20191460 Ver 1_BR-0121_PJD PACKAGE_Signed_REDUCED_20190429

.x'55A7'F a°c
d yxnA, .4
r .
a + r•
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER JAMES H.TROGDON,III
GOVERNOR SECRETARY
April 29, 2019
ATTN: Brad Shaver
U.S. Army Corps of Engineers
Wilmington Regulatory Field Office
69 Darlington Avenue
Wilmington,North Carolina 28403
SUBJECT: Preliminary Jurisdictional Determination Package (PJD) for the following Natural
Resources Technical Report: STIP BR-0121 — Replacement of Bridge No. 178 on SR
1804 (Houses Mill Road) over Sevenmile Swamp in Sampson County,NC.
Mr. Shaver:
The North Carolina Department of Transportation (NCDOT) proposes the replacement of Bridge No.
178 on SR 1804 (Houses Mill Road) over Sevenmile Swamp in Sampson County, NC. Below and
attached are a brief description of the project, figures depicting all features, and appropriate forms.
Field work was conducted October 17, 2018. Three Oaks Engineering (Three Oaks) staff members
Nathan Howell and Nancy Scott conducted the site investigation(Figure 1). Five potential jurisdictional
features (three streams and two wetlands) were identified within the study area (Tables 1-3; Figures 2-
4).
United States Army Corps of Engineers (USACE) wetland determination forms (wetland and upland)
are included for each potential jurisdictional wetland. North Carolina Stream Assessment Method
(NCSAM) were completed for features possessing characteristics conducive to them receiving lower
functional rating values and, subsequently, lower mitigation ratios. Please see the following PJD
Package:
Table 1. Potential jurisdictional streams in the study area
Stream Name Map ID NCDWR Index Best Usage
Number Classification
Sevenmile Swamp Sevenmile Swamp 18-68-1-3 C; Sw
Houses Pond Houses Pond
Spillway Spillway 18-68-1-3 C; Sw
UT to Sevenmile SA 18-68-1-3 C; Sw
Swamp
Mailing Address: Telephone:[phone] Location:
NC DEPARTMENT OF TRANSPORTATION Customer Service: 1-877-368-4968 CENTURY CENTER,BUILDING A
ENVIRONMENTAL ANALYSIS UNIT 1000 BIRCH RIDGE DRIVE
ENVIRONMENTAL COORDINATION AND Website:www.ncdot.gov RALEIGH,NC 27610
PERMITTING
1598 MAIL SERVICE CENTER
RALEIGH,NC 27699-1598

Table 2. Characteristics of potential jurisdictional streams in the study area
Length NCSAM River Basin
Appears on Appears on
Map ID (ft) Classification Rating Buffer NRCS Soil USGS Topo
Survey? Mapping?
Sevenmile 517 Perennial * Not Subject Yes Yes
Swamp
Houses Pond I27 Perennial * Not Subject Yes No
Spillway
SA _ 720 Perennial Low Not Subject _ Yes No
_ Total 1,364
Note: NCSAM forms were completed for streams possessing characteristics conducive to them receiving lower functional
rating values and mitigation ratios. Streams represented by an asterisk (*) possess qualities conducive to them receiving
higher functional rating values and mitigation ratios. Stream SA's Low rating value represents the unforested,upper reach of
the stream located above its confluence with the Houses Pond Spillway.
Table 3. Characteristics of potential jurisdictional wetlands in the study area
Map ID NCWAM Classification NCWAM Hydrologic Area(ac.)
Rating Classification
WA Non-tidal Freshwater Marsh * Riparian 0.04
WB Riverine Swamp Forest * Riparian 2.00
Total 2.04
Note: NCWAM forms are completed for wetlands possessing characteristics conducive to them receiving lower functional
rating values and mitigation ratios. Wetlands represented by an asterisk (*) possess characteristics conducive to them
receiving high functional rating values and mitigation ratios.
If you have any questions. require additional information, or would like to schedule a site visit, please
contact me by phone at (919)-707-6107 or email at [e-mail]. This is a request for
concurrence with our assessment. We appreciate your assistance on this project.
Sincerely,
Gordon Cashin
Environmental Program Consultant
North Carolina Department of Transportation
Environmental Coordination and Permitting
1 598 Mail Service Center
Raleigh, NC 27699-1598
Cc: Joanne Steenhuis,NCDWR

Appendix A
Figures

't J 0 H N,St r O N;/
\} COUNTY /
Jam '.� WAYNE
r ,
'`. COUNTY
' ^ �� ~ ` ~,4 s
+, SAMPSON ',
1 COUNTYD
' cI{nftit.
t
PLIN
UNT
© OpenStreetNlap (and)
contributors, C'C-BY-SA
f
A 6l P E. 0 1\l
C 0UT
,*
Bridge 178
NHD Stream
Project Study Area
CountyBoundary
,,
450/
6301gR Egig Dit o o o g, Eart�hst�ar G�eograpOf
.r. - MIER ° I o © , USDA, [uC A N ,01% 931A agl t (008 ..
©Mane M J4 �.
Replacement of Bridge 178
on SR 1804 (House Mill Rd)
over Sevenmile Swamp
STIP No. BR-0121
Project Vicinity Map
Sampson County, North Carolina
Date:
October 2018
Scale:0 100 200 Feet
I i �
Job No.:
18-025
Drawn By:
Checked By
NMS
NDH
Figure

N
Legend
-- -
Roads
A
Potential Non -Wetland Waters of the U.S. (Stream)
Culvert
Perennial
/2 Potential Wetland Waters of the U.S.
Project Study Area
SA
[-Houses Pond Spillway
./
✓ SA
WB
WB
Sevenmile Swamp
WA
I
I #/IWB
f
I
fi,16L P..
'
Sources: Esri, HERE, Garmin, Intermap, increment P Corp., GEBCO, USGS, FAO, NPS, NRCAN,
GeoBase, IGN, Kadaster NL, Ordnance Survey, Esri Japan, METI, Esri China (Hong Kong),
swisstopo, © OpenStreetMap contributors, and the GIS User Community
viEERaf
CM
*Of
h3\ti;
08330
Prepared P r
Replacement of Bridge 178
on SR 1804 (House Mill Rd)
over Sevenmile Swamp
STIP No. BR-0121
USGS Topographic Map
Sampson County, North Carolina
Date:
April 2019
Scale' 0
50 100 Feet
I I
I I I
Job No.:
18-025
Drawn By:
NDH
Checked By:
JM
Figure
2

Potential Non -Wetland Waters of the U.S. (Stream)
Potential Wetland Waters of the U.S.
Attu
Sevenmile Swamp
40EER,,re
TIVILIFe
# -cm A,
94'43i0)
Preparad Fnr.
Replacement of Bridge 178
on SR 1804 (House Mill Rd)
over Sevenmile Swamp
STIP No. BR-0121
Jurisdictional Features Map
Sampson County, North Carolina
Date:
April 2019
Scale: 0
50 100 Feet
F
Job No.:
18-025
Drawn By:
Checked By:
NDH
JM
Figure
3

N
Legend
A
Roads
Potential Non -Wetland Waters of the U.S. (Stream)
ICulvert
— Perennial
Potential Wetland Waters of the U.S.
Value
-
-
Project Study Area
High : 172.025
Low : 120.581
Houses Pond Spillway
SA
N
iiii..
WA
•.
T.
WB
Q SA
7% WB
',/../ '
Sevenmile Swamp
WB -
f
Preparad Fir
Replacement of Bridge 178
on SR 1804 (House Mill Rd)
over Sevenmile Swamp
STIP No. BR-0121
LIDAR Map
Sampson County, North Carolina
Date:
April 2019
Figure
g
4
5���1NEER�y��
rbr-
cb 110,14y
10:44.�nJ
vy,�17�ll1L,��
❑] 1'1l
of g6R7y cqTO
�p y
y
x
�,„ �.q
o
Fir OF 10:'4
Scale:O 50 100 Feet
I l l l I
Job No.:
18 025
Drawn By:
NDH
Checked By:
JM

Appendix B
Stream and Wetland Data Forms

NC SAM FIELD ASSESSMENT RESULTS
Accompanies User Manual Version 2.1
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5-minute topographic quadrangle,
and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property, identify and
number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for detailed descriptions
and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were performed. See the
NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): BR-0121 2. Date of evaluation: 10/17/2018
3. Applicant/owner name: NCDOT 4. Assessor name/organization: Nathan Howell - 3 Oaks Eng
5. County: Sampson 6. Nearest named water body
7. River basin: Cape Fear on USGS 7.5-minute quad: Sevenmile Swamp
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.188279, -78.375279
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): SA 10. Length of assessment reach evaluated (feet): 150
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 2-3 Unable to assess channel depth.
12. Channel width at top of bank (feet): 3-6 13. Is assessment reach a swamp steam? ['Yes No
14. Feature type: ®Perennial flow Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ❑ Mountains (M) ❑ Piedmont (P) ® Inner Coastal Plain (I)
16. Estimated geomorphic
valley shape (skip for
Tidal Marsh Stream):
17. Watershed size: (skip
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
®A ❑B
(more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
❑Size 1 (< 0.1 mi2) ®Size 2 (0.1 to < 0.5 mi2) Size 3 (0.5 to < 5 mi2) ['Size 4 (>_ 5 mi2)
❑ Outer Coastal Plain (0)
18. Were regulatory considerations evaluated? ®Yes No If Yes, check all that apply to the assessment area.
['Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV DV)
['Essential Fish Habitat ['Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
['Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish 0303(d) List ❑CAMA Area of Environmental Concern (AEC)
['Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
['Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ®Yes ❑No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
• Water throughout assessment reach.
❑B No flow, water in pools only.
❑ C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
• Not A
3. Feature Pattern - assessment reach metric
®A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
❑B Not A
4. Feature Longitudinal Profile - assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming, over
widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of these
disturbances).
❑B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑ A < 10% of channel unstable
DB 10 to 25% of channel unstable
®C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
®B ®B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area, leaky
or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑ C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision, disruption
of flood flows through streamside area] or too much floodplain/intertidal zone access [examples: impoundments, intensive
mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a man-made feature on an
interstream divide
7. Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
Excessive sedimentation (burying of stream features or intertidal zone)
Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
Odor (not including natural sulfide odors)
Current published or collected data indicating degraded water quality in the assessment reach. Cite source in
section.
Livestock with access to stream or intertidal zone
Excessive algae in stream or intertidal zone
Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
Other: (explain in "Notes/Sketch" section)
Little to no stressors
❑ A
❑B
❑C
❑D
❑E
❑ F
❑ G
❑H
❑ I
"Notes/Sketch"
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑ B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
• No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑ Yes No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ['Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b. Check all that occur (occurs if > 5% coverage of assessment
❑ A Multiple aquatic macrophytes and aquatic mosses
(include liverworts, lichens, and algal mats)
❑B Multiple sticks and/or leaf packs and/or emergent
vegetation
❑ C Multiple snags and logs (including lap trees)
❑ D 5% undercut banks and/or root mats and/or roots
in banks extend to the normal wetted perimeter
®E Little or no habitat
reach) (skip for Size 4 Coastal Plain streams)
OF 5% oysters or other natural hard bottoms
❑G Submerged aquatic vegetation
❑ H Low -tide refugia (pools)
❑ I Sand bottom
❑ J 5% vertical bank along the marsh
❑K Little or no habitat
Check for Tidal
Marsh Streams
*********************************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS****************************
11. Bedform and Substrate — assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a. ❑Yes ❑No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b. Bedform evaluated. Check the appropriate box(es).
®A Riffle -run section (evaluate 11c)
❑ B Pool -glide section (evaluate 11d)
❑ C Natural bedform absent (skip to Metric 12, Aquatic Life)
11 c. In riffle sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged. Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) = absent, Rare
(R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) = > 40-70%, Predominant (P) = > 70%. Cumulative percentages
should not exceed 100% for each assessment reach.
NP R C A P
® ❑ ❑ ❑ ❑ Bedrock/saprolite
® ❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
® ❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑ ❑ Z ❑ ❑ Gravel (2 — 64 mm)
❑ ❑ ❑ ❑ ® Sand (.062 — 2 mm)
❑ ❑ Z ❑ ❑ Silt/clay (< 0.062 mm)
❑ ® ❑ ❑ ❑ Detritus
® ❑ ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d. ❑Yes ❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ['Adult frogs
❑ ['Aquatic reptiles
❑ ['Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ®Beetles
❑ ❑Caddisfly larvae (T)
❑ ['Asian clam (Corbicula)
❑ ®Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ['Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ['Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ❑Midges/mosquito larvae
❑ ®Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ['Other fish
❑ ❑Salamanders/tadpoles
❑ ['Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
ZB ®B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil compaction,
livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water > 6 inches deep
El ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
®C ®C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
®N ®N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
® A Streams and/or springs (jurisdictional discharges)
®B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
▪ E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑ F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
El Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
❑C Urban stream (>_ 24% impervious surface for watershed)
®D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
❑ F None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
❑A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
®C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated
LB RB
❑A ❑A
❑ B ❑B
❑ C ❑C
❑D ❑D
®E ®E
Wooded
LB RB
❑ A ❑A
❑B ❑B
❑ C ❑C
❑D ❑D
®E ®E
20. Buffer Structure
Consider for left
LB RB
❑A ❑A
❑ B ❑B
®C ®C
❑D ❑D
❑E ❑E
>_ 100 feet wide or extends to the edge of the watershed
From 50 to < 100 feet wide
From 30 to < 50 feet wide
From 10 to < 30 feet wide
< 10 feet wide or no trees
— streamside area metric (skip for Tidal Marsh Streams)
bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
Mature forest
Non -mature woody vegetation or modified vegetation structure
Herbaceous vegetation with or without a strip of trees < 10 feet wide
Maintained shrubs
Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but is
within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑ A ❑A ®A ❑A ®A ❑A
❑ B ❑B ❑B ❑B ❑B ❑B
❑ C ❑C ❑C ❑C ❑C ❑C
❑D ❑D ❑D ❑D ❑D ❑D
Row crops
Maintained turf
Pasture (no livestock)/commercial horticulture
Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
❑A ❑A Medium to high stem density
❑B ❑B Low stem density
®C ®C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
❑ A
❑B
®C
❑A
❑ B
The total length of buffer breaks is < 25 percent.
The total length of buffer breaks is between 25 and 50 percent.
The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
RB
❑ A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ❑Yes No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑ B 46 to < 67 EC 67 to < 79 ❑ D 79 to < 230 ❑ E >_ 230
LB
❑A
❑B
❑ B
®c ®c
Notes/Sketch:
This form represents the reach of Stream SA from its confluence with the Houses Pond Soillway upstream to the study area boundary.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 2.1
Stream Site Name BR-0121 Date of Assessment 10/17/2018
Stream Category la2 Assessor Name/Organization Nathan Howell - 3 Oaks Eng
Notes of Field Assessment Form (Y/N)
Presence of regulatory considerations (Y/N)
Additional stream information/supplementary measurements included (Y/N)
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
YES
NO
YES
Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Infarmiffan4
(1) Hydrology LOW
(2) Baseflow HIGH
(2) Flood Flow LOW
(3) Streamside Area Attenuation LOW
(4) Floodplain Access MEDIUM
(4) Wooded Riparian Buffer LOW
(4) Microtopography LOW
(3) Stream Stability LOW
(4) Channel Stability LOW
(4) Sediment Transport LOW
(4) Stream Geomorphology LOW
(2) Stream/Intertidal Zone Interaction NA
(2) Longitudinal Tidal Flow NA
(2) Tidal Marsh Stream Stability NA
(3) Tidal Marsh Channel Stability NA
(3) Tidal Marsh Stream Geomorphology NA
(1) Water Quality MEDIUM
(2) Baseflow HIGH
(2) Streamside Area Vegetation LOW
(3) Upland Pollutant Filtration LOW
(3) Thermoregulation LOW
(2) Indicators of Stressors NO
(2) Aquatic Life Tolerance MEDIUM
(2) Intertidal Zone Filtration NA
(1) Habitat LOW
(2) In -stream Habitat LOW
(3) Baseflow HIGH
(3) Substrate HIGH
(3) Stream Stability LOW
(3) In -stream Habitat LOW
(2) Stream -side Habitat LOW
(3) Stream -side Habitat LOW
(3) Thermoregulation LOW
(2) Tidal Marsh In -stream Habitat NA
(3) Flow Restriction NA
(3) Tidal Marsh Stream Stability NA
(4) Tidal Marsh Channel Stability NA
(4) Tidal Marsh Stream Geomorphology NA
(3) Tidal Marsh In -stream Habitat NA
(2) Intertidal Zone NA
Overall LOW

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: BR-0121 Bridge 178 on SR 1804
Applicant/Owner: NCDOT
Investigator(s): Nathan Howell, Nancy Scott
Landform (hillslope, terrace, etc.): Lacustrine Fringe
Subregion (LRR or MLRA): LRR P/MLRA 133A
Soil Map Unit Name: Water
Are climatic / hydrologic conditions
City/County: Sampson Sampling Date: 10/17/18
State: NC Sampling Point: WA-1 WET
Section, Township, Range: Newton Grove
Local relief (concave, convex, none): Concave Slope (%): 0
Lat: 35.186530 Long: -78.375953
on the site typical for this time of year? Yes X No
Are Vegetation , Soil or Hydrology
Are Vegetation Soil or Hydrology
significantly disturbed?
naturally problematic?
Datum: NAD83
NWI classification: PEM1Ch
(If no, explain in Remarks.)
Are "Normal Circumstances" present? Yes X No
(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Yes X No
Yes X No
Yes X No
Is the Sampled Area
within a Wetland?
Yes X
No
Remarks:
NCWAM: Non -tidal Freshwater Marsh
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
0 Surface Soil Cracks (B6)
1
1
0
1
✓
0
ID
ID
Surface Water (A1) 1❑-f Aquatic Fauna (B13)
High Water Table (A2) II Marl Deposits (B15) (LRR U)
Saturation (A3) 0 Hydrogen Sulfide Odor (C1)
Water Marks (B1) 0 Oxidized Rhizospheres along Living Roots (C3)
Sediment Deposits (B2) 0 Presence of Reduced Iron (C4)
Drift Deposits (B3) 0 Recent Iron Reduction in Tilled Soils (C6)
Algal Mat or Crust (B4) ❑ Thin Muck Surface (C7)
Iron Deposits (B5) 0 Other (Explain in Remarks)
Inundation Visible on Aerial Imagery (B7)
Water -Stained Leaves (B9)
❑ Sparsely Vegetated Concave Surface (B8)
❑ Drainage Patterns (B10)
❑ Moss Trim Lines (B16)
0 Dry -Season Water Table (C2)
1 Crayfish Burrows (C8)
0 Saturation Visible on Aerial Imagery (C9)
❑✓ Geomorphic Position (D2)
0 Shallow Aquitard (D3)
El. FAC-Neutral Test (D5)
0 Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No X Depth (inches): 0
Wetland Hydrology Present? Yes X No
Water Table Present? Yes X No Depth (inches): -6
Saturation Present? Yes X No Depth (inches): -3
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WA-1 WET
Tree Stratum (Plot size: 30'x5'
1.
2.
3.
4.
5.
6.
7.
8.
Absent
50% of total cover:
Sapling/Shrub Stratum (Plot size: 30'x5'
1.
2.
3.
4.
5.
6.
7.
8.
Nyssa aquatica
Absolute Dominant Indicator
% Cover Species? Status
Herb Stratum (Plot size: 30'x5'
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Juncus effusus
= Total Cover
20% of total cover:
20 Yes OBL
20
= Total Cover
50% of total cover: 10 20% of total cover: 4
Ludwigia spp.
20 Yes OBL
20
40
No
NI
= Total Cover
50% of total cover: 20 20% of total cover: 8
Woody Vine Stratum (Plot size: 30'x5'
1 Absent
2.
3.
4.
5.
50% of total cover:
= Total Cover
20% of total cover:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 2 (A)
2 (B)
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (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)
Prevalence Index = B/A =
(B)
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
3 - Prevalence Index is 53.0'
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 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
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Sampling Point: WA-1 WET
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc2 Texture Remarks
0-12 10YR 5/1 80 7.5YR 4/6 20 C M SaLo
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric
❑
❑
❑
❑
❑
❑
❑
ElMuck
El1
❑
❑
❑
❑
❑
❑
❑
❑
Soil Indicators: (Applicable to all LRRs,
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Presence (A8) (LRR U)
cm Muck (A9) (LRR P, T)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Mucky Mineral (S1) (LRR 0, S)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S, T, U)
unless otherwise noted.) Indicators for Problematic Hydric Soils3:
LI Polyvalue Below Surface (S8) (LRR S, T, U) ❑ 1 cm Muck (A9) (LRR 0)
2 cm Muck (A10) (LRR S)
0 Thin Dark Surface (S9) (LRR S, T, U) El
Elu Loamy Mucky Mineral (F1) (LRR 0) Reduced Vertic (F18) (outside MLRA 150A,B)
❑ Loamy Gleyed Matrix (F2) fPiedmont Floodplain Soils (F19) (LRR P, S, T)
2Depleted Matrix (F3) U Anomalous Bright Loamy Soils (F20)
❑ Redox Dark Surface (F6) (MLRA 153B)
❑ Depleted Dark Surface (F7) ❑ Red Parent Material (TF2)
❑� Redox Depressions (F8) 11 Very Shallow Dark Surface (TF12)
El Marl (F10) (LRR U) Other (Explain in Remarks)
❑ Depleted Ochric (F11) (MLRA 151)
EIron-Manganese Masses (F12) (LRR 0, P, T) 3lndicators of hydrophytic vegetation and
El Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
❑ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
El Reduced Vertic (F18) (MLRA 150A, 150B)
9 Piedmont Floodplain Soils (F19) (MLRA 149A)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Restrictive Layer (if observed):
Type:
Hydric Soil Present? Yes X No
Depth (inches):
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: BR-0121 Bridge 178 on SR 1804 City/County: Sampson
Applicant/Owner: NCDOT
Sampling Date: 10/17/18
State: NC Sampling Point: WB-5 WET
Investigator(s): Nathan Howell, Nancy Scott Section, Township, Range: Newton Grove
Landform (hillslope, terrace, etc.): Floodplain Local relief (concave, convex, none): Concave Slope (%): 0
Subregion (LRR or MLRA): LRR P/MLRA 133A Lat: 35.186463
Soil Map Unit Name: Johnston Mucky Loam
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X
Are Vegetation , Soil or Hydrology significantly disturbed?
Are Vegetation Soil or Hydrology naturally problematic?
Long: -78.374823
Datum:
NWI classification: PF01C
NAD83
No (If no, explain in Remarks.)
Are "Normal Circumstances" present? Yes X No
(If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present?
Hydric Soil Present?
Wetland Hydrology Present?
Yes X No
Yes X No
Yes X No
Is the Sampled Area
within a Wetland?
Yes X No
Remarks:
NCWAM: Riverine Swamp Forest
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
0 Surface Soil Cracks (B6)
1
1
1
0
1
1
✓
✓Q
✓Q
Surface Water (A1) 1❑-f Aquatic Fauna (B13)
High Water Table (A2) 1I-�-If Marl Deposits (B15) (LRR U)
Saturation (A3) 0 Hydrogen Sulfide Odor (C1)
Water Marks (B1) 0 Oxidized Rhizospheres along Living Roots (C3)
Sediment Deposits (B2) 0 Presence of Reduced Iron (C4)
Drift Deposits (B3) 0 Recent Iron Reduction in Tilled Soils (C6)
Algal Mat or Crust (B4) ❑ Thin Muck Surface (C7)
Iron Deposits (B5) 0 Other (Explain in Remarks)
Inundation Visible on Aerial Imagery (B7) 11
Water -Stained Leaves (B9)
0 Sparsely Vegetated Concave Surface (B8)
1 Drainage Patterns (B10)
❑ Moss Trim Lines (B16)
0 Dry -Season Water Table (C2)
1 Crayfish Burrows (C8)
0 Saturation Visible on Aerial Imagery (C9)
❑✓ Geomorphic Position (D2)
0 Shallow Aquitard (D3)
FAC-Neutral Test (D5)
0 Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes X No Depth (inches): 1
Wetland Hydrology Present? Yes X No
Water Table Present? Yes X No Depth (inches): 0
Saturation Present? Yes X No Depth (inches): 0
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WB-5 WET
Tree Stratum (Plot size: 30' radius
1.
2.
3.
4.
5.
6.
7.
8.
Nyssa aquatica
Taxodium distichum
Absolute Dominant Indicator
% Cover Species? Status
60 Yes OBL
30 Yes OBL
90
= Total Cover
50% of total cover: 45 20% of total cover: 18
Sapling/Shrub Stratum (Plot size: 15' radius
1.
2.
3.
4.
5.
6.
7.
8.
Taxodium distichum
20 Yes OBL
20
= Total Cover
50% of total cover: 10 20% of total cover: 4
Herb Stratum (Plot size: 5' radius
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Sarurus cernuus
Anchistea virginica
60 Yes OBL
20 Yes OBL
80
= Total Cover
50% of total cover: 40 20% of total cover: 16
Woody Vine Stratum (Plot size: 30' radius
1 Smilax laurifolia
2.
3.
4.
5.
20 Yes OBL
20
= Total Cover
50% of total cover: 10 20% of total cover: 4
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC: 6 (A)
6 (B)
Total Number of Dominant
Species Across All Strata:
Percent of Dominant Species
That Are OBL, FACW, or FAC: 100 (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)
Prevalence Index = B/A =
(B)
Hydrophytic Vegetation Indicators:
_ 1 - Rapid Test for Hydrophytic Vegetation
X 2 - Dominance Test is >50%
3 - Prevalence Index is 53.0'
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 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
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Sampling Point: WE-5 WET
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist) % Color (moist) % Type' Loc2 Texture Remarks
0-12 10YR 4/1 80 7.5YR 4/6 20 C M Lo
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric
❑
❑
❑
❑
❑
❑
❑
ElMuck
El1
❑
❑
❑
❑
❑
❑
❑
❑
Soil Indicators: (Applicable to all LRRs,
Histosol (A1)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Presence (A8) (LRR U)
cm Muck (A9) (LRR P, T)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Mucky Mineral (S1) (LRR 0, S)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S, T, U)
unless otherwise noted.) Indicators for Problematic Hydric Soils3:
LI Polyvalue Below Surface (S8) (LRR S, T, U) ❑ 1 cm Muck (A9) (LRR 0)
2 cm Muck (A10) (LRR S)
0 Thin Dark Surface (S9) (LRR S, T, U) El
Elu Loamy Mucky Mineral (F1) (LRR 0) Reduced Vertic (F18) (outside MLRA 150A,B)
❑ Loamy Gleyed Matrix (F2) fPiedmont Floodplain Soils (F19) (LRR P, S, T)
2Depleted Matrix (F3) U Anomalous Bright Loamy Soils (F20)
❑ Redox Dark Surface (F6) (MLRA 153B)
❑ Depleted Dark Surface (F7) ❑ Red Parent Material (TF2)
❑� Redox Depressions (F8) 11 Very Shallow Dark Surface (TF12)
El Marl (F10) (LRR U) Other (Explain in Remarks)
❑ Depleted Ochric (F11) (MLRA 151)
EIron-Manganese Masses (F12) (LRR 0, P, T) 3lndicators of hydrophytic vegetation and
El Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
❑ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
El Reduced Vertic (F18) (MLRA 150A, 150B)
9 Piedmont Floodplain Soils (F19) (MLRA 149A)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Restrictive Layer (if observed):
Type:
Hydric Soil Present? Yes X No
Depth (inches):
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Version 2.0

WETLAND DETERMINATION DATA FORM — Atlantic and Gulf Coastal Plain Region
Project/Site: BR-0121 Bridge 178 on SR 1804 City/County: Sampson Sampling Date: 10/17/18
Applicant/Owner: NCDOT
State: NC Sampling Point: WB 12A UPL
Investigator(s): Nathan Howell, Nancy Scott Section, Township, Range: Newton Grove
Landform (hillslope, terrace, etc.): Hills lope Local relief (concave, convex, none): Convex Slope (%): 5
Subregion (LRR or MLRA): LRR P/MLRA 133A Lat: 35.188326 Long:-78.374606 Datum: NAD83
Soil Map Unit Name: Paxville fine sandy loam
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
Hydric Soil Present? Yes No X
Wetland Hydrology Present? Yes No X
Is the Sampled Area
within a Wetland? Yes No
Remarks:
Due to similarity in soils, hydrology, and vegetation, Wetland WA's upland point is covered under
this form.
HYDROLOGY
Wetland Hydrology Indicators: Secondary Indicators (minimum of two required)
Primary Indicators (minimum of one is required; check all that apply)
❑ Surface Soil Cracks (B6)
❑
❑
❑
❑
❑
❑
0
0
ID
ID
Surface Water (A1) 1❑-f Aquatic Fauna (B13)
High Water Table (A2) 0 Marl Deposits (B15) (LRR U)
Saturation (A3) 0 Hydrogen Sulfide Odor (C1)
Water Marks (B1) 0 Oxidized Rhizospheres along Living Roots (C3)
Sediment Deposits (B2) 0 Presence of Reduced Iron (C4)
Drift Deposits (B3) I --I Recent Iron Reduction in Tilled Soils (C6)
Algal Mat or Crust (B4) ❑ Thin Muck Surface (C7)
Iron Deposits (B5) 0 Other (Explain in Remarks)
Inundation Visible on Aerial Imagery (B7)
Water -Stained Leaves (B9)
❑ Sparsely Vegetated Concave Surface (B8)
❑ Drainage Patterns (B10)
❑ Moss Trim Lines (B16)
❑ Dry -Season Water Table (C2)
0 Crayfish Burrows (C8)
❑ Saturation Visible on Aerial Imagery (C9)
0 Geomorphic Position (D2)
❑ Shallow Aquitard (D3)
0 FAC-Neutral Test (D5)
0 Sphagnum moss (D8) (LRR T, U)
Field Observations:
Surface Water Present? Yes No X Depth (inches): 0
Wetland Hydrology Present? Yes No X
Water Table Present? Yes No X Depth (inches): >12
Saturation Present? Yes No X Depth (inches): >12
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WB-12A UPL
Tree Stratum (Plot size: 30' radius
1.
2.
3.
4.
5.
6.
7.
8.
Absent
Absolute Dominant Indicator
% Cover Species? Status
= Total Cover
50% of total cover: 20% of total cover:
Sapling/Shrub Stratum (Plot size: 15' radius
1.
2.
3.
4.
5.
6.
7.
8.
Absent
= Total Cover
50% of total cover: 20% of total cover:
Herb Stratum (Plot size: 5' radius
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Senna abtusifolia
Eupatorium capillifolium
30 Yes FACU
20 Yes FACU
50
= Total Cover
50% of total cover: 25 20% of total cover: 10
Woody Vine Stratum (Plot size: 30' radius
1 Absent
2.
3.
4.
5.
= Total Cover
50% of total cover: 20% of total cover:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
Total Number of Dominant
Species Across All Strata:
0
(A)
2 (B)
Percent of Dominant Species
That Are OBL, FACW, or FAC: 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)
Prevalence Index = B/A =
(B)
Hydrophytic Vegetation Indicators:
1 - Rapid Test for Hydrophytic Vegetation
2 - Dominance Test is >50%
3 - Prevalence Index is 53.0'
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 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 No X
Remarks: (If observed, list morphological adaptations below).
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region - Version 2.0

SOIL
Sampling Point: WB-12A UPL
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
Depth Matrix Redox Features
(inches) Color (moist). % Color (moist) % Type' Loc2 Texture Remarks
0-4 10YR 5/4 100 SaLo
4-12 10YR 4/3 100 Lo
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. 2Location: PL=Pore Lining, M=Matrix.
Hydric
❑
❑
❑
❑
❑
❑
❑
ElMuck
El1
❑
❑
❑
❑
❑
❑
❑
❑
Soil Indicators: (Applicable to all LRRs,
Histosol (Al)
Histic Epipedon (A2)
Black Histic (A3)
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Presence (A8) (LRR U)
cm Muck (A9) (LRR P, T)
Depleted Below Dark Surface (A11)
Thick Dark Surface (Al2)
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Mucky Mineral (S1) (LRR 0, S)
Sandy Gleyed Matrix (S4)
Sandy Redox (S5)
Stripped Matrix (S6)
Dark Surface (S7) (LRR P, S, T, U)
unless otherwise noted.) Indicators for Problematic Hydric Soils3:
LI Polyvalue Below Surface (S8) (LRR S, T, U) ❑ 1 cm Muck (A9) (LRR 0)
2 cm Muck (A10) (LRR S)
0 Thin Dark Surface (S9) (LRR S, T, U) El
Elu Loamy Mucky Mineral (F1) (LRR 0) Reduced Vertic (F18) (outside MLRA 150A,B)
❑ Loamy Gleyed Matrix (F2) fPiedmont Floodplain Soils (F19) (LRR P, S, T)
El Depleted Matrix (F3) U Anomalous Bright Loamy Soils (F20)
❑ Redox Dark Surface (F6) (MLRA 153B)
❑ Depleted Dark Surface (F7) ❑ Red Parent Material (TF2)
❑� Redox Depressions (F8) 11 Very Shallow Dark Surface (TF12)
El Marl (F10) (LRR U) Other (Explain in Remarks)
❑ Depleted Ochric (F11) (MLRA 151)
EIron-Manganese Masses (F12) (LRR 0, P, T) 3lndicators of hydrophytic vegetation and
El Umbric Surface (F13) (LRR P, T, U) wetland hydrology must be present,
❑ Delta Ochric (F17) (MLRA 151) unless disturbed or problematic.
El Reduced Vertic (F18) (MLRA 150A, 150B)
9 Piedmont Floodplain Soils (F19) (MLRA 149A)
❑ Anomalous Bright Loamy Soils (F20) (MLRA 149A, 153C, 153D)
Restrictive Layer (if observed):
Type:
Hydric Soil Present? Yes No X
Depth (inches):
Remarks:
US Army Corps of Engineers
Atlantic and Gulf Coastal Plain Region — Version 2.0

Appendix C
JD Request Form
PJD Form

Jurisdictional Determination Request
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/RegulatoryPermitProgram/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]
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]
INSTRUCTIONS:
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: Multiple Parcels
City, State:
County:
Newton Grove, NC
Sampson
Parcel Index Number(s) (PIN):
Multiple PIN's
B. REQUESTOR INFORMATION
Name: Gordon Cashin
Mailing Address:
Telephone Number:
Electronic Mail Address:
Select one:
n
a
1598 Mail Service Center
Raleigh, NC 27699-1598
919-707-6107
[e-mail]
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: Multiple Property Owners
Mailing Address:
Telephone Number:
Electronic Mail Address:
1 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 CERTIFICATION3'4
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.
Print Name
Capacity: n Owner n Authorized Agents
Date
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
nI intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all aquatic resources.
❑ I intend to construct/develop a project or perform activities on this parcel which would be
designed to avoid all jurisdictional aquatic resources under Corps authority.
n 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.
nI intend to construct/develop a project or perform activities on this parcel which may
require authorization from the Corps; this request is accompanied by my permit application
and the JD is to be used in the permitting process.
n 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.
n Other:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 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)
❑✓
o
I am requesting that the Corps provide a preliminary JD for the property identified herein.
A Preliminary Jurisdictional Determination (PJD) provides an indication that there may
be "waters of the United States" or "navigable waters of the United States"on a property.
PJDs are sufficient as the basis for permit decisions. For the purposes of permitting, all
waters and wetlands on the property will be treated as if they are jurisdictional "waters of
the United States". PJDs cannot be appealed (33 C.F.R. 331.2); however, a PJD is
"preliminary" in the sense that an approved JD can be requested at any time. PJDs do
not expire.
I am requesting that the Corps provide an approved JD for the property identified herein.
An Approved Jurisdictional Determination (AJD) is a determination that
jurisdictional "waters of the United States" or "navigable waters of the United
States" are either present or absent on a site. An approved JD identifies the limits of
waters on a site determined to be jurisdictional under the Clean Water Act and/or
Rivers and Harbors Act. Approved JDs are sufficient as the basis for permit
decisions. AJDs are appealable (33 C.F.R. 331.2). The results of the AJD will be
posted on the Corps website. A landowner, permit applicant, or other "affected
party" (33 C.F.R. 331.2) who receives an AJD may rely upon the AJD for five years
(subject to certain limited exceptions explained in Regulatory Guidance Letter 05-
02).
❑ I am unclear as to which JD I would like to request and require additional information
to inform my decision.
G. ALL REQUESTS
111 Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
ElSize of Property or Review Area 15.6 acres.
The property boundary (or review area boundary) is clearly physically marked on the site.
Version: May 2017
Page 4

Jurisdictional Determination Request
REQUESTS FROM CONSULTANTS
Project Coordinates (Decimal Degrees): Latitude: 35.186958
Longitude: -78.375306
A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).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.
nCompleted 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. http://www.saw.usace.army.mil/Missions/Regulatory-Permit-
Program/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
❑
a
❑
Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form' and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form'
Vicinity Map
Aerial Photograph
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Landscape Photos (if taken)
NCSAM and/or NCWAM Assessment Forms and Rating Sheets
NC Division of Water Resources Stream Identification Forms
Other Assessment Forms
' www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL 08-02 App A Prelim JD Form fillable.pdf
' Please see http://www.saw.usace.army.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 federal jurisdiction under the regulatory
authorities referenced above.
Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal
law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.
Version: May 2017 Page 6

Appendix 2 - PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 04/29/2019
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Gordon Cashin, 1598 Mail Service Center, Raleigh, NC 27699-1598
C. DISTRICT OFFICE, FILE NAME, AND NUMBER:
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION:
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES AND/OR
AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County/parish/borough: Sampson City: Newton Grove
Center coordinates of site (lat/long in degree decimal format):
Lat.: 35.186958 Long.: -78.375306
Universal Transverse Mercator: 17
Name of nearest waterbody: Sevenmlle Swamp
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):
❑ Office (Desk) Determination. Date:
Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO REGULATORY
JURISDICTION.
Site
number
Latitude
(decimal
degrees)
Longitude
(decimal
degrees)
Estimated amount
of aquatic resource
in review area
(acreage and linear
feet, if applicable)
Type of aquatic
resource (i.e., wetland
vs. non -wetland
waters)
Geographic authority
to which the aquatic
resource "may be"
subject (i.e., Section
404 or Section 10/404)
See
Attached
List

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

SUPPORTING DATA. Data reviewed for PJD (check all that apply)
Checked items should be included in subject file. Appropriately reference sources
below where indicated for all checked items:
••
1■
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map:Vicinity Map, Topographic Map, Jurisdictional Features Map, LIDAR 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:
u 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: :24,000 Timothy/Newton Grove South
■
n Natural Resources Conservation Service Soil Survey. Citation: 1985 Sampson County Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
n FEMA/FIRM maps:
❑ 100 year Floodpfain 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 torm has not necessarily
been verified by the Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
Signature and date of
person requesting PJD
(REQUIRED, unless obtaining
the signature is impracticable)'
' Districts may establish timeframes For requestor to return signed PJD forms. If the requestor does not respond
within the established time frame, the district may presume concurrence and no additional follow up is
necessary prior to finalizing an action.

Auuatic resources in the review area which "may be" subject to regulatory jurisdiction
Site Number
Latitude
Longitude
Estimated amount of
aquatic resource in
review area (If & ac)
Type of
aquatic
resource
Geographic
authority to which
the aquatic resource
"may be" subject
Sevenmile
35.186828
-78.375313
517 linear feet
Non -wetland
Section 404
Swamp
Houses Pond
Spillway
35.188197
78.375611
127 linear feet
Non -wetland
Section 404
SA
35.188386
-78.375278
720 linear feet
Non -wetland
Section 404
WA
35.186530
-78.375953
0.04 acre
Wetland
Section 404
WB
35.187405
-78.374840
2 acres
Wetland
Section 404