R-5759 PJD Package_May 2019_Signed

STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
ROY COOPER
GOVERNOR
May 23, 2019
ATTN: Steven Kichefski
U.S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, North Carolina 28801-5006
JAWS H. TROGDON, III
SECRETARY
SUBJECT: Preliminary Jurisdictional Determination Package for the following Natural
Resources Technical Report: STIP No. R-5759: Widening of NC 115 (Statesville Road)
from US 421 to 2 d Street in Wilkesboro, Wilkes County, North Carolina.
Mr. Kichefski,
The North Carolina Department of Transportation (NCDOT) proposes to widen NC 115 (Statesville
Road) from US 421 to 2nd Street in Wilkesboro, Wilkes County, North Carolina. Below and attached are
a brief description of the project, figures depicting all features, and appropriate forms.
On January 8, 2019, Three Oaks Engineering staff members, led by Nathan Howell, conducted a site
investigation (Figure 1). Sixteen potential jurisdictional features (the Yadkin River, eight potential
streams, six potential wetlands, and one potential basin) were identified (Tables 1-4; Figures 2-3). North
Carolina Division of Water Resources (NCDWR) Stream Identification Forms are included for all
potential streams where jurisdictionality was in question. United States Array Corps of Engineers
(USACE) Wetland Determination forms are included for each potential wetland. North Carolina
Wetland Assessment Method (NCWAM) forms are included for each potential wetland that exhibited
low ecological integrity, which may lend itself to lower mitigation ratios. Please see the following PJD
Package.
Telephone: [phone] Location:
NC DEPARTMENT OF TRANSPORTATION Customer Service: 1-877-368-4968 801 STATESVILLE ROAD
DIVISION OF HIGHWAYS — DIVISION I NORTH WILKESBORO, NC 28659
Website_ www.ncdot.gov

Table 1. Potential Jurisdictional streams in the studv area
Stream Name
Map ID
NCDWR
Index
Number
Best Usage
Classification
Figure
Yadkin River
Yadkin River
12-(38)
C
2-3; 3-3
Unnamed Tributary (UT)
to FishingCreek
SA
12-44
C
2-1; 3-1
UT to Fishing Creek
SB
12-44
C
2-1; 3-1
UT to Fishing Creek
SC
12-44
C
2-1; 3-1
UT to Fishing Creek
SD
12-44
C
2-1; 3-1
UT to Yadkin River
SF
12-(38)
C
2-3; 3-3
UT to Yadkin River
SG -I
12-(38)
C
2-2 — 2-3; 3-2 —
3-3
UT to Yadkin River
SG-P
12-(38)
C
2-3; 3-3
UT to Yadkin River
SH
12-(38)
C
2-3; 3-3
UT to Yadkin River
SI
12-(38)
C
2-3; 3-3
Note. There is no Stream SE.
Table 2. Characteristics of potential jurisdictional streams in the study area
Map ID
Length
ft.
Classification
NCSAM Rating
River Basin Buffer
Yadkin River
419
Perennial
*
Not Subject
SA
439
Perennial
*
Not Subject
SB
712
Perennial
*
Not Subject
SC
192
Perennial
*
Not Subject
SD
49
Intermittent
*
Not Subject
SF
189
Intermittent
*
Not Subject
SG-1
49
Intermittent
*
Not Subject
SG-P
1,987
Perennial
*
Not Subject
SH
178
Perennial
*
Not Subject
SI
252
Perennial
*
Not Subject
Total
4,466
Note: NCSAM forms are typically completed for streams/stream sections possessing characteristics conducive to them
receiving lower functional rating values and mitigation ratios. Features marked with an asterisk (*) did not have forms
completed for them and are assumed to require a 2:1 mitigation ratio.

Table 3. Characteristics of potential Jurisdictional wetlands in the study area
Map ID
Figure
NCWAM Classification
NCWAM
Rating
Hydrologic
Classification
Area (ae.)
WA
2-1; 3-1
Headwater Forest
*
Riparian
0.01
WB
2-1; 3-1
Bottornland Hardwood Forest
*
Riparian
0.04
WC
2-1; 3-1
Flood lain Pool
*
Riparian
0.06
WD
2-1; 3-1
Bottotnland Hardwood Forest
*
Riparian
<0.01
WE
2-3; 3-3
Bottomland Hardwood Forest
Medium
Riparian
0.36
WF
2-3; 3-3
Bottomtand Hardwood Forest
*
Riparian
<0.01
Total
0.47
Note: Wetlands denoted by an asterisk (*) in the NCWAM Rating column did not possess qualities conducive to them receiving lower
functional rating values, and subsequently, lower mitigation ratios (i.e., these wetlands are of higher functional/ecological integrity).
Table 4. Potential surface waters in the study area
Surface Water
Map ID of
Acreage (ae.)
Figure
Connection
BA
NIA
0.02
2-3; 3-3
If you have any questions, require additional information, or would like to schedule a site visit, please
contact me at [phone] or by email at [e-mail]. This is a request for concurrence
with our assessment. We appreciate your assistance on this project.
Sincerely,
Ar*t J/
Heath Slaughter
Project Manager
North Carolina Department of Transportation — Division I
Cc_ Dave Wanucha, NCWWR
Marla Chambers, NCWRC

Appendix A
Figures

Prepared By:
�G/Nc
y
0
W 1'R
Prepared For:
OF NOXiN �
ti 49`
5p
�FyT OF tR'+��ao
Widening of NC 115
(Statesville Rd) from US 421
to 2nd Street in Wilkesboro
(STIP R-5759)
Vicinity Map
Wilkes County, North Carolina
Date: March 2019
Scale
0 0.15 0.3 Miles
I i I
Job No.: 19_601
Drawn By:
Checked By:
CMR
JM
Figure

S,
Q
wy
'Boston A�
t6
Ad St
Euclid
S
t
4
r.� Th St
C? 3 7i2 St � STh St U
a
Q-
o�
et`
eQ
Gr
sfOo,p Ja
0
dOhns�
M Armory yard St yRa
ap/ewOOd Ct p`
�t
as\o
9eeC O<an9es` s Cedar Ln
h St s
Ruby 4yo
0
Eastwood Dr Or
� GN
�e Aare 0
Ga Ra
U) 0 a
S
Ile ark tad. Park Rd
Sheet 3
Townsends� 04/0
Ra
's
Peace St
1
Th St �
fir• -r' �
BThst
mF GOraOnq�e � i ;
O.
O6
e
Foy /MTh St o°Q.;'G� �97b st� ^ esterq�e pa /i lS
�o
tndepen
dentgve c e
\o Aa
/reS�o�o C5 �a
B
l � artier
>;;wjkesborOq�3oasf st
Oakwoods'Rd
cot/1ren
St
a
0,
y 00
O o� o
�tLt. o o�
Cr
c�
1
aers I
Marn sz ���
Green Hill Rd
eau
Edgewood Dr Farm Ro
�O es�Nill br
Sunset Dr Shady�:ry
°°ds OC `1't006 V,
Ho\\and S�oKey
a
Ga\\Q
Statesville Rd
U
�a
�a
�r
�ry
yrdden Valley o
T
^anklin Ln
V
�,a�'eJ Oi
O\a6� ao \I1r91111a5 or
Lry pondvie,, D`t
a
w
Walnut Grove Ln
1
�a
o�
o°
G`
5�
�a
9T
^a�S+
Sparrow Pornt Dr
Hottand St
� ��a� iivrvTE o
"Id, Hunter Rd
Sheet 1
a oro°
e°' rti5
GG
Walnu/ 00S°n
yODr
cree116e11�14n
Parkers F
,a
ea
Qe
O 0
Moore Ridge'? -a
ll
0
a
A� 7
O^o
o,�Ar Edge�ooa Rd es6
0
U
Svc C
N0
o U r
Ave
Bell Dr Gean�a�et0
Bell qCo
nql e
O�
t
EER11ye''
Prepared For:
Jurisdictional Features Map
(USGS Topographic)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale:0 750 1,500
1 1 I Ft
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
2
Sheet Index

W
r'-
v ,yOL ` A
Q N�,ST' WB
115
l
/ i
I
J
WA
h.�
we ' �/
j sg
1
1�
J`
SA FAO
HUN Tc RR_
ti
OFF 42
1p
LG 7 S - _
SD'
WSC
D�---
t
Prepared For:
Jurisdictional Features Map
(USGS Topographic)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale: 0 200 400
I I IFt
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
2
Sheet 1 of 3

E►�ERjNe,
M
a�
CO
y `� \'PLWO\ \
i 00
! o , /
SG
5 PARKR-D—1 -
f
STATESALE RD
i
W
d
O
WALNUT GRO
115
1I-
N
Cn
F
Prepared For:
Jurisdictional Features Map
(USGS Topographic)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale: 0 200 400
I I IFt
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
2
Sheet 2 of 3

t.
L
Q
't
{
l
SF
9
Yadkin
River
�
s�
"
666,
q --- -
•� Q r
S SIG
1 RQ
BA
S
7' O
0
o� s
%04
a
0. &—
G{C�
I -
SH
CO
N
N
U)
Prepared For:
Jurisdictional Features Map
(USGS Topographic)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale: 0 200 400
I I IFt
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
2
Sheet 3 of 3

o AW
�`9N1#330i">
Prepared For:
Jurisdictional Features Map
(Aerial Imagery)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale:0 750 1,500
1 1 I Ft
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
3
Sheet Index

o AW
�`9N1#330i">
Prepared For:
Jurisdictional Features Map
(Aerial Imagery)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale: 0 200 400
I I IFt
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
3
Sheet 1 of 3

o AW
�`9N1#330i">
Prepared For:
Jurisdictional Features Map
(Aerial Imagery)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale: 0 200 400
I I IFt
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
3
Sheet 2 of 3

Nt,
p
WIT
o �1I1'
�`9N1#330SP
Prepared For:
011�%OHTy C
h � A9o`y9
o
ti
99A Qh�
�1�yr OF SAp�s�o
Jurisdictional Features Map
(Aerial Imagery)
Widening of NC 115
(Statesville Rd) from
US 421 to 2nd Street
in Wilkesboro
(STIP R-5759)
Wilkes County, North Carolina
= R-5759 Project Study Area
Potential Non -Wetland Waters of the U.S.
- Perennial Stream
Intermittent Stream
Culvert
Potential Wetland Waters of the U.S.
Disturbed
Undisturbed
Potential Non -Wetland Waters of the U.S.
Stormwater Basin
Date:
March 2019
Scale: 0 200 400
I I IFt
Job No.:
19-601
Drawn By:
Checked By:
CMR
JM
Figure
Sheet 3 of 3

Appendix B
Stream and Wetland Data Forms

NC DWQ Stream Identification Form Version 4.11
Date; I / ProjeettSite: 'V _ 5-+rj C -
Evaluator: ry ��Z� County:
Total Points; circle one Stream Determination
Stream is at least intermittent ( )
if?19orperennial ifa30` 33' Ephemeral Intermittent -Perennial
Latitude: 3 , I
Longitude:_ `ID Lk
Other Rm""Ij a;or
e.g Quad Name:
A. Geomorphology Subtotal = l(e,>ti
Weak
Moderate
Strong
18Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex riffle -pool, step -pool,
ripple -pool sequence
0
$1
_ _
3
4. Particle size of stream substrate
0
1
2
1 2
3
3
5. Active/relict floodplain
0
1
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
- 2
3
8. Headcuts
9. Grade control
_ 0
2
3
0-0
6.5
1
_
1.5
10, Natural valley
0
0.5
1
1.5
11. Second or greater order channel
a
No = 0-
Yes = 3
-U-1Ql u11W 1G.'a o11e IIUI ItjWU. see aiscussions in manual -
B. Hydrology (Subtotal = 16 }
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
i 5 '
1
0.5
0
15. Sediment on plants or debris
0
13.5
1
1 5
16. Organic debris lin�eiles
0
117.
Soil -based evidenigh water table?
�No �0���Y�esr�-;
'.- u1Viv6Fy �ouuu)Lai = T% � I
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed _
3
2
1
--�
0
acrob en hos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
-
0
1
2
3
22. Fish -
0
0.5
1
1.5
23 Crayfish
0
_ IrRJ2
O.5
1
1
--
1.5
1.5
1.5
24. Amphibians
25. Algae
05
1
26 Wetland plants in streambed
_
FACW = 0.75; OBL = 1.5 Others p
'perennial strew--` may also be identified using other methods. See p. 35 of manual
-
Notes: _r-G
--
- -
-----
� �
Sketch: �irrt 7
Bank Height (ft): �.3T
......--------- - ----
Bankfull width (ft):
Water depth (in): Q
Channel substrate Clay. Silt, Sand, Gravel, Cobble
Bedrock
Velocity - fast, moderate�ow
Clarit cle ightlyturbid, turbid

M
5a�
NC DWQ Stream Identification Form Version 4.11
Date; ' ' �' , /1 Projectl5ite: Latitude: 3, j qZ_3 ro�
Evaluator: f 1 Coun • Lon _
9 itude:
1�1
Total Points: Stream Determination (circle on) Other
Scream is at least intermittent r/ed r� Ephemeral Intermittent Pew Ie.g Quad Name. y
if z 19 or perennial it z 30 ` .7 '
A. Geomor hol Subtotal = ZI
--Kb-sent.
Weak
Moderate
Strong
_
1' Continuity of channel bed and bank_
_ 0
01
1
2
3
2. Sinuosity of channel along thalweg
_
2
-
3. In -channel structure: ex riffle -pool, step -pool,
d le- ool sequence
D
1
�
3
4. Particle size of stream substrate
p
1
2
3
5. Active/relict floodplain
0
1
2
..
6. Depositional bars or benches
0
1
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
_
6.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Ye = 3
arnncial d¢ones are not rated; see discussions in manual
B. Hydrolociv (Subtotal = ID a
12. Presence of Baseflow -
D
1
2
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
'1.
1
0.5
0
15. Sediment on plants or debris
0
'p
1
1 5
16. Organic debris lines or piles
1 0
0.5
1 1.5
17. Soil -based evidence of high water table?
No = 0
Yes - 3
LM111111T-1to] [910kIr" .11"MU01".1 r�1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
2 1�facroT7entfios (note diversity and abundance)
Q�
1
2
3
21. Aquatic Mollusks
0-)
1
2
3
22. Fish _
0
+110.5
1
1.5 _
23 Crayfish
0
5
1
1.5
24. Amphibians
1.5
1_5
p
0.5
05
1
1
25. Algae _ _ _
26 Wetland plants in streambed -
FACW = 0.75; OBL = 1.5 Othe = Q__-'
--
_
`perennial streaTs may also be identified using other meth o s. See p. 35of manual
Notes --
- ---
__ _
: ,,. ry ----M� ��_ �"L-b_' �' � r1s _2�_� .
•---------
---
Sketch:-5-off r'�nre_
Bank Height (ft): 5'_15
Bankfull width (ft):15-25
Water depth (in):0 -1���__
Channel substrate - Cla . Sil Sand, Gravel. Cobble
Bedrock
Velocity - fast, moderate s o
-
ClarityeclPghtlyturbid, turbid

M
NC DWQ Stream Identification Form Version 4.11
Date: 1. f G _- proiecttSite:
Evaluator:
t.,
Total Points:
Stream is at least intermittent
if ? 19 or perennial if a 30 ` J '
County: r
----.\ `--------- ------_--_--
Stream Determination (circle one)
Ephemeral I ntermitte nf-Perennial
Latitude:
Longitude: eI to2��
Other (Zoariny R"Afx
e.g Quad Name:
A. Geomorphology Subtotal = l f �
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
3. In -channel structure: ex riffle -pool, step -pool,
ri le ool se uence
- _0
:1
w / 1
Cam.!/
2
2
_ -- ---
3
- 3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
�1 '~
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
p
r1
2
3
9. Grade control
'0
0:5
10. Natural valley
0
0.5
1
1.
11. Second or greater order channel
No = 0
Yes - 3
anmolai uacnes are not rams; see olscussions in manual
B. Hydrology (Subtotal = 1t )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
,1.
1
2
0.5
3
0
14. Leaf litter
15. Sediment on plants or debris
0
0.
1
1 5
16. Organic debris lines or piles
1 0
0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes"L 3
L_ ISIoi[]f7V (5untotal = I- 1
Fibrous roots in streambed
�3
2
1
0
Rooted upland plants in streambed
P
2
1
0
Mao�obenthos (note diversity andabundance)
0
1
2
3
Aquatic Mollusks _
1 -
2
3
_
22. Fish _
0.5
1
1.5
23 Crayfish
r
0.5
-- 0.5
1
1
----- 1
1.5 -
1.5
--- ---- 1.5
24. Amphibians-----�--•---_-- ----- -
25. Algae _ _
05 �
26 Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other
_
perennial streams may also be identified using other methods. See p. 35 of manual
-------
- _
-
Notes:
--- -----
-------..._.__.._.._
Sketch:
Bank Height (ft):2.5
Bank -full width (ft): -�
Water depth (in):D �6 I
Channel substrat ay. Silt, Sand, Gravel. Cobble
Bedrock
Velocity - fast, moderato
Clarity eePa�r�s ehtlyturbid,turbid

NC DWQ Stream Identification Form Version 4.11
Date: ProjeWSrm: �_ 5�5°\ Latitude:
Evaluator: W `r E,r County: \ � Longitude;-6
Total Points:
Stream is at least intermittent eq C) a J � �j Stream Determination circle one) Other �oa r� � � ; v�
if 2: 19 or Perennial it 30` G Ephemeral Lffwr-m! P rennial e.g. Quad Name:
A. Geomorphology ( Subtotal = i o - i
Absent
Weak
Moderate
Strong
!a. Continuity of channel bed and bank
0
1
2 ,
2. Sinuosity of channel along thalweg
0
Q.)
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le ool sequence
0
Q
2
3
4. Particle size of stream substrate
0
t
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
7. Recent alluvial deposits
0 ''-
1
2
3
0
1
2
3
8. Headcuts _
9. Grade control T
0_
1
2
3
f
0.5
1
1.5
10. Natural valley
0
0.5
'.1
1.5
11. Second or greater order channel
No = 0 '-
Yes = 3
"artificial ditches are not rated; see disco ons in manual
B. Hvdroloav (Subtotal = er
12- Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
l`1"5
1
0.5
0
15. Sediment on plants or debris
0
0.
1
1.5
16. Organic debris lines or piles
0
; 0.5
1
1 1.5
17. Soil -based evidence of high water table?
No = 0
Ye - 3
C Riolorsv (Subtotal = � 1
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)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
ro
1 0-5
1
1.5
23 Crayfish
¢
0
0.5
0.5
1
1
1.5
1.5
24. Amphibians
25 Algae
0.5
1
1.5
26 Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other 0
`perennial stre s may also be identified using other methods. See p 35 of manual
Notes: 5
Sketch:�t fu✓L�
Bank Height (ft): y
Bankfull width
Water depth (in): ©�
Channel substrate✓Oay. Silt. Sand Gravel Cobble
Bedrock
velocity - fast, moderate✓`slo
Clarity- "ear. lightly turbid, turbid I

SF
NC DWQ Stream Identification Form Version 4.11
Date: ! U 1 q
Project/Site: �J .. ,�"7�� Latitude: 3 � 4, M
Evaluator: fr l ` Ci i'1 � �- G- V\
County: �✓y'� p�
Longitude: , q(, ,-55,1gC
Total Points:
JonAqircle one)
Stream Determingt
Other W,1 �_PS6iO
Stream is at least intermittent , S
Ephemeral frifermittent `eerennial
e.g. Quad Name:
if z 19 or erennial if _> 30*
Q
A. Geomorphology Subtotal =
Absent I
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
D
1
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
/^�
(D
2
3
4. Particle size of stream substrate
D
Cl-)2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
M1
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
0
2
3
9. Grade control
0
.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hvdroloav (Subtotal = 7 )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.5
1
0.5
0
15. Sediment on plants or debris
0
0.
1
1.5
16. Organic debris lines or piles
0
Cau
1
1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
C. Bioloav (Subtotal = n
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
M
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0.5
1
1.5
123. Crayfish
CO)0.5
1
1.5
24. Amphibians
0 ` )
0.5
1
1.5
25. Algae
0
0.5
1==L
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 eher = 0
*perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: -+, rlrc(I c6.,a Ir , r
�✓ !
Sketch: fi; f t4rT--
Bank Height (ft): `Z
Bank -full width (ft): )` Z-
Water depth (in)O- L4
Channel substrate - Clay, Silt, and, Gravel, Cobble
Bedrock
Velocity - fast, moderate slow
Clarity- tear slightly turbid, turbid

NC DWQ Stream Identification Form Version 4.11
Date: I ;'' , is
ProjacflSlte: ���' �`
Latitude: 1 ��
Evaluator:�, �' ��iP
County: , iGG ,
Longitude:
P�
Total Points:
Stream is at least intermittent �D
Stream Determinatlo a one
Ephemeral ttt- nnial
Other 4Ar,nf PV'r
e.g. Quad Name:
if Z 19 or, erennial if 2 30'
I/
A. Geomorphology Subtotal = %� ,`�
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
2. Sinuosity of channel along thalweg
0
4 j�
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size_ of stream substrate
0
0 - '
1
1
2
2
3
3
5. Active/relict floodplain
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
_
2
3
8. Headcuts
0
1
-2
3
9. Grade control
0 .
0.5
1
1.5
10. Natural valley
0
0.5
1
i 1. Second or greater order channel
No = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = __ )
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
i-1
1
0.5
0
15. Sediment on plants or debris
0
0
1
i
1.5
1.5
16. Organic debris lines or piles
17. Soil -based evidence of high, grater table?
N - 0
Yes = 3
C. Biology (Subtotal = }
18. Fibrous roots in streambed
3
2
1
0 1
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
TV
0.5
1
1.5 i
23 Crayfish
0.5
1
1.5
24. Amphibians
p
0.5
i.
1.5
25 Algae
" 0
05
1
1.54 a
26 Wetland plants in streambed
FACW = 0.75, 081- = 1.5 Other = 0
`perennial strea-rs may also be identified using other methods. Seep.
35 of manual
Notes:
Sketch. �{� F�h%tom
Bank Height(ft(:Y l r f
Bankfull width ft): C �g
Water depth (in):15 4�Sand,
Channel substrate - Grave Cobble,
Bedrock
Velocity - fast, moderate, W.W l
Clarity GE), lightly turbid, turbid I
i

J C -7
NC DWQ Stream Identification Form Version 4.11
Date: c-% - Project/Site: Latitude: ! ,Cbwzvt
Evaluator:-L Coun : r Lon Rude:
Total Points: Stream Determ i n ation (ci rSip-one� Other Rpgril Kvt
Stream r e least intermittentf,30 3 Ephemeral Intermittent laerenni e. Quad Name:
if >_ 19 or perennial if Z 30 ` \ � 5 I P � 9
A. Geomorphology Subtota=banko
Weak
Moderate
Strong
1a Continuity of channel bed and
2. Sinuosity of channel along tlial
1
3
3. In -channel structure: ex riffle-p�1
ri le ool sequence
2
Q
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1 '
2
3
6. De ositional bars or benches
p
(4;,
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
_
0
2
3
9. Grade control
0
0:5
1
1.5
10. Natural valley
0
0.5
1
.5
11. Second or greater order channel
No,= 0
Yes = 3
aruncrar aacnes are not ratea; see alscussions in manual B. Hvdroloav (subtotal = 'r> >
12. Presence of Baseflow
0
1
2
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
0
0.
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
Ye =
" H10inriv f511htntal = `t-. : 1 -
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
1
_
2
3
22. Fish
00
0.5
1
1.5
23 Crayfish
0
0
0
0.
0.5
05
1
1
1
1.5 -
1.5
1.5
24. Amphibians
25. Algae
_
26 Wetland plants in streambed -
_ -
FACW = 0.75; OBL = 1.5 Other
_
`perennial stye ;rs may also be identifiedusing other methods. See p. 35 of manual
Notes:
Sketch: S �r
��e,�
Bank Height (ft): 5'�
Bankfull width (ft):gi 15
Water depth (in):0 rr
Channel substra G;o ,
Bedrock
Velocity , fast, moderate
Clarit ,�}e r Rightly turbid, turbid

r
NC DWQ Stream identification Form Version 4.11
Date: !��--- Project/Site:
Evaluator: I- County;
Tots{ Points: Stream Determination (circle ne)
Stream is at least intermittent
if? 19 or perennial if 30< 3 � I Ephemeral Intermittent j renn
Latitude: -
Longitude:, g�24 6
Other kecor" n5 (4 J'w
e.g Quad Name:
A. Geomo hold Subtotal = 6,2
Weak
Moderate
Strong
13 Continuity of channel bed and bank_
7Absent
1
22.
Sinuosity of channel along thalweg
1
3
3. In -channel structure: ex riffle -pool, step -pool,
ri le ool sequence
_
0
1
/'2
3
4. Particle size of stream substrate
0
2
3
5. Active/relict floodpiain
0
1
2
3
6. Depositional bars or benches
0
1
3
3
7. Recent alluvial deposits
0
r 1'
2
8. Headcuts
0
_
2
3
9. Grade control
0
6.5
1 1
1.5
10. Natural valley
0
0.5
1
1
11. Second or greater order channel
N = 0
Yes = 3
amaciai aacnes are not ratea; see discussions in manual
B. Hydrology (Subtotal = M }
12. Presence of Baseflow
0
1
2
,
13. Iron oxidizing bacteria
0
I1 -
2 13
14. Leaf litter
' 1. -'
1
0.5
0
15. Sediment on plants or debris
0
p.5
1
1 5
16. Organic debris lines or piles
1 0
0.5
1.5
17. Soil -based evidence of high water table?
No = 0
Yesr a_-
(__,- t3101n(V fSnhtntal = + 1
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
2
1
0
20 Macro%enthos (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
p '
1
2
-I
3
22. Fish
�r 0
0.5
1
1.5
23 Crayfish
0
-
-- 0.5 1
_ 0.5 1
05 .._. _ ----- 1 -•----
FACW = 0.75; OBL = 1.5 Other
1.5 -
1.5
--- --- 1.5 ---
-
-- -�- - ---- 4
24. Amphibians
25. Algae
26 Wetland plants in streambed
_
`perennial strea Irs may also be id ntified using other methods. See p. 35 of manual
- ---
-
--- ---... --
Notes: .� = _ -� D`; ,r
-
Sketch: �t
���✓ r Lr r�
Bank Height (ft): .Z t
Z
Bankfull width (ft):
f/
Water depth (in): C) -
Channel substrat -Otay. Silt, Sand, Grave `Cobble,
Bedrock
Velocity • fast, moderate,,1(o
Clarity ea slightly turbid, turbid

5�-
NC DWCI Stream Identification Form Version 4.11
Date: ' U
Project/Site: S"75-cl
Latitude: 3t�5�LA'2.
Evaluator: Vc"h OJ
County:
Longitude:_ jj,
Total Points:
Stream is at least intermittent
I
Stream Determination (circle one)
Ephemeral Intermitte erennlat
Otherrar;
e.g. Quad Name:
if 19 orperennial if? 30*
A. Geomor hol (Subtotal = .5- 1
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
2. Sinuosity of channel along thalweg
0
1
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
0
T
T
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No - 0 D
Yes = 3
a artificial ditches are not rated; see discussions in manual
B_ Hvdroloav (Subtotal = 1 d )
12. Presence of Baseflow
0
1
2
1113
13. Iron oxidizing bacteria
0
1
2
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
0
0.5
1
1.5
16. Organic debris lines or piles
0
1 0.5
1
1.5
17. Soil -based evidence of high water table?
No = 0
es = 3
C_ Bioloav (Subtotal = (.AE )
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)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0)
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
1_1�
cls
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 Other =
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:�G� ! '%N✓ri
Bank Height(ft):tj_C�
Bank -full width (ft): 3-5
Water depth (in):?,-1 0
Channel substrate lay, Silt, Sand, Gravel, obble,
Bedrock
Velocity - fast, oderate slow
Clarity eslightly turbid, turbid

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: R-5759 NC 115 Improvements City/County: Wilkes Sampling Date: 1/8/2019
Applicant/Owner: NCDOT State: NC Sampling Point: WB-2 Wet
Investigator(s): Nathan Howell & Mary Frazer Section, Township, Range: North Wilkesboro
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Convex Slope (%): 5
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.143512 Long:-81.103529 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes, frequently flooded NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes X No within a Wetland? Yes No X
Wetland Hydrology Present? Yes X No
Remarks:
NCWAM: Bottomland Hardwood Forest/Headwater Forest. WB adjoins a 1 st order stream but, occurs in the floodplain of a >2nd order stream
Wetlands WA, WD, and WF all possess similar edaphic, floristic, and hydrologic properties. Therefore, they are included 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 (136)
X Surface Water (Al) _True
Aquatic Plants (B14)
_Sparsely Vegetated Concave Surface (138)
X High Water Table (A2) —Hydrogen
Sulfide Odor (Cl)
X Drainage Patterns (B10)
X Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (B16)
—Water Marks (B1) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
X Crayfish Burrows (C8)
_Drift Deposits (133) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 0.25
Water Table Present? Yes X No
Depth (inches): 6
Saturation Present? Yes X No
Depth (inches): 4
Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Eastern Mountains and FJiedmont— Version .0
U0 runny %,UiNti Ui mnyuieeis

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WB-2 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30x8' )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 2 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 4 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 50.0% (A/B
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species 0 x 1 = 0
Saplinq/Shrub Stratum (Plot size: 30x8'
)
FACW species 15 x 2 = 30
1. Platanus occidentalis
15 Yes
FACW
FAC species 15 x 3 = 45
2. Acer negundo
15 Yes
FAC
FACU species 25 x 4 = 100
3.
UPL species 0 x 5 = 0
4.
Column Totals: 55 (A) 175 (E
5.
Prevalence Index = B/A = 3.18
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is :53.0'
30 =Total Cover
_
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
15 20% of total cover:
6
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 30x8' )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Carex sp.
10 Yes
'Indicators of hydric soil and wetland hydrology must 1
2.
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3.
4•
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
10 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
5 20% of total cover:
2
height.
Woody Vine Stratum (Plot size: 30x8' )
1. Lonicera japonica
25 Yes
FACU
2.
3.
4.
5.
Hydrophytic
25 =Total Cover
Vegetation
50% of total cover:
13 20% of total cover:
5
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
plot size is indicative of wetland shape.

SOIL Sampling Point: WB-2 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
0-4 10YR 5/3 100
Loamy/Clayey
4-12 10YR 5/1 80
10YR 5/6 20 C M
Loamy/Clayey Prominent redox concentrations
'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.
2Location: PL=Pore Lining, M=Matrix.
Hydric Soil Indicators.
Indicators for Problematic Hydric Soils3:
_ Histosol (A1)
_ 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:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: R-5759 NC 115 Improvements City/County: Wilkes Sampling Date: 1/8/2019
Applicant/Owner: NCDOT State: NC Sampling Point: WC-2 Wet
Investigator(s): Nathan Howell & Mary Frazer Section, Township, Range: North Wilkesboro
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): Convex Slope (%): 10
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.143553 Long:-81.103121 Datum: NAD 83
Soil Map Unit Name: Codorus loam, 0-2% slopes, frequently flooded NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes 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:
NCWAM: Bottomland Hardwood Forest/Floodplain Pool (Disturbed). Wetland WC occurs in the floodplain of a larger stream. The portion of this
wetland delineated fo rthis project is closed off from the stream and acts like a floodplain pool. The vegetation in this area seems to be periodically
maintained and kept in an early successional stage. Historical aerial imagery shows this area of the floodplain has been managed for the past 30
years in one way or another.
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 (B14)
_Sparsely Vegetated Concave Surface (138)
X High Water Table (A2) —Hydrogen
Sulfide Odor (Cl)
—Drainage Patterns (B10)
X Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (B16)
—Water Marks (B1) —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 (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
_ Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
—Water-Stained Leaves (69)
_ Microtopographic Relief (D4)
Aquatic Fauna (B13)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 0.5
Water Table Present? Yes X No
Depth (inches): 6
Saturation Present? Yes X No
Depth (inches): 4
Wetland Hydrology Present? Yes X No
includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
Eastern Mountains and FJiedmont— Version .0
U0 runny %,UiNti Ui mnyuieeis

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WC-2 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 2 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 6 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 33.3% (A/B
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species 30 x 1 = 30
Saplinq/Shrub Stratum (Plot size: 15' radius
)
FACW species 0 x 2 = 0
1. Alnus serrulata
30 Yes
OBL
FAC species 30 x 3 = 90
2. Acer negundo
30 Yes
FAC
FACU species 15 x 4 = 60
3.
UPL species 0 x 5 = 0
4.
Column Totals: 75 (A) 180 (E
5.
Prevalence Index = B/A = 2.40
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
- Dominance Test is >50%
9.
_2
X 3 - Prevalence Index is :53.0'
60 =Total Cover
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
30 20% of total cover:
12
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Juncus sp.
20 Yes
'Indicators of hydric soil and wetland hydrology must 1
2. Solidago sp.
20 Yes
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Rubus sp. 20 Yes
4
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
60 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
30 20% of total cover:
12
height.
Woody Vine Stratum (Plot size: 30' radius )
1. Lonicera japonica
15 Yes
FACU
2.
3.
4.
5.
Hydrophytic
15 =Total Cover
Vegetation
50% of total cover:
8 20% of total cover:
3
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL Sampling Point: WC-2 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
0-5 10YR 5/6 100
Loamy/Clayey
5-12 10YR 4/2 60
10YR 4/6 20 C M
Loamy/Clayey Prominent redox concentrations
10YR 5/3 20 D M
'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 (A1)
_ Polyvalue Below Surface (S8) (MLRA 147, 148) _ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148) —Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
—Hydrogen Sulfide (A4)
—Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
_Sandy Mucky Mineral (S1)
_Iron -Manganese Masses (F12) (LRR N,
_Other (Explain in Remarks)
—Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127,
147, 148) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: R-5759 NC 115 Improvements City/County: Wilkes Sampling Date: 1/8/2019
Applicant/Owner: NCDOT State: NC Sampling Point: WE-4 Wet
Investigator(s): Nathan Howell & Mary Frazer Section, Township, Range: North Wilkesboro
Landform (hillside, terrace, etc.): Floodplain Local relief (concave, convex, none): None Slope (%): 0
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.161221 Long:-81.124236 Datum: NAD 83
Soil Map Unit Name: Fairview sandy loam, 15-25% slopes 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 X Soil X , or Hydrology X significantly disturbed? Are "Normal Circumstances" present? Yes No X
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:
NCWAM: Bottomland Hardwood Forest. Wetland WE occurs within a powerline and sewerline right-of-way, just downstream of the confluence of two
1st order streams, and at the base of two converging slopes. Parts of this wetland have disturbed soils and hydrology due to regular utility
maintenance.
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 (B14)
_Sparsely Vegetated Concave Surface (138)
X High Water Table (A2) —Hydrogen
Sulfide Odor (Cl)
—Drainage Patterns (B10)
X Saturation (A3) _Oxidized
Rhizospheres on Living Roots (C3)
_Moss Trim Lines (B16)
—Water Marks (B1) —Presence
of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (132) _Recent
Iron Reduction in Tilled Soils (C6)
X Crayfish Burrows (C8)
X Drift Deposits (133) _Thin
Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4) _Other
(Explain in Remarks)
_Stunted or Stressed Plants (D1)
X Iron Deposits (135)
X Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
—Shallow Aquitard (D3)
X Water -Stained Leaves (69)
_Microtopographic Relief (D4)
Aquatic Fauna (B13)
X FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes X No
Depth (inches): 2
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:
Eastern Mountains and FJiedmont— Version .0
U0 runny %,uiNti Ui mnyuieeis

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WE-4 Wet
Absolute Dominant
Indicator
Tree Stratum (Plot size: 30' radius )
% Cover Species?
Status
Dominance Test worksheet:
1. Absent
Number of Dominant Species
2.
That Are OBL, FACW, or FAC: 3 (A)
3.
Total Number of Dominant
4.
Species Across All Strata: 4 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 75.0% (A/B
7.
Prevalence Index worksheet:
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
20% of total cover:
OBL species 40 x 1 = 40
Saplinq/Shrub Stratum (Plot size: 15' radius
)
FACW species 40 x 2 = 80
1. Alnus serrulata
40 Yes
OBL
FAC species 0 x 3 = 0
2.
FACU species 0 x 4 = 0
3.
UPL species 0 x 5 = 0
4.
Column Totals: 80 (A) 120 (E
5.
Prevalence Index = B/A = 1.50
6.
Hydrophytic Vegetation Indicators:
7.
_ 1 - Rapid Test for Hydrophytic Vegetation
8.
X 2 - Dominance Test is >50%
9.
X 3 - Prevalence Index is :53.0'
40 =Total Cover
4 - Morphological Adaptations' (Provide supportin
50% of total cover:
20 20% of total cover:
8
data in Remarks or on a separate sheet)
Herb Stratum (Plot size: 5' radius )
_ Problematic Hydrophytic Vegetation' (Explain)
1. Boehmeria cylindrica
20 Yes
FACW
'Indicators of hydric soil and wetland hydrology must 1
2. Vernonia noveboracensis
20 Yes
FACW
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Carex sp. 40 Yes
4•
Tree - Woody plants, excluding vines, 3 in. (7.6 cm) c
5.
more in diameter at breast height (DBH), regardless o
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
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
80 =Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
40 20% of total cover:
16
height.
Woody Vine Stratum (Plot size: 30' radius )
1. Absent
2.
3.
4.
5.
Hydrophytic
=Total Cover
Vegetation
50% of total cover:
20% of total cover:
Present? Yes X No
Remarks: (Include photo numbers here or on a separate sheet.)

SOIL Sampling Point: WE-4 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 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 (A1)
_ Polyvalue Below Surface (S8) (MLRA 147, 148)
_ 2 cm Muck (A10) (MLRA 147)
_ Histic Epipedon (A2)
_Thin Dark Surface (S9) (MLRA 147, 148)
—Coast Prairie Redox (A16)
—Black Histic (A3)
—Loamy Mucky Mineral (F1) (MLRA 136)
(MLRA 147, 148)
—Hydrogen Sulfide (A4)
—Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
X Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
_Sandy Mucky Mineral (S1)
_Iron -Manganese Masses (F12) (LRR N,
_Other (Explain in Remarks)
—Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
—Stripped Matrix (S6)
_ Piedmont Floodplain Soils (F19) (MLRA 148)
wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127, 147, 148)
unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil
Present? Yes No
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

WETLAND DETERMINATION DATA SHEET — Eastern Mountains and Piedmont Region
Project/Site: R-5759 NC 115 Improvements City/County: Wilkes Sampling Date: 1/8/2019
Applicant/Owner: NCDOT State: NC Sampling Point: WE-1 Upl
Investigator(s): Nathan Howell & Mary Frazer Section, Township, Range: North Wilkesboro
Landform (hillside, terrace, etc.): Hillslope Local relief (concave, convex, none): Convex Slope (%): 25
Subregion (LRR or MLRA): LRR P, MLRA 136 Lat: 36.160981 Long:-81.123897 Datum: NAD 83
Soil Map Unit Name: Fairview sandy loam, 15-25% slopes NWI classification: None
Are climatic / hydrologic conditions on the site typical for this time of year? Yes X No (If no, explain in Remarks.)
Are Vegetation Soil or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes X No
Are Vegetation Soil or Hydrology naturally problematic? (If needed, explain any answers in Remarks.)
SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc.
Hydrophytic Vegetation Present? Yes No X Is the Sampled Area
Hydric Soil Present? Yes No X within a Wetland? Yes No X
Wetland Hydrology Present? Yes No X
Remarks:
The upland plots associated with wetlands WA, WB, WC, WD, WE, and WF all possess similar edaphic, hydrologic, and floristic properties. Therefore,
they are included 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 (66)
_Surface Water (Al)
_True Aquatic Plants (B14)
_Sparsely Vegetated Concave Surface (B8)
_ High Water Table (A2)
—Hydrogen Sulfide Odor (Cl)
—Drainage Patterns (B10)
_Saturation (A3)
_Oxidized Rhizospheres on Living Roots (C3)
_Moss Trim Lines (1316)
—Water Marks (B1)
—Presence of Reduced Iron (C4)
_ Dry -Season Water Table (C2)
_Sediment Deposits (62)
_Recent Iron Reduction in Tilled Soils (C6)
_Crayfish Burrows (C8)
_ Drift Deposits (B3)
_Thin Muck Surface (C7)
_Saturation Visible on Aerial Imagery (C9)
_Algal Mat or Crust (B4)
—Other (Explain in Remarks)
_Stunted or Stressed Plants (D1)
_Iron Deposits (135)
_Geomorphic Position (D2)
_ Inundation Visible on Aerial Imagery (137)
_Shallow Aquitard (D3)
—Water-Stained Leaves (139)
Microtopographic Relief (D4)
Aquatic Fauna (1313)
FAC-Neutral Test (D5)
Field Observations:
Surface Water Present? Yes
No X Depth (inches): 0
Water Table Present? Yes
No X Depth (inches): 0
Saturation Present? Yes
No X Depth (inches): 0
Wetland Hydrology Present? Yes No X
(includes capillary fringe)
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Remarks:
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

VEGETATION (Four Strata) - Use scientific names of plants.
Sampling Point: WE-1 Upl
Hpsoiute
uominant
inaicator
Tree Stratum (Plot size: 30' radius )
% Cover
Species?
Status
Dominance Test worksheet:
1.
Quercus alba
20
Yes
FACU
Number of Dominant Species
2.
Fagus grandifolia
20
Yes
FACU
That Are OBL, FACW, or FAC: 1 (A)
3.
Pinus strobus
20
Yes
FACU
Total Number of Dominant
4.
Species Across All Strata: 7 (B)
5.
Percent of Dominant Species
6.
That Are OBL, FACW, or FAC: 14.3% (A/B)
7.
Prevalence Index worksheet:
60
=Total Cover
Total % Cover of: Multiply by:
50% of total cover:
30
20% of total cover:
12
OBL species 0 x 1 = 0
Sapling/Shrub Stratum (Plot size: 15' radius
)
FACW species 0 x 2 = 0
1.
Oxydendrum arboreum
30
Yes
UPL
FAC species 10 x 3 = 30
2.
FACU species 90 x 4 = 360
3.
UPL species 40 x 5 = 200
4.
Column Totals: 140 (A) 590 (B)
5.
Prevalence Index = B/A = 4.21
6.
Hydrophytic Vegetation Indicators:
7.
1 - Rapid Test for Hydrophytic Vegetation
8.
2 - Dominance Test is >50%
9.
3 - Prevalence Index is 53.0'
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' radius )
Problematic Hydrophytic Vegetation' (Explain)
1.
Polystichum acrostichoides
30
Yes
FACU
'Indicators of hydric soil and wetland hydrology must be
2.
Hexastylis sp.
15
Yes
present, unless disturbed or problematic.
Definitions of Four Vegetation Strata:
3. Chimaphila maculata 10 No UPL
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 (1
9
m) tall.
10.
Herb - All herbaceous (non -woody) plants, regardless
11.
of size, and woody plants less than 3.28 ft tall.
55
=Total Cover
Woody Vine - All woody vines greater than 3.28 ft in
50% of total cover:
28
20% of total cover:
11
height.
Woody Vine Stratum (Plot size: 30' radius )
1.
Toxicodendron radicans
10
Yes
FAC
2.
3.
4.
5.
Hydrophytic
10
=Total Cover
Vegetation
50% of total cover:
5
20% of total cover:
2
Present? Yes No X
Remarks: (Include photo numbers here or on a separate sheet.)
US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0

SOIL Sampling Point: WE-1 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
0-6 10YR 4/4 100
Loamy/Clayey
6-12 10YR 6/6 100
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 (171) (MLRA 136)
(MLRA 147, 148)
—Hydrogen Sulfide (A4)
—Loamy Gleyed Matrix (F2)
—Piedmont Floodplain Soils (F19)
—Stratified Layers (A5)
_ Depleted Matrix (F3)
(MLRA 136, 147)
_ 2 cm Muck (A10) (LRR N)
_ Redox Dark Surface (F6)
—Red Parent Material (F21)
_ Depleted Below Dark Surface (A11)
_ Depleted Dark Surface (F7)
(outside MLRA 127, 147, 148)
_Thick Dark Surface (Al2)
_ Redox Depressions (F8)
—Very Shallow Dark Surface (F22)
_Sandy Mucky Mineral (S1)
_Iron -Manganese Masses (F12) (LRR N,
_Other (Explain in Remarks)
_Sandy Gleyed Matrix (S4)
MLRA 136)
—Sandy Redox (S5)
_ Umbric Surface (F13) (MLRA 122, 136)
3Indicators of hydrophytic vegetation and
_Stripped Matrix (S6)
_Piedmont Floodplain Soils (F19) (MLRA 148) wetland hydrology must be present,
Dark Surface (S7)
Red Parent Material (F21) (MLRA 127,
147, 148) unless disturbed or problematic.
Restrictive Layer (if observed):
Type:
Depth (inches):
Hydric Soil Present? Yes No X
Remarks:
This data sheet is revised from Eastern Mountains and Piedmont Regional Supplement Version 2.0 to include the NRCS Field Indicators of Hydric
Soils, Version 8.0, 2016.
US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0

Appendix C
JD Request Form
PJD Form

urisdictional Determination Reauest
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.aM.mil/Missions/Re ug latoEyPermitProgram/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: Multiple Parcels
City, State:
County:
Wilkesboro, NC
Wilkes
Parcel Index Number(s) (PIN): Multiple PIN's
B. REQUESTOR INFORMATION
Name: Heath Slaughter
Mailing Address: 801 Statesville Rd
North Wilkesboro, NC 28659
Telephone Number: 1-336-903-9202
Electronic Mail Address: [e-mail]
Select one:
EI am the current property owner.
aI am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
1-1 Other, please explain.
C. PROPERTY OWNER INFORMATION
Name: Multiple Property Owners
Mailing Address:
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.
n?A - 51aa
Print Name
Capacity: ❑ Owner Authorized Agents
5 lz3 Iq
Date _
Signature
E. REASON FOR JD REQUEST: (Check as many as applicable)
❑ I 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.
❑✓ I intend to construct/develop a projector 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 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.
❑ I intend to construct/develop a projector 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.
H
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:
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part F.
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)
❑✓ 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
Map of Property or Project Area. This Map must clearly depict the boundaries of the
review area.
✓❑ Size of Property or Review Area 181 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:
Longitude
36.153164
-81.115521
0 A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than I1x17 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. http://www.saw.usace.army.mil/Missions/Re ug latory-Permit-
Pro gram/Jurisdiction/
Version: May 2017 Page 5

Jurisdictional Determination Request
✓❑ 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)
7 NCWAM 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.g.M.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 proj ect 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: 5/23/2019
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: Heath Slaughter, 801 Statesville Rd, North Wilkesboro, NC 28659
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: Wilkes City: Wilkesboro
Center coordinates of site (lat/long in degree decimal format):
Lat.: 36.153164 Long.:-81.115521
Universal Transverse Mercator: 17
Name of nearest waterbody: Yadkin River
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:
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Vicinity Map, Topo Map, Jurisdictional Features Map
0 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 p quad name: 2016 Wilkesboro, NC 1:24,600; 2016 Roaring River, NC 1:24,000
Natural Resources Conservation Service Soil Survey. Citation: 1997 Wilkes County Soil Survey
❑ National wetlands inventory map(s). Cite name:
❑ State/local wetland inventory map(s):
❑ FEMAIFIRM maps:
❑ 100-year Floodplain Elevation is:
❑ Photographs: ❑ Aerial (Name & Date);
or ❑ Other (Name & Date):
(National Geodetic Vertical Datum of 1929)
❑ 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 Corps and should not be relied upon for later jurisdictional
determinations.
Signature and date of
Regulatory staff member
completing PJD
Signature and daof
person requesti 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.

Three Oaks aquatic resources in the review area which "may be" subject to regulatory jurisdiction
Estimated amount
Geographic
Type of
Site
of aquatic resource
authority to which
Latitude
Longitude
aquatic
Number
in review area
the aquatic resource
(If. & ac.)
resource
"ma be" subject
Yadkin
Non -wetland —
36.16591502
-81.13445008
419 linear feet
Perennial
Section 404
River
Stream
Non -wetland —
SA
36.14356029
-81.10473095
439 linear feet
Perennial
Section 404
Stream
Non -wetland —
SB
36.14236385
-81.10309441
712 linear feet
Perennial
Section 404
Stream
Non -wetland —
SC
36.14242014
-81.10287319
192 linear feet
Perennial
Section 404
Stream
Non -wetland —
SD
36.14230895
-81.10209055
49 linear feet
Intermittent
Section 404
Stream
Non -wetland —
SF
36.16611149
-81.13388584
189 linear feet
Intermittent
Section 404
Stream
Non -wetland —
SG -I
36.15640398
-81.11987667
49 linear feet
Intermittent
Section 404
Stream
Non -wetland —
SG-P
36.16023943
-81.12436952
1,987 linear feet
Perennial
Section 404
Stream
Non -wetland —
SH
36.1609794
-81.12407283
178 linear feet
Perennial
Section 404
Stream
Non -wetland —
SI
36.16544221
-81.12453003
252 linear feet
Perennial
Section 404
Stream
WA
36.14363634
-81.10511301
0.01 acres
Wetland
Section 404
WB
36.1435119
-81.10352916
0.04 acres
Wetland
Section 404
WC
36.14355255
-81.10312107
0.06 acres
Wetland
Section 404
WD
36.14242507
-81.10302722
<0.01 acres
Wetland
Section 404
WE
36.16122052
-81.12423629
0.36 acres
Wetland
Section 404
WF
36.16396656
-81.12599944
<0.01 acres
Wetland
Section 404
Non -wetland —
BA
36.16545791
-81.13385679
0.02 acres
Basin
Section 404