20190373 Ver 1_JD Submittal Package_20190322

Preliminary ORM Data Entry Fields for New Actions
ACTION ID 4: SAW- Begin Date (Date Received):
Prepare file folder ❑ Assign Action ID Number in ORM ❑
1. Project Name [PCN Form A2a]: Sutters Mill Development
2. Work Type: ZPrivate ❑Institutional ❑Government ❑ Commercial
3. Project Description / Purpose [PCN Form 133d and 133e]:
The overall purpose of the project is to bring on line future phases (Phase I is currently under development - no jurisdictional impacts)
to expand the development and provide additional housing to meet the growing needs of this area of Iredell County and the greater
Charlotte Metropolitan area.
4. Property Owner / Applicant [PCN Form A3 or A4]: Dependable Development, Inc. - Michael Foess
5. Agent / Consultant [PNC Form A5 — or ORM Consultant ID Number]:
Lowrys Environmental & Ecological Services, LLC - S. Paul Petitgout
6. Related Action ID Number(s) [PCN Form 135b]: N/A
7. Project Location —Coordinates, Street Address, and/or Location Description [PCN Form Blb]:
35.663104 N; -80.839816 W; Simpson Road, Troutman, NC
8. Project Location —Tax Parcel ID [PCN Form B 1 a] : 4750315571.000; 4750309300.000; 4659497805.0%
9. Project Location — County [PCN Form A2b]: Iredell
10. Project Location — Nearest Municipality or Town [PCN Form A2c]: Troutman
11. Project Information — Nearest Waterbody [PCN Form 132a]: Weathers Creek
12. Watershed / 8 -Digit Hydrologic Unit Code [PCN Form 132c]: Yadkin -Pee Dee 03040102
Authorization: Section 10 ❑ Section 404 ❑✓
Regulatory Action Type:
❑ Standard Permit
Nationwide Permit 4
Regional General Permit 4
✓ Jurisdictional Determination Request
Section 10 and 404 ❑
❑ Pre -Application Request
❑ Unauthorized Activity
❑ Compliance
❑ No Permit Required
Revised 20150602

urisdictional Determination Reouest
US Army Corps
of Engineers.
Wilmington District
This form is intended for use by anyone requesting a jurisdictional determination (JD) from the
U.S. Army Corps of Engineers, Wilmington District (Corps). Please include all supporting
information, as described within each category, with your request. You may submit your request
via mail, electronic mail, or facsimile. Requests should be sent to the appropriate project
manager of the county in which the property is located. A current list of project managers by
assigned counties can be found on-line at:
http://www.saw.usace.army.mil/Missions/Re ul�atoryPennitProgram/Contact/CountyLocator.aspx,
by calling 910-251-4633, or by contacting any of the field offices listed below. Once your
request is received you will be contacted by a Corps project manager.
ASHEVILLE & CHARLOTTE REGULATORY
FIELD OFFICES
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
General Number: [phone]
Fax Number: [phone]
RALEIGH REGULATORY FIELD OFFICE
US Army Corps of Engineers
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
General Number: [phone]
Fax Number: [phone]
INSTRUCTIONS:
WASHINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
2407 West Fifth Street
Washington, North Carolina 27889
General Number: [phone]
Fax Number: [phone]
WILMINGTON REGULATORY FIELD OFFICE
US Army Corps of Engineers
69 Darlington Avenue
Wilmington, North Carolina 28403
General Number: 910-251-4633
Fax Number: [phone]
All requestors must complete Parts A, B, C, D, E, F and G.
NOTE TO CONSULTANTS AND AGENCIES: If you are requesting a JD on behalf of a
paying client or your agency, please note the specific submittal requirements in Part H.
NOTE ON PART D — PROPERTY OWNER AUTHORIZATION: Please be aware that
all JD requests must include the current property owner authorization for the Corps to
proceed with the determination, which may include inspection of the property when
necessary. This form must be signed by the current property owner(s) or the owner(s)
authorized agent to be considered a complete request.
NOTE ON PART D - NCDOT REQUESTS: Property owner authorization/notification for
JD requests associated with North Carolina Department of Transportation (NCDOT)
projects will be conducted according to the current NCDOT/USACE protocols.
NOTE TO USDA PROGRAM PARTICIPANTS: A Corps approved or preliminary JD
may not be valid for the wetland conservation provisions of the Food Security Act of
1985. If you or your tenant are USDA Program participants, or anticipate participation in
USDA programs, you should also request a certified wetland determination from the local
office of the Natural Resources Conservation Service, prior to starting work.
Version: May 2017 Page 1

Jurisdictional Determination Request
A. PARCEL INFORMATION
Street Address: Simpson Road
City, State:
County:
Troutman, North Carolina
Iredell
Parcel Index Number(s) (PIN): See 3 attached property sheets
B. REQUESTOR INFORMATION
Name: S. Paul Petitgout - Lowrys Environment;
Mailing Address: 1823 Quinn Road
Telephone Number:
Chester, SC 29706
803-992-0910
Electronic Mail Address: [e-mail]
Select one:
❑ I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant)
❑ Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
C. PROPERTY OWNER INFORMATION2
Name: 3 Separate Property Owners
Mailing Address: Please See Attached Agent
Authorizations for Owner contact info
Telephone Number:
Electronic Mail Address:
' Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Version: May 2017 Page 2

Jurisdictional Determination Request
D. PROPERTY ACCESS CERTIFICATION',4
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.
S. Paul Petitgout - Lowrys Environmental & Ecological Services, LLC
Print Name
Capacity: ❑ Owner Z Authorized Agents
2-14-19
Date
,75 "0,5ud6�t t -
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I intend to construct/develop a projector perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a projector perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
I intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
❑✓ I intend to construct/develop a projector perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
❑ I intend to construct/develop a project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
❑ A Corps JD is required in order obtain my local/state authorization.
❑ I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
❑ I believe that the site may be comprised entirely of dry land.
❑✓ Other:
s For NCDOT requests following the current NCDOT/USAGE protocols, skip to Part E.
a If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
s Must provide agent authorization form/letter signed by owner(s).
Version: May 2017 Page 3

Jurisdictional Determination Request
F. JURISDICTIONAL DETERMINATION (JD) TYPE (Select One)
17 I am requesting that the Corps provide a preliminga JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
❑ I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓� Size of Property or Review Area ± 132 acres.
❑✓ The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017 Page 4

Jurisdictional Determination Request
H. REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: 35.662375
Longitude: -80.83936
F7A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
■ North Arrow
■ Graphical Scale
■ Boundary of Review Area
■ Date
■ Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
■ Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
■ Jurisdictional non -wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non -Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
■ Isolated waters, waters that lack a significant nexus to navigable waters, or non -
jurisdictional upland features should be identified as Non -Jurisdictional. Please
include a justification in the label regarding why the feature is non jurisdictional (i.e.
"Isolated", "No Significant Nexus", or "Upland Feature"). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
Wetland and non -wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non -wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.
Completed Wetland Determination Data Forms for appropriate region
(at least one wetland and one upland form needs to be completed for each wetland type)
6 Please refer to the guidance document titled "Survey Standards for Jurisdictional Determinations" to ensure that the
supplied map meets the necessary mapping standards. hitt://www.saw.usace.army.mil/Missions/Regulatoiy-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
F4Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDS• please complete an Approved Jurisdictional Determination Form'
14 Vicinity Map
zAerial Photograph
FYI USGS Topographic Map
0 Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
F] NCSAM and/or NCWAM Assessment Forms and Rating Sheets
❑✓ NC Division of Water Resources Stream Identification Forms
1_J Other Assessment Forms
' www.saw.usace.4M.mil/Portals/59/docs/regulatory/readocs/JD/RGL 08-02 App A Prelim _JD_Form fillable.pdf
' Please see http://www.saw.usace.4M.mil/Missions/Regulatory-Permit-Program/Jurisdiction/
Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federaljurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: DATE
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Lowrys Environmental & Ecological Services, LLC, S.
Paul Petitgout, 1823 Quinn Road,Chester, SC 29706
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Sutters Mill, FILE NUMBER
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: near Simpson Road
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT STIES)
State: NC County: Iredell City: Troutman
Center coordinates of site (lat/long in degree decimal format): Latitude: 36.662375 Longitude: -80.83936
Universal Transverse Mercator:
Name of nearest waterbody: Weathers Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
❑ Field Determination. Date(s):
TABLE OFAQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Estimated amount of
Geographic authority to
Type of aquatic
aquatic resources in
which the aquatic resource
Latitude (decimal
Longitude (decimal
resources (i.e.,
Site Number
review area (acreage
"may be" subject (i.e.,
degrees)
degrees)
wetland vs. non -
and linear feet, if
Section 404 or Section
wetland waters)
applicable
10/404)
±1 If
Non -wetland
S1 (SA)
35.663417
80.842347
Section 404
±0.350
15 ac
waters
±2 If
Non -wetland
S2 (SB)
35.660763
80.842323
Section 404
±0.630
60 ac
waters
±75 If
Non-wetland
S3 (SC)
35.659711
80.839697
Section404
±0.003 ac
waters
±3,350 If
Non -wetland
S4 (SD)
35.660672
80.837092
Section 404
±0.46 ac
waters
W1 (WA)
35.659605
-80.838087
±1.0 ac
Wetland
Section 404

1) The Corps of Engineers believes that there may be jurisdictional aquatic resources in the review
area, and the requestor of this PJD is hereby advised of his or her option to request and obtain an
approved JD (AJD) for that review area based on an informed decision after having discussed the
various types of JDs and their characteristics and circumstances when they may be appropriate.
2) In any circumstance where a permit applicant obtains an individual permit, or a Nationwide General
Permit (NWP) or other general permit verification requiring "pre- construction notification" (PCN), or
requests verification for a non -reporting NWP or other general permit, and the permit applicant has
not requested an AJD for the activity, the permit applicant is hereby made aware that: (1) the permit
applicant has elected to seek a permit authorization based on a PJD, which does not make an official
determination of jurisdictional aquatic resources; (2) the applicant has the option to request an AID
before accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being required or
different special conditions; (3) the applicant has the right to request an individual permit rather than
accepting the terms and conditions of the NWP or other general permit authorization; (4) the applicant
can accept a permit authorization and thereby agree to comply with all the terms and conditions of that
permit, including whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without requesting an AJD
constitutes the applicant's acceptance of the use of the PJD; (6) accepting a permit authorization (e.g.,
signing a proffered individual permit) or undertaking any activity in reliance on any form of Corps
permit authorization based on a PJD constitutes agreement that all aquatic resources in the review area
affected in any way by that activity will be treated as jurisdictional, and waives any challenge to such
jurisdiction in any administrative or judicial compliance or enforcement action, or in any
administrative appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD
or a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered individual
permit (and all terms and conditions contained therein), or individual permit denial can be
administratively appealed pursuant to 33 C.F.R. Part 331. If, during an administrative appeal, it
becomes appropriate to make an official determination whether geographic jurisdiction exists over
aquatic resources in the review area, or to provide an official delineation of jurisdictional aquatic
resources in the review area, the Corps will provide an AJD to accomplish that result, as soon as is
practicable. This PJD finds that there "may be" waters of the U.S. and/or that there "may be"
navigable waters of the U.S. on the subject review area, and identifies all aquatic features in the
review area that could be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources below where
indicated for all checked items:
® Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Preliminary JD Map
® Data sheets prepared/submitted by or on behalf of the PJD requestor.
❑ Office concurs with data sheets/delineation report.
❑ Office does not concur with data sheets/delineation report. Rationale:
❑ Data sheets prepared by the Corps:
❑ Corps navigable waters' study:
❑ U.S. Geological Survey Hydrologic Atlas:
❑ USGS NHD data.
❑ USGS 8 and 12 digit HUC maps.
® U.S. Geological Survey map(s). Cite scale & quad name: USGS 1:24,000 Shepherds Quad
® Natural Resources Conservation Service Soil Survey. Citation: Web Soil Survey (2018)_
National wetlands inventory map(s). Cite name: USFWS Wetlands Mapper (2018)_
❑ State/local wetland inventory map(s):
❑ FEMA/FIRM maps:
❑ 100 -year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
❑ Photographs: ❑Aerial (Name & Date):
or ❑Other (Name & Date):
❑ Previous determination(s). File no. and date of response letter:
❑ Other information (please specify):
IMPORTANT NOTE: The information recorded on this form has not necessarily been
verified by the Corns and should not be relied upon for later iurisdictional determinations.
Signature and date of Regulatory
staff member completing PJD
DATE
�. /'CG���"�Glt 2/14/19
Signature and date of person requesting PJD
(REQUIRED, unless obtaining the signature is
impracticable)1
1 Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the
established time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an
action.

Property Data
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify
the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data
herein, or for their use or interpretation by the User.
f
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Tax Account Number: Null
Old Parcel Number: Null
Owner Name: DEPENDABLE DEV INC
Mailing Address: Null Null Null Null
Property Location: Null Null
Lot Number: Null
Legal Description: WESTMORELAND SR2390 ANNEX1970-1963
Township Code: 16
City Code: Null
Neighborhood Code: 16028
Building Value: Null
Other Building Features: Null
Null
http://web3.mobile3l I.com/IredellReport/report.aspx?PIN=4659497805.000[2/4/2019 11:14:53 AM]

Property Data
Land Value:
Tax Assessed Value: Null
Deferred: Null
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
20181009 WD 2582 1769 Null Null Null Null
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4
Null Null Null Null Null
Iredell County
704.878.3118
Harmony
704.878.3118
Love Valley
704.878.3118
City of Statesville
704.878.3575
Town of Troutman
704.528.7600
Town of Mooresville
704.662.7040
Village of Davidson
704.892.7591
http://web3.mobile3l I.com/IredellReport/report.aspx?PIN=4659497805.000[2/4/2019 11:14:53 AM]
Tax Code 5
Null

Property Data
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify
the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data
herein, or for their use or interpretation by the User.
Tax Account Number: 77398427
Old Parcel Number: 1604F0000OB051
Owner Name: SHERRILL BOBBY V+KIMBERLY C
Mailing Address: 726 E MONBO RD STATESVILLE NC 28677
Property Location: CHARLOTTE HW
Lot Number:
Legal Description: SPEARS US21 OFF ANNEX 2524-78
Township Code: 16
City Code: 02
Neighborhood Code: 16000
Building Value: 0
Other Building Features: 0
57600
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Property Data
Land Value:
Tax Assessed Value: 57600
Deferred: o
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
19990422 WD 1137 251 15 AC RA
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4
Null C ADVLTAX CI02ADVLTAX FR05ADVLTAX Null
Iredell County
704.878.3118
Harmony
704.878.3118
Love Valley
704.878.3118
City of Statesville
704.878.3575
Town of Troutman
704.528.7600
Town of Mooresville
704.662.7040
Village of Davidson
704.892.7591
http://web3.mobile3l I.com/IredellReport/report.aspx?PIN=4750309300.000[2/4/2019 11:13:40 AM]
Tax Code 5
Null

Property Data
Disclaimer: While every effort is made to keep information provided over the internet accurate and up-to-date, the County does not certify
the authenticity or accuracy of such information. No warranties, express or implied, are provided for the records and/or mapping data
herein, or for their use or interpretation by the User.
A
■
Tax Account Number: 64696000
Old Parcel Number: 1604F0000OB052
Owner Name: SPEARS W F EST
Mailing Address: C/O KENNON CRAVER LAW FIRM DURHAM NC 27707
Property Location: SIMPSON RD
Lot Number:
Legal Description: SPEARS SR2391 ANNEX 2524-78
Township Code: 16
City Code: 02
Neighborhood Code: 16000
Building Value: 25220
Other Building Features: 5540
445260
http://web3.mobile3l I.com/IredellReport/report.aspx?PIN=4750315571.000[2/4/2019 11:12:14 AM]

Property Data
Land Value:
Tax Assessed Value: 476020
Deferred: 389970
Date Recorded Document Type Deed Book Deed Page Plat Book & Page Land Area Land Type Zoning
19310318 WD 100 25 81.85 AC RA
Exemption Tax Code 1 Tax Code 2 Tax Code 3 Tax Code 4
Null C ADVLTAX CI02ADVLTAX FR05ADVLTAX Null
Iredell County
704.878.3118
Harmony
704.878.3118
Love Valley
704.878.3118
City of Statesville
704.878.3575
Town of Troutman
704.528.7600
Town of Mooresville
704.662.7040
Village of Davidson
704.892.7591
http://web3.mobile3l I.com/IredellReport/report.aspx?PIN=4750315571.000[2/4/2019 11:12:14 AM]
Tax Code 5
Null

AGENT AUTHORIZATION FORM
PROJECT NAME: Sutters Mill Development
PARCEL ID: 4659497805.000
PROTECT STREET ADDRESS: near Simpson Road, Troutman, NC
PROPERTY OWNER(S): Dependable Development, Inc
The undersigned, registered property owner(s) of the above noted property, do hereby authorize
S. Paul Petitsout, of Lowrys Environmental & Ecolosical Services, LLC,
(Contractor 1 Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
Jurisdictional Determination, Permit or Certification and any and all standard and special conditions attached.
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) and/or NC Division of Water Resources (NCDWR) to enter upon the property herein described
(accompanied by the authorized agent) for the purpose of conducting on-site investigations, if necessary, and
issuing a jurisdictional determination and/or permit pursuant to Section 4041401 of the Clean Water Act
and/or Section 10 of the Rivers and Harbors Act of 1899. I, the undersigned, am a duly authorized owner of
record of the property identified herein.
PROPERTY OWNER'S ADDRESS: 2627 6rekonridge Centre Drive
Monroe, NC 28110
PHONE: [phone]
I hereby certify the above information submitted in this jurisdictional determination/application is true and
accurate to the best of our knowledge.
AUTHORIZED SIGNATURE:
ependab a Development Inc.
DATE: 2.13.19

AGENT AUTHORIZATION FORM
PROJECT NAME: Sutters Mill Development
I ��.tyel Af r7E1►��Rxlii'xld+)��IiU:
PROJECT STREET ADDRESS: near Simpson Road, Troutman, NC
PROPERTY OWNER(S): Bobby V andlor Kimberly C Sherrill
The undersigned, registered property owner(s) of the above noted property, do hereby authorize
S. Paul PetitEout, of Lowrvs Environmental lac Ecolo-aical Services, LLC,
(Contractor 1 Agent) (Name of consulting firm)
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of this
Jurisdictions] Determination, Permit or Certification and any and all standard and special conditions attached.
By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of Engineers
(Corps) and/or NC Division of Water Resources (NCDWR) to enter upon the property herein described
(accompanied by the authorized agent) for the purpose of conducting on-site investigations, if necessary, and
issuing a jurisdictional determination and/or permit pursuant to Section 4041401 of the Clean Water Act
and/or Section 10 of the Rivers and Harbors Act of 1894. 1, the undersigned, am a duly authorized owner of
record of the property identified herein.
PROPERTY OWNER'S ADDRESS: 726 E Monbo Road
Statesville, NC 28677
PHONE: 7o S�D_R 5 a!s f
I hereby certify the above information submitted in this jurisdictional determinatio nlappIication is true and
accurate to the best of our knowledge.
1 C�16_JI- C
AUTHORIZED SIGNATURE:
DATE: ';2— - / 2 — j

AGENT AUTHORIZATION FORM
PROJECT NAME,. Sutter's Mill Developmont
PARCEL ID:47SO3t557I.000
PROJECT STREET ADDnSS: near Simpson Road, Troutmars, NC
Plt(j1*1'7R'rY OtL'NERVS); %VF Shears E,5tale, Wo Hobby V. Sltct'rill, and
,IC Cashion Irrevocable Trust c/o Kennon Craver Lase firm, Fred Hula, Trustee
The undersigned, registered property ownar(s) of the above noted property, do herCby authorize
S. VAU Petitgnut. of Lo►vrrs 121110ro UM{ 11(AI & EcClnoical Services, LLC,
(Contractor /Agent) (Noinc of consu,ting firm)
to Act on my behalf and iake all actions occe55ary for the processing, issuance and acceptance of this Jurisdictional
Determination, Permit or Certification and any and all standard and special conditions attached.
By signing below. I authorize rtprescnttitivcs of the Wilmington District. LJ.S. Army Corps of En6ineers (Carps) and/or NC
Division of Wsrcr Resources (NCOWR) tai enter upon the property herein described (accotnpsnled by the Authorized agent)
tar die purpow of conducting or -sire investigations, if necessary, and issuing a jurisdictional dote{ -ruination and/or permit
Pursuant to Section 404/401 of the Clean Water Act and/or Section 14 of the Rivtrs and Harbors Act. of 1$44. I, the
undersigned, ant s duly authorized owner or re cord of the property idontificd herein.
PIZOPI?RTY OWNER'S ADDRESSES
PHONE: 919490-aipfl
JC Cashion Irrevocable Trust
c/o Kennon Craver Law Firm
411 Untverslty T)rlvc
Sulic 300
Durham, NC 177117
I hereby cerfl6 the above information submitted In thisjurlsdicfionat determination/appkatlon is true and accurato to the
best of our knowledge,
AU I'I IORIZED SIGNATLl1.Ji:
PROPER'T'Y GWivL:R'S ADDRESSES: WF Spears Estate
clo Bobby V. Sherrill
726 E Monho Read
Statesville, NC 18677
DATE::
1 hereby cart!fy the above Information submitted in this jurisdiclionO determination/applicat'son is true and.accurstu to the
best of'our knowledge.
AUTHORIZED SIGNATURE � DA-rE:
■%%
kM ■
M Eggl,bKVDL Jalu80 $AEUJl A1'8J,3Aln1u0 HN NV 99.Z17.0� &luno, ew

asoi
`/�115 �� � -
,-
21 f
�
)ALE LN S �2 Oj
LL R4_:LSD
J'�
900 J/- Tr utman
.: 21 1
DR
JUSTI
r ♦�
ti - h✓
Not Delinea
Future Sutters Mill Development J' ^%W�
—•— Existing Sutters Mill Development'
(Not Delineated) SHEPHE,RL
0 1,000 2,000
Feet
1 inch equals 2,000 feet-
c�
Source: USGS Shepherds Quad (2016) - 1
Disclaimer: The information depicted on this figure is for -
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes. i 1 DR DR
Sutters Mill Lowrys Environmental 8�
Iredell County, North Carolina
USGS Topographic Map Ecological Services, LLC
Drawn By: SPP Date: 9-18-18 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: 1:24,000 Sheet: 2 803-992-0910

r'-
. � f119
Future Sutters Mill Development
Existing Sutters Mill Development
(Not Delineated)
0 500 1,000
Feet
1 inch equals 1,000 feet
Source: Iredell County, NC GIS (2018)
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
W���MME����
Sutters Mill Lowrys Environmental 8�
Iredell County, North Carolina
Aerial Map Ecological Services, LLC
Drawn By: SPP Date: 9-18-18 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: 1:12,000 Sheet: 2 803-992-0910

II SOILS LEGEND
CeB2 Cecil Sandy Clay Loam 2-6% Slope ''01
CeC2 Cecil Sandy Clay Loam 6-10% Slope
Cha Chewacla Loam 0-2% Slope
MaD4 Madison Udorhthents Complex 2-15% Slope
MaE4 Madison Udorthents Complex 15-25% Slope
PcC2 Pacolet Sandy Clay Loam 6-10% Slope;
PcD2 Pacolet Sandy Clay Loam 10-15% Slope
RiF Rion Sandy Loam 15-45% Slope }
'W
21
Ir
Future Sutters Mill Development
Existing Sutters Mill Development
(Not Delineated)
0 500 1,000
Feet
1 inch equals 1,000 feet
Source: USDA NRCS Web Soil Survey (2018)
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
f
A
Sutters Mill Lowrys Environmental 8�
Iredell County, North Carolina
USDA NRCS Soils Map Ecological Services, LLC
Drawn By: SPP Date: 9-18-18 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: 1:12,000 Sheet: 3 803-992-0910

Future Sutters Mill Development
Existing Sutters Mill Development
(Not Delineated)
0 500 1,000
Feet
1 inch equals 1,000 feet
Source: USDA NRCS Web Soil Survey (2018)
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
I". a, —1
ID ap
�tdip
0
."I
r
Sutters Mill Lowrys Environmental 8�
Iredell County, North Carolina Ecological Services, LLC
USFWS NWI Map
Drawn By: SPP Date: 9-18-18 Rev. 1823 Quinn Road
Chester, South Carolina 29706
Project Mgr. SPP Scale: 1:12,000 Sheet: 4 803-992-0910

Potential Jurisdictional Features Onsite
SA- Perennial Non -Wetland Waters of the US (±1,350 If)
SB - Perennial Non -Wetland Waters of the US (±2,630 If)
SC - Intermittent Non -Wetland Waters of the US (±75 If)
SD - Perennial Non -Wetland Waters of the US (±3,350 If)
WA - Wetland (±1.0 -ac)
Orr d--1) to
Z
d
`,1 1`
- /-Ji
I
'\\ /r\ '1-N 1 '1—N\ I k<41:
Future Sutters Mill Development
—•— Existing Sutters Mill Development
(Not Delineated)
© Data Points
(S=stream; W=wetland; U=upland)
Not to Scale
Source: USGS Shepherds Quad (2016)
Disclaimer: The information depicted on this figure is for
informational purposes only and was not prepared for, and
is not suitable for legal or engineering purposes.
Sutters Mill
Iredell County, North Carolina
Preliminary Jurisdictional Determination Map
Drawn By: SPP Date: 11-18-18 Rev.
Project Mgr. SPP Scale: 1:24,000 Sheet: 2
V '
N e1i etd

U.S. Army Corps of Engineers Requirement Control Symbol
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(Authority. AR 335-15,
See ERDC/EL TR -07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: Sutters Mill Site City/County: Troutman/Iredell Sampling Date: 11/5/2018
Applicant/Owner: Dependable Development, Inc. State: NC Sampling Point: WA up
Investigator(s): S Paul Petitgout Section, Township, Range:
Landform (hillside, terrace, etc.): Slope Local relief (concave, convex, none): concave Slope (%): >1
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.663104 Long: -80.839816 Datum:
Soil Map Unit Name: Pacolet Sandy Loam 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:
This data point is not a jurisdictional wetland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required: check all that apply)
—Surface Soil Cracks (136)
—Surface Water (Al) —True
Aquatic Plants (1314)
—Sparsely Vegetated Concave Surface (138)
_ High Water Table (A2) —Hydrogen
Sulfide Odor (Cl)
—Drainage Patterns (1310)
—Saturation (A3) —Oxidized
Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1316)
—Water Marks (131) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_ Drift Deposits (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)
—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 No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
No wetland hydrology present
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont –Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA up
Remarks: (Include photo numbers here or on a separate sheet.)
Hydric Vegetation is considered present. However, Most dominant species are facultative in nature
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 ft )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Pinus taeda
20
Yes
FAC
Number of Dominant Species
2.
Liquidambarstyraciflua
15
Yes
FAC
That Are OBL, FACW, or FAC: 5 (A)
3.
Acer rubrum
5
No
FAC
Total Number of Dominant
4.
Species Across All Strata: 8 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 62.5% (A/B)
7.
Prevalence Index worksheet:
40
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20
20% of total cover:
8
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15 ft
)
FACW species 0 x 2 = 0
1.
Ligustrum sinense
10
Yes
FACU
FAC species 55 x 3 = 165
2.
Liquidambarstyraciflua
5
Yes
FAC
FACU species 20 x 4 = 80
3.
Acer rubrum
5
Yes
FAC
UPL species 0 x 5 = 0
4.
Column Totals: 75 (A) 245 (B)
5.
Prevalence Index = B/A = 3.27
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
3 - Prevalence Index is !2.0'
20
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
10
20% of total cover:
4
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 ft )
-Problematic Hydrophytic Vegetation' (Explain)
1.
Asplenium platyneuron
5
Yes
FACU
'Indicators of hydric soil and wetland hydrology must be
2.
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.
5
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
3
20% of total cover:
1
height.
Woody Vine Stratum (Plot size: 30 ft )
1.
Vitis aestivalis
5
Yes
FACU
2.
Toxicodendron radicans
5
Yes
FAC
3.
4.
5
Hydrophytic
10
=Total Cover
Vegetation
50% of total cover:
5
20% of total cover:
2
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)
Hydric Vegetation is considered present. However, Most dominant species are facultative in nature
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: WA up
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
0-3 7.5YR 4/4 100 Loamy/Clayey
3-21 2.5YR 4/6 100 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
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont –Version 2.0

U.S. Army Corps of Engineers Requirement Control Symbol
WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region EXEMPT
(Authority. AR 335-15,
See ERDC/EL TR -07-24; the proponent agency is CECW-CO-R paragraph 5-2a)
Project/Site: Sutters Mill Site City/County: Troutman/Iredell Sampling Date: 11/5/2018
Applicant/Owner: Dependable Development, Inc. State: NC Sampling Point: WA wet
Investigator(s): S Paul Petitgout Section, Township, Range:
Landform (hillside, terrace, etc.): floodplain area Local relief (concave, convex, none): concave Slope (%): <1
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 35.663104 Long: -80.839816 Datum:
Soil Map Unit Name: Chewacla 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:
This data point is a jurisdictional wetland
HYDROLOGY
Wetland Hydrology Indicators:
Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
—Surface Soil Cracks (136)
X Surface Water (Al)
_True Aquatic Plants (1314)
_Sparsely Vegetated Concave Surface (138)
X High Water Table (A2)
—Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (1310)
X Saturation (A3)
—Oxidized Rhizospheres on Living Roots (C3)
—Moss Trim Lines (1316)
—Water Marks (131)
—Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132)
_Recent Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_ Drift Deposits (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)
—Geomorphic Position (D2)
—Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water -Stained Leaves (139)
_ Microtopographic Relief (D4)
Aquatic Fauna (1313)
X FAC -Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X
No Depth (inches): 1
Water Table Present? Yes X
No Depth (inches): 0
Saturation Present? Yes X
No Depth (inches): 0
Wetland Hydrology Present? Yes X No
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Wetland hydrology present. Surface Water =
1" depth; Water table = at the surface; Soils are Saturated to the surface.
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont –Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA wet
Remarks: (Include photo numbers here or on a separate sheet.)
Hydric Vegetation Present
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0
Absolute
Dominant
Indicator
Tree Stratum (Plot size: 30 ft )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Pinus taeda
5
No
FAC
Number of Dominant Species
2.
Liquidambarstyraciflua
20
Yes
FAC
That Are OBL, FACW, or FAC: 6 (A)
3.
Acer rubrum
10
Yes
FAC
Total Number of Dominant
4.
Species Across All Strata: 6 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 100.0% (A/B)
7.
Prevalence Index worksheet:
35
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
18
20% of total cover:
7
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15 ft
)
FACW species 5 x 2 = 10
1.
Ligustrum sinense
5
No
FACU
FAC species 65 x 3 = 195
2.
Liquidambarstyraciflua
10
Yes
FAC
FACU species 5 x 4 = 20
3.
Acer rubrum
10
Yes
FAC
UPL species 0 x 5 = 0
4.
Carpinus caroliniana
5
No
FAC
Column Totals: 75 (A) 225 (B)
5.
Prevalence Index = B/A = 3.00
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is !2.0'
30
=Total Cover
4 - Morphological Adaptations' (Provide supporting
50% of total cover:
15
20% of total cover:
6
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5 ft )
-Problematic Hydrophytic Vegetation' (Explain)
1.
Juncus effusus
5
Yes
FACW
'Indicators of hydric soil and wetland hydrology must be
2.
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.
5
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
3
20% of total cover:
1
height.
Woody Vine Stratum (Plot size: 30 ft )
1.
Toxicodendron radicans
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.)
Hydric Vegetation Present
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: WA wet
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
0-5
10YR 3/3
100
—Hydrogen Sulfide (A4)
Loamy/Clayey
5-16
10YR 4/2
60
7.5YR 4/6 40 C PL/M
Loamy/Clayey Prominent redox concentrations
16-21
10YR 4/2
80
7.5YR 6/6 20 C
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 X No
Remarks:
Hydric Soils Present
ENG FORM 6116 -4 -SG, JUL 2018 Eastern Mountains and Piedmont –Version 2.0

NC DWQ Stream identification Form Version 4.11
Date: j , �� j$ Project/Site: 5umm_5 Mtn
Evaluator:County:
Total Points: tream is least intermittent r7 Stream Determination (ci
S 7 Ephemeral Intermitten Perennia
if; a 19 or: perennial if >_ 30*
Latitude: 5j (c%31©Lf
Longitude: -�So; ?3i 8 f p
Other
e.g. Quad Name: 51+ PH(MV5
A. Geomorphology (Subtotal= f e )
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
3
2 Sinuosity of channel along thalweg
0
1
0
3
3. In -channel structure: ex. riffle -pool, step -pool,
16. Organic debris lines or piles
0
0.5
1 1.5
ri le- ool sequence
0
1
es = 3
3
4. Particle size of stream substrate
0
0.5
2
3
5 Active/relict floodplain
0
0.5
2
3
6. Depositional bars or benches
0
1Leq
OBL = 1.5
3
7. Recent alluvial deposits
0
1
3
8. Headcuts
0
1
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
0
0.5
1.5
11. Second or greater order channel
= 0)
Yes = 3
a artificial ditches are not rated; see discuss'ons in manual
1 �-
B. Hvdroloav (Subtotal =
12. Presence of Baseflow
0
1
2i 3
13. Iron oxidizing bacteria
0
1
2, 3
14. Leaf litter
1.5
1
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. Soikbased evidence of high water table?
0
0
No = 0
es = 3
. oiuiiJuv iauorUrai = rj - i
18. Fibrous roots in streambed
3
r2D
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
1.
2
3
22. Fish:
23. Crayfish
0
0
1
1
1.5
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: SMCAI(( s�

NC DWQ Stream Identification Form Version 4.11
Date: I I ProjectfSite: ,SVT ..5 /K fa Latitude: i35-
03(oy
Evaluator: �..�' County:Longitude: - 160.
Total Points: Stream Determination (circ -le I Other
Stream is at/east intermittent
if >_ 19 or perennial if>_ 30"` �� Ephemeral IntermitEe Perennial e.9 Quad Name., Sjt+U-pNMr);
A. Geomorphology (Subtotal = G I )
Absent
Weak
Moderate
Strong
1 a' 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,
0
0.5
�';'�
1.5
ri le- ool sequence
0
1
�
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
1
3
6. Depositional bars or benches
0
1
OBL = 1. they =
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 =
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal to )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
q
Z
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.5
9
1.5
16. Organic debris lines or piles
0
0.5
1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
C. Bioloav (Subtotal =
18. Fibrous roots in streambed
3
1
0.
19. Rooted upland plants in streambed
20. Macrobenthos (note diversity and abundance)
3
0
2
1
1
2
0
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. they =
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: �1-k.-pxv% �C

NC DWQ Stream Identification Form Version 4.11
Date: t y ProjectlSite: _5uTT,�S M1j4 Latitude: 5 5, 6 (,3f o`f
Evaluator: �L-�-1-� County: 7� Longitude: _30, a5i at
Total Points: Stream Determination circle one
Stream is of least intermittent � ) Other
if _>_ 19 or perennial if? 30* Iq Ephemeral ntermitten Perennial e.g. Quad Name: SHW 140-"S
�n
H. veomor nOlO (subtotal = r )
18, Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
2
Strong
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
�y�
2
3
4. Particle size of stream substrate
0
Yes :.3
2
3
5. Active/relict floodplain
0
1
0.5
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1 loe
2
3
9. Grade control
0
0:
1
1.5
10. Natural valley
0
0.
1
1.5
11. Second or greater order channel
a
T No
= 0
Yes = 3
Notes:
uiZau unb ur manual
B_ Hvdroloav (Suhtntal
12. Presence of Baseflow
0 1
2 3
13. Iron oxidizing bacteria
0 1
2 3
14. Leaf litter
1.5.
0
15. Sediment on plants or debris
0 0.
1 1.5
16. Organic debris lines or piles
0 0.
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes :.3
%... oruwuv touoForar = i r
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 j
21. Aquatic Mollusks
0
1
2
3
22. Fish
I0
0.5
1
1.5
23. Crayfish
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 ther = 0
*perennial streams may also be identified using
other methods. See p. 35 of manual.
Notes:
Sketch: S-�_�CLS;_ArN s C_
I

NC DWQ Stream Identification Form Versian 4.11
Date: J1.5f lb
ProjectlSite: g +c�
Latitude:
Evaluator:
Gounty:I R -e -0L
Longitude: -90,
Total Points:
Stream is at least intermittent
Stream Determination (circle one)
Other
if z 19 or perennial if ? 3t]*
E p
Ephemeral Intermittent Perennial
e. 9. Quad Name:SCd
-lrti
A. veomorpholo (Subtotal=
1a. Continuity of channel bed and bank
Absent
0
Weak
1
Moderate
Strong
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
,F-�
dD
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
es = 3
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
1.5 her 0
1.5
10. Natural valley
0
0.5
9
Notes:
11. Second or greater order channel
a
No = 0
s = 3
amticial ditches are not rates; see discus�ns in manual
B. HydrologV (Subtotal= 'i,.7' )
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0 1,
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 N:v
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
0.
es = 3
U. 1:31010gy (Subtotal = L,7 )
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
2
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
p
1
2
3
22. Fish
0
0.
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL =
1.5 her 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: S -e r -AN\ S