certifications been requested or
N Yes ❑ No ❑ Unknown
obtained for this project (including all prior phases) in
the past?
5b. If yes, explain in detail according to "help file" instructions.
Nationwide permits have been obtained for Phases 1 and 2 of this project.
6. Future Project Plans
6a. Is this a phased project?
❑x Yes ❑ No
6b. If yes, explain.
The pipe sections immediately upstream and downstream of the project have been replaced with 54" pipes in Phase 1 and 42"
pipes in Phase 2.
Page 5 of 14
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.
2b.
2c.
2d.
2e.
2f. Area
Wetland impact
Type of impact
Type of wetland
Forested
Type of jurisdiction
of
number
Corps (404,10) or
impact
Permanent (P) or
DWQ (401, other)
(acres)
Temporar T
W1
_
W2
_
W3
-
2g. Total Wetland Impacts:
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.
3b.
3c.
3d.
3e.
3f.
3g.
Stream impact
Type of impact
Stream name
Perennial (PER) or
Type of
Average
Impact
number
intermittent (INT)?
jurisdiction
stream
length
Permanent (P) or
width
(linear
Temporary (T)
(feet)
feet)
S1
T
Trench Excavation
South Fork
PER
Corps
40
40
Sewer Installation
Muddy Creek
S2
T
Trench Excavation
Stream A
PER
Corps
30
40
Sewer Installation
(Sides Branch)
S3
P
Sewer Installation and
Stream H
INT
Corps
3
15
Access Road
Construction
S4
T
Trench Excavation
South Fork
PER
Corps
40
40
Sewer Installation
Muddy Creek
S5
T
Remove Existing Sewer
Stream B
INT
Corps
5
40
Restore Stream Bank
S6
T
Trench Excavation
Stream C
PER
Corps
10
40
Remove Existing Sewer
(Perryman
Sewer Installation
Branch)
S7
T
Trench Excavation
Soukas Creek
PER
Corps
10
40
Sewer Installation
S8
T
Trench Excavation
South Fork
PER
Corps
40
40
Sewer Installation
Muddy Creek
Page 6 of 14
PCN Form — Version 1.4 January 2009

S9
T
Trench Excavation
Stream R
PER
Corps
3
40
Sewer Installation
S10
T
Remove Existing Sewer
Stream R
INT
Corps
3
15
Restore Stream Bank
S11
T
Trench Excavation
South Fork
PER
Corps
40
40
Sewer Installation
Muddy Creek
S12
T
Trench Excavation
Stream E
PER
Corps
4
40
Sewer Installation
S13
T
Remove Existing Sewer
Stream E
EPH
Crops
4
15
Restore Stream Bank
3h. Total stream and tributary impacts
445
3i. Comments:
Summary of impacts:
Permanent Impacts (loss of waters): 15 If
Permanent (no loss of waters): 0 If
Temporary impacts: 430 If
Total: 445 If
Page 7 of 14
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
Temporary (T)
4b.
Name of waterbody
(if applicable
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01
_
Choose One
Choose
02
_
Choose One
Choose
03
_
Choose One
Choose
04
_
Choose One
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, then 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 T
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
B1
_
Yes/No
B2
_
Yes/No
B3
-
Yes/No
B4
_
Yes/No
B5
_
Yes/No
B6
_
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 8 of 14
PCN Form - Version 1.4 January 2009

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
In order to avoid and minimize impacts to jurisdictional waters of the U.S., the South Fork Interceptor No. 3 Outfall project
area was delineated, and the alignment was adjusted based on the delineation results. Total width of the construction
corridor within streams are limited to 40 linear feet. Unavoidable stream crossings will be at a near perpendicular angle
when possible.
Site specific constraints limiting the potential for alternative alignments include: highly developed urban areas
surrounding the proposed sewer line, existing sewer lines that must be tied in to, an existing sewer line easement, and
on-site jurisdictional features. Due to these design constraints The City of Winston-Salem requests a waiver for NC WQC
#4133 Activity Specific Condition 3 at S2, S6, S7 and S9 (Impact Plan Set, Sheets EC -1, EC -5, EC -6, and EC -7).
The existing South Fork Interceptor No. 3 Outfall system consists of parallel 36 -inch diameter pipelines. The pipe sections
immediately upstream and downstream of the project limits have recently been replaced (Phases 1 — 54", Phase 2 — 42"),
both on the north side of South Fork Muddy Creek. This project was originally planned as a new parallel 27 -inch VCP to
provide capacity relief for the existing Winston-Salem/Forsyth County Utilities (CCUC) system. However, due to the
extreme poor condition of the existing infrastructure CCUC's preferred option is immediate replacement with a single 54 -
inch diameter sewer. Rehabilitation of these lines was considered but is not economically feasible compared to a larger
single pipeline installation. Replacement of the existing sewer upstream and downstream of this project has already been
completed and, therefore, limits alternative alignment options. However, the proposed sewer alignment between the
upstream and downstream tie-in points are located a minimum of 15ft away from the top of stream bank and in most
cases is further away. Additionally, the current design minimizes pipes exposed within stream beds.
Western Construction Entrance
The western construction entrance had two previous proposed locations before the preferred location was selected.
Alternative 1 was originally on the north side of South Fork Muddy Creek and it forded the creek to allow for construction
on the south side. An alternative that resulted in less impacts to waters of the U.S. was found feasible, so this plan was
eliminated from consideration (Attachment G).
Alternative 2 proposed a crossing on the south side of South Fork Muddy Creek, providing access to the site at
Brannigan Village Court. The road was proposed to provide the most direct access to the site by running due north until
intercepting the sewer construction easement, however a large portion of Wetland CC would have been impacted. An
alternative that resulted in less impacts to waters of the U.S. was found feasible, therefor this plan was eliminated from
consideration (Attachment G).
The preferred location of the western construction access also provides access at Brannigan Village Court so as not to
cross South Fork Muddy Creek. The preferred alternative eliminates wetland impacts and reduces proposed stream
impacts from 60 If of perennial stream to 15 If of ephemeral stream. This construction access will prevent impacts to
perennial streams and avoid all impacts to Wetland CC (Attachments F and H).
Impact S5
S5 had been originally proposed as an open trench crossing of Stream B, however the sewer will now be installed via
jack -and -bore. The only impacts to Stream B will consist of the removal of existing aerial sewer pipe and restoration of
the stream bank (Attachment F and G).
No Build Alternative
In an attempt to minimize impacts to jurisdictional waters while meeting the goals of the project, a "No Build" alternative
was considered. A "No Build" option would not meet the project goals of providing necessary repair to the sewerline.
Therefore, the No Build Alternative was eliminated from further consideration."
Page 9 of 14
PCN Form — Version 1.4 January 2009

1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Proper sediment and erosion control measures will be used to minimize disturbances to downstream waters.
Construction activities and impacts to on-site jurisdictional waters of the U.S. will comply with all conditions of Nationwide
Permit No 12 and Water Quality Certificate No. 4133. The proposed stream impacts will be completed during low flows,
or pump around or similar water diversion techniques will be utilized to construct in dry. All temporary structures will be
removed from the channel after the work is complete. Disturbed stream banks will be restored to pre -construction grade
and elevation, and any disturbed stream banks will be stabilized with seeding and matting.
The existing, impacted unstable streambanks will graded to a stable slope and elevation and the banks will be stabilized
with native vegetation within the relocated stream reach.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
❑ Yes ❑x No
impacts to Waters of the U.S. or Waters of the State?
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
❑ Mitigation bank
2c. If yes, which mitigation option will be used for this
project?
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
Type: Choose One
Quantity:
3b. Credits Purchased (attach receipt and letter)
Type: Choose One
Quantity:
Quantity:
Type: Choose One
3c. Comments:
Page 10 of 14
PCN Form — Version 1.4 January 2009

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:
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
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 11 of 14
PCN Form — Version 1.4 January 2009

E.
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes M No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
The site is not adjacent to protected NC Riparian Buffers.
❑ Yes ❑ No
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
<1 %
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why:
Amount of impervious surface does not change significantly and is less than 24%.
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?
City of Winston-Salem
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Winston-Salem
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
❑ NSW
apply (check all that apply):
❑ USMP
❑ Water Supply Watershed
❑ Other:
3c.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4.
DWQ Stormwater Program Review
❑ Coastal counties
El HQWEl
4a.
Which of the following state -implemented stormwater management programs apply
ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5.
DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 12 of 14
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
❑x Yes
❑ No
use of public (federal/state) land?
1 b.
If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
letter.)
N Yes
N No
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
© No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes
© No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
N 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.
This project will not result in cumulative impacts to jurisdictional waters.
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 project is a sewerline replacement project.
Page 13 of 14
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ❑x No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑x No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
To determine which protected species are listed as occurring or potentially occurring within the project vicinity and prior to
conducting the on-site field investigation, CWS consulted the United States Fish and Wildlife Service's (USFWS)
Endangered and Threatened Species and Species of Concern by County for North Carolina online database for Forsyth
County. In addition, CWS performed a data review using the North Carolina Natural Heritage Program (NCNHP) Data
Explorer on October 31, 2018 to determine if any record occurrences of federally -listed, candidate endangered,
threatened species, or critical habitat were located within the project limits. The results of the desktop review and habitat
assessment are included in the Protected Species Habitat Assessment Report (Attachment 1).
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes © No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
NOAA Fisheries: http://www.habitat.noaa.gov/protection/efh/habitatmapper.html
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes © No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
A letter was forwarded to the North Carolina State Historic Preservation Office (SHPO) on October 19, 2018 to determine
the presence of any areas of architectural, historic, or archaeological significance that would be affected by the project.
CWS also consulted the SHPO online GIS service a Charlotte -Mecklenburg Historic Landmarks Commission's webpage
and found no historical structures, buildings, sites, or districts currently within the project limits. As the date of this
submittal, no response has been received from the SHPO.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
® Yes ❑ No
8b. If yes, explain how project meets FEMA requirements:
There will be no aboveground fill in the FEMA floodplain.
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM No. 3710682200J
2/1/2019
Mr. Daniel Roberts
Applicant/Agent's Signature (Agent's
Applicant/Agent's Printed Name
signature is valid only if an authorization letter
Date
from the applicant is provided.)
Page 14 of 14
PCN Form — Version 1.4 January 2009

South Fork Muddy Creek
Attachments
ATTACHMENT A:
Figures 1-7
January 25, 2019
CWS Project No. 2017-0446

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= Project Limits (111 ac.)
5,000 2,500 0 5,000 Feet
REFERENCE: BACKGROUND VICINITY MAP PROVIDED BY ESRI, 2018.
SCALE:DATE: FIGURE NO.
1 inch = 5,000 feet 1/15/2019 Vicinity Map
CWS PROJECT NO: DRAWN BY: 1
2017-0446 MLS South Fork Muddy Creek
Fortsyth County of
COORDINATES: CHECKED BY:
CAROLINA
36.01929, -80.250834 CAG WETLAND sFr1Vlr-I`s Winston Salem, North Carolina 7
G:\My Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\JD\ArcGIS\Figurel_Vicinity.mxd

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REFERENCE: USGS 7.5 MINUTE TOPOGRAPHIC QUADRANGLE(S): WINSTON-SALEM EAST, 2,000 1,000 0 2,000 Feet
AND WINSTON SALEM WEST, NC (2017).
SCALE:DATE: FIGURE NO.
1 inch = 2,000 feet 6/27/2018 USGS Topographic Map
CWS PROJECT NO: DRAWN BY: 2
2017-0446 MLS South Fork Muddy Creek
of
COORDINATES: CHECKED BY: C A R❑ L I N A Fortsyth County
36.01929, -80.250834 CAG WETLAND SERVICES Winston Salem, North Carolina 7
G:\My Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\JD\ArcGIS\Figure2_USGS.mxd

GAMy Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\JDWrcGIS\Figure3_Aerial.mxd

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0.2
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No
0.1
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2.3
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No
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a
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No
0.4
a
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Fairview clay loam, 10 to 15 percent slopes, moderately eroded
No
5.9
N B
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Fairview clay loam, 6 to 10 percent slopes, severely eroded
No
0
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HaA
Hatboro loam, 0 to 2 percent slopes, frequently flooded
Yes
11.4
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Pacolet clay loam, 15 to 45 percent slopes, moderately eroded
No
0.3
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No
1.3
Legend
SmF
Siloam sandy loam, 15 to 45 percent slopes
No
0.4
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W
Water
No
13.8
C
a
h Project Limits
(111 ac.)
W
WhA
Wehadkee loam, 0 to 2 percent slopes, frequently flooded
Yes
0
CB
WmB
Wickham fine sandy loam, mesic, 2 to 6 percent slopes
No
0.2
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WmC
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No
0
aCI
Roads
Totals Coverage
100
PeE3
u
u p CnA
2,000 1,000 0
2,000 Feet
REFERENCE: USDA-NRCS WEB SOIL SURVEY OF FORSYTH COUNTY,
NC, DATED 2018.
E
PCF
C
cF2 CCCPGF2
SCALE:DATE:
1 inch = 2,000 feet
1/15/2019
USDA—NRCS Current Soil SurveyFIGURE
NO.
of Forsyth Count/
4
CWS PROJECT
NO:
DRAWN BY:
2017-0446
MLS
South Fork Muddy Creek
of
COORDINATES:
CHECKED BY:
CAROLINA
Fortsyth County
36.01929, -80.250834
CAG
WIETt_AND SERVICES
Winston Salem, North Carolina
7
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BtE Bannertown-Toast complex, 15 to 25 percent slopes No
ChA Chewacla loam, 0 to 2 percent slopes, frequently flooded No
CIB Clifford sandy loam, 2 to 6 percent slopes No
CoA Codorus loam, 0 to 2 percent slopes, frequently flooded No
DaA Dan River loam, 0 to 2 percent slopes, frequently flooded No
FcD2 Fairview clay loam, 10 to 15 percent slopes, moderately eroded No
FeC3 Fairview clay loam, 6 to 10 percent slopes, severely eroded No " _r' e
HaA Hatboro loam, 0 to 2 percent slopes, frequently flooded Yes -�L APB
PcF2 Pacolet clay loam, 15 to 45 percent slopes, moderately eroded No __ - +�°+• ""}^ `
SmD Siloam sandy loam, 10 to 15 percent slopes No
SmF Siloam sandy loam, 15 to 45 percent slopes No
r ' "` : - ' ' ..•rT.y, �" L
W Water No -' ' is e e n d
WhA Wehadkee loam, 0 to 2 percent slopes, frequently flooded Yes - -`
WmB Wickham No �`'•"''- y' r� .: r`
Project Limits (111 ac.) sand loam, mesic, 2 to 6 percent slopes
~ WmC Wickham fine sandy loam, mesic, 6 to 10 percent slopes No
lho
2,000 1,000 0 2,000 Feet '
REFERENCE: USDA-NRCS SOIL SURVEY OF FORSYTH COUNTY, NC, SHEETS 45, 46, 51, AND 52, DATED 1979.
SCALE: 1 Inch = 2,000 feet DATE: 1/17/2019 USDA-NRCS Historic Soil Survey FIGURE NO.
CWS PROJECT NO: DRAWN BY: of Forsyth County 5
2017-0446 MLS Jurisdictional Delineation
COORDINATES: CHECKED BY: CAR ❑ L I A South Fork Muddy Creek �f
36.01929, -80.250834 CAG WIETLANo sFl VIr-ES Fortsyth County, Winston Salem, NC 7
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0
REFERENCE: NATIONAL WETLAND INVENTORY DATA PROVIDED BY UNITED STATES FISH AND500 75O , 500 Feet
WILDLIFE SERVICE FOR NORTH CAROLINA, ACCESSED 2018.
BACKGROUND LAYER(S) PROVIDED BY FORSYTH COUNTY GIS DEPARTMENT, DATED 2018.
d
SCALE: DATE: FIGURE NO.
1 inch = 1,500 feet 1/17/2019 National Wetland Inventory
CWS PROJECT NO: DRAWN BY: 6
2017-0446 MLS South Fork Muddy Creek
COORDINATES: CHECKED BY: of
CAROLINA Fortsyth County
36.01929, -80.250834 CAG WETLAND SERVICES Winston Salem, North Carolina 7
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Re(iRyp
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National Wetlands Inventory
- Freshwater Forested/Shrub Wetland
o/1.
Freshwater Pond
0
REFERENCE: NATIONAL WETLAND INVENTORY DATA PROVIDED BY UNITED STATES FISH AND500 75O , 500 Feet
WILDLIFE SERVICE FOR NORTH CAROLINA, ACCESSED 2018.
BACKGROUND LAYER(S) PROVIDED BY FORSYTH COUNTY GIS DEPARTMENT, DATED 2018.
d
SCALE: DATE: FIGURE NO.
1 inch = 1,500 feet 1/17/2019 National Wetland Inventory
CWS PROJECT NO: DRAWN BY: 6
2017-0446 MLS South Fork Muddy Creek
COORDINATES: CHECKED BY: of
CAROLINA Fortsyth County
36.01929, -80.250834 CAG WETLAND SERVICES Winston Salem, North Carolina 7
G:\My Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\JD\ArcGIS\Figure6_NWl.mxd

Potential Non Wetland \
Water of the U.S.00
w
`so
Stream`G - 85 If 7 p � (D
CV Q
870 W -5 0
870 ♦ N
Potential Non Wetland
Water of the U.S. `A SCP5 Potential Wetland a
Stream E 159 If I Water of the U.S.
Wetland BB - 0.21 ac.
♦. w 7
870 `A SCP6 I :*D 5 O
�♦DP3 3� II o� ci
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U v
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Potential Non Wetland Potential Wetland
�+ Water of the U.S. Waters of the U.S. Za
J South Fork Muddy Creek Wetland RR - 0.10 ac. _jw
9,384 If PotenWatertoflNon the U.S. elland ®�z
Perryman Creek/Stream C - 626 If r�
Potential Wetland
Water of the U.S.
Stream R - 127 If
Potential Non Wetland
—
V
j
Weof the U.S.
o Sides Branch/Stream A - 304 Ifa
it
9� Potential Non Wetland n`t' 750
► Water of the U.S.
Potential Non Wetland
Stream F - 85 If
U)
Water of the U.S.
1 inch = 150 feet
L
Stream B - 458 If
tE
c
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C
� �
♦SCP33
Potential Non Wetland
Legend
o
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T t
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z�r
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Water of the U.S.
Q Project Limits (111 ac.)
z°
=
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0. T�
Soakas Creek/Stream D 231 If
R
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ill Forested Wetland
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Water of the U.S.7
F_ Herbaceous Wetland
stream I - as3 If
Pond
Culvert
Potential Non Wetland 06, r
Roads
Water ofthe U.S.
Stream H - 891 If
�7° Potential Non Wetland
P Potential Non Wetland
*DP Data Point
Potential Wetland
Water of the U.S.
' water of the U.S.
AS Stream Classification Point
Stream X - 123 If Pond A - 0.25 ac.
Water ofthe
Wetland CC -1.3 ac.
X90 J}
< Flow Direction
FIGURE NO.
N Photo Location and Direction
REFERENCE: BACKGROUND GIS LAYERS) PROVIDED BY FORSYTH COUNTY GIS DEPARTMENT, DATED 2017.
X30
7
NOTE: JURISDICTIONAL WATERS OF THE U.S. WERE DELINEATED (FLAGGED IN THE FIELD), CLASSIFIED, �
=
•DP7 1 inch 200'feet
�0
�f
AND MAPPED USING A SUB -FOOT GPS UNIT BY CWS, INC., ON JUNE 26, 2018. JURISDICTIONAL
��' 650 325 650 Feet
FEATURES HAVE BEEN VERIFIED BY THE USACE.
n
A�Izl ^ �
7
/

South Fork Muddy Creek
Attachments
ATTACHMENT B:
Agent Authorization Form
January 25, 2019
CWS Project No. 2017-0446

AGENT CERTIFICATION OF AUTHORIZATION
I, the undersigned, a duly authorized owner of record of the property/properties identified herein,
do authorize representative(s) of the Wilmington District, U.S. Army Corps of Engineers (Corps)
to enter upon the property herein described for the purpose of conducting on-site investigations
and issuing a determination associated with Waters of the U.S. subject to Federal jurisdiction
under Section 404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of
1899.
I. N. representing, V l ). I e)Y.:u �h �W"' IjA'e�5
hereby certify that I have authorized Daniel Roberts of Carolina Wetland Services, Inc. to act on
my behalf and take all actions necessary to the processing, issuance, and acceptance of this
request for wetlands determination / permitting and any and all standard and special conditions
attached.
We hereby certify that the above information submitted in this application is true and accurate to
the best of our knowledge.
0 /1
,wl/
App rica nt's n to e
I
Date
Agent's signature
Date
9/21/2018
Completion of this form will allow the agent to sign
all future application correspondence.

South Fork Muddy Creek
Attachments
January 25, 2019
CWS Project No. 2017-0446
ATTACHMENT C:
Photopage (Photographs 1-13)

South Fork Muddy Creek
Attachment C: Photopage
July 16, 2018
CWS Project No. 2017-0446
Photograph 3. View of Sides Branch (Stream A), facing downstream.
sF•Nti r .t � r
Ai
'•ti:
- t.
'Fr
OL
'$r - '
`.:ms's � ? 1' L+ ��i� �r'L' r � ll•
Photograph 4. View of Stream B, facing downstream.
Photopage 2 of 7

South Fork Muddy Creek
Attachment C: Photopage
July 16, 2018
CWS Project No. 2017-0446
Photograph 5. View of Perryman Branch (Stream C), facing upstream.
�M
Photograph 6. View of Soakas Creek (Stream D), facing upstream.
Photopage 3 of 7

South Fork Muddy Creek
Attachment C: Photopage
July 16, 2018
CWS Project No. 2017-0446
Photograph 9. View of South Fork Muddy Creek, facing upstream.
Photograph 10. View of non -jurisdictional upland area lacking wetland hydrology and hydric
soils, facing south.
Photopage 5 of 7
jv
o
�
.
ti
5c a
Photograph 10. View of non -jurisdictional upland area lacking wetland hydrology and hydric
soils, facing south.
Photopage 5 of 7

..... .....
3M F_
110.
At

7,\
r _ • � r V' �_ � r. ' � f L.F.

South Fork Muddy Creek
Attachments
ATTACHMENT D:
January 25, 2019
CWS Project No. 2017-0446
NCDEQ Stream Classification Forms (SCP1-SCP9)

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.016902
Evaluator: JDR/MLS
County: Forsyth
Longitude:
-80.264046
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
43.5
Stream Determination: Ephemeral Intermittent Perennial
Perennial
Other
Stream Name:
SCP1/Sides Branch
A. Geomorphology Subtotal =
22
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No= 0
Yes =
3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
13
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high water table?
No= 0
Yes = 3
C. Biology Subtotal =
8_5
18. Fibrous roots in streambed
3
2 0
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5 OIL
1.5
23. Crayfish
0
-L
0.5
--A
1
1.5
24. Amphibians
0
0.5
1
.5
25. Algae
0 1
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
MEN 0
*perennial streams may also be identified using other methods.
Notes: Water Striders
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.017056
Evaluator: JDR/MLS
County: Forsyth
Longitude:
-80.260739
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
21.5
Stream Determination: Ephemeral Intermittent Perennial
Intermittent
Other
Stream Name:
SCP2/Stream B
A. Geomorphology Subtotal =
7
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No= 0
Yes= 3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
8
12. Presence of Baseflow
0
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1.5
16. Organic debris lines or piles
17. Soil -based evidence of high water table?
0
No = 0
0.5
1
C. Biology Subtotal =
6_5
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1 1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods.
Notes:
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.016902
Evaluator: JDR/MLS
County: Forsyth
Longitude:
-80.264046
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
35
Stream Determination: Ephemeral Intermittent Perennial
Perennial
Other
Stream Name:
SCP3/Perryman Branch
A. Geomorphology Subtotal =
16.5
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2
4. Particle size of stream substrate
0
1
2
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
No= 0
Yes = 3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
9_5
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
23
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
0.5
1
17. Soil -based evidence of high water table?
No = 0
C. Biology Subtotal =
9
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods.
Notes:
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.019614
Evaluator: DJZ/JKM
County: Forsyth
Longitude:
-80.246882
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
38.5
Stream Determination: Ephemeral Intermittent Perennial
Perennial
Other
Stream Name:
SCP4/Soakas Creek
A. Geomorphology Subtotal =
16.5
Absent
Weak Moderate Strong
1. Continuity of channel bed and bank*
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2
4. Particle size of stream substrate
0
1
2
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley0
0.5
1
1.5
11. Second or greater order channel
No= 0
Y:s,- 3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
10
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes = 3
C. Biology Subtotal =
12
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods.
Notes:
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.024723
Evaluator: DJZ/JKM
County: Forsyth
Longitude:
-80.239215
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
23.5
Stream Determination: Ephemeral Intermittent Perennial
Intermittent
Other
Stream Name:
SCP5/Stream E
A. Geomorphology Subtotal =
8
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
1 3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No= 0
Yes= 3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
8_5
12. Presence of Baseflow
0
1
23
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No= 0
C. Biology Subtotal =
7
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5 1
1
1 1.5
25. Algae
0
0.5 1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods.
Notes: Waterstrider
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.024722
Evaluator: DJZ/JKM
County: Forsyth
Longitude:
-80.239227
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
6.25
Stream Determination: Ephemeral Intermittent Perennial
Ephemeral
Other
Stream Name: SCP6
A. Geomorphology Subtotal =
3
Absent
Weak Moderate Strong
1. Continuity of channel bed and bank*
0
1
2 3
2. Sinuosity of channel along thalweg
0
1
2 3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2 3
4. Particle size of stream substrate
0
1
2 3
5. Active/relict floodplain
0
1
2 3
6. Depositional bars or benches
0
1
2 1 3
7. Recent alluvial deposits
0
1
3
8. Headcuts
0
1
2 3
9. Grade control
0
0.5
1 1.5
10. Natural valley
0
0.5
1 1.5
11. Second or greater order channel
No = 0
Yes= 3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
0_5
12. Presence of Baseflow
0
1
2 3
13. Iron oxidizing bacteria
0
1
2 3
14. Leaf litter
1.5
1
0
15. Sediment on plants or debris
0
0.5
1 1.5
16. Organic debris lines or piles
0
0.5
1 1.5
17. Soil -based evidence of high water table?
No= 0
Yes = 3
C. Biology Subtotal =
2.75
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos (note diversity and abundance)
0
1
2 3
21. Aquatic Mollusks
0
1
2 3
22. Fish
0
0.5
1 1.5
23. Crayfish
0
0.5
1 1.5
24. Amphibians
0
0.5
1 1.5
25. Algae
0
0.5
1 1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
0.75
*perennial streams may also be identified using other methods.
Notes:
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 6/27/18
Project/Site: South Fork Muddy Creek
Latitude:
36.025525
Evaluator: DJZ/JKM
County: Forsyth
Longitude:
-80.236366
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
36
Stream Determination: Ephemeral Intermittent Perennial
Perennial
Other
Stream Name:
SCP7/Stream F
A. Geomorphology Subtotal =
19
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In-channel structure: ex. riffle-pool, step-pool, ripple-pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No= 0
Yes =
3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
9
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil-based evidence of high water table?
No= 0
Yes = 3
C. Biology Subtotal =
8
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1 EL-L-A
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5 1
1
1 1.5
25. Algae
0
0.5 1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods.
Notes: Damselfly larvae and waterstrider.
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 11/1/18
Project/Site: South Fork Muddy Creek
Latitude:
36.015397
Evaluator: JDR/ JKM
County: Forsyth
Longitude:
-80.262336
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
13
Stream Determination: Ephemeral Intermittent Perennial
Ephemeral
Other
Stream Name:
SCP8/Stream H
A. Geomorphology Subtotal =
3_5
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool, ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
5_5
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0
15. Sediment on plants or debris
0
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No= 0
C. Biology Subtotal =
4
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0 1
0.5 1
1
1.5
25. Algae
0 A
0.5 1
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
*perennial streams may also be identified using other methods.
Notes:
Sketch:

NC DWQ Stream Identification Form Version
4.11
Date: 11/1/18
Project/Site: South Fork Muddy Creek
Latitude:
36.014917
Evaluator: JDR/ JKM
County: Forsyth
Longitude:
-80.261807
Total Points:
Stream is at least intermittent if z 19 or perennial if z 30*
28.25
Stream Determination: Ephemeral Intermittent Perennial
Intermittent
Other
Stream Name:
SCP9/Stream R
A. Geomorphology Subtotal =
10.5
Absent
Weak Moderate
Strong
1. Continuity of channel bed and bank*
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In-channel structure: ex. riffle-pool, step-pool, ripple-pool sequence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
r;Yes,;-3
1.5
10. Natural valley0
0.5
1.5
11. Second or greater order channel
No = 0
"artificial ditches are not rated; see discussions in manual
B. Hydrology Subtotal =
12
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil-based evidence of high water table?
No= 0
C. Biology Subtotal =
5.75
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0 1
0.5
1
1.5
25. Algae
0 A
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other = 0
0.75
*perennial streams may also be identified using other methods.
Notes:
Sketch:

South Fork Muddy Creek
Attachments
ATTACHMENT E:
January 25, 2019
CWS Project No. 2017-0446
USACE Wetland Determination Data Forms (DP1-DP3,
DP5-DP7)

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: South Fork Muddy Creek City/County: Forsyth County Sampling Date: 6-26-18
Applicant/Owner: Gavel and Dorn Engineering State: NC Sampling Point: DP1
Investigator(s): JDR/MLS Section, Township, Range: Winston Salem
Landform (hillside, terrace, etc.): Swale Local relief (concave, convex, none): Concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.017016 Long: -80.263515 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes, frequently flooded (CoA) NWI classification: N/A
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 Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
Data point is representative of non -jurisdictional upland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (B13)
X FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are not present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
6.
7.
50% of total cover:
Saplinq/Shrub Stratum (Plot size: 15 )
1.
2.
3.
4.
5.
6.
7.
8.
9.
50% of total cover: _
Herb Stratum (Plot size: 5 )
1. Scirpus atrovirens
2. Carex lurida
3. Juncus effusus
4. Persicaria pensylvanica
5. Carex scoparia
6. Dichanthelium clandestinum
7. Wisteria frutescens
8. Lonicera japonica
9.
10.
11.
50% of total cover:
Woody Vine Stratum (Plot size: 30
1.
2.
3.
4.
5.
ADSOIULe uominani Inaicaic
% Cover Species? Status
_=Total Cover
20% of total cover:
_=Total Cover
20% of total cover:
30
No
OBL
40
Yes
OBL
75
Yes
FACW
20
No
FACW
10
No
FACW
10
No
FAC
5
No
FACW
5
No
FACU
15
No
210 =Total Cover
105 20% of total cover: 42
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
100% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers
Sampling Point: DP1
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Species Across All Strata: 2 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100.0% (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index is :53.01
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP1
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
Indicators for Problematic Hydric Soils3:
(inches)
Color (moist) %
Color (moist) % Types Loc2
Texture Remarks
0-1
10YR 6/3 95
10YR 6/8 5 C M
Loamy/Clayey Prominent redox concentrations
1-20
10YR 5/4 90
10YR 5/8 10 C M
Loamy/Clayey Prominent redox concentrations
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators of hydric soil are not present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: South Fork Muddy Creek City/County: Forsyth County Sampling Date: 6-26-18
Applicant/Owner: Gavel and Dorn Engineering State: NC Sampling Point: DP2
Investigator(s): JDR/MLS Section, Township, Range: Winston Salem
Landform (hillside, terrace, etc.): Swale Local relief (concave, convex, none): Concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.016955 Long: -80.262650 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes, frequently flooded (CoA) NWI classification: N/A
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 Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes X No
Remarks:
Data point is representative of non -jurisdictional upland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
X Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (B13)
X FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP2
Remarks: (Include photo numbers here or on a separate sheet.)
83.3% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
ADSOIULe
uominani
Inaicaior
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Liquidambar styraciflua
60
Yes
FAC
Number of Dominant Species
2.
Acer rubrum
40
Yes
FAC
That Are OBL, FACW, or FAC: 5 (A)
3.
Acernegundo
20
No
FAC
Total Number of Dominant
4.
Platanus occidentalis
5
No
FACW
Species Across All Strata: 6 (B)
5.
Quercus phellos
5
No
FAC
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 83.3% (A/B)
7.
Prevalence Index worksheet:
130
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
65 20% of total cover:
26
OBL species X1 =
Sapling/Shrub Stratum (Plot size: 15
)
FACW species x 2 =
1.
Fraxinus pennsylvanica
10
Yes
FACW
FAC species x 3 =
2.
Acer rubrum
15
Yes
FAC
FACU species x 4 =
3.
UPL species x 5 =
4.
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
25
=Total Cover
_
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
13 20% of total cover:
5
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
-Problematic Hydrophytic Vegetation' (Explain)
1.
Carex scoparia
30
Yes
FACW
'Indicators of hydric soil and wetland hydrology must be
2.
Chasmanthium latifolium
35
Yes
FACU
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4•
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5,
more in diameter at breast height (DBH), regardless of
6
height.
7•
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
65
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
33 20% of total cover:
13
height.
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
83.3% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP2
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
_ Histosol (Al)
(inches)
Color (moist)
%
Color (moist) % Types Loc2
Texture Remarks
0-1
10YR 5/1
95
10YR 5/4 5 C M
Loamy/Clayey Distinct redox concentrations
1-4
10YR 5/4
95
10YR 5/3 5 C M
Loamy/Clayey Faint redox concentrations
4-20
10YR 5/4
100
_ Depleted Dark Surface (F7)
Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators of hydric soil are not present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: South Fork Muddy Creek City/County: Forsyth County Sampling Date: 6-26-18
Applicant/Owner: Gavel and Dorn Engineering State: NC Sampling Point: DP3
Investigator(s): DJZ/JKM Section, Township, Range: Winston Salem
Landform (hillside, terrace, etc.): Terrace Local relief (concave, convex, none): Concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.024639 Long: -80.239198 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes, frequently flooded (CoA) NWI classification: N/A
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 Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes X No
Remarks:
Data point is representative of non -jurisdictional upland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (1314)
_ Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (Cl)
X Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (133) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (134) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP3
Remarks: (Include photo numbers here or on a separate sheet.)
71.4% of vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
ADSOIULe
uominani
Inaicaior
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 5 (A)
3•
Total Number of Dominant
4.
Species Across All Strata: 7 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 71.4% (A/B)
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species x 1 =
Saplinq/Shrub Stratum (Plot size: 15
)
FACW species x 2 =
1.
Unknown upland
10
Yes
FAC
FAC species x 3 =
2.
Arundinaria gigantea
5
Yes
FACW
FACU species x 4 =
3.
Ligustrum sinense
5
Yes
FACU
UPL species x 5 =
4.
Phytolacca americana
5
Yes
FACU
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.01
25
=Total Cover
_
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
13 20% of total cover:
5
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
-Problematic Hydrophytic Vegetation' (Explain)
1.
Microstegium vimineum
60
Yes
FAC
'Indicators of hydric soil and wetland hydrology must be
2.
Arundinaria gigantea
30
Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Boehmeria cylindrica 20 No FACW
4.
Rosa multiflora
5
No
FACU
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5•
more in diameter at breast height (DBH), regardless of
6
height.
7•
Sapling/Shrub - Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
115
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
58 20% of total cover:
23
height.
Woody Vine Stratum (Plot size: 30 )
1.
Vitis rotundifolia
5
Yes
FAC
2.
3.
4.
5.
Hydrophytic
5
=Total Cover
Vegetation
50% of total cover:
3 20% of total cover:
1
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
71.4% of vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP3
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
_ Histosol (Al)
(inches)
Color (moist)
%
Color (moist) % Types Loc2
Texture Remarks
0-4
10YR 3/3
100
_ Hydrogen Sulfide (A4)
Loamy/Clayey
4-11
10YR 4/2
40
10YR 3/3 30
Loamy/Clayey See remarks section
11-18
10YR 4/2
90
7.5YR 4/6 10 C PL
Loamy/Clayey Prominent redox concentrations
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators of hydric soil are not present.
4-10 7.5Y 5/6 20% Sand
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: South Fork Muddy Creek City/County: Forsyth County Sampling Date: 6-26-18
Applicant/Owner: Gavel and Dorn Engineering State: NC Sampling Point: DP5
Investigator(s): DJZ/JKM Section, Township, Range: Winston Salem
Landform (hillside, terrace, etc.): Swale Local relief (concave, convex, none): Concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.021153 Long: -80.245067 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes, frequently flooded (CoA) NWI classification: N/A
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 Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Data point is representative of jurisdictional Wetland BB
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
X Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (B13)
X FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Tree Stratum (Plot size: 30
1.
2.
3.
4.
5.
6.
7.
50% of total cover:
Sapling/Shrub Stratum (Plot size: 15 )
1.
2.
3.
4.
5.
6.
7.
8.
9.
50% of total cover: _
Herb Stratum (Plot size: 5 )
1. Scirpus atrovirens
2. Juncus effusus
3. Carex lurida
4. Bidens discoidea
5. Polygonum patulum
6. Salix nigra
7. Trifolium repens
8. Solidago altissima
9. Sagittaria latifolia
10.-
11.
50% of total cover: _
Woody Vine Stratum (Plot size: 30 )
1.
2.
3.
4.
5.
% Cover Species? Status
_=Total Cover
20% of total cover:
_=Total Cover
20% of total cover:
40
Yes
OBL
40
Yes
FACW
20
No
OBL
10
No
FACW
10
No
FAC
5
No
OBL
5
No
FACU
5
No
FACU
5
No
OBL
140 =Total Cover
70 20% of total cover: 28
=Total Cover
50% of total cover: 20% of total cover:
Remarks: (Include photo numbers here or on a separate sheet.)
100% of dominant vegetation is FAC or wetter.
Sampling Point: DP5
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
Total Number of Dominant
Species Across All Strata: 2 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100.0% (A/B)
Prevalence Index worksheet:
Total % Cover of: Multiply by:
OBL species x 1 =
FACW species x 2 =
FAC species x 3 =
FACU species x 4 =
UPL species x 5 =
Column Totals: (A) (B)
Prevalence Index = B/A =
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
_ 3 - Prevalence Index is :53.01
4 - Morphological Adaptations' (Provide supporting
data in Remarks or on a separate sheet)
Problematic Hydrophytic Vegetation' (Explain)
'Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
Sapling/Shrub - Woody plants, excluding vines, less
than 3 in. DBH and greater than or equal to 3.28 ft
(1 m) tall.
Herb - All herbaceous (non -woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
Woody Vine - All woody vines greater than 3.28 ft in
height.
Hydrophytic
Vegetation
Present? Yes X No
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL
Sampling Point: DP5
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) % Types Loc2 Texture Remarks
0-12 10YR 4/2 80 7.5YR 4/6 20 C M Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains
Hydric Soil Indicators:
_ Histosol (Al)
_ Histic Epipedon (A2)
—Black Histic (A3)
_ Hydrogen Sulfide (A4)
—Stratified Layers (A5)
_ 2 cm Muck (A10) (LRR N)
_ Depleted Below Dark Surface (A11)
_Thick Dark Surface (Al2)
_Sandy Mucky Mineral (S1)
—Sandy Gleyed Matrix (S4)
—Sandy Redox (S5)
—Stripped Matrix (S6)
Dark Surface (S7)
Restrictive Layer (if observed):
Type: Rock
Depth (inches): 12
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_Thin Dark Surface (S9) (MLRA 147, 148)
—Loamy Mucky Mineral (F1) (MLRA 136)
_ Loamy Gleyed Matrix (F2)
X Depleted Matrix (F3)
_ Redox Dark Surface (F6)
_ Depleted Dark Surface (F7)
_ Redox Depressions (F8)
_ Iron -Manganese Masses (F12) (LRR N,
MLRA 136)
_ Umbric Surface (F13) (MLRA 122, 136)
—Piedmont Floodplain Soils (F19) (MLRA 148)
Red Parent Material (F21) (MLRA 127, 147, 148)
2Location: PL=Pore Lining, M=Matrix
Indicators for Problematic Hydric Soils3:
2 cm Muck (A10) (MLRA 147)
—Coast Prairie Redox (A16)
(MLRA 147, 148)
—Piedmont Floodplain Soils (F19)
(MLRA 136, 147)
—Red Parent Material (F21)
(outside MLRA 127, 147, 148)
—Very Shallow Dark Surface (F22)
Other (Explain in Remarks)
3Indicators of hydrophytic vegetation and
wetland hydrology must be present,
unless disturbed or problematic.
Hydric Soil Present? Yes X No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators of hydric soil are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: South Fork Muddy Creek City/County: Forsyth County Sampling Date: 08-14-18
Applicant/Owner: Gavel and Dorn Engineering State: NC Sampling Point: DP6
Investigator(s): DJZ/JKM Section, Township, Range: Winston Salem
Landform (hillside, terrace, etc.): depression Local relief (concave, convex, none): concave Slope (%): 2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.017016 Long: -80.263515 Datum: NAD 83
Soil Map Unit Name: Hatboro loam, 0 to 2 percent slopes, frequently flooded (HaA) NWI classification: None
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 Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes X No
Wetland Hydrology Present? Yes X No
Remarks:
Data point is representative of jurisdictional wetland area CC
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (66)
X Surface Water (Al) _True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
X High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
X Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (B13)
X FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 6
Water Table Present? Yes X No
Depth (inches): 10
Saturation Present? Yes X No
Depth (inches): 6
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP6
Remarks: (Include photo numbers here or on a separate sheet.)
93.3% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Platanus occidentalis
15
Yes
FACW
Number of Dominant Species
2.
Salix nigra
10
Yes
OBL
That Are OBL, FACW, or FAC: 14 (A)
3.
Diospyros virginiana
10
Yes
FAC
Total Number of Dominant
4.
Acer rubrum
10
Yes
FAC
Species Across All Strata: 15 (B)
5.
Liquidambar styraciflua
10
Yes
FAC
Percent of Dominant Species
6.
Acer negundo
5
No
FAC
That Are OBL, FACW, or FAC: 93.3% (A/B)
7.
Prevalence Index worksheet:
60
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
30 20% of total cover:
12
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15
)
FACW species x 2 =
1.
Acer rubrum
20
Yes
FAC
FAC species x 3 =
2.
Liquidambar styraciflua
20
Yes
FAC
FACU species x 4 =
3.
Diospyros virginiana
20
Yes
FAC
UPL species x 5 =
4.
Column Totals: (A) (B)
5.
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
60
=Total Cover
_
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
30 20% of total cover:
12
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Solidago altissima
80
Yes
FACU
Indicators of hydric soil and wetland hydrology must be
2.
Boehmeria cylindrica
40
Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Ludwigia palustris 40 Yes OBL
4.
Carex lurida
40
Yes
OBL
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub -Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11
of size, and woody plants less than 3.28 ft tall.
200
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
100 20% of total cover:
40
height.
Woody Vine Stratum (Plot size: 30 )
1.
Persicaria pensylvanica
30
Yes
FACW
2.
Rubus arvensis
20
Yes
FAC
3.
Vitis rotundifolia
20
Yes
FAC
4.
5.
Hydrophytic
70
=Total Cover
Vegetation
50% of total cover:
35 20% of total cover:
14
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
93.3% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: DP6
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
Indicators for Problematic Hydric Soils3:
(inches)
Color (moist) %
Color (moist) % Types Loc2
Texture Remarks
0-9
10YR 4/2 70
7.5YR 4/6 30 C M
Loamy/Clayey Prominent redox concentrations
9-20
10YR 4/1 80
7.5YR 5/6 20 C M
Loamy/Clayey Prominent redox concentrations
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No
Remarks:
This data form is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators of hydric soils are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Region
Project/Site: South Fork Muddy Creek City/County: Forsyth County Sampling Date: 11-2-18
Applicant/Owner: Gavel and Dorn Engineering State: NC Sampling Point: DP7
Investigator(s): JDR/JKM Section, Township, Range: Winston Salmen
Landform (hillside, terrace, etc.): depression Local relief (concave, convex, none): concave Slope (%): 0-2
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.013866 Long: 80.259919 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0 to 2 percent slopes, frequently flooded NWI classification: None
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 No X Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes
Wetland Hydrology Present? Yes No X
Remarks:
Data point is representative of a non -jurisdictional upland area
HYDROLOGY
.5> :l
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (66)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (C1)
—Drainage Patterns (1310)
_Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (61) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_Drift Deposits (B3) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
_ Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
X Shallow Aquitard (D3)
—Water -Stained Leaves (139)
—Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes No
X Depth (inches):
Water Table Present? Yes No
X Depth (inches):
Saturation Present? Yes No
X Depth (inches):
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Indicators of wetland hydrology are not present.
Rainfall within past 24 hours.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: DP7
Remarks: (Include photo numbers here or on a separate sheet.)
50.0% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Acer rubrum
100
Yes
FAC
Number of Dominant Species
2.
Fagus grandifolia
30
Yes
FACU
That Are OBL, FACW, or FAC: 5 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 10 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 50.0% (A/B)
7.
Prevalence Index worksheet:
130
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
65
20% of total cover:
26
OBL species x 1 =
Sapling/Shrub Stratum (Plot size: 15
)
FACW species x 2 =
1.
Fagus grandifolia
25
Yes
FACU
FAC species x 3 =
2.
Asimina triloba
25
Yes
FAC
FACU species x 4 =
3.
Liquidambar styraciflua
20
Yes
FAC
UPL species x 5 =
4.
Acer rubrum
15
No
FAC
Column Totals: (A) (B)
5.
Fraxinus pennsylvanica
5
No
FACW
Prevalence Index = B/A =
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
90
=Total Cover
_
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
45
20% of total cover:
18
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 )
_ Problematic Hydrophytic Vegetation' (Explain)
1.
Lonicera japonica
10
Yes
FACU
Indicators of hydric soil and wetland hydrology must be
2.
Arundinaria gigantea
10
Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Ligustrum sinense 10 Yes FACU
4.
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or
5.
more in diameter at breast height (DBH), regardless of
6
height.
7.
Sapling/Shrub -Woody plants, excluding vines, less
8.
than 3 in. DBH and greater than or equal to 3.28 ft
9
(1 m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11
of size, and woody plants less than 3.28 ft tall.
30
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
15
20% of total cover:
6
height.
Woody Vine Stratum (Plot size: 30 )
1.
Smilax rotundifolia
80
Yes
FAC
2.
Lonicera japonica
20
Yes
FACU
3.
4.
5.
Hydrophytic
100
=Total Cover
Vegetation
50% of total cover:
50
20% of total cover:
20
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
50.0% of dominant vegetation is FAC or wetter.
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

VEGETATION (Five Strata) — Use scientific names of plants.
Sampling Point: DP7
Tree Stratum (Plot size: )
% Cover Species? Status
Dominance Test worksheet:
1
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: (A)
3.
Total Number of Dominant
4.
Species Across All Strata: (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: (A/B)
=Total Cover
Prevalence Index worksheet:
50% of total cover:
20% of total cover:
Total % Cover of: Multiply by:
Sapling Stratum (Plot size: )
OBL 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.
Prevalence Index = B/A =
=Total Cover
Hydrophytic Vegetation Indicators:
50% of total cover:
20% of total cover:
_ 1 - Rapid Test for Hydrophytic Vegetation
Shrub Stratum (Plot size: )
2 - Dominance Test is >50%
1.
_
3 - Prevalence Index is 53.0'
2.
_
4 - Morphological Adaptations' (Provide supporting
3
data in Remarks or on a separate sheet)
4.
_ Problematic Hydrophytic Vegetation' (Explain)
5.
Indicators of hydric soil and wetland hydrology must be
6.
present, unless disturbed or problematic.
Definitions of Five Vegetation Strata:
=Total Cover
50% of total cover:
20% of total cover:
Tree — Woody plants, excluding woody vines,
Herb Stratum (Plot size: )
approximately 20 ft (6 m) or more in height and 3 in.
1
(7.6 cm) or larger in diameter at breast height (DBH).
2.
Sapling — Woody plants, excluding woody vines,
3.
approximately 20 ft (6 m) or more in height and less
4
than 3 in. (7.6 cm) DBH.
5.
Shrub - Woody Plants, excluding woody vines,
6
approximately 3 to 20 ft (1 to 6 m) in height.
7.
Herb —AII herbaceous (non -woody) plants, including
8.
herbaceous vines, regardless of size, and woody
9
plants, except woody vines, less than approximately
3 ft (1 m) in height.
10
11
Woody Vine — All woody vines, regardless of height.
=Total Cover
50% of total cover:
20% of total cover:
Woody Vine Stratum (Plot size: )
1.
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

SOIL Sampling Point: DP7
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth
Matrix
Redox Features
_ Histosol (Al)
(inches)
Color (moist)
%
Color (moist) % Types Loc2
Texture Remarks
0-4
10YR 5/3
70
5YR 5/8 30 C M
Loamy/Clayey Prominent redox concentrations
4-14
5YR 5/8
50
10YR 5/3 50 D PL
Loamy/Clayey
14-20
5YR 5/8
100
_ Depleted Dark Surface (F7)
Loamy/Clayey
Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators:
Indicators for Problematic Hydric Soils3:
_ Histosol (Al)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
_Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
_ Hydrogen Sulfide (A4)
_ Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
X Redox Depressions (F8)
_Very Shallow Dark Surface (F22)
—Sandy Mucky Mineral (S1)
_ Iron -Manganese Masses (F12) (LRR N,
—Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
—Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes X No
Remarks:
This data form is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
Indicators of hydric soils are present.
US Army Corps of Engineers Eastern Mountains and Piedmont – Version 2.0

South Fork Muddy Creek
Attachments
ATTACHMENT F:
Impact Sheets
January 25, 2019
CWS Project No. 2017-0446

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Scale:
EROSION CONTROL NOTES:
1. ALL DISTURBED AREAS TO BE SEEDED AND
MULCHED IMMEDIATELY UPON COMPLETION OF
CONSTRUCTION. Project Number:
2. EVERY 150 LF AND N TOPOGRAPHY THAT HCONC NERE UTRATETFLOWST 710220
n ALONG SILT FENCE, INSTALL SILT FENCE
I I OUTLET PER DETAIL 5—C. Sheet: C-5
Page 6 of 39 10/24/2018

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CONSTRUCTION. Project Number:
2. EVERY 150 LF AND WHERE LOW SPOTS EXIST VERTICAL
IN TOPOGRAPHY THAT CONCENTRATE FLOW 0 2 4 710220
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PARCEL #10
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Date:
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VERTICAL
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Date:
10-22-18
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HORIZONTAL Scale:
° 20 40 1 "=40'
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Project Number:
VERTICAL
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FEFER TO USOA �/EBSITE Ai HTTP://PIANi5.U5pACOV/PIANIi �I � 51REA1� BEp ELEVATIpN
OR ApDI11pNAL DETAILS FOR ANT DF THE LISTED SPECIES le.
PLANTING SCHEDULE
RIPARIAN ZONE PIEDMONT REGION)
DETAIL 6-E
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NO FERTILIZER TO BE USED WITHIN 10' OF BANK
DETAIL 6-F
1 "=4D'
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SOUTH FORK INTERCEPTOR NO3 OUTFALL
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SURFACEFLOW 0
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1 —
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SURFACE FLOW
D ERTED BY 1w 1 *FDL AND ARMORFLEX MATTRESSES (OR APPROVED EQUAL) PIACED IN
STREAM BED SHALL NOT EXCEED THE ORIGINAL STREAM BED
/
ELEVATION UNLESS APPROVED BY THE ENGINEER.
-
�V
ALONG EDGES
OF ARMORFLEX
SCE aNDERR W
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ARMORFLE% OR APPROVED EQUAL AGGREGATE APPROCH
OVER RIP -RAP+ 1:5 (V: H) MAXIMUM SLOPE ON ROAD
SURFACE FLOW DIVERTED BY SWALE SURFACE FLOW
DIVERTED BY SWALE
ARMORFLE% APPVED
�11­'RITRNE�A�'R"'.EZ
UNDER X467 STONE
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AGGREGATE BED OVER
GEOTEXTILE FlLTER CLOIH
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CALIFORNIA BEARING RATIO TEST
BR% 2 3 4 5
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Stone 61 31 20 15 N
Thickness, H
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Stone 36. 16 0 B 0
Thickness, H
(InJ
•2 LAYERS OF B%1100 OR BX1200, AT SUBGRADE AND MIDDLE OF
DRAINAGE ROCK
PERMANENT STREAM CROSSING DETAIL
PERMANENT STREAM CROSSING
N0. STATDN DIA (IN) LENGTH
MATERIAL WASS LL VIERN (F
1 40,00.00 NA 20 FDRD THICK NA Q NA T
1 44180.00 NA 20 FORD N� NA
3 57,50.00 NA 20 FDRD NA NA
5 71 -SOW NA 20 FDRD NA NA
2� FORD NA MA
TABLE
Detail D-7
Detail Sheet D-7

South Fork Muddy Creek
Attachments
ATTACHMENT G:
Alternative Plans
January 25, 2019
CWS Project No. 2017-0446

FINAL SUBMITTAL
/ Alternative 1_ Jluora,\�/IIII I Ili NOT FOR CONSTRUCTION
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Page 7 of 39 10/24/2018

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South Fork Muddy Creek
Attachments
ATTACHMENT H:
Construction Plan Sheets
January 25, 2019
CWS Project No. 2017-0446

—SSE —
=S
ro' N"7'/SL f1'
/NIN
i
V
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PLUG EXIST. SIPHON
ABANDON EXIST. x
SIPHON BOX
EX/ST. LIFT STATION TO
\ / \ BE ABANDONED 1
/\ (SEE SHEET C-3)
730 730
■■■■ ■■■■■■
0+00
2+00
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6+00
7+00
8+00 8+50
FINAL SUBMITTAL
NOT FOR CONSTRUCTION
ABANDON PIPE AND FILL
WITH FLOWABLE FILL
WITHIN ROW
I _
Appiwd of these water do sari my sewer plans does not
constitute approval for coo mictiaa Approval of
constructivin must be in iiamual written apxeenaerrt Faffore v
obc= such agreesaent priw to bei a of camshvcu dan. will
relieve rhe City of any, financial participatiom in this project
C7 C Y OF WNSTCK SALLM
BY:
Waur & Sewer
Udbdes Director
Leave
Approval by the UtiLities Director of the Rater and
seiner tnfrastrucruts depicted m these plans dices not
constitute approval for any other purpose than that sept
forth in. Section 64 of the 'Fater System Pbbcy and
Section 34 of the Sewer System Policy of the
City City L:tllity Cominnsitm. To the extent other
permits, Licenses, permissions or the like nnast be
obtained to complete this project such .are specifically
not granted by this appwv31 and must be Iabmined by
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constructivin must be in iiamual written apxeenaerrt Faffore v
obc= such agreesaent priw to bei a of camshvcu dan. will
relieve rhe City of any, financial participatiom in this project
C7 C Y OF WNSTCK SALLM
BY:
Waur & Sewer
Udbdes Director
Leave
Approval by the UtiLities Director of the Rater and
seiner tnfrastrucruts depicted m these plans dices not
constitute approval for any other purpose than that sept
forth in. Section 64 of the 'Fater System Pbbcy and
Section 34 of the Sewer System Policy of the
City City L:tllity Cominnsitm. To the extent other
permits, Licenses, permissions or the like nnast be
obtained to complete this project such .are specifically
not granted by this appwv31 and must be Iabmined by
the Det eLz�re_ ou1d or his desiguee.
CTIF OP A-USTON-S..UEM FROSIONCON-MOL
PER.-[ \'LAIDFB PIAN APP&OL'EO
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Date:
10-22-18
Chkd:
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Scale
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Project Number:
710220
Sheet: SS -1
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South Fork Muddy Creek
Attachments
ATTACHMENT I:
NCNHP Report
January 25, 2019
CWS Project No. 2017-0446

CAROLINA WETLAND SERVICES, INC.
550 E. Westinghouse Blvd.
Charlotte, NC 28273
704-527-1177 (office)
704-527-1133 (fax)
November 16, 2017
Mr. Jason Dorn
Gavel and Dorn Engineering, PLLC
6730 Freedom Dr.
Charlotte, NC 28214
Subject: Protected Species Assessment
South Fork Muddy Creek Sewer Line Replacement
Winston Salem, NC
CWS Project No. 2017-0446
Dear Mr. Dorn,
Gavel and Dorn has contracted Carolina Wetland Services, Inc. (CWS) to provide a protected
species assessment for the South Fork Muddy Creek Sewer Line Replacement site. The South
Fork Muddy Creek Sewer Line Replacement site is approximately 76 acres in extent and
encompases a corridor that extends for approximately 9,800 linear feet from west of Peters
Creek Parkway to east of Highway 52 in Winston Salem, North Carolina (Figures 1 and 2).
Literature Search
To determine which protected species are listed as occurring or potentially occurring at the
South Fork Muddy Creek Sewer Line Replacement site, CWS consulted the North Carolina
Natural Heritage Program (NCNHP) Rare, Threatened, and Endangered Species Inventory
database for the U.S. Geological Survey (USGS) Winston Salem West, North Carolina and
Winston Salem East, North Carolina topographic quadrangles.' The United States Fish and
Wildlife Service's (USFWS) North Carolina Distribution Records of Endangered, Threatened,
Candidate and Species of Concern list for Forsyth County2 was also consulted. The NCNHP
database lists the bog turtle (Clemmys muhlenbergii) as potentially occurring in the USGS
Winston Salem West quadrangle. The NCNHP database lists the bog turtle and the northern
long-eared bat (Myotis septentrionalis) as potentially occurring in the USGS Winston Salem
East quadrangle. Furthermore, the NCNHP database lists the small-anthered bittercress
(Cardamine micranthera) and the bog turtle (Clemmys muhlenbergii) as potentially occurring in
Forsyth County. The USFWS database also lists the bog turtle and the small-anthered
bittercress (Table 1, next page) as federally -protected species potentially occurring in Forsyth
County. Additionally, Forsyth County is within the white -nose syndrome buffer zone according to
the White -Nose Syndrome Zone Around WNS/Pd Positive Counties/Districts map (Figure 4;
Table 1, next page). Table 2 (next page) summarizes the status listing definitions.
North Carolina Natural Heritage Program Online Database Search. Accessed October 31, 2017. Department of Environment
and Natural Resources, Office of Land and Water Stewardship, Raleigh, NC. www.ncnhp.org.
United States Fish and Wildlife Service. Accessed October 31, 2017. Endangered Species Online Database Search,
Endangered Species Department, Southeast Division, Atlanta, GA. http://www.fws.gov/endangered/.
NORTH CAROLINA - SOUTH CAROLINA
WWW.CWS-INC.NET
Page 1 of 6

South Fork Muddy Creek
Protected Species Assessment Report
November 16, 2017
CWS Project No. 2017-0446
CWS performed a data review using the North Carolina Natural Heritage Program (NCNHP)
Data Explorer on October 31, 2017 to determine if any record occurrences of federally -listed,
candidate endangered, threatened species, or critical habitat are located within the project area.
Based on this review, there are no current records of federally -protected species within the
project limits but there are two occurrences of the bog turtle within one -mile of the project limits.
A copy of the data review report is attached.
Table 1. A List of Federally -Protected Species Potentially Occurring within the South Fork Muddy
Creek Site, Forsyth County, NC.
Major
Scientific
Common
Status
Habitat
Source
Group
Name
Name
T
Threatened
A taxon "likely to become endangered within the foreseeable future
Cardamine
Small-anthered
C
Small streambed seeps, adjacent
NCNHP 2017
Plant
micranthera
bittercress
E
sandbars, and stream edges in the Dan
USFWS 2017
A species under consideration for listing, for which there is insufficient
FSC
River drainage
information to support listing at this time. These species may or may not be
Clemmys
listed in the future, and many of these species were formerly recognized as
Wet meadows, shallow water marshes,
NCNHP 2017
Animal
muhlenbergii
Bog turtle
T(S/A)
spring seeps, floodplain wetlands, bogs,
USFWS 2017
Appearance
biologically endangered or threatened and are not subject to Section 7
and fens
consultation.
Myotis
Northern
EXP
Forested areas of any age, rocky areas
Experimental, nonessential populations of endangered species (e.g., red
Animal
septentrionalis
long-eared bat
T
with boulders, and culverts greater than
USFWS 2017
P
Proposed
Taxa proposed for official listing as endangered or threatened will be noted as
"PE" "PT,
four feet wide
or respectively.
Animal
Haliaeetus
�Ieucocephalus
Bald eagle
BGPA
Estuaries, large lakes, reservoirs, rivers,
USFWS 2017
and seacoast.
Table 2. Endangered Species Act Listing Definitions
Code
Status
Definition
E
Endangered
A taxon "in danger of extinction throughout all or a significant portion of its
range."
T
Threatened
A taxon "likely to become endangered within the foreseeable future
throughout all or a significant portion of its range."
C
Candidate
A taxon under consideration for official listing for which there is sufficient
information to support listing. (Formerly "C1" candidate species.)
BGPA
Protected
Bald and Golden Eagle Protection Act.
A species under consideration for listing, for which there is insufficient
FSC
Federal Species
information to support listing at this time. These species may or may not be
of Concern
listed in the future, and many of these species were formerly recognized as
"C2" candidate species.
Threatened Due
A taxon that is threatened due to similarity of appearance with another listed
T(S/A)
to Similarity of
species and is listed for its protection. Taxa listed as T(S/A) are not
Appearance
biologically endangered or threatened and are not subject to Section 7
consultation.
A taxon listed as experimental (either essential or nonessential).
EXP
Experimental
Experimental, nonessential populations of endangered species (e.g., red
Population
wolf) are treated as threatened species on public land, for consultation
purposes, and as species proposed for listing on private land.
P
Proposed
Taxa proposed for official listing as endangered or threatened will be noted as
"PE" "PT,
or respectively.
3 North Carolina Natural Heritage Data Explorer. Accessed October 31, 2017. https:Hncnhde.natureserve.org/.
Page 2 of 6

South Fork Muddy Creek
Protected Species Assessment Report
Field Survey
November 16, 2017
CWS Project No. 2017-0446
CWS scientists Daniel Roberts, Project Scientist, and Ryan Gibbons, Staff Scientist I, conducted
a pedestrian survey of the project area for potential habitat of listed species on October 17 and
18, 2017. Identification references for natural communities include Schafale and Weakley's
Third Approximation for Natural Communities of North Carolina (1990)4 and Weakley (2015)5 for
plant species. The North Carolina Wildlife Resources Commission bog turtle fact sheet (2006)6
was also utilized. Transects were assessed along the areas identified as potential habitat, as
applicable, for potentially occurring federally -protected species. No potential habitat supportive
of listed species was observed.
Results
The project area consists of unmaintained open areas, forested areas, powerline right-of-ways,
sewerline right-of-ways, gasline right-of-ways, a maintained golf course, and residential areas
(Figure 2, attached). Typical on site vegetation consists of American sycamore (Platanus
occidentalis), eastern red cedar (Juniperus virginiana), flowering dogwood (Cornus florida),
northern red oak (Quercus rubra), pawpaw (Asimina triloba), red maple (Acer rubrum), slippery
elm (Ulmus rubra), sweetgum (Liquidambar styraciflua), river birch (Betula nigra), Virginia pine
(Pinus virginiana), white oak (Quercus alba), willow oak (Quercus phellos), winged elm (Ulmus
alata), autumn olive (Elaeagnus umbellate), Chinese privet (Ligustrum sinense), giant cane
(Arundinaria gigantea), greenbrier (Smilax rotundifolia), Japanese honeysuckle (Lonicera
japonica), muscadine (Vitis rotundifolia), poison ivy (Toxicodendron radicans), Nepalese
browntop (Microstegium vimineum), river oats (Chasmanthium latifolium), shallow sedge (Carex
lurida), wild onion (Allium vineale), and various grasses (Festuca spp.).
Small-Anthered bittercress (Cardamine micranthera) — No Effect
The small-anthered bittercress is a perennial herb limited to four populations in North Carolina.
The small anthered-bittercress is characterized by an erect, slender stem approximately 7-15
centimeters in length, alternate leaves, and flowers with four white petals, six stamens, and a
round anther. The small-anthered bittercress prefers small streambed seeps, adjacent
sandbars, and stream edges within the Dan River basin. Typically, it grows in close proximity to
fields and pastures. The decline in the small-anthered bittercress' habitat is a result of stream
channelization and impoundment, the encroachment of exotic plants, and conversion of habitat
for agricultural purposes. It has been listed as Endangered under the ESA since 1989.' No
seepages, wet rock crevices or wet woods were observed in the project area and streambanks
were incised and dry throughout. The Rion, Wateree, and Pacolet soil series, which the
small-anthered bittercress typically inhabits, do not occur within the project area. This project
does not occur within the Dan River Basin, and no habitat was observed during the site
assessments conducted on October 17 and 18, 2017 (Attachment B, Photographs 1-4).
Therefore, this project will have no effect on the small-anthered bittercress species.
4 Schafale, M.P., and A.S. Weakley. 1990. Classification of the Natural Communities of North Carolina, Third Approximation.
http://ww.namethatplant.net/PDFs/elass.pdf.
5 Weakley, A.S. 2015. Flora of the Southern and Mid -Atlantic States. http://www.herbarium.unc.edu/flora.htm.
6 North Carolina Wildlife Resources Commission. 2006. Bog Turtle Fact Sheet.
http://www.ncwildlife.org/Portals/0/Conserving/documents/nongame_bogturtle_hires.pdf.
United States Fish and Wildlife Services. 1989. Endangered and Threatened Wildlife and Plants; Small-Anthered Bittercress Determined to be
Endangered. http://ecos.f\vs.gov/docs/federal_register/fr1581.pdf.
Page 3 of 6

South Fork Muddy Creek
Protected Species Assessment Report
Bog Turtle (Clemmys muhlenbergii) — No Effect
November 16, 2017
CWS Project No. 2017-0446
The bog turtle is the smallest species of pond turtles in the world. They have a dark brown to
black carapace with prominent scute annuli in younger individuals. The head, neck, and limbs
are dark brown with reddish-yellow spots or lines. A large, reddish -orange to yellow blotch runs
behind the eye to the neck. Bog turtles are found in seepage or spring -fed emergent wetlands
associated with streams and bordered by wooded areas. They require clean, slow -running
streams with organic substrates. Habitat must also include a variety of microhabitats including
dry pockets, saturated, and flooded areas. The bog turtle was listed as Threatened due to
Similarity of Appearance (T[S/A]) in Forsyth County in 1997.$ Species listed as threatened due
to similarity of appearance do not require Section 7 consultation with the USFWS and only
prohibits "take." Freshwater wetlands within the South Fork Muddy Creek Sewer Line
Replacement site are forested riparian systems or altered forested riparian systems that do not
have the microhabitats needed for bog turtles. Based on this site visit, there is no potential
habitat for the bog turtle within the South Fork Muddy Creek Sewer Line Replacement project
limits (Attachment B, Photographs 2,5). Therefore, this project will have no effect on the bog
turtle.
Bald Eagle (Haliaeetus leucocephalus) - No Effect
The Bald and Golden Eagle Protection Act,9 enacted in 1940, prohibits anyone, without a permit
issued, from "taking" bald eagles, including their parts, nests, or eggs. Habitat for the bald eagle
includes estuaries, large lakes, reservoirs, rivers, and seacoast. There are no large water
bodies within the project limits or 660 feet of the project limits, therefore, no potential habitat for
the bald eagle exists within the project area (Figure 1). Additionally, no bald eagles or bald
eagle nests were observed during the pedestrian survey on October 17 and 18, 2017.
Therefore, this project will have no effect on the bald eagle.
Northern Long -Eared Bat (Myotis septentrionalis) — Exempt
The northern long-eared bat (NLEB) is one of the species of bats most impacted by the
white -nose syndrome disease. Summer habitat (roosting habitat) of the NLEB includes forests
and woodlots containing live trees and/or dead snags greater than three inches at diameter
breast height with cavities or crevices. Winter habitat (hibernacula) of the NLEB includes caves,
mines, rocky areas, or structures that mimic similar conditions such as culverts greater than
48 -inch in diameter.10 The NLEB was listed as Threatened (T) on April 2, 2015. This project
takes place within the Northern long-eared bat habitat range (WNS Buffer Zone Map, attached).
A Standard Local Operating Procedure for Endangered Species Act Compliance (SLOPES) was
established for NLEB between the USFWS Asheville and Raleigh Ecological Offices and the
United States Army Corps of Engineers (USACE), Wilmington District, on January 31, 2017."
This SLOPES defines how the USACE will make determinations of effect to the NLEB on
projects in which the USACE is the lead federal agency. Alternative Local Procedure 2 (ALP 2)
applies for the South Fork Muddy Creek Sewer Line Replacement site as the action area is
8 ETWP; Final Rule to List the Northern Population of the Bog Turtle as Threatened and the Southern Population as Threatened
Due to Similarity of Appearance, 1997. Available at: http://ecos.fws.gov/docs/federal_register/fr3l75.pdf
9 https://www.fws.gov/midwest/MidwestBird/eaglepermits/bagepa.html
10 United States Fish and Wildlife Service. 2016. 4(d) Rule for the Northern Long -Eared Bat; Final rule.
https://www.gpo.gov/fdsys/pkg/FR-2016-01-14/pdf/2016-00617.pdf
" USACE http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf
Page 4 of 6

South Fork Muddy Creek
Protected Species Assessment Report
November 16, 2017
CWS Project No. 2017-0446
within range of the NLEB, 12 the action area is located outside of a red 12 -digit HUC as defined
by the Raleigh Ecological Services Field Office,13 and there is no pile driving, blasting or other
percussive activities, and/or activities involving tree cutting/removal. Consulting on other listed
species or critical habitat is required by the USACE.
The final 4(d) rule exempts incidental take of NLEB associated with activities that occur greater
than 0.25 miles from a known hibernaculum site and greater than 150 feet from a known,
occupied maternity roost from June 1 -July 31. In accordance with ALP 2 and the final 4(d) rule
(effective as of February 16, 2016), any incidental take that may result from associated activities
is exempt under the 4(d) rule. Therefore, this project is exempt under the 4(d) rule.
Determinations
Based on the literature search and the results of the on-site habitat assessment for
federally -protected endangered and threatened species, it has been determined that no habitat
was observed within the project limits for the small-anthered bittercress, bog turtle, or bald
eagle. Therefore this project will have no effect on these species and any incidental take of
NLEB is exempt. Biological determinations for federally protected species are summarized in
Table 3 (below).
Table 3. Biological Determinations Summary for Federally Protected Species
Scientific Name
Common Name
Federal
Status
Habitat Present
Biological
Determination*
Cardamine micranthera
Small-Anthered Bittercress
E
No
No Effect
C/emmys muhlenbergii
Bog Turtle
T(S/A)
No
No Effect
Haliaeetus leucocepha/us
Bald Eagle
BGPA
No
No Effect
Myotis septentrionalis
Northern Long -Eared Bat
T
Yes
Exempt
* E - Endangered, T - Threatened, T(S/A) - Threatened Due to Similarity of Appearance, BGPA - Bald
and Golden Eagle Protection Act
12 The U.S. Fish and Wildlife Service (USFWS) 2016. https://www.fws.gov/midwest/endangered/mammals/nleb/pdf/WNSZone.pdf
s The U.S. Fish and Wildlife Service (USFWS) 2016. Northern Long -Eared Bat.
http://www.fws.gov/asheville/htmls/project review/NLEB—in—WNC.html
Page 5 of 6

South Fork Muddy Creek
Protected Species Assessment Report
November 16, 2017
CWS Project No. 2017-0446
Thank you for the opportunity to provide these services on this important project. Please do not
hesitate to contact Gregg Antemann at 704-408-1683 or [e-mail] should you have
any questions or comments regarding this report.
Sincerely,
Gregg Antemann, PWS
Principal Scientist
LL N0. AOAi
�loR O[IAN n N v yi
Daniel Roberts
Project Scientist
Attachments: Figure 1: USGS Site Location
Figure 2: Historic USGS Site Location
Figure 3: Aerial Imagery
Figure 4: White Nose Syndrome Buffer Zone
Attachment A: NCNHP Data Review Report
Attachment B: Representative Photographs (1-6)
Page 6 of 6

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SR 2931
REFERENCE: BACKGROUND USGS 7.5 MINUTE TOPOGRAPHIC QUADRANGLE:
WINSTON SALEM EAST, NC (2017), WINSTON SALEM WEST (2017);
WELCOME, NC (2017); AND MIDWAY, NC (2017), PROVIDED BY ESRI, DATED 2017.
SCALE: DATE'
Legend
Project Limits (76 ac.)
-i
2,000 1,000 0 2,000 Feet
1 inch = 2,000 feet 10/31/2017 Current USGS Site Location
CWS PROJECT NO: DRAWN BY:
2017-0446 RMG South Fork Muddy Creek
APPLICANT NO: CHECKED BY: CAROLINA Winston Salem, North Carolina
GCA WETLAND SERVICES Protected Species Survey
C:\Google Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\PETS\ArcGIS\GIS Data\Figurel_CurrentUSGSmxd.mxd
FIGURE NO.
1
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REFERENCE: BACKGROUND USGS 7.5 MINUTE TOPOGRAPHIC QUADRANGLE:
WINSTON SALEM EAST, NC (2017), WINSTON SALEM WEST (2017);
WELCOME, NC (2017); AND MIDWAY, NC (2017), PROVIDED BY ESRI, DATED 2017.
SCALE: DATE'
Legend
Project Limits (76 ac.)
-i
2,000 1,000 0 2,000 Feet
1 inch = 2,000 feet 10/31/2017 Current USGS Site Location
CWS PROJECT NO: DRAWN BY:
2017-0446 RMG South Fork Muddy Creek
APPLICANT NO: CHECKED BY: CAROLINA Winston Salem, North Carolina
GCA WETLAND SERVICES Protected Species Survey
C:\Google Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\PETS\ArcGIS\GIS Data\Figurel_CurrentUSGSmxd.mxd
FIGURE NO.
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CAGoogle Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\PETS\ArcGIS\GIS Data\Figure2_HistoricUSGSmxd.mxd

S�tiT yi]F YH w wu-U.S. Fish & Wildlife Service
i Northern Long -Eared Bat Final 4(d) Rule
rA,3,ay White -Nose Syndrome Zone Around WNS/Pd Positive Counties/Districts
IN
M
J -
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10 i-"-150 300 450
Miles
4--%
r
Map Created June 30, 2017
Counties/Districts with WNS/Pd
Infected Hibernacula
White -Nose Syndrome Zone
Per Final 4(d) Rule
U.S. counties within 150 miles of positive
counties/districts (Data as of 06/30/17;
additional updates expected)
FNorthern Long -Eared Bat Range
WO,O? (Revised 03/29/2017)
Northern Long -Eared Bat range and WNS Zone
subject to change as new data are collected.
WNS = White -Nose Syndrome
Pd = Pseudogymnoascus destructans; the
fungus that causes WNS
Coordinate System: WNS Counties/Districts Provisional Data
North America Equidistant Conic Provided By: USGS
Datum: North American 1983 Basemap Data: USGS

North Carolina Department of Natural and Cultural Resources
Natural Heritage Program
Governor Roy Cooper Secretary Susi H. Hamilton
October 31, 2017
Ryan Gibbons
Carolina Wetland Services
550 E. Westinghouse Blvd
Charlotte, NC 28273
RE: South Fork Muddy Creek; 2017-0446
Dear Ryan Gibbons:
NCNHDE-4617
The North Carolina Natural Heritage Program (NCNHP) appreciates the opportunity to provide information
about natural heritage resources for the project referenced above.
A query of the NCNHP database, based on the project area mapped with your request, indicates that there are
no records for rare species, important natural communities, natural areas, or conservation/managed areas
within the proposed project boundary. Please note that although there may be no documentation of natural
heritage elements within the project boundary, it does not imply or confirm their absence; the area may not have
been surveyed. The results of this query should not be substituted for field surveys where suitable habitat exists.
In the event that rare species are found within the project area, please contact the NCNHP so that we may
update our records.
The attached `Potential Occurrences' table summarizes rare species and natural communities that have been
documented within a one -mile radius of the property boundary. The proximity of these records suggests that
these natural heritage elements may potentially be present in the project area if suitable habitat exists and is
included for reference. Tables of natural areas and conservation/managed area within a one -mile radius of the
project area, if any, are also included in this report.
Please note that natural heritage element data are maintained for the purposes of conservation planning, project
review, and scientific research, and are not intended for use as the primary criteria for regulatory decisions.
Information provided by the NCNHP database may not be published without prior written notification to the
NCNHP, and the NCNHP must be credited as an information source in these publications. Maps of NCNHP
data may not be redistributed without permission.
The NC Natural Heritage Program may follow this letter with additional correspondence if a Dedicated Nature
Preserve (DNP), Registered Heritage Area (RHA), Clean Water Management Trust Fund (CWMTF) easement,
or Federally -listed species are documented near the project area.
If you have questions regarding the information provided in this letter or need additional assistance, please
contact Rodney A. Butler at rod ney.butler o_ncdcr.gov or 919.707.8603.
Sincerely,
NC Natural Heritage Program
MAILING ADDRESS: Tele hone: [919', 7D7-8107 LOCA.TICN
16`1 MaiI Ser,rice Center �n�rr&ncnh2.org 121 VVest hones S-reat
Ralaigh, NC 27899-1881 Ralaigh, NC 27603

Natural Heritage Element Occurrences, Natural Areas, and Managed Areas Within a One -mile Radius of the Project Area
South Fork Muddy Creek
Project No. 2017-0446
October 31, 2017
NCNHDE-4617
Element Occurrences Documented Within a One -mile Radius of the Project Area
Taxonomic
EO ID Scientific Name Common Name
Last
Element
Group
Observation
Occurrence
Date
Rank
Natural
15957 Low Elevation Seep ---
1996-10-21
C?
Community
(Floodplain Subtype)
Reptile
1613 Glyptemys muhlenbergii Bog Turtle
1972-05-24
H
Reptile 16990 Glyptemys muhlenbergii Bog Turtle
1997 D
Accuracy Federal
Status
3 -Medium ---
State Global State
Status Rank Rank
--- G4 S2
3 -Medium Threatened Threatened
Similar
Appearance
3 -Medium Threatened Threatened
Similar
Appearance
Natural Areas Documented Within a One -mile Radius of the Project Area
Site Name Representational Rating Collective Rating
Friedburg Marsh R5 (General) C5 (General)
Managed Areas Documented Within a One -mile Radius of the Project Area
Managed Area Name Owner Owner Type
NC Department of Transportation Mitigation Site NC Department of Transportation State
NC Division of Mitigation Services Easement NC DEQ, Division of Mitigation Services State
Forsyth County Open Space Forsyth County: multiple local government Local Government
Friedburg Marsh Conservation Site NC Department of Transportation State
G3 S2
G3 S2
Definitions and an explanation of status designations and codes can be found at https://ncnhde.natureserve.org/content/help. Data query generated on October 31, 2017; source: NCNHP, Q3 July 2017. Please resubmit your
information request if more than one year elapses before project initiation as new information is continually added to the NCNHP database.
Page 2 of 3

NCNHDE-4617: South Fork Muddy Creek
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Project Boundary
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Page 3 of 3
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0 0.375 0.75 1.5 km
Sources: Esri, HERE, DeLorme, Intermap, increment P Corp., GEBCO, USGS,
FAO, NPS, NRCAN, GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan,
METI, Esri China (Hong Kong),—sstopo, Mapmylndia, © OpenStreetMap
contributors, and the GIS User Community

South Fork Muddy Creek November 16, 2017
Attachment B: Representative Photographs CWS Project No. 2017-0446
Photograph 1. View of South Fork Muddy Creek, facing downstream, western.
Photograph 2. View of general site conditions, facing northwest.
Photopage 1 of 3

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South Fork Muddy Creek November 16, 2017
Attachment B: Representative Photographs CWS Project No. 2017-0446
Photograph 5. View of general site conditions, facing northeast.
Photograph 6. View of potential NLEB habitat under bridges, facing west.
Photopage 3 of 3

South Fork Muddy Creek
Attachments
ATTACHMENT J:
SHPO Correspondence
January 25, 2019
CWS Project No. 2017-0446

October 19, 2018
Ramona Bartos
Deputy State Historic Preservation Officer
North Carolina State Historic Preservation Office
4617 Mail Service Center
Raleigh, North Carolina 27699-4617
Subject: Request for Records Search
South Fork Interceptor No. 3 Outfall
Winston Salem, North Carolina
CWS Project No. 2017-0446
Dear Ms. Bartos:
The City of Winston-Salem is hereby contacting the North Carolina State Historic Preservation Office
regarding the presence of any historic properties or cultural resources within the referenced project
area. The South Fork Interceptor No. 3 Outfall site encompases a corridor that extends for
approximately 9,800 linear feet from west of Peters Creek Parkway to east of Highway 52 in Winston
Salem, North Carolina and is approximately 76 acres in extent (Figures 1-3).
The center coordinates for the project are 36.018967°, -80.248674°. Carolina Wetland Services, Inc.
(CWS) is the acting environmental consultant for this project and has prepared the following
documentation and they will be included in all correspondences.
The project area consists of unmaintained open areas, forested areas, powerline right-of-ways,
sewerline right-of-ways, gasline right-of-ways, a maintained golf course, and residential areas (Figure 4,
attached). Typical on site vegetation consists of American sycamore (Platanus occidentalis), eastern
red cedar (Juniperus virginiana), flowering dogwood (Cornus florida), northern red oak (Quercus rubra),
pawpaw (Asimina triloba), red maple (Acer rubrum), slippery elm (Ulmus rubra), sweetgum
(Liquidambar styraciflua), river birch (Betula nigra), Virginia pine (Pinus virginiana), white oak (Quercus
alba), willow oak (Quercus phellos), winged elm (Ulmus alata), autumn olive (Elaeagnus umbellata),
Chinese privet (Ligustrum sinense), giant cane (Arundinaria gigantea), greenbrier (Smilax rotundifolia),
Japanese honeysuckle (Lonicera japonica), muscadine (Vitis rotundifolia), poison ivy (Toxicodendron
radicans), Nepalese browntop (Microstegium vimineum), river oats (Chasmanthium latifolium), shallow
sedge (Carex lurida), wild onion (Allium vineale), and various grasses (Festuca spp.).
Based on a review of the State Historic Preservation Office's online GIS Mapping Application', there is
one historic property listed within the project limits (Figure 5, attached). Bridge #130 (Site ID FY2648)
crosses South Fork Muddy Creek as part of SR 2931. Bridge #130 is listed as "Surveyed, Gone" on
the SHPO GIS Mapping Application.
http://gis.ncdcr.gov/hpoweb/. Accessed November 7, 2017.
1 of 2

46_76"6ty
Forsyth County
U011des
South Fork Interceptor No. 3 Outfall
Request for Records Search
October 19, 2018
CWS Project No. 2017-0446
Please provide a written response concerning your determination regarding the presence of any historic
properties or cultural resources within the project area. Please do not hesitate to contact Daniel Roberts
at 704-527-1177, ext. 707 or [e-mail] or Courtney Driver at 336-747-7315 or
[e-mail] should you have any questions or comments regarding this request. Thank you
for your attention to this matter.
Sincerely,
Courtney D4riveE,Utilities Director
City of Winston Salem: Utilities Administration
101 N Main Street, Suite 357 Winston-Salem, North Carolina 27101
336-747-7315
[e-mail]
Attachments: Figure 1. Vicinity Map
Figure 2. Current USGS Site Location Map
Figure 3. Historic USGS Site Location Map
Figure 4. Aerial Imagery
Figure 5. SHPO Map Attachment A: Photopage (Photographs 1-2)
cc: Daniel Roberts, PWS
Carolina Wetland Services, Inc.
550 E. Westinghouse Blvd.
Charlotte, NC 28273 704-527-1177 ext. 707 (office)
Jack Fitzgerald, PE
Gavel & Dorn Engineering, PLLC
WestPoint Blvd. Suite B Winston-Salem, NC 27103
[phone] - Mobile

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REFERENCE: BACKGROUND VICINITY MAP PROVIDED BY ESRI, DATED 2017.
Ra
g Legend
Project Limits (76 ac.)
[ 5,000 2,500 0 5,000 Feet
SCALE: DATE:
1 inch = 5,000 feet 10/13/2017 Vicinity Map
CWS PROJECT NO: DRAWN BY:
2017-0446 RMG South Fork Muddy Creek
APPLICANT NO: CHECKED BY: C A R O L I N A Winston Salem, North Carolina
GCA WETLAND SERVICES. preliminary Wetland Investigation
C:\Google Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\Preliminary Wetland Investigation\ArcGIS\GIS Data\Figurel—Vicinity.mxd
FIGURE NO.
1

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REFERENCE: BACKGROUND USGS 7.5 MINUTE TOPOGRAPHIC QUADRANGLE:
WINSTON SALEM EAST, NC (2017), WINSTON SALEM WEST (2017);
WELCOME, NC (2017); AND MIDWAY, NC (2017), PROVIDED BY ESRI, DATED 2017.
SCALE: DATE
CN
Legend
Project Limits (76 ac.)
-J =
2,000 1,000 0 2,000 Feet
1 inch = 2,000 feet 10/31/2017 Current USGS Site Location
CWS PROJECT NO: DRAWN BY:
2017-0446 RMG South Fork Muddy Creek
APPLICANT NO: CHECKED BY: CAROLINA Winston Salem, North Carolina
GCA WETLAND SERVICES. Preliminary Wetland Investigation
C:\Google Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\PETS\ArcGIS\GIS Data\Figure1_CurrentUSGSmxd.mxd
FIGURE NO.
2
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REFERENCE: BACKGROUND USGS 7.5 MINUTE TOPOGRAPHIC QUADRANGLE:
WINSTON SALEM EAST, NC (2017), WINSTON SALEM WEST (2017);
WELCOME, NC (2017); AND MIDWAY, NC (2017), PROVIDED BY ESRI, DATED 2017.
SCALE: DATE
CN
Legend
Project Limits (76 ac.)
-J =
2,000 1,000 0 2,000 Feet
1 inch = 2,000 feet 10/31/2017 Current USGS Site Location
CWS PROJECT NO: DRAWN BY:
2017-0446 RMG South Fork Muddy Creek
APPLICANT NO: CHECKED BY: CAROLINA Winston Salem, North Carolina
GCA WETLAND SERVICES. Preliminary Wetland Investigation
C:\Google Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\PETS\ArcGIS\GIS Data\Figure1_CurrentUSGSmxd.mxd
FIGURE NO.
2

CAGoogle Drive\2017\2017 Consulting\2017 Projects\2017-0446 South Fork Winston\PETS\ArcGIS\GIS Data\Figure2_HistoricUSGSmxd.mxd

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Carolina Wetland Services, Inc. 2017-0446 South Fork Muddy Creek Sewer Line

South Fork Muddy Creek Sewer Line Replacement November 7, 2017
Attachment A: Photopage CWS Project No. 2017-0446
Photograph 1. View of FY2648 Bridge #130 location, facing north.
Photograph 2. View of general site conditions, facing west.
Photopage 1 of 1