19930021 Ver 1_COMPLETE FILE_19930223

State of North Carolina
Department of Environment, Health, and Natural Resources
512 North Salisbury Street * Raleigh, North Carolina 27604
James B. Hunt, Jr., Governor March 8, 1993 Jonathan B. Howes, Secretary
Mr. Kim Johnson
Adult Community Total Service, Inc.
375 Morris Road
West Point, PA. 19486
Dear Mr. Johnson:
Subject: Proposed fill in Wetlands or Waters
Pond creation
Polk County
.Project # 93021
Upon review of your.request for 401 Water Quality
Certification to place fill material in 0.95 acres of wetlands or
waters which are tributary to Horse Creek for pond creation
located at Tryon Estates development in Polk County, we have
determined that the proposed fill can be covered by General Water
Quality Certification No. 2671 issued January 21, 1992. A copy of
the General Certification is attached. This Certification may be
used in qualifying for coverage under Corps of Engineers' General
Permit No. 26. This letter supercedes the March 1, 1993 letter.
If you have any questions, please contact John Dorney at
919-733-1786
Sincerely,
i
A. Pr ston ward, r. P
93021.1tr
Attachment
cc: Wilmington District Corps of Engineers
Corps of Engineers Asheville Field Office
Asheville DEM Regional Office
'Mr John Dorney#
Central Files
Allen Conger, Law Environmental
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone] Fax # [phone]
An Equal Opportunity Affirmative Action Employer
_iNDUM 7r,3 INITIALS:
Reviewer :
`': John Dorney WQ Supv:
Date
Planning Branch
J)s GROUP
L-V I _VT it
SUBJECT: WETLAND STAFF REPORT AND T?oOIS
***EACH ITEM MUST BE ANSWERED (N/A-NOT APPLICABLE)***
PERMIT_YR: 93 PERMIT-NO: 0000021 COUNTY: POLK
APPLICANT NAME: TRYON ESTATES
PROJECT-TYPE: POND PERMIT-TYPE: NW26
COE_#: DOT-#:
RCD_FROM _CDA: APP DATE _FRM_CDA: 01/08/93
REG OFFICE: ARO RIVER-AND-SUB-BASIN-#:
STREAM_CLASS: d.
STR_INDEX_NO : 67 - r r- 1- 13 (2')
WL_IMPACT?: PN
WL_REQUESTED:
HYDRO CNECT?: Y/N
MITIGATION?: Y/V
WL_TYPE • lU? ?? : ? N •d "'"
WL_ACR_EST? : 67/N v, 9 5 •az^ea-)
WL SCORE(#):-Sv
MITIGATION-TYPE:
MITIGATION SIZE:
IS WETLAND RATING SHEET ATTACHED?:(O/N
RECOMMENDATION (Circle One): ISSUE ISSUE/CON DENY
COMMENTS : ?r 7?eo Iiu.d.4s ;Ise // r Na /"t., acu?,, 1?w4a ?2
?d ^ (cam 5 l?it?t? t t h Gf )446 2_t
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cc: Regional Office
Central Files ,.?; 40, ' c- to t?! ??rO rtrr?^'~
o Hydrologically isolated
o Swamp forest o Shoreline ???s
o Bottomland hardwood forest V Stream channel.N"y , " e sr •
o Carolina bay o Salt marsh
o Pocosin o Brackish marsh
o Pine savannah o Freshwater marsh
o Wet flat o Bog/Fen
o Perched o Vernal pool
rr•rr••••••••••••••••••••ruin••••••••••••.•••••••••••••••••w
Water storage
Bank/Shoreline stabilization
x 4.00
Pollutant removal
•
watershed
Sensitive
x 1.50
Wetland score •
Dispersal corridor
.. ::::: ..........
..........:.
....:...:..
:.;..:.;..::.
:.:::..:.:..
Special ecological attributes
;:..:>:...:.:;........
Wildlife habitat x 1.50
Aquatic life value Z •
Recreation/Education Economic
0.25.
value
Wetland area Q? acres Wetland width feet
Nearest road ?r-wteQ ??
Wetland type (select one) o Other
?.

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LAW ENVIRONMENTAL, INC.
147 WAPPOO CREEK DRIVE, SUITE 504
CHARLESTON, SOUTH CAROLINA 29412
803-762-4551
FAX [phone]
5 January 1992
Mr. John Dorney
Water Quality Planning
Division of Environmental Management
NC Department of Environment, Health, and Natural
P.O. Box 29535
Raleigh, NC 27626-0535
Subject: Proposed Recreational/Sedimentation Pond
TYyon Estates
Polk County, North Carolina
Law Environmental Project No. 56-2619
Dear Mr. Dorney:
4
.M so
a
On behalf of Adult Community Total Service, Inc., Law Environmental, Inc. is pleased to
provide you with the following information, as requested, for your consideration and
approval under Nationwide Permit No. 26. The project site is located in Polk County, North
Carolina near Columbus, North Carolina (Figure 1). The proposed project includes the
development of a 9-acre pond which will impact a total of 0.95 acres of jurisdictional waters
of the U.S. including wetlands.
The jurisdictional wetland boundaries on the subject site were delineated by Law
Environmental using the 1987 "Corps of Engineers Wetlands Delineation Manual"' The
majority of the jurisdictional areas on the site are contained within the stream bed and bank
(Figure 2). Other areas of jurisdiction included wetlands immediately adjacent to the stream
where water from storm events overflows the stream banks and settles into small
depressions. The total amount of wetlands delineated by Law Environmental (subject to
final written verification by the Asheville Office of the Wilmington District of the US Army
Corps of Engineers) on the subject property is 1.16 acres. The total amount of wetlands
within the limits of the proposed pond and that are expected to be impacted is 0.95 acres
(Figure 2).
'Environmental Laboratory. 1987. "Corps of Engineers Wetlands Delineation Manual,"
Technical Report Y-87-1, US Army Engineer Waterways Experiment Station, Vicksburg,
Mississippi.
Mr. John Dorney
5 January 1993
Page 2
v
As you stated in a phone conversation with Mr. Stuart Sligh on 16 November 1992, the
normal processing time for approval of Nationwide Permit applications is 45 days. We look
forward to receiving your response in this timely manner.
If you have any questions or comments concerning this application, please contact Mr. Stuart
Sligh at [phone].
Sincerely,
4
Stuart F. Sligh
B' 1

io ogist
A-
C-4,- Sue A. McCuskey, Ph.D.
Principal Environmental Scientist
cc: USACE Wilmington District - Asheville field office
r
DEPARTMENT
DISTRICT, CORPS OF ENGINEERS rJFJAW P.O. BOX 1890
WILMINGTON, NORTH CAROLINA 28402-1890
Z 1
IN REPLY REFER TO January 15, 1993
Regulatory Branch
Action ID. 199300905 and Nationwide Permit No. 26 (Headwaters and Isolated
Waters)
Mr. Kim Johnson
Total Care Systems, Inc.
375 Morris Road
West Point, Pennsylvania 19486
Dear Mr. Johnson:
Through coordination with Mr. Stuart Sligh, Law Environmental, we have
learned of your plans to place fill material in an unnamed, headwaters
tributary to Horse Creek for the purpose of constructing a 9 acre lake at
Tryon Estates development south of Columbus, Polk County, North Carolina. The
proposed impoundment would affect approximately .99 acres of waters and
wetlands.
For the purposes of the U.S. Army Corps of Engineers' Regulatory Program,
Title 33, Code of Federal Regulations (CFR), Part 330.6, published in the
Federal Register on November 22, 1991, lists nationwide permits.
Authorization was provided, pursuant to Section 404 of the Clean Water Act,
for discharges of dredged or fill material into headwaters and isolated waters
provided:
a. the discharge does not cause the loss of more than 10 acres of waters
of the United States;
b. the permittee notifies the District Engineer if the discharge would
cause the loss of waters of the United States greater than one acre in
accordance with the "Notification" general condition. For discharges in
special aquatic sites, including wetlands, the notification must also include
a delineation of affected specific aquatic sites, including wetlands; and
c. the discharge, including all attendant features, both temporary and
permanent, is part of a single and complete project.
Your work is authorized by this nationwide permit provided it is
accomplished in strict accordance with the enclosed conditions. This
nationwide permit does not relieve you of the responsibility to obtain any
required State or local approval. You should contact Mr. John Dorney, NC
Division of Environmental Management, at telephone [phone] regarding
State water quality certification for this work. Any additional construction
in waters or wetlands at this site will require a Pre-discharge Notification
to the Corps of Engineers under Nationwide Permit No. 26.
.
-2-
This verification will be valid for 2 years from the date of this letter
unless the nationwide authorization is modified, reissued, or revoked. Also,
this verification will remain valid for the 2 years if, during that period,
the nationwide permit authorization is reissued without modification or the
activity complies with any subsequent modification of the nationwide permit
authorization. If during the 2 years, the nationwide permit authorization
expires or is suspended or revoked, or is modified, such that the activity
would no longer comply with the terms and conditions of the nationwide permit,
activities which have commenced (i.e., are under construction) or are under
contract to commence in reliance upon the nationwide permit will remain
authorized provided the activity is completed within 12 months of the date of
the nationwide permit's expiration, modification or revocation, unless
discretionary authority has been exercised on a case-by-case basis to modify,
suspend, or revoke the authorization.
Questions or comments may be addressed to Mr. Steven Lund, Asheville Field
Office, Regulatory Branch, telephone [phone].
Sincerely,
G. Wayne Wright
Chief, Regulatory Branch
Enclosure
Copies Furnished (without enclosure):
Mr. John Parker
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. John Dorney
Water Quality Section
Division of Environmental Management
North Carolina Department of
Environment, Health and
Natural Resources
Post Office Box 27687
Raleigh, North Carolina 27611-7687
Mr. Stuart Sligh
Law Environmental, Inc.
147 Wappoo Creek Drive, Suite 504
Charleston, South Carolina 29412

J fff
4 ?.
0 North Carolina Wildlife Resources
512 N. Salisbury Street, Raleigh, North Carolina 27611, 919-733-3391
Charles R. Fullwood, Executive Director
December 15, 1992
Mr. Robert Johnson, Office Manager
U.S. Army Corps of Engineers
Regulatory Branch
Room 75, Grove Arcade Building
Asheville, North Carolina 28801
JAN 1 1993
SUBJECT: A review of an application by Mr. Stuart Sligh to
construct a 9.1 acre pond, Columbus, Polk County.
Dear Mr. Johnson:
Mr. Sligh is requesting a letter of concurrence from the
North Carolina Wildlife Resources Commission (NCWRC) to obtain a
404 permit from the U.S. Army Corps of Engineers. The NCWRC has
reviewed information provided by the applicant, and biologists on
our staff are familiar with habitat values of the project area.
An onsite investigation was conducted on December 8, 1992 to
further assesses potential construction impacts on wildlife and
fisheries resources. These comments are provided in accordance
with provisions of the Clean Water Act of 1977 (33 U.S.C. 466 et.
seq.) and the Fish and Wildlife Coordination Act (48 Stat. 401,
as amended; 16 U.S.C. 661-667d).
Based on the information provided by the applicant and our
information on the range of trout in the project area, we do not
believe this project will cause significant effects to waters
supporting trout. Therefore, we do not object to the project as
proposed.
Thank you for the opportunity to review and comment on this
project. If we can be of further assistance, or if there are any
questions regarding these comments, please contact Mr. Micky
Clemmons at 704/452-0422.
Sincerely,

Micky Clemmons,
District Fisheries Biologist
IY
iL
r
r
3(L0Z? ACTION ID:
DEH ID:
NATIONWIDE PERMIT APPLIED FOR (PROVIDE NATIONWIDE PERMIT ):
JOINT APPLICATION FORM FOR
NATIONWIDE PERMITS THAT REQUIRE NOTIFICATION TO CORPS OF ENGINEERS
NATIONWIDE PERMITS THAT REQUIRE SECTION 401 CERTIFICATION CONCURRENCE
NATIONWIDE PERMITS THAT REQUIRE INDIVIDUAL SECTION.401 CERTIFICATION
ONE (1) COPY OF THIS COMPLETED APPLICATION SHOULD BE SENT
ENGINEERS. SEVEN (7) COPIES SHOULD BE SENT TO THE N.C. D
ENVIRONMENTAL MANAGEMENT. PLEASE PRINT.
Adult Community Total Service, Inc.
1. OWNERS NAME:
2. OWNERS ADDRESS: 375 Morris Road
west Point, Pennsylvania 1
A ent: Mr. Kim Johnson
WILMINGTON DISTRICT ENGINEER
CORPS OF ENGINEERS
DEPARTMENT OF THE ARMY
P.O. BOX 1890
WILMINGTON, NC 28402-1890
ATTN: CESAW-CO-E
Telephone [phone]
WATER QUALITY PLANNING
DIVISION OF ENVIRONMENTAL MANAGEMENT
NC DEPARTMENT OF ENVIRONMENT, HEALTH,
AND NATURAL RESOU
P.O. BOX 29535 D L5 lu3 lS
RALEIGH, NC 27626-05'? 7
ATTN: MR. JOHN DORNEN .. 8 10
Telephone (919) 733-
(WORK): [phone]
3. OWNERS PHONE NUMBER (HOME):
4. IF APPLICABLE: AGENT'S NT'Slge? OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS,
PHONE NUMBER: Mr.
Law Environmental, Inc.
147 wappoo Creek Rrive Suite 504
Charleston South Carolina 29412
COUNTY: Polk
5. LOCATION OF PLANNED WORK
Colum?u Nor th Carolina
NEAREST TOWN OR CITY:
SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.):
East of Interstate 26 and south and west of
North Carolina State Route 1137 (Fi e 1)
Pacolet River
6. NAME OF CLOSEST STREAM/RIVER:
7. RIVER BASIN: Pacolet River
8. IS THIS PROJECT LOCATED IN A WATERSHED CLASSIFIED AS TROUT, SA, HQW, ORW,
WS I, OR WS II? YES [ NO -(X)
9. HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS
PROPERTY? YES [ NO [X)
IF YES, EXPLAIN.
•10. ESTIMATED TOTAL NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDIQNGc-0 and
Total amount of wetlands d 3J30J92
FrV. surveyed its 1.16 acres N PROJECT SITE

-2-
11. NUMBER OF ACRES OF WATERS OF THE U.S., INCLUDING WETLANDS, IMPACTED BY
THE PROPOSED PROJECT:
FILLED: approximately 0.1 acres_
DRAINED:
FLOODED: approximately 0.85 acres
EXCAVATED:
TOTAL IMPACTED: 0.95 acres
12. DESCRIPTION OF PROPOSED WORK (ATTACH PLANS):
Proposed recreational and sedimentation pond
for the Tryon Estates Community
13. PURPOSE OF PROPOSED WORK: Dam construction and flooding of approximately
d urface acres of land including 0.95 acres of jurisdictional waters of
U! -including wetlands.
14. STATE REASONS WHY THE APPLICANT BELIEVES THAT THIS ACTIVITY MUST BE
CARRIED OUT IN WETLANDS. ALSO, NOTE MEASURES TAKEN TO MINIMIZE WETLAND
IMPACTS.The proposed pond site was located in this area so that a natural in-flow could
be used to keep the pond at the full elevation. The relatively flat topography o this site
will allow the largest surface area for the pond with minimal wetland impacts. Minimization
measures will include grassed slopes, sediment fences, rock rip-rap in the in fall and out-fa
15. YOU ARE REQUIRED TO CONTACT THE U.S. FISH AND WILDLIFE SERVICE structures.
(MSFWS) AND/OR NATIONAL MARINE FISHERIES SERVICE (NMFS) REGARDING THE PRESENCE
OR ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED
SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE
PROPOSED PROJECT. HAVE YOU DONE SO? YES [X) NO [ j
RESPONSES FROM THE USFWS AND/OR NMFS SHOULD BE FORWARDED TO CORPS.
16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICER
(SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH
MAY BE AFFECTED BY THE PROPOSED PROJECT?
HAVE YOU DONE SO? YES (Xj NO [ j
RESPONSE FROM THE SHPO SHOULD BE FORWARDED TO CORPS.
17. ADDITIONAL INFORMATION REQUIRED BY DEM:
A. WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, AND LAKES ON
THE PROPERTY.
B. IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY
PROJECT.
C. IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS
RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE.
D. IF A STORMWATER MANAGEMENT PLAN IS REQUIRED FOR THIS PROJECT, ATTACH
COPY.
E. WHAT IS LAND USE OF SURROUNDING PROPERTY? Residential Co m'n?mi t'y _
F. IF APPLICABLE, WHAT IS PROPOSED METHOD OF SEWAGE DISPOSAL?
? 2Y 92
OWNER'S SITU DATE
Ir
WETLAND MAP

Project Title TRYON ESTATES
ADULT COMMUNITIES TOTAL SERVICES.INC.
200 0 200 400 Project Locotlon
P=2001 POLK COUNTY
scole feat NORTH CAROLINA
NORTH Appticont A.C.T.S..INC.
WETLAND LwITS ® Revision Dote Authorized Agent
LAW ENVIROMENT AL. INC.
Wetland Acreage Proposed orowtnO Boole 11=200• Dote
for NWP 26 Permit 0.95 Total
Figure 2 Sheet 2 of 3

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:..... i a\+\7\ \ •••\' ••''\ :. ~` _ ?:. ,•tf.' m.? t o ?* rte l 3\ • i i i
? •.
NOTES
FF
a``\•, '1 `;•- --` Z
i \30 '`.. i... ' 1. i?.H..r. e°nT•.sl ?':::a •, .n...
,\ `'7'•ta ?? ?. ':?•• tti ?:?'`.J 1:' I•... i `t:.H•a en?,a.. t.Hl... n.annH.
' / •. ` I Iii ?'1an1. ' l .u^ •H r•
/,, \ 1 ? • .??.? _. .>•\\ •? I''•'i I i,14iw -1,. :•, .M?H.M?a•,r'irr?i
`\\ . • ? ? . ,• \Il `y,• ; ., t•R w•4+I,Y RY t.Y r? • lHrt4 ti A
1 0 f,?•. ?`?`•ia ? ` \•`'/••? ,? ,t, -f`, •` , alb. wl,? •,?1? ?~
• .• . T :.., 1 bM,nt W
--------------
PROPOSED LAKE j +-+• •? +'_ t t !t\ ?? 't +.
%
/ x•S. ELEV. 7010.0 .? ^?? t??_??•???r. ! t??
i WATER SURFACE AREA 9.1 AG. ? ? ? , 7
° • HEIGHT OF DALI 24.5• •` w. `.to; _ • • ?'''i • S .': i I ?t L\t!.
i / / to.JJ ?+aa... Tea +. +M, \ t . ?.• i • ?%. ? L• / \
oft / • • ? ? 1 C: ?? ) •\4
?v ,-___L•.e'/ • \ .. . t 9t, t••?.eL f La+ft?:t .n
•i Nett. -. _ \ ? . •7 , / ` Y:\ ??N tv.r. .
f Lte vJ L
? ---^ 0? s Beer r..ua '
_-C ?)e ?Ja'IaLO wsrote
___ P tT.1: Y p ,O[T.t.. 1' ? ' ??vY•^-? .Je e• ter.9 .
rf2L>e*ceJA ? ?••,.- htat ..,t•/ • .` yaf • C i l '+
)z eePG 7 lY J 93•+e
JO `?i ?L e,J `1 191,50
J/V 1T Lir ? ?` 1 2ke'1. f. • •Y• -vte. ,h+d/e e•av. fete
?Y,T/IK< + f Ol.'? I3'd.. GJ Wt Je. Ffe -?` • . ?•• i ?? \ •
sea
- ,,'jO ? a t { 77 \ ''.? ; \ ek `.sT? [e+a / is„'
?µ to e•e / ee,+e•
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!Y aat J:CTJ l . \ ;?\, ) [a. letle t ;? /'• •? (L 9t+O.e; /, .GtJ. eIJ . li-i+>
c.•-.+,ef.' f tJ re tts.01T •eo:re_ - 111)11 II fI l l !.. f •• / /. .. c?• '
/./.L•. I+s'/•YL?f.; \ t?l±,e •.Y./Gb Wal'tfl[C1 ^ , ? /. / / \ ••.' ', •.v?'
'z7'71 tt-
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O JtaO:JO JJpa,. J/OeJett. N1?'/a
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ce JET L.1CT toJ eJ a..•. v fe.Jar.. 3t'??sme- .?? r. sa ® , p,\
IJpT/.LL ca" n T/StK •L. 1e[7 L9 ke1
WETLAND MAP
Project Title TRYON ESTATES
ADULT COMMUNITIES TOTAL SERVICES.INC.
200 0 200 , 400 Project Location
1'=200' POLK COUNTY
Scale feat NORTH CAROLINA
NORTH Applicant A.C.T.S..INC.
WETLAND LIMITS Revision Dote Authorized Agent
LAW ENVIROMENTAL.INC.
Wetland Acreage Proposed r-too,
for NWP 26 Permit 0.95 'T'otal Drawing Scale Dole
Fi e 2 cunt Sheet 3 of 3

DATA FORM
ROUTINE ONSITE DETERMINATION METHODI
Field lnvestigalor(s): Date: ?10 _ Z_j - ? Z
Project/She: \C-" r\ State: -- County: o --
Applicant/Owner: `'''Plant Community #/Name-

H a more detailed site description is necessary, use the back of data form or a field notebook
Note
---------------------------------------
-----------
normal environmental conditions exist at the plant community?
Do
Yes A_ No (If no, explain on back)
Has the vegetation, soils, and/or hydrology been significantly disturbed?
Yes No X_ (If yes, explain on back)
-----------------------
----------
------------------
VEGETATION
Indicator
Indicator
Dominant Plant Species Status Stratum Dominant Plant Species Status Stratum

2. ws c •?J5 U?L_ mt 12.

).a1- 13.
3.
4. 14.
L «VS o? ??. r?C,V Q_ 15.
5
.
6. , Cv r?w+ C_ Q) _ 16.
7• f: .gin CC\ r(a 17.
9. - ??? ,?• ?,,, a:.,, ?AGw 19.
10. U 20. p,
Percent of dominant species that are OBL, FACW, X d/or FAC ?h <o
Is the hydrophyix: vegeta on criterion mqt? Yes No
e
. r (?G tr AGE 1
:L
?
S 07
O B L.
z
?
?-
a st
Rationale: l
SOILS
Sedes/phase: Subgroup:2
-is the soil on the hydric soils list? Yes No ___ Undetermined
Is the soil a Histosol? Yes No Histic epipedon present? Yes No
Is the soil: Mottled? Yes No Gleyed? Yes No
Matrix Color: ', S *?- Mottle Colors:
Other hydric soil indicators:
Is the hydric soil criterion met? Yes No
Rationale:
HYDROLOGY
Is the ground surface inundated? Yes No _J_ Surface water depth:
Is the soil saturated? Yes No-7-
Depth to to tree-standing water in posoil probe hole:
List other field evidence of surface inundation or soil saturation.
Is the wetland hydro) criterion et? Yes No
I -?,a
Rationale: ?o ? .. '\ Yes
JURISDICTIONAL DETERMINATION AND RATIONALE
Is the plant community a wetland? Yes
Rationale for'jurisdictional decision: .
1 This data form can be used for the Hydric Soil Assessment Procedure and the Plant Community
Assessment Procedure.
2 Classification according to 'Soil Taxonomy.'
3-2

DATA FORM
ROUTINE ONSITE DETERMINATION METHODI
Field Investigate(s): 1'$ L Date: I h- Z (-ol Z
ProjectlSite: ° Stater--- County: ?. nk le-
Applicant/Owner: L C "'`"''Plant Community #/Name:
Note_ If a more detailed site description is necessary, use the back of data form or a field notebook.-
Do no_ rjnal environmental conditions exist at the plant community?
Yes x No (H no, explain on back)
Has the vegetation, soils, and/or hydrology been significantly disturbed?
Yes No ?k_ (If yes, explain on back)
---------------------------------------------------
VEGETATION Indicator

Dominant Plant Species Indicator
tus
Sta
Stratum Dominant Plant Species Status Stratum
?
?
:2 12.
3. 13.
14.

16.
7 17.
.
8. ??c , cv n; a vbt? r(?fr?ta 6? 18.

10 19.
20.
.
Percent of dominant species that are OBL, FACW, and/or FAG
Is the hydrophyticwig?ql?.aatio crhe n met? Yes N t
W n? 6G L
X o
Rationale: /X '
SOILS
Sedeslphase: Subgroup:?
-is the soil on the hydric soils list? Yes No Undetermined
Is the soil a Histosol? Yes No Hist?c epipedon present? Yes No
Is the soil: Mottled? Yes X No Gleyed? Yes No
Matrix Color: '-E y Y, "I - ' Mottle Colors:
Other hydr;c smell IIIVIco1Vl.a• -? V
Is the hydr'ic soil criterion met? Yes X No
Rationale:
HYDROLOGY
Is the ground surface inundated? Yes No Surface water depth: Is the soil saturated? Yes -X--- No
Depth to free-standing water in pi /soil probe hole:
List other field evidence of surface inundation soil satution. nV 1\
`, 11.1 >_ rJ. t' '3- y 1 .- ,- _ A V (? V C ,
Is the wetland hyolo?y criter'w,p.pi `?? YSs y No
Rationale: t as ?-= w. t^' a ?l ..A u\ra r g
JURISDICTIONAL DETERMINATION AND RATIONALE
Is the plant community a wetland? Yes No
Rationale for jurisdicti nI decisio
I ll G f -k", t :1 P,a
This data form can be used for the Hydr'ic Soil Assessment Procedure and the Plant Community
Assessment Procedure.
2 Classification according to 'Soil Taxonomy
3i 4A
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Cf IL
46
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64
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03
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