20191310 Ver 1_PCN Form Submission_20190929

DR
02*10n of Water R"Ourc"
Pre -Construction Notification (PCN) Form
September 29, 2018 Ver 3
Initial Review
Has this project met the requirements for acceptance into the review process?*
r Yes
r No
Is this project a public transportation project?*
r Yes r No
Change only if needed.
BIMS # Assigned *
Version#*
20191310
1
Is a payment required for this project?*
* No payment required
What amout is owed?*
* Fee received
r $240.00
r Fee needed - send electronic notification
r $570.00
Reviewing Office* Select Project Reviewer*
Wilmington Regional Office - [phone] Chad Coburn:eads\cccoburn
Information for Initial Review
1a. Name of project:
Honeycutt Construction
1a. Who is the Primary Contact?*
Dana A. Lutheran
1 b. Primary Contact Email:*
[e-mail]
Date Submitted
9/29/2019
Nearest Body of Water
Prince George Creek
Basin
Cape Fear
Water Classification
C;Sw
Site Coordinates
Latitude:
34.341
A. Processing Information
County (or Counties) where the project is located:
New Hanover
Is this project a public transportation project?*
r Yes r No
Longitude:
-77.893
1a. Type(s) of approval sought from the Corps:
V Section 404 Permit (wetlands, streams and waters, Clean Water Act)
F Section 10 Permit (navigable ureters, tidal waters, Rivers and Harbors Act)
1 b. What type(s) of permit(s) do you wish to seek authorization?
P Nationwide Permit (NWP)
F- Regional General Permit (RGP)
r- Standard (IP)
1c. Primary Contact Phone:*
[phone]

1c. Has the NWP or GP number been verified by the Corps?
F Yes f No
Nationwide Permit (NWP) Number:
NWP Numbers (for multiple NWPS):
1d. Type(s) of approval sought from the DWR:
rJ 401 Water Quality Certification - Regular
F Non -404 Jurisdictional General Permit
F Individual Permit
39 - Commercial/Institutional Developments
F 401 Water Quality Certification - E)iress
r Riparian Buffer Authorization
le. Is this notification solely for the record because written approval is not required?
For the record only for DWR 401 Certification: r Yes r No
For the record only for Corps Permit: r Yes r No
1f. Is this an after -the -fact permit application?*
r- Yes 6 No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
6 Yes r No
1g. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation of impacts?
r- Yes r- No
Acceptance Letter Attachment
1h. lathe project located in any of NC's twenty coastal counties?
6 Yes r No
1i. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
r- Yes F No r- Unknown
1j. Is the project located in a designated trout watershed?
r Yes r No
B. Applicant Information
1d. Who is applying for the permit?
rJ Owner r Applicant (other than owner)
le. Is there an Agent/Consultant for this project?
r- Yes r No
2. Owner Information
2a. Name(s) on recorded deed:
DMH Land, LLC
2b. Deed book and page no.:
6232 2598
2c. Responsible party:
David. M. Honeycutt
2d. Address
Street Address
501 Covil Avenue
Address Line 2
Suite E
Cfty
Wilmington
Rbstal / Zip Code
28403
2e. Telephone Number:
[phone]
29. Email Address:*
[e-mail]
State / Rovince / legion
NC
Country
US
2f. Fax Number:

C. Project Information and Prior Project History
1. Project Information
1b. Subdivision name:
(rf appropriate)
NA
1c. Nearest municipality/town:
Castle Hayne
2. Project Identification
2a. Property Identification Number:
R01800-002-002-000
2c. Project Address
Street Address
4720 N. College Road
Address Line 2
CKY
Wilmington
F stal / Zip Code
3. Surface Waters
3a. Name of the nearest body of water to proposed project:*
Prince George Creek
3b. Water Resources Classification of nearest receiving water:*
C;Sw
3c. What river basin(s) is your project located in?*
Cape Fear
3d. Please provide the 12 -digit HUC in which the project is located.
030300070807
4. Project Description and History
2b. Property size:
30.76 Acres
State / Rmince / ftion
NC
Country
4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:*
The property is located at 4720 N. College Road, in Castle Hayne, New Hanover County, North Carolina. Prince George Creek forms the southern boundary line, and a overhead
transmission line bisects the northwestern corner of the property. Around 2015, the upland portion of the tract was timbered. The southern and western portions, of the tract, have been
delineated as US Army Corps of Engineers' Section 404 wetlands. Three Headwater Forest fingers extend north, from the Swamp Forest. to the south.
4b. Have Corps permits or DWR certifications been obtained for this project (including all prior phases) in the past?*
r Yes IT No r Unknown
4d. Attach an 8 1/2 X11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR)
4720 N. College Topo Map 092419.pdf 990.58KB
4720 N. College LiDAR Map 092419.pdf 368.95KB
4e. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR)
4720 N. College Soils Map 092419.pdf 241.1 KB
4f. List the total estimated acreage of all existing wetlands on the property:
15.0
4g. List the total estimated linear feet of all existing streams on the property:
2500
4h. Explain the purpose of the proposed project:*
The purpose of this project is construct an office and lay down yard, with associated amenities, for Honeycutt Construction, a grading and utilities outfit.
41. Describe the overall project in detail, including indirect impacts and the type of equipment to be used:*
The project will entail trucking in clean earthen soil, which will be used to bring the site up to the desired grade and contour, where the lay down yard and stormwater pond are to be
positioned. Front end loaders, excavators dump trucks will be used to complete the work.
4j. Please upload project drawings for the proposed project.
CW -3 091919.pdf 458.72KB
5. Jurisdictional Determinations
5a. Have the wetlands or streams been delineated on the property or proposed impact areas?*
r Yes r No r Unknown
Comments:

5b. If the Corps made a jurisdictional determination, what type of determination was made?*
r Preliminary r Approved r Not Verified r Unknown C WA
Corps AID Number:
NA
5c. If 5a is yes, who delineated the jurisdictional areas?
Name (if known): David Scibetta
Agency/Consultant Company: SEGi
Other:
Sd. List the dates of the Corp jurisdiction determination or State determination if a determination was made by the Corps or DWR
SEGi's request for a Preliminary Jurisdictional Determination Packet has been attached to this application.
5d1. Jurisdictional determination upload
4720 N. College Wetland Exhibit 092419.pdf
294.45KB
JD Request Form.pdf
180.27KB
Upland Data Form.pdf
399.6KB
Wetland Data Form.pdf
399.98KB
6. Future Project Plans
6a. Is this a phased project?*
r Yes O No
0.221
(acres)
Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity?
SEGi is not aware of any previously issued MMPs for this property. Future permits are not anticipated with this project, as access to the far eastern portion of the property (i.e. Future
Development area) is possible without additional impacts.
D. Proposed Impacts Inventory
1. Impacts Summary
1a. Where are the impacts associated with your project? (check all that apply):
m Wetlands 1— Streams -tributaries ❑ Buffers
❑ Open Waters r- Pond Construction
2. Wetland Impacts
r
Reason M 2b. Impact type * M 2c. Type of W. * 2d. W. name * 2e. Forested * 2f. Type of 2g. Impact
Jurisdicition * M area*
F-y
down yard P Headwater Forest 1 Yes Frps
0.096
(acres)
L7]�ay down yard P Headwater Forest f=Corps
2g. Total Temporary Wetland Impact 2g. Total Permanent Wetland Impact
0.000 0.317
2g. Total Wetland Impact
0.317
2h. Comments:
Temporary
0.221
(acres)
impacts are not anticipated with this project. See site plan for details.
E. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:
As discussed supra, a Swamp Forest wetland extends north from Prince George Creek and a Bottomland Headwater Forest is found along the eastern
portion of the property. Thus, the Applicant positioned the lay down and stormwater pond north of those features. However, due to the way the two
Headwater Forest features protrude up into the property, total avoidance was not possible. To minimize the impacts to these features the Applicant
limited the fill, including slopes, to the amount necessary to maximize the upland area of the propert
y.
tb. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:
Prior to commencing with land disturbing activities, silt fence and other S&EC measures will be installed, and throughout the construction process the
measures will be evaluated to ensure they are operating as intended and have not been compromised.

2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State?
r Yes r No
2c. If yes, mitigation is required by (check all that apply):
W DWR W Corps
2d. If yes, which mitigation option(s) will be used for this project?
W Mitigation bank r Payment to in -lieu fee r Permittee Responsible
program Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
NE Cape Fear Umbrella Mitigation Bank
3b. Credits Purchased/Requested (attach receipt and letter)
Type: Quantity:
Riparian buffer 0.60
Attach Receipt and/or letter
3c. Comments
A credit reservation letter will be submitted upon the USACE's and DWR's approval of the Applicant's mitigation proposal.
6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR
6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more
information.
r Yes r No
F. Stormwater Management and Diffuse Flow Plan (required by DWR)
1. Diffuse Flow Plan
1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules?
r Yes r No
If no, explain why:
This project is not within a river basin that is subject to NC Riparian Buffer Protection Rules.
2. Stormwater Management Plan
2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250?*
r Yes r No
2b. Does this project meet the requirements for low density projects as defined in 15A NCAC 02H .1003(2)?
r Yes r No
2c. Does this project have a stormwater management plan (SMP) reviewed and approved under a state stormwater program or state -approved local government stormwater
program?
r Yes r No
2d. Which of the following stormwater management program(s) apply:
V Local Government P State
Local Government Stormwater Programs
W Phase II r NSW j USMP r Water Supply
Please identify which local government stormwater program you are using.
New Hanover County
State Stormwater Programs
[ Phase II
[ HWQ or ORW
W Coastal Counties
r Other
Comments:
Local and State stormwater permits are being sought concurrently, with the permit for wetland impacts.
G. Supplementary Information

1. Environmental Documentation
1a. Does the project involve an expenditure of public (federallstate/local) funds or the use of public (federal/state) land?*
f Yes 6 No
2. Violations (DWR Requirement)
2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or
Riparian Buffer Rules (15A NCAC 2B.0200)?*
ryes r No
3. Cumulative Impacts (DWR Requirement)
3a. Will this project result in additional development, which could impact nearby downstream water quality?
r- Yes r No
3b. If you answered "no," provide a short narrative description.
While future development is anticipated for the eastern side of the property, the area can be accessed without additional impacts to wetlands.
Additionally, this project Will not provide access to currently land locked property.
4. Sewage Disposal (DWR Requirement)
4a. Is sewage disposal required by DWR for this project?*
r Yes r Nor N/A
4b. Describe, in detail, the treatment methods and dispositions (non -discharge or discharge) of wastewater generated from the proposed project. If the wastewater will be treated
at a treatment plant, list the capacity available at that plant.
Wastewater, from the office building, will be treated through on-site septic.
5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or habitat?*
r Yes r- No
5b. Have you checked with the USFWS concerning Endangered Species Act impacts?*
r Yes r No
5d. Is another Federal agency involved?*
r Yes r No r Unknown
5e. Is this a DOT project located within Division's 1-8?
r Yes r No
5f. Will you cut anytrees in order to conduct the work in waters of the U.S.?
r Yes r No
5g. Does this project involve bridge maintenance or removal?
r^ Yes r No
5h. Does this project involve the construction/installation of a wind turbine(s)?'
r- Yes r No
Si. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.?
r Yes r No
5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat?
USFWS. Only the NLEB is of concern. SEG has concluded, due to the fact that the site has recently been logged, the project will not adversely affect
the NLEB.
Consultation Documentation Upload
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as an Essential Fish Habitat?*
r Yes r No
6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat?*
The proposed work will not take place within an area that supports Essential Fish Habitat.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status?*
r- Yes r No
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?*
NC SHPO Properties Map (see attached). The site has been logged Within the last 5 years and there are no structures on the property.

7c. Historic or Prehistoric Information Upload
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?*
r Yes r No
8b. If yes, explain how project meets FEMA requirements:
The fill will not be placed in the Floodway and will not be used as a foundation for heated space.
8c. What source(s) did you use to make the floodplain determination?*
New Hanover County GIS Flood Map (see attached).
Miscellaneous
Comments
Miscellaneous attachments not previously requested.
4720 N. College Vicinity Map 092419.pdf 775.62KB
Parcel Info.pdf 43.29KB
Parcel Map.pdf 485.57KB
SHPO Map, Flood Map and Aerial Photos.pdf 336.53KB
Signature
m By checking the box and signing below, I certify that:
• I have given true, accurate, and complete information on this form;
• I agree that submission of this PCN form is a "transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act");
• I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions Act');
• I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND
• I intend to electronically sign and submit the PCN form.
Full Name:
Dana A. Lutheran
Signature
Sign
Date
9/29/2019

SEGi
AGENT AUTHORIZATION FORM

PROPERTY LEGAL DESCRIPTION:

LOT NO. PLAN NO. PARCEL I.D.

STREET ADDRESS:

Property Owner (please print):

The undersigned, registered property owner of the above noted property, does hereby authorize
Southern Environmental Group, Inc. (SEGi) to act on their behalf in matters regarding areas of
environmental concern.

Property Owner's Address (if different than property above):

Telephone:

We hereby certify the above information submitted in this application is true and accurate to the best of
our knowledge.

Property Owner Authorized Signature SEGi Authorized Signature

David Scibetta
Print Name Print Name

9/24/2019
Date Date

PRINCE GEO CREEK
R01800-002-002-000
4720 N. College Road
DMH Land LLC c/o David Honeycutt

2219 Bel Arbor Pl.
910-279-3960
Wilmington, NC 28403

N C o lle g e R d 4LiDAR Map4720 N. College RoadWilmington, New Hanover Co., N.C.9/24/2019 019-016.01Map Source: NC Floodplain Mapping QL1 LiDAR Data1 inch = 200 feet0 100 200 300 40050FeetProperty Line - 30.8 ac.Approx. Wetlands 2016 (by others) - ~12.8 ac.
4USGS Topo Map4720 N. College RoadWilmington, New Hanover Co., N.C.9/24/2019 019-016.01Map Source: USGS TopoView Service,2016 Castle Hayne panel, 7.5' quad, 1:24k scale1 inch = 500 feet0 250 500 750 1,000125FeetProperty Line - 30.8 ac.Approx. Wetlands 2016 (by others) - ~12.8 ac.
!.!.N C o lle g e R d Johnston soilsLeon sandSeagate fine sandKenansville fine sand-0 to 3 percent slopesUrban land4Soils Map4720 N. College RoadWilmington, New Hanover Co., N.C.9/24/2019 019-016.01Map Source: 2016 NCOneMaps Orthoimagery,Sol Survey of New Hanover Co.1 inch = 200 feet0 100 200 300 40050FeetProperty Line - 30.8 ac.Approx. Wetlands 2016 (by others) - ~12.8 ac.!.Data Point
!.!.Wetland 212.8 ac.Wetland 10.1 ac.Upland Data PointWetland Data PointN C o lle g e R d 4Wetlands Exhibit4720 N. College RoadWilmington, New Hanover Co., N.C.9/24/2019 019-016.01Map Source: 2016 NCOneMaps Orthoimagery1 inch = 200 feet0 100 200 300 40050FeetProperty Line - 30.8 ac.Approx. Wetlands 2016 (by others) - ~12.8 ac.!.Data Point
4Vicinity Map4720 N. College RoadWilmington, New Hanover Co., N.C.9/24/2019 019-016.01Map Source: ESRI Street Maps1 inch = 2,000 feet0 1,000 2,000 3,000 4,000500FeetProperty Line - 30.8 ac.
PARID: R01800-002-002-000
DMH LAND LLC 4720 COLLEGE RD N
Parcel
Alt ID 323110.46.4846.000
Address 4720 N COLLEGE RD
Unit
City CASTLE HAYNE
Zip Code -
Neighborhood CGCC0
Class FRM-Farm
Land Use Code 958-Unused Land
Living Units
Acres
Zoning I-2-INDUSTRIAL DISTRICT

Legal
Legal Description PRINCE GEO CREEK
Tax District FD
Owners (On January1st)
Owner MASON ESTEN BOHANNAN
City CHARLOTTE
State NC
Country
Zip 28210
THE DATA IS FROM 2019
4720 N. College Road
New Hanover County, NC
Addresses
Municipal Boundaries
Real Property Owners
Parcel Boundaries
Dimensions ROW
Dimensions Property
9/24/2019, 3:35:40 PM
0 0.07 0.130.03 mi
0 0.1 0.20.05 km
1:4,000
New Hanover County, NC
NHC GIS Services
4720 North College Road PCN 29 September 2019
NC State Historic Preservation Office Map
4720 North College Road PCN 29 September 2019
New Hanover County GIS Flood Map

4720 North College Road PCN 29 September 2019
2013 and 2015 Aerial Photographs
2013
2015
No.Checked ByRevisionDesignerDrawn ByDateByScaleDateJob No.Sheet No.No.Checked ByRevisionDesignerDrawn ByDateByScaleDateJob No.NORTH CAROLINANEW HANOVER COUNTYCW-3501 COVIL AVENUE, UNIT 2DMH LAND, LLCWILMINGTON, NC 28403WETLAND DISTURBANCE PLANHCS OFFICEPORT CITY CONSULTINGENGINEERS, PLLC6216 STONEBRIDGE ROADWILMINGTON, NC 28409910-599-1744 LICENSE No. P-1032PRELIMINARY - DO NOT USE FOR CONSTRUCTION1 inch = 100 ft.100GRAPHIC SCALE050100200SECTION B-BSECTION A-A
Project/Site:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation , Soil , or Hydrology Yes X No
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
X No
No X X
No X
X
Yes X
Yes X
Yes X No X
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Atlantic and Gulf Coastal Plain Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
NWI classification:
Water Marks (B1)
Sampling Date:Wilmington/New Hanover
NCHoneycutt Corporation
4720 N. College Road City/County:
Slope (%):
NI
Upland
noe
Section, Township, Range:David Scibetta, SEGi
Primary Indicators (minimum of one is required; check all that apply)
Are climatic / hydrologic conditions on the site typical for this time of year?
0Local relief (concave, convex, none):Landform (hillside, terrace, etc.):
Yes
Remarks:
Kenansville
N 34.34044
2/4/2019
W 77.89325
No
NA
HYDROLOGY
NAD83
Is the Sampled Area
within a Wetland?Yes
(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Ridge
Yes
LRR T, MLRA 153A Datum:
Surface Soil Cracks (B6)
Drainage Patterns (B10)
Aquatic Fauna (B13)
Marl Deposits (B15) (LRR U)
Yes
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Field Observations:
Water Table Present?No
No
Depth (inches):
Depth (inches):
Depth (inches):
No
(includes capillary fringe)
Surface Water Present?
Wetland Hydrology Present?
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (C9)
Geomorphic Position (D2)
Shallow Aquitard (D3)
FAC-Neutral Test (D5)
Sphagnum Moss (D8) (LRR T, U)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Sediment Deposits (B2)
Saturation Present?
Water-Stained Leaves (B9)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)Iron Deposits (B5)
Inundation Visible on Aerial Imagery (B7)
Saturation (A3)
Sparsely Vegetated Concave Surface (B8)
Are “Normal Circumstances” present?
Wetland Hydrology Present?
Surface Water (A1)
High Water Table (A2)
Yes
Hydrophytic Vegetation Present?
Hydric Soil Present?
Yes
Secondary Indicators (minimum of two required)Wetland Hydrology Indicators:
(If needed, explain any answers in Remarks.)
No
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
8.
x 1 =
50% of total cover:20% of total cover:x 2 =
Sapling/Shrub Stratum (Plot size:x 3 =
1.x 4 =
2.x 5 =
3.Column Totals:(B)
4.
5.
6.
7.X
8.
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:X
30')
10
20
Vitis rotundifolia
10
FAC
Yes
Yes
Smilax rotundifolia FAC
)
Carya tomentosa
Liquidambar styraciflua
Tree Stratum
Percent of Dominant Species
That Are OBL, FACW, or FAC:
Total % Cover of:
Prevalence Index worksheet:
Dominant
Species?
(A)
Prevalence Index = B/A =
70
Multiply by:
UPL species
)
=Total Cover
1 - Rapid Test for Hydrophytic Vegetation
Problematic Hydrophytic Vegetation1 (Explain)
FAC
2 - Dominance Test is >50%
10
10
FACW
Morella cerifera
Yes
No
FAC
Upland
5
5
FACU species
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
(B)
Indicator
Status
VEGETATION (Four Strata)– Use scientific names of plants.
OBL species
FACW species
FAC species
100.0%
(A)
60Rubus argutus
Absolute
% Cover
Yes
)30'
30
No
Hydrophytic Vegetation Indicators:
24
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Yes
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
=Total Cover
Definitions of Four Vegetation Strata:
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
UPL
30'
60
120
FAC
12
4
30
10
=Total Cover
Remarks: (If observed, list morphological adaptations below.)
Hydrophytic
Vegetation
Present?Yes No
3 - Prevalence Index is ≤3.01
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Woody Vine – All woody vines greater than 3.28 ft in
height.
=Total Cover
60
Persea palustris
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
Sandy Mucky Mineral (S1) (LRR O, S)
Reduced Vertic (F18) (MLRA 150A, 150B)
Depth (inches):X
(LRR S, T, U)
(MLRA 138, 152A in FL, 154)
Piedmont Floodplain Soils (F19) (MLRA 149A)
(outside MLRA 138, 152A in FL, 154)
(MLRA 153B, 153D)
Other (Explain in Remarks)
Anomalous Bright Floodplain Soils (F20)
Very Shallow Dark Surface (F22) wetland hydrology must be present,
unless disturbed or problematic.
Redox Dark Surface (F6)
Loamy Mucky Mineral (F1) (LRR O)
Depleted Matrix (F3)
(outside MLRA 150A)
Coast Prairie Redox (A16)Black Histic (A3)
Sandy Redox (S5)
Stripped Matrix (S6)
Remarks:
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Gleyed Matrix (S4)
SOIL Sampling Point:
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)Indicators for Problematic Hydric Soils3:
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)
NoYes
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence (A8) (LRR U)
1 cm Muck (A9) (LRR P, T)
Upland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
(inches)Color (moist)
10YR 5/33-12
0-3 505010YR 3/1
Loc2 Texture Remarks
Sandy
Sandy
MS
%
Histosol (A1)
Barrier Islands Low Chroma Matrix (TS7)
Depleted Below Dark Surface (A11)
Thin Dark Surface (S9) (LRR S, T, U)
Histic Epipedon (A2)
%
Matrix
10YR 5/1
Color (moist)Type1
Redox FeaturesDepth
Loamy Gleyed Matrix (F2)
M
Restrictive Layer (if observed):
Type:
(outside MLRA 150A, 150B)
Piedmont Floodplain Soils (F19) (LRR P, T)
Very Shallow Dark Surface (F22)
Anomalous Bright Floodplain Soils (F20)
3Indicators of hydrophytic vegetation and
Hydric Soil Present?
(MLRA 149A, 153C, 153D)
Marl (F10) (LRR U)
Depleted Ochric (F11) (MLRA 151)
(MLRA 153B)
Red Parent Material (F21)
Redox Depressions (F8)
Umbric Surface (F13) (LRR P, T, U)
Thick Dark Surface (A12)
Iron-Manganese Masses (F12) (LRR O, P, T)
Barrier Islands 1 cm Muck (S12)
(MLRA 153B, 153D)
Depleted Dark Surface (F7)
Delta Ochric (F17) (MLRA 151)
Dark Surface (S7) (LRR P, S, T, U)
Polyvalue Below Surface (S8)
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
Project/Site:
Applicant/Owner:State:Sampling Point:
Investigator(s):
Subregion (LRR or MLRA):Lat:Long:
Soil Map Unit Name:
X
Are Vegetation , Soil , or Hydrology Yes X No
Are Vegetation , Soil , or Hydrology
SUMMARY OF FINDINGS – Attach site map showing sampling point locations, transects, important features, etc.
X No
X No X
X No
X X
X
X
X
X
Yes X
Yes X
Yes X X No
U.S. Army Corps of Engineers
WETLAND DETERMINATION DATA SHEET – Atlantic and Gulf Coastal Plain Region
See ERDC/EL TR-07-24; the proponent agency is CECW-CO-R
OMB Control #: 0710-xxxx, Exp: Pending
Requirement Control Symbol EXEMPT:
(Authority: AR 335-15, paragraph 5-2a)
NWI classification:
Water Marks (B1)
Sampling Date:Wilmington/New Hanover
NCHoneycutt Corporation
4720 N. College Road City/County:
Slope (%):
PFO1/Cd
Wetland
concave
Section, Township, Range:David Scibetta, SEGi
Primary Indicators (minimum of one is required; check all that apply)
Are climatic / hydrologic conditions on the site typical for this time of year?
0Local relief (concave, convex, none):Landform (hillside, terrace, etc.):
Yes
Remarks:
Kenansville
N 34.34032
2/4/2019
W 77.89310
No
NA
HYDROLOGY
NAD83
Is the Sampled Area
within a Wetland?Yes
(If no, explain in Remarks.)
significantly disturbed?
naturally problematic?
Bottomland
Yes
LRR T, MLRA 153A Datum:
Surface Soil Cracks (B6)
Drainage Patterns (B10)
Aquatic Fauna (B13)
Marl Deposits (B15) (LRR U)
Yes
Remarks:
Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available:
Field Observations:
Water Table Present?No
No
Depth (inches):
Depth (inches):
Depth (inches):
No
(includes capillary fringe)
2
0
Surface Water Present?
Wetland Hydrology Present?
Moss Trim Lines (B16)
Dry-Season Water Table (C2)
Crayfish Burrows (C8)
Saturation Visible on Aerial Imagery (C9)
Geomorphic Position (D2)
Shallow Aquitard (D3)
FAC-Neutral Test (D5)
Sphagnum Moss (D8) (LRR T, U)
Hydrogen Sulfide Odor (C1)
Oxidized Rhizospheres on Living Roots (C3)
Presence of Reduced Iron (C4)
Drift Deposits (B3)
Algal Mat or Crust (B4)
Sediment Deposits (B2)
Saturation Present?
Water-Stained Leaves (B9)
Recent Iron Reduction in Tilled Soils (C6)
Thin Muck Surface (C7)
Other (Explain in Remarks)Iron Deposits (B5)
Inundation Visible on Aerial Imagery (B7)
Saturation (A3)
Sparsely Vegetated Concave Surface (B8)
Are “Normal Circumstances” present?
Wetland Hydrology Present?
Surface Water (A1)
High Water Table (A2)
Yes
Hydrophytic Vegetation Present?
Hydric Soil Present?
Yes
Secondary Indicators (minimum of two required)Wetland Hydrology Indicators:
(If needed, explain any answers in Remarks.)
No
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
Sampling Point:
(Plot size:
1.
2.
3.
4.
5.
6.(A/B)
7.
8.
x 1 =
50% of total cover:20% of total cover:x 2 =
Sapling/Shrub Stratum (Plot size:x 3 =
1.x 4 =
2.x 5 =
3.Column Totals:(B)
4.
5.
6.
7.X
8.
50% of total cover:20% of total cover:
Herb Stratum (Plot size:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
50% of total cover:20% of total cover:
Woody Vine Stratum (Plot size:
1.
2.
3.
4.
5.
50% of total cover:20% of total cover:X
30')
10
10 YesVitis rotundifolia FAC
)
Cyrilla racemiflora
Persea palustris
Tree Stratum
Acer rubrum
Nyssa aquatica
Liquidambar styraciflua
Percent of Dominant Species
That Are OBL, FACW, or FAC:
Total % Cover of:
Prevalence Index worksheet:
Dominant
Species?
(A)
Prevalence Index = B/A =
120
30
Multiply by:
UPL species
)
=Total Cover
1 - Rapid Test for Hydrophytic Vegetation
Problematic Hydrophytic Vegetation1 (Explain)
2 - Dominance Test is >50%
20
10
FAC
Lyonia lucida
Yes
Yes
OBL
FAC
Yes
No
24
FACW
FAC
Wetland
5
5
FACU species
Total Number of Dominant
Species Across All Strata:
Dominance Test worksheet:
Number of Dominant Species
That Are OBL, FACW, or FAC:
No
(B)
Indicator
Status
30
VEGETATION (Four Strata)– Use scientific names of plants.
OBL species
FACW species
FAC species
100.0%
(A)
Absolute
% Cover
70
Yes
)
50
20
No
Hydrophytic Vegetation Indicators:
22
Sapling/Shrub – Woody plants, excluding vines, less
than 3 in. DBH and greater than 3.28 ft (1 m) tall.
Herb – All herbaceous (non-woody) plants, regardless
of size, and woody plants less than 3.28 ft tall.
=Total Cover
Definitions of Four Vegetation Strata:
Tree – Woody plants, excluding vines, 3 in. (7.6 cm) or
more in diameter at breast height (DBH), regardless of
height.
60
FACW
30'
55
110
FACW
25
=Total Cover
Remarks: (If observed, list morphological adaptations below.)
Hydrophytic
Vegetation
Present?Yes No
3 - Prevalence Index is ≤3.01
1Indicators of hydric soil and wetland hydrology must be
present, unless disturbed or problematic.
Woody Vine – All woody vines greater than 3.28 ft in
height.
=Total Cover
30'
Acer rubrum
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
X
X
Sandy Mucky Mineral (S1) (LRR O, S)
Reduced Vertic (F18) (MLRA 150A, 150B)
Depth (inches):X
(LRR S, T, U)
(MLRA 138, 152A in FL, 154)
Piedmont Floodplain Soils (F19) (MLRA 149A)
(outside MLRA 138, 152A in FL, 154)
(MLRA 153B, 153D)
Other (Explain in Remarks)
Anomalous Bright Floodplain Soils (F20)
Very Shallow Dark Surface (F22) wetland hydrology must be present,
unless disturbed or problematic.
Redox Dark Surface (F6)
Loamy Mucky Mineral (F1) (LRR O)
Depleted Matrix (F3)
(outside MLRA 150A)
Coast Prairie Redox (A16)Black Histic (A3)
Sandy Redox (S5)
Stripped Matrix (S6)
Remarks:
Coast Prairie Redox (A16) (MLRA 150A)
Sandy Gleyed Matrix (S4)
SOIL Sampling Point:
Hydric Soil Indicators: (Applicable to all LRRs, unless otherwise noted.)Indicators for Problematic Hydric Soils3:
1Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains.2Location: PL=Pore Lining, M=Matrix.
1 cm Muck (A9) (LRR O)
2 cm Muck (A10) (LRR S)
Reduced Vertic (F18)
NoYes
Hydrogen Sulfide (A4)
Stratified Layers (A5)
Organic Bodies (A6) (LRR P, T, U)
5 cm Mucky Mineral (A7) (LRR P, T, U)
Muck Presence (A8) (LRR U)
1 cm Muck (A9) (LRR P, T)
Wetland
Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.)
(inches)Color (moist)
10YR 4/25-12
0-5 10YR 2/2
Loc2 Texture Remarks
Mucky Loam/Clay
Mucky Sand
%
Histosol (A1)
Barrier Islands Low Chroma Matrix (TS7)
Depleted Below Dark Surface (A11)
Thin Dark Surface (S9) (LRR S, T, U)
Histic Epipedon (A2)
%
Matrix
Color (moist)Type1
Redox FeaturesDepth
Loamy Gleyed Matrix (F2)
Restrictive Layer (if observed):
Type:
(outside MLRA 150A, 150B)
Piedmont Floodplain Soils (F19) (LRR P, T)
Very Shallow Dark Surface (F22)
Anomalous Bright Floodplain Soils (F20)
3Indicators of hydrophytic vegetation and
Hydric Soil Present?
(MLRA 149A, 153C, 153D)
Marl (F10) (LRR U)
Depleted Ochric (F11) (MLRA 151)
(MLRA 153B)
Red Parent Material (F21)
Redox Depressions (F8)
Umbric Surface (F13) (LRR P, T, U)
Thick Dark Surface (A12)
Iron-Manganese Masses (F12) (LRR O, P, T)
Barrier Islands 1 cm Muck (S12)
(MLRA 153B, 153D)
Depleted Dark Surface (F7)
Delta Ochric (F17) (MLRA 151)
Dark Surface (S7) (LRR P, S, T, U)
Polyvalue Below Surface (S8)
ENG FORM 6116-2-SG, JUL 2018 Atlantic and Gulf Coastal Plain – Version 2.0
Jurisdictional Determination Request
Version: May 2017 Page 2
A. PARCEL INFORMATION
Street Address: _______________________________________________
City, State: _______________________________________________
County:
Parcel Index Number(s) (PIN):
B. REQUESTOR INFORMATION
Name:
Mailing Address:
_________________________________________
Telephone Number: _________________________________________
Electronic Mail Address: ________________________________________
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant1
Interested Buyer or Under Contract to Purchase
Other, please explain. ________________________________________
__________________________________________________________
C. PROPERTY OWNER INFORMATION2
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address:
_______________________________________________________________________________________________________________________
1 Must provide completed Agent Authorization Form/Letter.
2 Documentation of ownership also needs to be provided with request (copy of Deed, County GIS/Parcel/Tax Record).
Jurisdictional Determination Request
Version: May 2017 Page 3

D. PROPERTY ACCESS CERTIFICATION3,4

By signing below, I authorize representatives of the Wilmington District, U.S. Army Corps of
Engineers (Corps) to enter upon the property herein described for the purpose of conducting on-
site investigations, if necessary, and issuing a jurisdictional determination pursuant to Section
404 of the Clean Water Act and/or Section 10 of the Rivers and Harbors Act of 1899. I, the
undersigned, am either a duly authorized owner of record of the property identified herein, or
acting as the duly authorized agent of the owner of record of the property.

Print Name
Capacity: Owner Authorized Agent5

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 project or perform activities on this parcel which may
require authorization from the Corps, and the JD would be used to avoid and minimize
impacts to jurisdictional aquatic resources and as an initial step in a future permitting
process.
I intend to construct/develop a 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 project or perform activities in a navigable water of the
U.S. which is included on the district Section 10 list and/or is subject to the ebb and flow of
the tide.
A Corps JD is required in order obtain my local/state authorization.
I intend to contest jurisdiction over a particular aquatic resource and request the Corps
confirm that jurisdiction does/does not exist over the aquatic resource on the parcel.
I believe that the site may be comprised entirely of dry land.
Other:___________________________________________________________________
_______________________________________________________________________
3 For NCDOT requests following the current NCDOT/USACE protocols, skip to Part E.
4 If there are multiple parcels owned by different parties, please provide the following for each additional parcel on a
continuation sheet.
5 Must provide agent authorization form/letter signed by owner(s).
Jurisdictional Determination Request
Version: May 2017 Page 4

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 acres.

The property boundary (or review area boundary) is clearly physically marked on the site.

Jurisdictional Determination Request
Version: May 2017 Page 5

H. REQUESTS FROM CONSULTANTS

Project Coordinates (Decimal Degrees): Latitude: ______________________
Longitude: ______________________

A legible delineation map depicting the aquatic resources and the property/review area.
Delineation maps must be no larger than 11x17 and should contain the following: (Corps
signature of submitted survey plats will occur after the submitted delineation map has been
reviewed and approved).6
 North Arrow
 Graphical Scale
 Boundary of Review Area
 Date
 Location of data points for each Wetland Determination Data Form or tributary
assessment reach.
For Approved Jurisdictional Determinations:
 Jurisdictional wetland features should be labeled as Wetland Waters of the US, 404
wetlands, etc. Please include the acreage of these features.
 Jurisdictional non-wetland features (i.e. tidal/navigable waters, tributaries,
impoundments) should be labeled as Non-Wetland Waters of the US, stream, tributary,
open water, relatively permanent water, pond, etc. Please include the acreage or linear
length of each of these features as appropriate.
 Isolated waters, waters that lack a significant nexus to navigable waters, or non-
jurisdictional upland features should be identified as Non-Jurisdictional. Please
include a justification in the label regarding why the feature is non-jurisdictional (i.e.
“Isolated”, “No Significant Nexus”, or “Upland Feature”). Please include the acreage
or linear length of these features as appropriate.
For Preliminary Jurisdictional Determinations:
 Wetland and non-wetland features should not be identified as Jurisdictional, 404,
Waters of the United States, or anything that implies jurisdiction. These features can be
identified as Potential Waters of the United States, Potential Non-wetland Waters of
the United States, wetland, stream, open water, etc. Please include the acreage and
linear length of these features as appropriate.

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/Regulatory-Permit-
Program/Jurisdiction/
Jurisdictional Determination Request
Version: May 2017 Page 6

Completed appropriate Jurisdictional Determination form
• PJDs, please complete a Preliminary Jurisdictional Determination Form7 and include the
Aquatic Resource Table
• AJDs, please complete an Approved Jurisdictional Determination Form8

Vicinity Map

Aerial Photograph

USGS Topographic Map

Soil Survey Map

Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)

Landscape Photos (if taken)

NCSAM and/or NCWAM Assessment Forms and Rating Sheets

NC Division of Water Resources Stream Identification Forms

Other Assessment Forms

_____________________________________________________________________________
7 www.saw.usace.army.mil/Portals/59/docs/regulatory/regdocs/JD/RGL_08-02_App_A_Prelim_JD_Form_fillable.pdf
8 Please see http://www.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Jurisdiction/

Principal Purpose: The information that you provide will be used in evaluating your request to determine
whether there are any aquatic resources within the project area subject to federal jurisdiction under the regulatory authorities referenced above. Routine Uses: This information may be shared with the Department of Justice and other federal, state, and local
government agencies, and the public, and may be made available as part of a public notice as required by federal law. Your name and property location where federal jurisdiction is to be determined will be included in the
approved jurisdictional determination (AJD), which will be made available to the public on the District's website
and on the Headquarters USAGE website.
Disclosure: Submission of requested information is voluntary; however, if information is not provided, the
request for an AJD cannot be evaluated nor can an AJD be issued.