20140957 Ver 1_U-03_Appendix B_Wilmington_Cumberland NC waterbodies_Part2_20170227

USAGE AAD D110 = Site = vindicate on attached rnapi
STREAIM QUALITY ASSESSMENT NVORKSHEET
Pro► ide the follott Ing information for the stream reacts Under assessment:
1. Applicant's name: 2. E► aluator's name: •-y%f�;'"
3. Date of et aInafion: Ilan/1� to - 4. Time of evaluation: 0 3 A
5. Name of stream: lxr+)T 4v - Sty- s2:v-.- _ 6. RiNer basin: -- CioL Fz.,-
7. Approximate drainage area: 40 S. Stream order.
9. Lenutlt of reach evaluated; 100 10. County: r
11. Site coordinate,, (if known): prefer in decimal decrees. 12. Subdivision name (ifatty): +�
Lai tulle (ex. 34.872312): 15. I`i L '1 Longitude (ex. -77.556611):
A4ethod locat'mon detennined (circle)GRn
Topo Street Orlhrr (:Aerial) phoio GIS Other GIS Other
13. Location of reach under evalua nte nearby reads and landmarks and attach trap identifying stream(s) location):
Ste, I,
14. Proposed channel work (ifant'): ry ase --1 bane
15. Recent weather c ond hions: s� ' rl-. , r�✓ �~� �t�rr
16. Site conditions at time ofvisit: Nno - A -A- c 4 4
17. Identifi any special waterway classifications known: Section 10Tidal Waters Essential Fisheries Habitat
Trout Waters _Outstanding Resource 1i'aters Nutrient Sen siti\e Waters later Supply Watershed-_2Z(I-IV)
IS. Is there a pond or lame located upstream of the evaluation point? YES 6N-0) If yes, estimate the water surface area:
19. Does channel appear on I SGS quad map? YE NO 20. Does channel appear on USDA Soil Survey"? l'E NO
21. Estimated watershed land use: °o Residential °a Commercial _°o Industrial `t4 °'m Agricultural
,.LL"o f=orested °a Cleared 1 Locged _%Other ( )
7 � [�i"apc�' ,q��
Bankfulp�ti idt t: ?3. Bank height (front bed to top of ban);):
24. Channel slope down center of stream: —Flat (0 to 206) Gentle (2 to 40 b) _­hloderate (4 to 10', b) ^Steep (> 100 al
2-5. Channel sinuositt:traight _Occasional bendsFrequent meander _'lien sinuousBraided channel
Instructions for completion of tiorl.slicel (located ort page 2): Begirt by determining the most appropriate ecuregion based on
location. terrain, vegetation, stream classification, etc. Even characteristic roust be scored using the some ecoregion. Assign points
to each characteristic Et ithin the range shmAn for the ecOMion. Page 3 provides a brief description of how to reN iew the
characteristics identified in tine t\orksheet. Scores should reflect an overall assessment of the stream reach under ex aluation. If a
characteristic cannot be etaluated due to site or weather conditions, enter 0 in the scoring box and provide amt explanation in the
coinment section. i'n'here there are obvious changes in the character of a stream under renew (e.<,,., the stream floes fr,&m a pasture
into a forest). the stream may be ditided into smaller reaches that display more continuity. and a separate form used io eti aluate each
reach. The total score assiuned to a stream reach must range bet%k een 0 and 100. %p ith a score of 100 representing a stream of the
highest quality.
T61,11 Score Ifrom r( -N trse Comments:
Evaluators Signature DateI 1 �`
This channel e)alua11oI1 rm is intended to lie used onl) as a guide to assist landowners and eon ironntenial professionals in
galliering the data req red bt' the United States Armi, Corps of Engineers to make a preliminam assessment of stream
quality. The total score resulting front the completions sof this form is subject to USACL approval and does not Imply a
particular mitigation ratia or requfreittHitt. Fci�;t subyjelt to ch it s- � CiSiL�n r if To Conimern. please call X104 -i+ -57.11 v 26.

STREAM QUALITY ASSESSMENT WORKSHEET
CIA A TERISTICS_EC®REOiU
1�POY T R G. C RE
,r. Y n �Coas#al
P.icdintitit
111birntiiiri",
1
Presence of flow l persistent pools in stream
0-5
o-4
0-5
(no flow or saturation = 0: strong flow = maxPoints)
I
Er'idenCe of past human alteration
0-5
0-5
?
`
(extensive alteration = 0; no alteration = maxpoints)
v
.
3
Riparian none
0— 6
0— 4
0-5
(no buffer.= 0 - cont i uons. wide buffer = max points)
E` idence of nu#dent or clieniical discharges
0-5
0-4
0 4
4
(extensive discliarees � 0; no discharges = txiax oints)
5
Grob dwaterdischar a
4-3
0-4
0 4
(no discharge = 0 rips sees wetlands etc - max points)
-
;��
6
Presence of adjacent flnodplain
0-4
4-4
0-2
(DID flbod lain = 0; extensive floodplain = max oinks
Entrenchment 1 floodplain access
0-5
0-4
0-2
(deeply entrenched = 0• frequent f7oodine = max points)
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0• large adjacent wetlands =max oints)
9
Channel sinuosity
4-5
0-4
0-3
(extensive channelization r 0; natural nie.ander = maxoints)
0
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max ints)
Size & diversity= afcbannel bed substrate
�-:
0 —4
0-5
.---
(fine, hoino enous = 0; large, diverse sizes =. max oirtts)
Evidence of channel incision or widening0
_ 5
0-4
0-5
1
(deeply incised =.0; stable bed & banks = maxpoints)
13
Presence of major bank failures '
0-5
0-5
0-5
severe erosion = 0• no erosion stable banks = maxpoints)
p
Root depth and density on banks
0-3
0_4
0-5
14
(no visible roots = 0• dense roots throughout = max oints
Impact by agriculture, livestock, or timber production
0-5
0 _ 4
0-5
}
15
(substantial impact =0• no evidence = max Dints
Presence of riffle-pooilripple-pool complexes
0— 5
0-6
160-3
(no riffles/ripples or pools = 0• well-develo ed = max oints)
1
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0• frequent, varied habitats = maxpoints)
p
Canopy coverage over streambed0_
5
0— 5
0-5
18
(no shadin vegetation = 0' continuous canopy = max points)
19
Substrate embeddedness
,j4A*
0-4
0-4
(deeply embedded = 4; loose structure = rnax
Presence of stream invertebrates (see page 4)
o-4
0-5
0-5
`
00
(no evidence = 0: common. numerous types = maxpoints)
U.
�1
Presence of amphibians
0-4
0-4
0-4
f
Q
(no evidence = 0: common. numerous nes = max oints
Presence orfish
0--4
0-4
0-4
no evidence = 0: cormn6n, ntttnerous types = nxax points)
Evidenceai�tiildlifeuse4-60-50_5
+23
(no ek ideriee = 0. abundant evidence = rnaxpoints)
Tota! Paints Possible
100
l00
14}Q
TOTAL SCORE (also enter nn fiat pale)
,
These characteristics are not assessed in coastal streams.

Nr i1wn Ctrrnnt irinntilir itinn Fnrrn Vercinn .t_1 1 6C-rh P 0'l01
Date:
Projectl5ite:
Latitude:)
Evaluator. � � � Afibl�u r
County:
Longitude: 16. 75 �R7
Total Points: 1
Stream Is at feast lntemrittent
Stream Dete (circle one)
Perennial
Other5f�� ,y tic
Name: '
3
Ephemeral lntermitten
e.g Quad
if? iJ or perennial if a 30'
2
3
A. Geomorphology (Subtotal= )
Absent
Weak
Moderate
Strong
1 a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
2
3
4. Particle size of stream substrate
5. Activelrelict floodplain
0
0
1
1
2
2
3
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
S. Headcuts
(}
1
2
3
9, Grade control
10. Natural valley
0
0
1
1
1.5
1,5
11. Second or greater order channel
= 0
Yes = 3
- artificial ditches are not rated; see discussions in manual T
R 14 rlrnlf% !Ci.k+nM.1 = 1 1 4
12. Presence of Baseflow
0 1 2 3
13. Iron oxidizing bacteria
0 1 2 3
14. Leaf litter
1 0.5 0
15. Sediment on plants or debris
16. Organic debris lines or piles
0 0 i 1.5
1 0 0.5 1.5
17. Soil -based evidence of high water table?
I No = o s =
I^ Rinlnnwi lQ11kfn*nl = 1
;4rLc�.
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
3
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
22. Fish
0
1
0.5
2
1
3
1.5
23. Crayfish
co)0.5
1
1.5
24. Amphibians
0
o.5
1.5
25. Algae
0
0.5
1.5
26. Wetland plants in streambed
FACW =Q.7 O13L = 1.5
Other = 0
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: e4,_eU Ott
Sketch:
1 P1`tti
t�
I�
De Of 89nK w; d +c•t . `tF-#-

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp042 facing east upstream.
Waterbody scmp042 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
- K
PIC
,,w
,.
Waterbody semp042 facing south across bank.
Photo Sheet 2 of 2

USACE a1D;� Dli O
Site = (indicate on attached neap)
SCrA p 041
STREAM QUALM? ASSESSMENT NVORKSUEET
Prot file the fallott ing information far the stream reach underassessment*
1. Applicant's name: 2. E✓ nluator's name;'' • 1-1afiL r �-* �'
3. Date oi'0alua1ion ;_ �a �ti 4. Time of etaluatsnn:
3.'N`ante of SYre3n�.i t: N T � � ,ver 6. R it er basin: CAaer�+r• •
7. Approximate drainage area: 0 - d r S. Stream order:
9. Length of reach evaluated: 3t n 10. County: Q -L -I -A
11. Site coordinates (if knotrn): prefer in decimal degrees. 12. Subdivision name (if any):
Ladiude Ira. 34.872312' 1: 35, I `f Longitude (ex. -77.556611): . -1.536
Aletltnd location determined {circle}: Gl' Topo Sheet Onho (Aerial) Photoe'GIS Other GIS Other
13. Local ion of reach under evaluation (note nearby roads and landmarks and attach !nap identifying streant(s) location) -
14. Proposed channel work (if A I
15. Decent weaiher conditions: s nn (a. A in pre JF evl � f
I6. Site conditions at time of tish: w-4 r - A Ax d i Vr4 X a, F�
17. ldentify any special watentay classifications known: ^Section 10 Tidal Waters -Essential Fisheries Habitat
Trout Waters ___Outstanding Resource Waters ,Nutrient Sensitive Waters P N -Vater Supply Watershed-.U7(MV)
18. is there a pond or lake located upstream ofthe evaluation point? YES `' if yes, estimate the water surface area:
19. Does channel appear on USES quad map? YES aN 20. Does channel appear oil USDA Soil Sun y? YES
21. Estimated watershed land use: "o Residential 04 Commercial _% Industrial -L11,0 Agricultural
0°a Forested °n Cleared J Logged '°6 Other ( }
( rep OF $Ani
22. 'ankfulitt�td r. G6-- r 23. Bank hei-ht (from bed to top of bank): 14-4-
24. Channel slope down center of stream: I.4lat (0 to 2%) -Gentle (2 to 4lb) _Nloderate (4 to 10"o) „Steep (>10°4}
25. Channel sinuosih tf traiaht Occasional bends _Frequent meander _eery sinuous Braided channel
Instructions fol' completion of ttorksheet (located oil page 2): Begin by detenninistg the must appropriate ecure24ion based on
location. terrain. vegetation, stream classification, etc. Etery characteristic Must be scored using the sante ecoregion. Assign points
to each characteristic within the range shottn for the ecoregion. Paye 3 protides a brief description of how to retiery the
characteristics identified in the ttorksheet. Scores should reflect an overall assessment of the stream reach under et aluation. If a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious chances in the chni-acter of a stream under re\iety (e.g., the stream flat;s from a pasture
into a forest). the stream cony be die ided into smaller reaches that display more continuity. and a separate form used to et aluate each
reach. The total score assigned to a stream reach must range between 0 and 100. ttith a score of 100 representing a stream of the
highest qualit}.
Total Score (front reverse): Cc�tttsttcnts:
Evaluator's Signature
Date/f
This channel evaluation form is intended to he used only- as a guide to assist landowners and ens ironntental professionals in
gathering the data required by tite United States Army Corps of Engineers to Mahe a prellminary assesstttent of Stream
quality. The total score resulting front the completion of this forth is subject to USACE approval and does not intltly a
particular mitigation ratio or requirement. To Co iiiiielit. please call Qlc;476-9441 x 26.

STREAM QUALITA' ASSESSMENT WORKSHEET
2
#
xICQR,Gx :,PClI�i`I'�` �Y� `
-QjAR_� T RISTIGS
IPresence
of flaw 1 Persistent pools in stream
0-5
0-4
0-5
(no flmv or saturation = 0. strong flow = maxPoints)
E-ideiiee of past human alteration
0-6 1
0--:5
0-5
(extensive alteration = 0; no alteratiolt = inax oints
3
Riparian zone
0-6
0-4
0— 5
(no buffer= 0 points)
s#�
Lvidence of litltrle_nt or C� cm al d15 Barges
0-5
0-4
0-4
a
4
(extensive di5eharges ; no discliarges = iiiax amts
.L
t=
5
Groundwater discharge ''
'vin
0-3
0-4
0=4
h
no discharge = 0 s -s sees wetlands, etc = maxx. pints
E
Presence of adjacent floodplain
0-4
0-4
0-2
(ita floodplain =I extensive floodplain = maxpoints)
Entrenchment l floodplain access-)
0-4
0—
(deeply entrenched = 0i frequent flooding = max pints
Presence of adjacent wetlands
o-6
0-4 1
0-2
(no wetlands = 0; large adjacent wetlands = max ohits)
Channel sinuosity
0_5
0-4
0-3
(extensive chatmelization = 0• natural meander = max pints)
F
10
Sediment input
0-5
0-4
0-4
extensive deposition-- 0• little or no sediment = max oink)
Size & diversity of channel bed substrate
NA* _
0-4
0-5
-�-
E
1 l
(fine homogenous = 0; large, diverse sizes = max aittts
Evidence of channel incision or widening
0— 5
0-4
0— 5
l 3
(dee lyinci5ed = 0; stable bed & banks = max amts)
i3
Presence of major rank failures
0-5
0 -- 5
0-5
(severe erosion = 0• no erosion stable banks =max points)
p
i4
Root depth and density on banks
0-3
0--4
0-5
(no visible roots = 0; dense roots throughout = max Points
Impact by agriculture, livestock, or timber production
0-3
0-4
0 --5
1S
(substantial impact =0• no evidence = maxpoints)
Presence of riffle-poolfripple-pool complexes
0-3
0-5
0-6
16
(no riffleslripples or pools = 0; well-developed = maxpoints)
17
Habitat complexity
0-6
0— 6
0-6
(little or no habitat = 0; frequent, varied habitats = max_points)
Canopy coverage over streambed
0-5
0-5
0-5
18
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
NA* '.
0-4
0-4
-..r
(dee embedded = 0; loose structure = ax
lv m
?0
Presence of stream invertel3rates (see page 4)
0 — 4
0-5
4-5
(no evidence = 0; common, numerous types = max oints)
C1
Presence of amphibians
0-4
0-4
0-4.
©
(no evidence = 0; common numerous es = max. Dints
Presence offish
(no evidence = 0: common, numerous types = maxPoints)
23
Evidence of wildlife use
0—
0 — 5
0-3
(no er; idetice = 0; abundant evidence = maxpoints)
Total Points Passible
100 "
100
iUQ
T[?TAti SCC?ItE also -enter on fiat page}
These
characteristics are not assessed in coastal streams.
2

QVC DWO Streiqns Identii;ication Form Version 4.11
scryt P 041
Rate: -3 ,3 J k7
Project]Site:
Latitude:
Evaluator
County: C(�t1n '�MDr ►
Longitude: 7 � 7
Total Points:
is at least intermittent + , `�
Stream determination (circle one)
P emeral ntermittent Perennial
tither L N
�� uStream
e.g. Quad Names � nrl t
if 2 19 or Eerennial if z 30"
2. Sinuosity of channel along thalweg
kZY1
A. Geomorphology (Subtotal= 3,5 )
Absent
Weak
Moderate
Strong
18. Continuity of channel bed and bank "-kaN
0
1
2
3
2. Sinuosity of channel along thalweg
kZY1
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -,pool, step -pool,
ripple -pool sequence
��
1
2
3
4. Particle size of stream substrate
0
1QD
1
3
5. Activelrelict iioodplain
CCJ
0.5
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluulal deposits
0
1
2
3
8. Headcuts
0
1
2
3
9. Grade control
Q02)
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
Yes = 3
a artificial ditches are not rated; see discussions in manual
R_ Hvrfroloay (Subtotal= 5 ]
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 0.5
1
1.5
16. Organic debris lines or piles
0
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes
1
r. Rininnv tgr�htntnl = �7_1 1
16. Fibrous roots in streambed
3
02
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
kaj
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OSL =1.5 Other -'0
'perennial streams may also be Identified using other methods. see p. 35 of manual.
Notes: rA-L ; n re ;sus % %o r'r
Sketch: k
1 et., y
sc .� 04-L
ovi V w I'v)

USAC E AID D\% o = Site = (indicate on attached map)
scYnr 0 L
STREAM QUALITY ASSESSMENT NVORKSHEET
pro► ide lite folioti ing information for the stream reach under assessinent:
I. Applicant's name: 2. ENaluator's name:
3. hate of ei aluation:3j?Aj 1S _ 4. Time of ewiluation: 08 30
3. game of stream: UN T -+ Cie- EL. i • _ G. it it er basin: -. Fe�-,
7. ApproNimate drainage area: 3,000 8. Stream order: s 4-
9.
9. Length of reach ev aluated: `l 0 D r 10. Count; : W X111- d
11. Site coordinates Of knot\n): prefer in decimal decrees. 12. Subdivision name (if any): 11314
i.:Irirude rex. _4.67.1312?: 35. I ff 110 l.on ittide (ex. -77.55661 t): -7 $ .7 `'q P5
Method location determined (circle }: a ropo Sheet Onho { Aerial} Photo.`GiS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach trap identiiiing stream(s) location):.
0tArk aF Tp.cr[•*a L_a- IF.,".
14. Proposed channel work (if any): Per ns++ 1rN
15. Recent »weather conditions: s r~ a: L ► re viol -4 of k1 , -j
16. Site conditions at tine of visit: 'fir i. rt L,.4 e ' r 4amu.. r -t<,.,, k,"I 6-40e�k - -
17. Identify an,, special Nvaterway classifications known: Section 10 Tidal Walers _Essential Fisheries Habitat
_Trout Waters Outstanding Resource: Waters ,Nutrient Sensitive Waters Vater Supply 1'i'atershed-13t V)
18. Is there a pond or lake located upstreatll of the evaluation point? YES Did Ifees, estimate the grater surface area:
19. Does channel appear on USG quad map? YES N0 20. Does channel appear on USDA Soil Survey? ti"l s NO
21. Est irnated watershed land use: l4 "a Residential "'o Commercial _°'q Industrial d 0,6 ALyicuhural
400o Forested Cleared J Loc -ed _0� Other ( l
-pAf Ar.I
?2#.�anhfulPtivrd 1:, I (+ _-- 23. Bank height (front bed to top of bank): -7-
24. Channel slope dorm center of stream: flat (0 to 206) _Gentle (2 to 416) __hloderate (4 to 10 b) _Steep (> 109'0)
2w. Channel sinuosir,: Strai_ht Occasional bends ____,Frequent meander ____Ven sinuous Braided channel
Instructions for completion of liorlkslieet (located 01, nage 2): Begin by determining, the must appropriate eroregion based on
locaiion. terrain, vegetation, stream classification, eve. EN crr characteristic must be scored using the same ecoreeion. Assign points
to each characteristic within the range sho�tn for the ecoregion. Page 3 provides a brief description of bow to review the
characteristics identified in the «orksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring box and pros ide an explanation in the
corn:hent section. Where there are obvious chap, -es in the character of a stream under review (e.= ., the stream floN%s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to ee aluate each
reach. The total score asci; ned to a stream reach must range betNseetl 0 and 100. Ntith a score of 100 represerning a stream of the
highest qualin.
Total Scare {front reverse}: W t J Comments:
Evaluator's Signature ►g+ Bate 3 r
This channel evaluation form is intended to fie used only as a guide to assist landowners and env ironinental professionals in
gathering the data required by the United States Anile Corps of 'Engineers to make a preilminar} assessment of stream
qualiti-. The total score resulting from the ront{1lrtioll of this fot-III is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Fern subject 1,1 chr;n�ge - ti ersion 06 03. To Cci-nilaeiit. please Call 919-876-8441 \ 26.

STREAM QUALITY ASSESS;IIENT NVORKSHEET
#
CHARACTI RISTICS C �
,a r
Coo tal
y� ,i xT Y t
eU�nr Ci►it�Ytiflatti+ N
r
1
Presence of flow I persistent pools in stream
0-5
o-4
0-5
'►-�-
(no flow or saturation = 0: strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration= 0: no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
�- -
(no buffer - 0: Conti :ous. wide buffer = m -ax oints)
k_
Ei-Idence of nutrient or chemical discharges
0-5
4-4
D - 4
4
(extensive dischar es = 0. no dischar es = max oints)
5
Grotiindwater discharge
4 _3
p _4
0 =1
no discharue = 0• s grins sees Nvetlands. etc - max oints
Presence of adjacent floodplain
0-4
0-4
0-2
1
(no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment ! floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; fre tent floodin - � max Dints
Presence of adjacent wetlands0
_ 6
0 -4
4 -2
(no wetlands = 0- lar a adjacent wetlands = maxpoints)
Channel sinuosity
0-5
0-4
0--3
(extensive cbannelization = 0• natural meander= maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive de osition= 0• little or no sediment = max points)
i
11
Size & diversity of channel bets substrate
i�A�
0-4
0_5
--d��-
(fine homogenous = 0• large, diverse sizes = max points
l00-5
Evidence of channel incision or widening
0-4
0-5
_
(dee 1 incised Q; stable tied &: banks = max points)
13
Presence of major bank failures
0-5
0 - 5
0-5
severe erosion = 0; no erosion stable banks = max -points)
p
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout = max oints
Impact by agriculture, livestock, or timber production
0-5
0--4
0-5
IS
(substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-poollripple-poolcompfexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = max pints)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0• frequent, varied habitats = max pDints
18
Canopy coverage over streambed
0-5
0--5
1 0-5
-,
(no shading vegetation = 0• continuous Cana v = max pints)
19
Substrate embeddeduess
ISA* .
` 0-4
0 -4
,r _
(deeply embedded = 0• loose structure = mast)
Presence of stream inv ertebrates (see page 4)
0-4
0_5
0-5
(no evidence = 0; common. numerous es =max Dints}
N-2-2
Presence of amphibians
0_ 4
0- 4
0- 4
[�
0(no
evidence = 0; common. numerous tr es = max Points)
0
Presence of fish
0-4
0-4
0-4
.-.
(no evidence = 0: common, numerous es = max oirAs
23
Evidence of wildlife use
0-6
0_5
0-5
(no evidence = 0. abundant evidence = max points)
Total Paints 1?asiblel0o
100
i60
TOTALSCORE (also enter on first pale}
" These characteristics are not assessed in coastal streams.

i
NC Did O Stream Identification Form Version 4.11 5G&% V 0.40
Date: -5Aql &
Project/Site:
Latitude:, 5 i qA (]
Evaluator: L �]U--75, } , jOLtW�'� i rv*ts t'ir0• ,
County: (�F ,� �e r' [I
Longitude. -r7, ��It-[� 5
Total Points: � �
Stream is at least intermittent
Stream Determination[circle
Ephemeral Intermittent
t7tfzer ��a � ,s L N
e.g. Quad Name: G
rf z 49 orperennial It r 30'
erenniaE
0
A. Geomorphology (Subtotal =
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank
0
1
2
0 0.5 1 11.5
2. Sinuosity of channel along thalweg
0
1
2)
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
1
(D
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
B. Headcuts
0
1
2
3
9. Grade control
0
0.5
1.5
10. Natural valley
0
0.
1
1.5
11.. Second or greater order channel
Na TOD
Yes = 3
a artificial ditches are not rated; see discussions in manual
R Hvriminnv fSiihtntal= i.! 1
12. Presence of Baseflow
0 1 2 ►.`'_J
13. Iron oxidizing bacteria
M1 2 3
14. Leaf litter
1.5 i 0.5 0
15. Sediment on plants or debris
0 5 1 1.5
16. Organic debris lines or piles
0 0.5 1 11.5
17. Sail -based evidence of high water table?
No = 0 Yes -
C_ Rinlnriv fSubtatnl = 'dl 1
18. Fibrous roots in streambed
2
1
0
19. Booted upland plants In streambed
U
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22, Fish
23. Crayfish
0
0
CMU
1
1
1.5
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OR = 1.5
Othereip
`perennial streams may also be identified using other methods. See p. 35 of manual.
Notes. r_v,r,r 45
1V
Sketch:
�0o old 1� a 16 rr�-

}�' f
�d
c
s �T
i

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmp040 facing south across bank.
Photo Sheet 2 of 2

USACE AIDD\' 0 = site = (indicate on aitached inat+)
5 C r'►[�
STREAM QUALITY ASSESSMENT NVORKSHLCT
L44 —A(M01
Prue ide the foil mi iug information for the stream reach tinder assessment:
I. Applicant's name: r", fi; u— 2. E� aluator's name: ESi w. V
3. Date of et aluation: �� 6-1(0 4. Time of eN aluadon: 00 to
5. Nnine of stream: 4Lt 4-, 0 ker basin: CCS e- Ere
7. Approximate drairtace area:
2 So gcrc5 8. Stream order:
9. Length ofreach ex aluated: D lo. County: `"-
11. Site coordinates {if known): prefer in decimal degrees. 12. Subdivision name if any): l'lon _
Lrit'siudc tax, 34.87231 Z:: 3 S. 135 71271 Lont!htide (cx. -77.556611): — 7 B. 7 Lt Li
Na
Method location determined (circle): GPS Fopo Sheet Ortho (Aerial) Photo GIS Other GIS Other
13. Location of reach under eN aluati nose nearby roads and landmarks and 1attach map 'identif%ine stream(s) local ion 1:
14. Proposed channel work (if any):,
1-55. Decent weather conditions: Cod l_, c1
I6. Site conditions ai time ofrisil: " 14c 61422 Md4 4-wn- � Ifnw f ejds --
17. ldentifi any special waterway classifications known: Section 14 -Tidal _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters ,.Nutrient 5ensitite WatersWater Supply Watershed (I-IV)
13. Is there a pond or lake located upstream of the evaluation point.' YES 0 1 f yes, estimate the water surface area:
19. Does channel appear on USGS quad map? ES NO 20. noes channel appear on USDA Soil Survey? ES NO
21. Estimated watershed land use: 0 °a Residential 0 °o Commercial 9} 06 Industrial 3.5 °a Aericultural
G° b Forested 5° o Cleared I Locoed 0 4 U Other (, )
22.�ankfuIPAid t: 11f 23. Bank height (from bed to top ofbank):
2-I. Channel slope down center of stream: —Flat (0 to 2%) _Gentle (2 to 4%) _N-loderate (4 to 10%) -L/Sleep (>ION
2:5. Channel sinuosity: ✓Strainht _Occasional bends __--,f=requent meander ­­4Vea sinuous ____Braided channel
instructions for completion of Niovksheet (located on page 2): Bergin by deienuininL the must appropriate ecuregion based on
location. terrain, vegetation, stream classification. etc. E\er\ characteristic must be scored using_= the same ecoreeion. Assign points
to each characteristic Ntit]tin the ranee shoN\n for the ecoregion. Page 3 pro%ides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the scream reach under ex aluation. If a
characteristic cannot Lie evaluated due to site or weather conditions, enter Q in the scoring box and provide an explanation in the
comment section. Where there are obvious chap<ues in the character of a stream under re\iew (e.g., the stream llotiss from a pasture
into a forest). the stream itna4' be divided into smaller reaches that display more continuity, and a separate form used to et aluate each
reach. The total score assi; ned to a stream reach must range between D and 100. frith a score of 100 representing a stream of llte
highest quallt\.
Total Score {frons} re'verse): S Comments
Et aluatc,r's :Signature Date - 1
This channel tN aluation forrn is intended to b used cnl3 as a guide to assist landmi ners and ein ironmental professionals in
gathering the data required by the United States Army Corps of Engineers to ({take a preiirnlnarti assessruent of stream
quality. The total score resulting from the completion of this forrn is subject to t'SACE approval and does not imply a
Itartifinlar lttitl ati[1n r'ati4 C7 r' t°{glllI'EE1lEnt. 1 4li:i c';i,ivit tc �hcit e — �Gi'SILn C! #�. To Ccinnient. plenze call ;1947:64441 \ -'6.

STREAM QUALITYASSES&\1ENT 1VORKSHEET
r r -�TERISTIC
ic-11iedtnont
4.Vl�.l's'1rIONS"'PO�L,,, ri
:a
-
:5
Presence of now I persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0: strong flow = max dints)
Evidence of past human alteration
_ 6
0-5
0_5
(extensive alteratran = 0; n4 31teratl0n -max Dints)
Riparian zone
0-6
0-4
0-5
F
(no buffer= 0; Conti calls, vi°ide buffer = Inax points)
sk^
{a
Evidence of nutrient or chemical discliar�es
0_5
0-4
0-4
ar
4
(extensive discharges = 0; no discharges = max taints
`
Groiudivaterdischarge0_3
�rin
0-4
0=4
{
(no discharge = 0: s s see s, «etlands, etc � max Dints
6
Presence ofadjacet►t floodplain
0-4
0-4
0-2
u
f
(no flood lain = 0; extensive flaod lain = rna_r• oints
7
Entrenchment 1 floodplain access
0-5
0-4
4-2
0
(deeply entrenched = 0• fee cent flooding = maxpoints)
g
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0• large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelizatian = 0; natural meander - maxpoints)
IO
Sediment input
0-5
0-4
0-4
extensive deposition— 0• little or no sediment = maxpoints)
i
& diversity of channel bed substrate
NA *
0-4
0 — 5
Z 1Size
(fine, homogenous = 0, large, diverse sizes =. maxpoints)
a
Evidence of channel incision or widening
0-5
0-4
0 -- 5
1
(deeply incised = 0; stable bed &: banks = max dints
13
Presence of major bank failures '
0-5
0-5
0-5
tzl
severe erosion = 0• no erosion stable banks = maxpoints)
M
14
Root depth and density on banks
0-3
0 — 4
0-5
H(no
visible roots = 0; dense roots throe bout = max oinis)
Impact by agriculture, livestock, or timber production
0—$
0-4
U-5
2
l5
(substantial impact =0• no evidence = max oints}
Presence of riffle-paoUripple-pool complexes
0-3
0_ 5
0-6
16
(no riffiesilripples or pools = 0; well-developed = maxpoints)
i7
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0: frequent, varied habitats = maxDints
q
is
Canopy coverage over streambed
0-5
0-5
0-5
6
(no shadingvegetation = 0; continuous canopy = Inax Dints
I
Substrate emheddedness
ZEA* . ;
0-4
0-4
--�
(deeply embedded = 0; louse structure = max)
Presence of stream inv ertebrates (see page 4)
0-4
0-5
0-5
�}
0
(no evidence = 0: common. numerous types = max oints)
Presence of amphibians
0-4
0-4
0-4
0
Q
(no evidence = 0• cormnon. numerous tr es = max points
Q
77
Presence of fish
4--4
0-4
0-4
0
(no evidence 7-0: conunpn, numerous types = tnax points)
23
Evidence of vv ildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = max points)
Tntai Poinfs Possi6e =
1Q0 n
1130
10
= 7TOTAL
SCORE (also enter an first page)
* These characteristics are not assessed in coastal streams.

NC DSV Stream Identification Form Version 4,11
scme I OC)
Date:� _ (� _ � �
Project/Site: 4C P
Latitude: 35.E ? ,r ? 1273
Evaluator: Esr ur ia.(j
County: (i�.""kW4
Longitude:`78. 736xLf-106
Total Points:
Stream is at least intermittent
Stream !Determination (circle one)
hemera intermittent Perennial
Other
e.g. Quad Name: LJOAC,
if a 19 orperennial if a 30*
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal= L4.5 )
Absent
Weak
Moderate
Strang
18* Continuity of channel bed and bank j_c} ,
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri Ie- ool se uence
G
1
2
3
4. Particle size of stream substrate
4.5
1
2
3
5. Activelrellct floodplain
0
1
2
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
2
3
a.hfeadcuts
1
2
3
9. Grade control
W
0.5
1
1.5
10. Natural valley
0
fl.
1
1.5
11. Second or greater order channel
o = 0
Yes = 3
artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal = 6
12. Presence of Baseflow
1 2 3
13. iron oxidizing bacteria
1 2 3
14. Leaf litter
1 0.5 0
15. Sediment on plants or debris
0.5 1
Organic debris lines or piles
0 0.5 1
-16.
17. Soil -based evidence of high water table?
No = 0 =
C_ Binlnnv [Subtotal = s. 7S ]
18. Fibrous roots in streambed 3
1
0
19. Rooted upland plants in streambed 3
2
0
20. Macrdbenthos (note diversity and abundance) 0
1
2
3
21. Aquatic Moltusks 0
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
4.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
1
1.5
26. Wetland plants in streambed
CW = 03. OBL = 1.5
tither = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Motes:
Sketch:
LV^
t
t
PJ ,,k � P -o" t<- t 1
N

�_
`:��
,,,_�%i ,
sd��'�` � .X �.
_..,� s��... ,. rr.,
;�, �, :-
� '7 ��
;:-, a ,,
�t �:a —
', E
��y, �
t
� 1 �� �
4•

4
-
r
s
iP
y a
1
10
c �

Environmental Field Surveys
Waterbody Photo Page
w
Waterbody scmp100 facing northeast upstream on access road.
Waterbody scmp100 facing southwest downstream on access road.
Photo Sheet 3 of 4

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmpl00 facing southeast across bank on access road.
Photo Sheet 4 of 4

Omen Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
rateTbody ID:
Date:
N c e
�
O C im r' 0 0-1�
� �1(v/r f b
'State:
aunty:
Company,
rew Member Initials:
Photos:
N C
Ks
S�
Tract Number(s):
Nearest Milepost:
Associated Wetland ID(s):
Survey Type:
(.-Route
(check one) ❑Centerline ❑Access Road El Other.
Physical Attribute
Waterbody Typ e:
(cha oral tock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ other
Hydrologic Regime:
ermanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
an thatawy) M,61er line ❑Shelving ❑Wrested ❑Scouring bKter
Height; —73
on bank vegetation staining
❑Bent, matted, or missing ❑Wrack ❑Litter and tit'Abrupt plant ❑Soil characteristic change
vegetatlon line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
ft,
1 %
i
I�`5 degrees
!A❑
Qualitative Attributes . "
Water Appearance:
(check ane) 0 N water d1isar ❑Turbid ❑Sheen C)Surface ❑Algal ❑Other
on surface scUm mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble 13 Gravel Ci Sand Siltf clay ❑ Organlc ❑ Other.
(check art that apWy)
% of Substrate: % °g % °ti 10 °, %
Width of Riparian Zone:
Vegetative Layers:
(check aft that spWy) Trees: SapfingsfShrubs: Herbs
Avg. DBH of Dominants;
aaaroxl
Dominant Bank Vegetation (fist):
rv\f n{ & Al t0,, 4,MAO'Ac-el(, (e 1L7f"1tY''I ,4 i5 r04006
Aquatic Habitats (eic subrmpe�d/or enwrpetl quadcvepetaton, overnangirg lbanlWroots, leaf packs, large srdfrnerged wand, s, deeppods, etc.):
p -e Y ',Iv�i%i [c��,r i Uu 1 a t+ c s f �'�� �`r� s. �+ c �'yar, 5
Aquatic 0rganIsms Observed (list):
V,
T&E Species Observed (list):
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
N d A P ,
Waterbody is:
(check one) ❑ Natural Artiricial, man-made ❑ Manipulated
Waterbody Quality':
(chackcne) ❑ High Moderate ❑ Low
Fu m Rtv. 04.5=13

UY'r, Ma
' High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 113-1,2 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; watercolor is cloudy, submerged objects covered with greenish film; moderate odor;. minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color Is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Sketch (Include north arrow, cenlerlina distance from
data point locatkrns,
boundary, and IDs of associated
Yam Rev. U3.342013

Environmental Field Surveys
Open Waterbody Photo Page
Open Waterbody ocmr002 facing south.
Open Waterbody ocmr002 facing west.
Photo Sheet 1 of 1

LiSACE ,AID= D't4Q Site # (indicate on attached map)
SCMQ 00 4
STREAM QUALITY ASSESSMENT WORKSHEET
Prov isle the follmiing information for tate stream reach under assessment:
!.Applicant°s name: fn , n G 2. Eraluator's name:
?i, Date ofexaluation: 3 17,p 4. Time ofevaluation: qD
5. ':tme oFstretun: u!.►`'C'f5_ SWC m !►, River basin: CSP a
7. Approximate drainage area: Q • '''' ` z 8. Stream order:
9. Length of reach evaluated:_ 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N 14
Latilude (eM. 34.87:312): Longitude (ex. -77.556611):-IF2:11,Ci�
Method location determined (circle): G1'S Topo Sheet Ortho (Aerial) Photo"GIS Other GIS Other
13. Location orrrteach under evaluati ote nearby roads and landmarks and attach mafP� identrffvin stfream(s) location):
S®y� bt GOJJ ' )oro Rat Werk b -P H, -y -f ,*eld d
14. Proposed channel work (if any): 7— 8 D
I S. Recent vveat tier conditions: - c.E NT V,.Nl1V
16. Site conditions at time of visit: P'4k W 1`4 U.J t n ©- t
17. identify any special waterway classifications known: ,_—_.Section 10 Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters ^ Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the water surface area:
19. Does channel appear on USGS quad snap? YES 't`'�J 20. Does channel appear on USDA Soil Survey? YES NC1
21. Estimated watershed land use: v°o Residential _®a Commercial _% Industrial _°fo Agricultural
�] 1?59.0 f=orested °a Cleared/ Longed l0 %Other ( �n++oerI "nt? corro'da ' }
22. Bankfull width: i f 23. Hank height (from bed to top of bank):
24. Channel slope down center of stream- ,Flat (0 to 240) _Gentle (2 to 4%) _Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander Very sinuous l Braided channel
Instructions for completion of Aorksheet (located on page 2): Begirt by determining the most appropriate ecoregion based on
location. terrain, vegetation, stream classification, etc. Even characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display snore continuity, and a separate form used to ev aluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest qualit}.
Total Score (front reverse): Comments: rX4 c� ,,A to H w tm
ENalua(or's Signature � J , M Date ?13 ) 16
This channel evaluation form is intended to he used onl3 as a guide to assist landowners and environmental professionals in
gathering the data required by the United States army Corps of Engineers to make a ftreliminaro� assessment of stream
duality. The total score resulting; front the completion of this form is subject to USACE approval and does not impl% a
particular mitigation ratio or requirement. Fortit subject to change — version 06:03. To Comment. please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE
#
CHARACTERISTICS
_
SCORE
Coastal
Piedmont
Atountain
1
Presence of flow 1 persistent pools in stream
0 _ 5
0 4
0 5
(no flow or saturation = 0: strong flow = maxpoints)
2
Evidence of past human alteration
0- 6
0--- 5
0-5
Q
(extensive alteration = 0: no alteration = maxpoints)
3
Riparian zone
0- 6
0-4
0-5
(no buffer = 0; contiguous, Wide buffer = mak points)Z)
4
Evidence of nutrient or chemical discharges
0 5
0_ 4
0- 4
(extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
no discharge = 0; springs, see s, wetlands, etc. = maxpoints)
6
Presence of adjacent floodplain
0_ 4
0 -4
0
(no floodplain = 0; extensive floodplain = max oin(s)
Entrenchment 1 floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; Frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0- 6
0-4
0. 2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
o-4
0-3
0
(extensive channelization = 0: natural meander= maxpoints)
10
Sediment input
0- 5
0-4
0-4
(extensive deposition= 0, little or no sediment = inaxpoints)
I 1
Size & diversity of channel heti substrate
NA*
0-4
0 -- 5
�
fine, homo =enous = 0; large, diverse sizes = max oints
1�
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major frank failures
severe erosion= 0; no erosion stable banks =mixpoints)
0-5
0-5
0-5
14
Rout depth and density on banks
0-3
0-4
0-5
0
(no visible roots = 0; dense roots throughout = maxpoints)
15
impact by agriculture, livestock, or timber production
0-5
0-4
0 - 5
0
(substantial impact -0; no evidence = max points)
16
Presence of riffle-poollripple-pool complexes
-'�
0-5
0 - G
(no riffles/ripples les or pools = 0; well-developed = maxpoints)0
1
Habitat complexity
0 6
0-6
F.
(little or no habitat = 0; fre uent, varied habitats = maxpoints)0-6
A�
18
Canopy coverage over streambed
0-5
0-5
0-5
-,
(no shading ve etation = 0; continuous canopy = max Hints)
19
Substrate entbeddedness
HA*
o-4
0-4
dee 1 embedded = 0; loose structure' max
20
Presence of stream invertebrates (see page 4)
0 4
0-5
0 - 5
(no evidence = 0; common. numerous types = max oints)
V
71
Presence of amphibians
0-4
0- 4
0-4
C
(no evidence = 0; common, numerous types = maxpoints)
'-�Presence
Q
'77
of fish
0-4
0-4
0-4
0
(no evidence = 0: common, numerous types = max oints)
23Evidence
of wildlife use
0--6
0-5
0-5
--,
�'
(no e% idence = 0; abundant evidence = max points)
Total Points Possible
100
1.00
too
TOTAL SCORE (also enter on first paged
� a
* These characteristics are not assessed in coastal streams.

SCmtoo(
NC DWO Stream Identification Form Version 4,11
Date: 3 G
ProjectlSite: A C
Latitude: IT ki 0,11-
Evaluator: 1:7 �'
County: C,4
I
Longitude:
_ .�ftn
1
2
Total Points:
Stream is at least intermittent
Stream Determination (circle-nne)t
Ephemeral Intermittent � erennial
Other .ar+� 1
e g Quad Name: �
if? 19 or perennial if} 30•
2
3
A. Gecma holo (Subtotal = 1+ • 0
Absent
'Weak
Moderate
Strong
,a, Continuity of channel bed and tank r-)} L
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riff3e-pool, step -pool,
Tipple -pool sequence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
0
1
)
3
5. Activelrelict floodplain
0
1 j
2
3
6. Depositional bars or benches
;0j
1
2
3
7. Recent alluvial deposits
;0 }
1
2
3
8. Headcuts
i0
1
2
3
9. Grade control
0
(0-5)
1
1.5
10, Natural valley
0
J, (0.5)
1
1-5
11. Second or greater order channel
00=0 l
Yes = 3
4) U
a artificial ditches are not rated; see discussions in manual
S_ Hvrirntnav f5uhtntal = g •� 1
12. Presence of Basefiow
0 1
2 1
3
13. Iron oxidizing bacteria
0 1
2
3�
14. Leaf litter
1.5 _7U7__
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1 _ _
(1.51
17, Soil -based evidence of high water table?
No = 0
( Yes = 3
1
C_ Bloloov (Subtotal = 1 D • 0 1
18. Fibrous roots in streambed
(3)
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1)
2
3
21. Aquatic Mollusks'r
0%
2
3
22. Fish
D. }
0.5
1
1.5
23. Crayfish
0'
S
1
1.5
24. Amphibians
10
D.
1.5
25. Algae
0.5
- _ 1
1.5
26. Wetland plants In streambed
FACW = 0.75;
- BL = 1)5 Other .= 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes: " �' bi f W i'1 ale, -er- - e_L s*
err nv. t r r 4, r.1 rt
4-A
r' _ 2, Kt off-
+,0.rfFtj lwbI..1
Sketch:
ONWM
Qk � Ir �4 � ° 1 �
!Jii
4) U
I
�dA�A 7[�l fiir
�-T�Sy V'�f t
l
14
�LlwC.{�srr

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg001 facing southeast upstream.
Waterbody data point scmg001 facing northwest downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg001 facing southwest across bank.
Photo Sheet 2 of 2

I-4SAC'E 111.3''- D1L Q - Site tt (indicate on atlached map)
Scrncyo03
Q
STREAM QUALITY ASSESSMENT WORKSHEET
Prov ide the folloAing information for the stream reach under assessment:
1. Appl"rcant`s name: D �rm'r'' ` 2. Evalualor's name:5"�'r"�
3. Date of evaluation: � f � � � � 4. Time of ev aluation; Z 0
S. Name of stream: V01 4" � � rr� '^� c► 6. lkk er basin: CGP � �
7. Approsimnte drainage area: ' S. Stream order:
9. Length of reach evaluated: � � *4 1 U. County: C+t rn b e r i c,% d
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): N A
Iatitude(ex.34.87231_'): _ Walk- Longitude (ex. -77,555611): ~'+E� ?).4 I'3 _
Method location determined (circle): cipS 1 -opts Sheet Oriho (Aerial) Photo"GIS OtherGIS tither
13. Location of reach under evaluation (note nearby roads and landmarks and attach map tdentif 'ing stream(s) location):
S*vA--, e,�- GvIdrbtra RJ r (.ler4- o� Pmy-'eId Q
14. Proposed channel Avork (if any): 7- e
13. Recent weather conditions: Gry e r c aLr f , e
`Fr� 9 l't14 r-11111
16. Site conditions at time of visit: D+' 4-c 1, w t, 7k 'r4 ." J' ^9 W&A"r/ t N6 ,P k W
17. Identify any special Nkatenv°ay classifiications known: _Section 10 Nidal Waters _Essential Fisheries Habitat
,Trout Waters Outstanding resource Waters _Nutrient Sensitive Waters ,Water Supply Watershed (I-IV)
18. Is there a pend or lake located upstream of the evaluation point? YES (NC] If yes, estimate the water surface area:
19.. Does channel appear on USES quad map? YES (0 20. Does channel appear on USDA Soil Serve}" YES
21. Estimated watershed land use: ^°16 residential In Commercial % Industrial _°o Agricultural
�
CIO % Forested _° o Cleared / Logged i t1 % Other ( Po Wer I ,'., e- C o rr,r,'Jgr
22. Bankfull width: q -"^ � 23. Bank height (from bed to top of bank): Z -�+
24. Channel slope dory n center of stream: Flat (0 to 2p,11) Gentle (2 to 4%) Moderate (4 to 10%) --Steep N09x)
25. Channel sinuosity: 4Straight Occasional bends _f=requent meander Very sinuous _Braided channel
Instructions for completion of workshect (located on page 2): Begin hk determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Evm characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range sho%vn for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the %v orksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring boa and pros ide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to ev aluate each
reach. The total score assigned to a stream reach must range betvvcon 0 and 100, with a score of 100 representing a stream of the
highest quality. ii ff
Total Score (from rev erse): q Comments:' �c W 1� f'�
9 l�f ig
Eialuator's Signature + ' Date
This channel cv aluation form is intended) to lie used on1► as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and docs not iiiiply a
particular mitigation ratio or requirement. Foran subject to change — version 06 03, To Comment. please call 919-876-8441 x ?6.

STREAM QUALITY ASSESSMENT WORKSHEET
TOTAL SCORE (also enter on first page) L
* These characteristics are not assessed in coastal streams.
2
ECOREGION POINT RANGE..
SCARE
Coastal
Piedmont.. Mountain:
CHARACTERISTICS
1
Presence of flow 1 persistent Pools in stream
0 - 5
0-4 0 --i
(no flow or saturation = 0. strong now = maxpoints)
Evidence of past human alteration
o-6
0-5 0 -.5
(D
{extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4 0- 5
(no buffer = 0; contiguous, wide buffer = max pints
4
Evidence of nutrient or chemical discharges
0-5
0 -4 0-4
(extensive dischar es = 0; no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4 0--4
`~
no discharge = 0; springs, sec s, wetlands. etc. = max pints
5
Presence of adjacent floodplain
0-4
0 -4 0 _
IC
(no floodplain = 0; extensive floodplain = max points)
7
Entrenchment f floodplain access
0-5
0-4 0-2
car
(deeply entrenched = 0; fre cent flooding points)= max
S
Presence of adjacent wetlands
0-6
0-4 0 ,_ 2
(no wetlands = 0- large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4 0-3
D
(extensive channeiization = 0; natural meander= maxpoints)
10
Sediment input
0-5
0-4 0-4
0
(extensive deposition= 0; little or no sediment = maxpoints)
;.
11
Size & diversity of channel bed substrate
* N�
0- 4 p- 5
1,l I, a
fine, homogenous = 0; large, diverse sizes = maxpoints)
--
1
Evidence of channel incision or widening
0-- ;
0-4 0-5
�
(dee 1v incised = 0; stable bed & banks = max Dints)
13
Presence of major bank failures
0-5
0 - 5 0 - 5
0
severe erosion = 0; no erasion, stable banks = maxpoints)4.1
r
'
14
Root depth and density on hanks
0 - 4 0-5
t
(no visible roots = 0, dense roots throughout = maxpoints)0-3
is
Impact by agriculture, livestock, or timber production
0-5
0-4 0- 5
substantial impact =0; no evidence = maxpoints)
Presence of riffle-pool/ripple-pool complexes
0 .,. 3
0 - 5 0- 6
16
(no ri es/ripplcs or pools = 0; well-developed = maxipoints)
17
Habitat complexity
0-6
0--6 0-6
H
little or no habitat = 0; frequent, varied habitats = max oints
�A
1 h
Canopy coverage over streambed
0 _ 5
0 -5 0-5
= !
ve ation = 0; continuous canopy = max points)
(no shadinget
19
Substrate embeddedness
NA*
0-4 0-4
IV A
(deeply embedded = 0, loose structure = max)
20
Presence orstream invertebrates (see page 4)
0 ._ 4
0-5 0-5
J
(no evidence = 0; common, numerous types = maxpoints)
21
Presence of amphibians
0-4
0-4 0-4
j
C7
(no evidence = 0; common, numerous es = max dints
p
22
Presence of fish
0-4
0-4 0-4
0
no evidence = 0: common, numerous es = max oints)
Evidence of wildlife use
0- 6
0- 5 0 v 5
Lt
�3
(no evidence = 0. abundant evidence = max points)
Total Points Possible
100
100 100
TOTAL SCORE (also enter on first page) L
* These characteristics are not assessed in coastal streams.
2

N(' IIwo Strrhni identifieatinn Forni Version 4.11 scyn q,DO3
Date: 9r3f f
Project/Site: C P
Latitude: jna
Evaluator: CST, tf , 5r,., r 41h
County: (:wMDpr I ¢ � �
Longitude; -
Total Points.
stream is at feast intermittent 2
Stream Determination (circa a)
tPerennia
Other
3
Ephemeral Intermitten
e g Quad Name:
if ?t 19 or perennial if z 3!l'
2
3
A. Georno holo (Subtotal = )
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank /`V
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
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
CO)1
No = 0
2
3
G. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
1
2
3
S. Headcuts
Cad
1
2
3
9. Grade control
0
(0.5)
1
1.5
10. Natural valley
(0)
0.5
1
1.5
11. Second or greater order channel
No =;0
Yes =
artificial ditches are not rated; see discussions In manual
R Hurfrnlnny Ifiiihtntal = 0.5 1
12. Presence of Baseflow
0
1
2
3
13. Iron oxidizing bacteria
C 0
1
2
3
14. Leaf litter
1.5
° 1
0.5
0
15. Sediment on plants or debris
l}
0.5
1
1.5
16. Organic debris lines or piles
0
0.5
1
1.5
17. Soil -based evidence of high water table?
0
No = 0
Yes MO)
1.5
r` RininMITMMMI = f 0 • S 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)
0
1
2
3
21. Aquatic Mollusks
0
1
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0.5
1
1.5
26. Wetland plants In streambed
FACW = 0.75; OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 4r_l, b w
bajeA
va rr-r r
Sketch:
O H W1" ,r
golf)
S pd
N

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg003 facing southwest across bank.
Photo Sheet 2 of 2

LiSAC E AID# Dia Q M Site (indicate on attached map)
5crnsooz
M-11 --MW
STREAM QUALITY ASSESSMENT WORKSHEET Afflhm
Provide the following inrormation for the stream reach under assessment:
1. Applicant's name: Do m;m ' orf
2. Evaluator's name: G — +
3. Dole ofeNaluation: FJ 3 //+.
4. Time of evaluation: f 2 3 0
5. Name of stream: -ba,3,, �erx S'ViO.M "
6. Rixer basin: c cwp e F"e a -r
7. Approximate drainage area: 0. Z tn'. Z
S. Stream order: 1
9. Length of reach evaluated: 1500 -IP4
10. County: C Lx rn
11. Site coordinates (if known): prefer in decimal degrees.
12. Subdivision name (if any): N'4
Latitude (ex.34.872312): l sa,
Longitude (ev-77136611): — :37R a _.
Method location determined (circle): Q Topo Sheet Ortho
(aerial) Photo"GIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
57oJ' Gd1rsbaro RJ, W r- c:�-11�•y-P4'elob Rd
14. Proposed channel work (if any): 'r 62
1;. Recent weather conditions: P e c P- r,+ Rte. '^
16. Site conditions at time of visit: _V4,J, w
17. ldentify any special waterway classifications known: ,_Section
10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters ,Outstanding Resource Waters �Nutrient
Sensitive Walers —Water Supply Watershed (I-IV)
IS. Is there a pond or lake located upstream of the evaluation
point? YES (9 1fyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 10
20. Does channel appear on USDA Soil Survey? YES t NC
21. Estimated watershed land use: _°'a Residential
_% Commercial 0r4 Industrial !°,o Agricultural
90 114 forested
No Cleared I Logged fS % Other ( Pow e-, I �'^e Car
22. Bankfull width: 15
23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: KFlat (0 to 2%)
_Gentle (2 to 4%) ____Moderate (4 to 10%) „Steep (>IMai )
25. Channel sinuosity: Straight Occasional bends _,Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on nage 2): Begin by determining the must appropriate ecoregion based on
location. terrain, vecetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic v+ithiu the range shown for the ecoregion. Page 3 proxides a brier description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious chances in the character of a stream under review (e.g., the stream flows from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assiuned to a stream reach must range between 0 and 100, w itlti n score; of 100 representing a stream of the
highest quality .
Total scare (from rc►ersc), Comments
-3;4c� v ;014W(r\
E4aluator's Signature J�j _ Date r
This channel cvaluation form is intend used only as a guide to assist lando►vners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary, assessment of stream
qualily. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change- � ersion 0603.. To Comment. please call 919-876-8441 x26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION.P®INT
RANGE,
4
CHARACTERISTICS
SCORE
Coastal
Piedmontlliountstin
I
Presence of flow 1 persistent pools in stream
0-5
0 - 4
0 _ 5
(no flow car saturation = 0• strop flow = max points)
?
Evidence of past human Alteration
o-6
0-5
0 - 5
Q
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
o-4
0-5
O
(no buffer = 0; contiguous, wide buffer = maxpoints)
4
' Evidence of nutrient or chemical discharges
0-5
0 ¢ 4
04
3
(extensive discharges = 0; no discharges = max rots
5
Groundwaterdischarge
0_3
0-4
0-4
2
(no dischar =e = 0; s rin =s seeps, wetlands, etc. = maxpoints)
(no
-
Presence of adjacent floodplain
0-4
0-2
-0_q
2
(no floodplain = 0; extensive floodplain = max Dints
Entrenchment f floodplain access
0-5
0 -4
0-2
(deet entrenched = 0; frequent flooding = maxpoints)
8
Presence of adjacent wetlands
0-6
0-4
0-2
�
(no wetlands = 0; large adjacent wetlands = maxpoints)
g
Channel sinuosity
0-5
0-4
0-3
Q
extensive ehannelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0. little or no sediment = maxpoints)
I I
Size & diversity of channel bed substrate
NA*
0 - 4
0 5
NA
(fine, homo 7enous = 0; large, diverse sizes = max pints)
12
Evidence of channel incision or widening
0-5
0-4
0- 5
2
(deeply incised = 0; stable bed & banks = maxpoints)
-
�-1
I
Presence of major bank failures
(severe erosion = 0; no erosion, stable banks = maxpoints)
0-5
0_5
0-5
14
Root depth and density on banks
0-3
(}_4
0-5
(no visible roots = 0; dense roots throe hoot = maxpoints)
15
Impact by agriculture, livestock, or timber production
0-5
0 - 4
0_ 5
Q
(substantial impact =0; no evidence = maxpoints)
1 ti
Presence of riffle-pool/ripple-pool complexes
0-3
0-S
0-6
0
(no riffles/ri les or Dols = 0; well-developed= max pints)
Q
17
Habitat complexity
0-6
0 -ti
0-6
E
(little or no habitat = 0; frequent, varied habitats = maxpoints)
M
18
Canopy coverage over streambed
0-5
0T5
0-5
(no shading vegetation = 0; continuous -canopy = mixpoints)
19
Substrate embeddedness
N.�A*
0-4
Q_4A
(deeply embedded = 0, loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
,t
(no evidence = 0; common. numerous es = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
1
C
(no evidence= 0; common, numerous es = max pints
Presence offish
0-4
0-4
0--4
j
no evidence = 0: common, numerous types = maxpoints)
23
Evidence of ►t ildlife use
0 _ G
0-5
0--5
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
t{iQ
100
100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC DXV0 Strenm Identification Fornil Version 4.11
Scrn c� 0 © Z
[late: 13 /J6
Project/Site: P
Latitude:
Evaluator: � - �M ; �,
County: Cum Ler 1 o_ m d
Longitude:
Total Points:_
Stream Determination (c!rs one
Other SW M.'J
Stream is at least intermittent
' �
Ephemeral intermftten Perennla
e g Quad Name:
if 19 ar erennial if 30*
2
3
A. Georno holo (Subtotal =.f- -0)
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank AIA
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
n
LTJ
1
7
3
4. Particle size of stream substrate
0
1
2
1.5
5. Activelrellct floodplain
0
0.5
2
3
6. Depositional bars or benches
0
i
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
0
0.5
6M
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No
Yes = 3
e artificial ditches are not rated; see discussions In manual
R Hurf rnlnnrr f Ai ihtntni = Ci. E 7
12. Presence of Baseflaw
0 1
2
1
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1.5 X17
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
_ 1.5
17. Sol] -based evidence of high water table?
No = 0
0.5
Yea = 3
C Bloloriv ISubtotal = f i
1 B. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthas (note diversity and abundance)
0
2
3
21. Aquatic Mollusks
2
3
22. Fish
0
0.5
1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1.5
25, Algae
0.5
1
1.5
26. Wetland plants In streambed
FACW = 0.75, OBL-1,1.0 Other = 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes:'pht ,I O"WM kr,,,,+A 41,
6M
t:i�cc ni /1n�cr�I�[�dt as cu+A
s
S 00 y
N

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg002 facing north upstream.
Waterbody data point scmg002 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg002 facing southwest across bank.
Photo Sheet 2 of 2

I S,kCF AID='
Doti Site _ i indicate oil attached inap)
SG" OQ Y
STREAM QUALITY ASSESSMENT WORKSHEET
Prue ide the follmi ing information for the stream reach under assessment:
1. Applicant's name: Do rrr i f4 o n 2. Evaluator's name:
3. Date of evaluation: 2/3 A& 4. Time of evaluation: 12- C) 0
5. Name of stream. f 'T rLk[r f . +awl 6. Riverbasin: Cexioe F -ea. r-
7. Approximate drainage area; 0 , z M t 1 8. Stream order: 1
9. Length of reach evaluated: /s-0 -F4 10. County: C th Y'P
11. Site coordinates (ifknown): prefer in decimal degrees. 12. Subdivision name (if tiny). A/A
Latitude (ea. 34 872312): 26, Longitude (er. -77 556611):
Method location dcterrnined (circle): Cil'' 'opo Sheet Ortho (Aerial) Photo/GIS Other GIS (hlticr
13. Local ion of reach tinder evaluation (note nearby roads and landmarks and attach map identify instreanl(s) location):
lap r to ( 1 w r+ 0 � 14 cx .� -�,' 9
14. Proposed channel work (if any): 7-81
15. Recent vv Bather conditions: IQ @ L #-►*4 R0..04^
16. Site conditions at time of
) i 4-r.�, wi4k S4&,,d:,c, wm-4-cr, No+ Io
17. Identify any special vvatervvav classifications known: Section 10 Tidal Waters _Essential Fisheries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters �'t'1'ater Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES dD If yes, estimate the water surface area:
19. Does channel appear on USGS quad map:' YES 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: _°,6 Residential _°b Commercial _°+b Industrial ^°'u Agricultural
c� 90 % Forested _% Cleared i Logged � � as Other ( P92� Cri i 'It
22. Bankfull width: ` -F + 23. Bank height (from bed to top of hank): 9 -Pt
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 40,6) _Moderate (4 to 10"b) _Steep (> IV
Zi. Channel sinuosity: Straight Occasional bends _Frequent meander !Very sinuous iBraided channel
Instructions for completion of workskeet (located on page 2): Begin by deterinining tite most appropriate ecoregion based on
location. terrain, vegetation, stream classification, etc. Every characteristic must be scored rising the same ecoregion. Assign points
to each characteristic vv ithin the range shmv'n for the ecoregion. Page 3 provides a brief description of hove to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or v%eatlier conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream tiovv s from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to ev alunte each
reach. The total score assigned to a stream reach must range between 0 and 100, 1Nith a score of 100 representing a stream of the
highest quality. 1
Total Score (front reverse): Comments:
Evaluator's Signature �'t 1;; � Date 'T /3/1-6
This channel evaluation farm is intended to be used nnfy as a guide to assist landmi hers and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
qualit%. The total score resulting frons the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foran subject to change - version 06 03. To Comment. please call 414-876-8.1-1 l x ?6.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE,
4
CHARACTERNTICS
Coastal
Piedmont
Mountain,SCORE
Presence of now / persistent pools in stream
0 -
0-4
() _ 5
(no flow or saturation = 0: strong flow = maxpoints)
Evidence of past human alteration
0_6
0-5
0 - 5
[)
(extensive alteration = 0; no alteration = maxpoints)
3
Riparian zone
0-6
0-4
U -5
2
(no buffer = 0; contiguous, wide buffer = max points)
4
Evidencc of nutrient or chemical discharges
0-5
0-4
0-4
�?
(extensive discharges = 0; no discharges = max oints
5
Groundwater discharge
0_3
0-4
0-4
no discharge = 0; springs, see s, wetlands etc.= max oints
Presence of adjacent floodplain
0---4
0-4
0-2
Q
(no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment ! floodplain access
0-5
0-4
0-2
.
0
(deeply entrenched = 0; frequent flooding = max points)
8
Presence of adjacent wetlands
0-6
0 -4
0 _. 2
(no wetlands = 0- lar a adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0- 3
extensive channelization = 0; natural meander = max oints)
10
Sediment input
0-5
0--4
0-4
extensive deposition= 0; Iittle or no sediment = maxpoints)
Z 1
Size & diversity of channel bed substrate
NA*
0-4
0 - 5
P/f1
(fine, homogenous = 0; lar e, diverse sizes = maxpoints)
17
Evidence of channel incision or widening
0 - 5
0-4
0 - 5
1"?
(deeply incised = 0; stable bed & banks = maxpoints)
i3
Presence of major bank failures
0 _ 5
0-5
0-5
severe erosion = 0; no erosion, stable banks = maxpoints)
l4
!;loot depth and density on banks
0-3
0_4
0-5
�
(no visible roots = 0: dense roots throughout = maxpoints)
IS
Impact by agriculture, livestock, or timber production
0-5
0 - 4
0-5
(substantial impact =[l; no evidence = max points)
16
Presence of riffle-poolfripple-pool complexes
0-3
0-5
0-6
Q
(no riffles/ripples or pools = 0, well-developed = makpoints)
17
Habitat complexity
0-6
0-{
0-6
F(little
or no habitat = 0; frequent, varied habitats = maxpoints)
0.
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
1
Substrate embeddeduess
NA*
0-4
0-4
Al tQ
(deeply embedded = 0; Ioose structure = max)
20
Presence of stream invertebrates (see page 4)
0 5
0-5
(no evidence _ 0; common. numerous types = maxpoints)0-4
C�
�l
Presence of amphibians
U-4
Q-4
0-4
�
D
(no evidence = 0; common, numerous types = maxpoints)
[j
77
Presence of fish
0-4
0-4
0-4
Q
(no evidenc1 e = 0; common, numerous types = max aints)
73
Evidf wildlife use
Evidence o
0-6
0 -5
0_.5
�
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCONE (also enter art. first page)
'
* These characteristics are not assessed in coastal streams.

S Cmc. 007
NC DWO Stream Identification Form Version 4.11
Date: 01-7//4
Project}51te: oqc P
Latitude: f
Evaluator: iM k -c S f k
County: +.+mer
Longitude: -
Total Points:
Stream is at least intermittent 23.5
Stream Determinatlon c'
Ephemeral Intermltte t erennial
Other
e g Quad Name:
if z 19 or perennial if Z 30*
2. Sinuosity of channel along thalweg
CD
A. Geomorphology SSubtotal = L
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank MA
0
1
2
3
2. Sinuosity of channel along thalweg
CD
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
0
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
B. Depositional bars or benches
CO)1
0.5
2
3
7. Recent alluvial deposits
CO)
1
2
3
S. Headcuts
0
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
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_ Hvdroloov [Subtotal = 9.5- )
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
0.5
1
1.5
15. Organic debris lines or piles
0
0.5
1 1
1.5
17. Soll-based evidence of high water table?
0
No = 0
Yes = 3
1.5
C. Bioloav (Subtotal= / is - 0 )
1$. Fibrous roots in streambed
Q
2
1
0
19. Rooted upland plants In streambed
2
1
0
20. Macrobenthos mote diversity and abundance)
0
CID
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0
03
1'}
1.5
24. Amphibians
0
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; 013L = 1.53 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:do LvIO"w1i, jeiwkrn,,
d
Sketch
©NWm
8,41 41 k
n�ce5x rir,� a
w01.1oDI

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg004 facing east upstream.
Waterbody data point scmg004 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmg004 facing southwest across bank.
Photo Sheet 2 of 2

USACE AID# DWQ # Site # ( indicate on attached map)
S ,MP 058
�� STREAM QLIALITI' ASSESSMENT 1`QRICSHCCT AQP
Prov ide the following information for the stream reach under assessment:
1. Applicant's name: torsini or - 2. E%aluator's name. E . 1]0, hc-
3. Dateofcvnluation: 4. Time ofnaluition: I1,30 an,
5. Narne of stream. WT :b IBI-, Crcc.k 6. Rh er basin: C Few -
7. approximate drainage area: 2) ac res S. Stream order:
9. Length of reach evaluated: 2 S 4 10. County:
11. Site coordinates (if known): prefer in decimal degrees. 1.2. Subdivision name (if any): r'1Dne-
Latitude (ex. 34,)172312): 35. 105 7 �2- Longitude (ex. 77-556611): 78.729555
Method location determined (circle): � Topo Sheet Ortho (Aerial) Photn'G1S Other CAIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): PI -De eA PZ R91 roc
lS. Recent weather conditions: Cak rn � OaLdy
I b. Site conditions at time of visit: 6+ across4 SE ++c
17. ldcntify, any special waterway classifications known: _Section 10 Tidal Waters !Essential Fisheries Habitat
_Trout Waters !Outstanding Resource Waters _Nutrient Sensitive Waters _Water Supply Watershed _I I-IV)
18.15 there a pond or lake located upstream of the evaluation point? YES QDlf yes, estimate the water surface area:
I9. Does channel appear on USGS quad map? &NO 20. Does channel appear on USDA Soil Survey? YESNO
2l. Estimated watershed land use: �% Residential �o n Commercial °a Industrial °'o Agricultural
L° Forested IG o-6 Cleared / Lagged —% Other ( )
22. Bank -full ividth: ICS F+ 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: Vlat (0 to 2%) )Gentle (2 to 4%) _Moderate (-1 to 10%) _Steep (>I 01 5)
25. Channel sinuosity: _ZStraight Occasional bends _Frequent meander Very sinuous ^Braided channel
Instructions for completion or►►orksheet (located on page 2): Begin by detertninins the roost appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic %N ithin the range shown for the ecoregion. Passe 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flm► s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, N%ith a score of 100 representing a stream of the
highest duality.
Total Score Ifrom r-e%erse): {j Cua►ntents:
Evaluator's Signature yf a Date_ 6-/,7-1(,-
This
"f7- 1t, -This channel evaluation form is intended to' he used only as a guide to assist landor►ners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Forth subject to chance -- ►ersion 06.03. To Comment, please call 919-876-8441 x 26.

STREAM (QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams,
ECOREG ION POINT
RANGE.
CHARACTERISTICS
SCORE
Coastal
Pied tnaatt
11lountsain.
Presence of flow 1 persistent pools in stream
0_5
fl 4
0 - j
l
(no flow or saturation = 0; strong flow = maxpoints)
�
2
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0; no alteration = max oints)
3
Riparian zone
0-6
o-4
0-5
(no buffer = 0; contiguous. wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
0 -4
0 4
(extensive dischar es = fl; no dischar es =max Dints)
--]
5
Groundwater discharge
0-3
0--4
0-4
3
(no discharge = 0, springs, see s. %Netlands, etc. = maxpoints)
Presence of adjacent floodplain
0-4
0-4
0-2
(no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment 1 floodplain access
0-5
0-4
0-2
0
(deeply entrenched = 0; fre uent flooding = maxpoints)
8
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = max aunts)
9
Channel sinuosity
0-5
0-4
0-3
0
extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = maxpoints)_
i l
Size & diversity of channel bed substrate
��*
0 - #
0-5
fine, homogenous =0; lar =e, diverse sizes = max points)
1
Evidence of channel incision or widening
0 _ 5
0-4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
J
severe erosion = 0• no erosion, stable banks = max oints
14
Root depth and density on banks
0-3
0-4
0-5
(no visible roots = 0; dense roots throughout � maxpoints)
-
15
impact by agriculture, livestock, or timber production
0-5
0 -4
0-5
(substantial impact =0; no evidence = maxpoints)
-
16
Presence orrifnL-poolfripple-pool complexes
0 -3
0-5
0-6
(-)
(no riffles/ripples or pools = 0• well-developed = maxpoints)
dHabitat
1
complexity
o-6
0-6
0-6
1
(little or no habitat = 0; frequent, varied habitats = maxpoints)
Rl
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream Invertebrates (see page 4)
0-4
0_5
0-5
(no evidence = 0; common. numerous types = maxpoints)
I
21
Presence of amphibians
0-4
0--4
0-4
O
(no evidence = 0; common, numerous types = maxpoints)
-r-)
Presence of fish
0-4
0-4
0-4
no evidence = 0; common, numerous types = maxpoints)
�3
Evidence orwildlife use
0 -6
0 -5
0-5
?
(no c% idence = 0; abundant evidence = maxpoints)
Total Points Passible
100
100
100
TOTAL SCORE (also enteron first page)
�f
* These characteristics are not assessed in coastal streams,

NC UWO Stream Identification Form Version 4.11
Date: �r 4 (s
Project/Site., A-
Latitude: ❑ 7 `
Evaluator: T ,,� 111(1 clhn-
County: { a Y l YJCr l G n Cl
Longitude' 72 721 Q S
Total Paints:
Stream is at feast intermittent
Stream Determination (clrcl a)
Ephemeral lntermitten erennla
Other e4,3ri
e.g. Quad Name:
if a 19 or erenniaf if a 30*
2. Sinuosity of channel along thalweg
0
A. Geomorphology ( Subtotal = -3 y
Absent
Weak
Moderate
Strong
18 Continuity of channel bed and bank �'.
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
�
1
2
3
4. Particle size of stream substrate
0
Q
2
3
5. Activefrelict floodplain
0
1.5
2
3
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
4
1
2
3
B. Headcuts
rtre r.
1
2
3
9. Grade control
0
0.5
1
1.5
10. Natural valley
M
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
s artificial ditches are not rated; see discussions in manual
B. Hvdrolagv (Subtotal = ]
12. Presence of Baseflow
0 1 2
3
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1. 1 0.5
0
15. Sediment on plants or debris
CCP 0.5 1
1,5
16. Organic debris lines or piles
0 1
1.5
17. Soil -based evidence of high water table?
No = 0 Yes = 3
0.5
C_ Bioloav (Subtotal = (X 3
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed (3T
2
1
0
20. Macrobenthos (note diversity and abundance) 0
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae 0
0.5
1)
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL = 1.5LOther = 0
`perennial streams may also be identified using other methods. See 35 of manual.
fp.
Notes. QGTC�M.n/ra� "--J /Cr r1'l flr a4ItL
rtre r.
MSCrr�r d2.6S
�'F-�
n r- J r i r;.M r+ e. t e( I n i Goin. �L r I ". C_ 1 -_(t_ r at4� d 'c_r tf i -^r - r a"- A
Sketch.
q
InCLq
a
ri
Of{ul"1 U � f, . &I
f�C.hk W,A& ' (0174

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point semp058 facing west upstream.
' ��• `, f. � tet,
_,• Mfr 'q
•�. , 1 �a.. 1„ fir. it
Waterbody data point scmp058 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmp058 facing south across.
Photo Sheet 2 of 2

Onen Waterbadv Data Sheet
Survey Description
Project Name:
C
Waterbody Name:
aterbody IU:
C)cm oo
Date:
7z� !
PC
QtJf��mE� i
e
i
State:
County
Company:
rew Member Initials:
Photos.
�•��
C "AIA.4 aflA-1J:
�5
L a f i.T
tjwl 0,1 N
Tract Number[sj:
Nearest Milepost:
lAssociated Wellanyd� ID(s):
B-5-'
'
Survey Type:
(check one) ❑Centerline EKe-Route ❑Access Road ❑Other.
Physical Attributes
Waterbody Type: /�
(check onL) L3Stock Pond ❑ Natural Pond ❑ take 0 Reservoir ❑ Impoundment ❑ Oxbow ❑ Other.
Hydrologic Regime: I--
ErPermanently Flooded ❑ Semipermanently Flooded 0 Seasonally Flooded ❑ Temporarily Flooded
OHWM
(chock
OHWM Indicator: ad
a# thateppry) i�dearline ❑Shelving ❑Wrested El Scouring Waater
Height: �S
on bank vegetation staining
it • ft.
w �a+re lelra4C-1- lie"(
@Sent, matted, or missing 251GraGk ❑Litter and ❑Abrupt plant []Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
L4--.
R.
degrees
NIA❑
Qualitative Attributes
Water Appearance:
(chock one) ONowater ❑Clear 0<,bld ❑Sheen ❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: 0 Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ❑ Sand 2tilticlay rganic 0 Other.
(check a# that apply)
% of Substrate: % % % % % '3 b % % %
Width of Riparian Zone:
Vegetative Layers: ��
gees: 0 Saplings/Shrubs: S-11erbs
(chock eAtharapply)
L
Avg. DSH of Dominants: l d dn. in. L in.
JA ❑
ank Vegetation (list):
Dominant B4p,
fy+Iy e
Fl-' T 4p CAa4 PICe{ rt, -f rt,I�) Fcjc c , Tr^.1.,.f e. d e I �vSU5
I
Aquatic Habitats (ex submerpedor emerged aquatic vegetaton, overhanging banksrrcots, leaf packs, largesLMfferged wood, riffles, deep poola, etc.):
Aquatic Organisms observed (list):
1' 14 Y, now
TSE Species Observed (list):
tjo')c
Disturbances (ex: INestock access, manure inwaterbody, waste discharge pipes):
(_:✓rsj;-r< cCrr_fs'
Waterbody is: �
W*ckanal '❑ Natural 2 Artificiai, man-made ❑ Manipulated
Waterbody Quality'
(check one) ❑ High 111"Wderate ❑ Low
Form oar. 04 3GIO13

High Quality: Natural, natural bank vegetation around entire weterbody; banks stable and protected by roots; water colcr Is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 113-1R of the active channel width on each side; filtering fund lon or bank vegetation
only moderately compromised; banks moderately unstable; watercolor is cloudy, submerged objects covered with greenish film; moderate adcr, minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color Is muddy and turbid; obvious pollutants (algal mats, surface scum,.
surface sheen); heavy odor; severe barriers to fish movement; Little to no aquatic habitat; severe disturbance from livestock or man.
Sketch (include north arrow, centerAne distance tram centerline, date point
<--- fJ
4
411
D
J
and IDs of associated
Farm Rev. 07.302013
f_
411
D
J
and IDs of associated
Farm Rev. 07.302013

Environmental Field Surveys
Open Waterbody Photo Page
Open Waterbody oemp009 facing north.
Open Waterbody ocmp009 facing northeast.
Photo Sheet 1 of 2

Environmental Field Surveys
Open Waterbody Photo Page
MORN
Open Waterbody octnp009 facing northwest.
Photo Sheet 2 of 2

r)npn Watprhndv Data Sheet
Surrey Description
Project Name:
Waterbady Name:
aterbody ID:
Date:
ACIP
j��nr1
r7C1�r}r {Cll
lfcc,/ICo
State:
ounty:
Company:[-
Crew Membetr Initials:
Photos:
p4 1
C
jj
CLk rA)oey ld N�
c � �
{CQ M t �^� �
j
S , "�
Tract Number(s):
Nearest Milepost:
sociated Wetland ID(s):
-"-2-n$5-AD53
IL4i- Lf
WCen� 005
Survey Type:
(wreck one) ❑Centettine �I(Re-Route ❑Access Road ❑Other:
Physical Attributes
Waterbody T yp
(Check one) Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other
Hydrologic Reglme:
tPermanentty Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
(check
OHWM Indicator:
all Maleppvy) 0Clearline ❑Shelving '❑Wrested ❑scouring ❑Water
Height: l )t
on bank vegetation staining
Q5ent, matted, or missing ❑Wrack ❑Litter and ❑Abrupt plant 0Soil characteristic change
vegetation line debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
3 ft
+ 1 tt.
60 degrees
Qualitative Attributes
Water Appearance:
(check one) 13 No waterClear DTurbid ❑Sheen ❑surface []Algal ❑other.
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ❑ Sand ❑ Slltf clay ❑ Organic ❑ Other
(check all that apply) }
9)(% 4 0
% of Substrate: % % 9fi °�6 % %
Width of Riparian Zone:
Vegetative Layers:
❑ 'i(Herbs
>
(rheckatthatapply) Trees: ❑ 5aplings[Shrubs:
Avg. DBH of Dominants: In. in, )�4N in.
fA❑
epprox)
Dominant Bank Vegetation (list):
f 1
pp �•irJC�� [7wl
rl C15i�VS jp P 4�Uf Gvp u5,
Aquatic Halb itats (ac srdsrrerped or a me rged aquatic vegeWton, overhanging bankslroots, leaf ,packs, large 3ubmerped wood, riMes, deep pods, etc.]:
WVO -dje, d4't'i?cv CO -t' --V' , GJOUr47 c�ebr'5
Aquatic Organisms Observed (list):
L-6vr,erfnaufh i- ,155 0164jCD11 f�t°s, 44P e1 e"T/ JO1r,�P X11
T&E Species Observed (list):
C
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
lV� Pwe-llinel ADW
Waterbody is:
(check one) 0 Natural Artificial, man-made ❑ Manipulated
Waterbody Quality':
(check ane) ❑ High 13.Moderate ❑ Low
Fom Rev. 04'302013

pe,m r Ua l
High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 113-112 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 113 or the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color Is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
S ketch
north arrow, cenferllns distance from
S
aIL
� ~K
�L \AL
gLv�1X bbl �
� 1
R
CL
data point locatkons, survey boundary, and IDs of associated
rano Rev. 04:301:013

Environmental Field Surveys
Open Waterbody Photo Page
Open waterbody data point ocmr001 facing south.
Open waterbody data point ocmr001 facing west.
Photo Sheet 1 of 1

Open Waterbody Data Sheet
Survey Description
Project Name:
Waterbody Name:
Waterbody ID:
Date:
Atlantic Coast Pipeline
Unnamed pond
Ocme020
/7/2016
State:
County:
Company:
Crew Member Initials:
Photos:
North Carolina
Cumberland
NRG
CG, SH
1-3
Tract Number(s):
Nearest Milepost:
ociated Wetland ID(s):
Contractor yard 10 primary
NA
�none
Survey Type:
(check one) ❑Centerline ❑Re -Route ❑Access Road ®other: Contractor yard
Physical Attributes
Waterbody Type:
(check one) ❑x Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑
Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
❑ Permanently Flooded O Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
OHWM Indicator:
(check
all that apply) ❑ Clear line
❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank
vegetation staining
2 ft.
El Bent, matted, or missing []Wrack
El Litter and ❑Abrupt plant El Soil characteristic change
vegetation line
debris community change
Depth of Water:
Bank height (average):
Bank slope (average):
1 ft.
2 ft.
60 degrees
N/A❑
Qualitative Attributes
Water Appearance:
(check one) El No water ❑Clear ©Turbid ❑Sheen
❑Surface ❑Algal ❑Other:
on surface scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel
0 Sand 0 Silt/ clay ❑ Organic ❑ Other:
(check all that apply)
% of Substrate: % % % %
90 % 10 % % %
Width of Riparian Zone:
Vegetative Layers:
(check all that apply) ❑ Trees:
❑ Saplings/Shrubs: N Herbs
ft.
Avg. DBH of Dominants: in.
in.
N/A❑x
(approx.)
Dominant Bank Vegetation (list):
Lamp rush, dog fennel
Aquatic Habitats (ex: submerged or emerged aquatic vegetation, overhanging banks/roots, leaf packs, large submerged wood, riffles, deep pools, etc.):
none
Aquatic Organisms Observed (list):
Insects, tadpoles
T&E Species Observed (list):
none
Disturbances (ex: livestock access, manure in waterbody, waste discharge pipes):
Ag runoff, road runoff, no outlet
Waterbody is:
(check one) ❑ Natural N Artificial, man-made
❑ Manipulated
Waterbody Quality a:
(check one) ❑ High ❑ Moderate
N Low
Form Rev. 07/09/2014

Form Rev. 07/09/2014
Waterbody ID:
Ocme020
a High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; water color is clear to tea-colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip-rap; natural vegetation extends 1/3-1/2 of the active channel width on each side; filtering function or bank
vegetation only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film;
moderate odor; minor barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 1/3 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (Include north arrow, centerline, distance from centerline, data point locations, ary, and IDs of associated features)
,b
�V �W
SOON
D C�-
N
NONNI
CO
t�
Form Rev. 07/09/2014

j 5� ra
� ��� , � A •' 8, 7, 'I �L .
Open waterbody ocme020 facing south
Open waterbody ocme020 facing north
Y.i.
A
j 5� ra
� ��� , � A •' 8, 7, 'I �L .
Open waterbody ocme020 facing south
Open waterbody ocme020 facing north

Open waterbody ocme020 facing west

t.:SACE : JDI - D11 i 1 Site = itndltate nn aitached ni:ipl
SC mr 005-
MI
STREAM] QUALITV ASSESSAIENT NVORKSHEET —AQ#
Pro%ide the foiloMng information for the stream reach under assessment:
1. Applicant's name: in t 4Jn '. Ei aluator's name:,f 91' i-<.MA€QI�fC,!]t1CAePk1(e
3. 13ate of e►aluation: 5 l 4. Time of e`altiadoii: 1-2,: 66 P�
�. Name ofstreain:tANT y �G��. C(ecK. 6. Rherbasin: CC�Ck �6'
7. ,Approximate drainage area: -3U ac,(e S. Stream order: 0
9. Length of reach e% aluaied: 5o ft Iii. Count;: Cc. C"V.) e..tOa
nck
1. Site coordinates (if known): lirefer in decimal degrees. 12. Subdivision name (if any): N1 P
—�g 7 37 2
latitude fea.3a.Y7 .31-11: �15 . _ l ongitttdelex.-77.5565] t};
Aiethod location deleniiined (circle): iPS Collo Sheet Onho (Aerial) Photo.'GiS Other GIS Other
13. Location of reach under evaluation (note nearby reads and landmarks and attach map identiRing stream(s) location):
LocaAe6 (W&C+(n of NL' 911 '\n CrJ(t' ECVi&20 CQ. N C-
14. Proposed channel work (if any);
15. 11ecent weather conditions;-(f1l1r'1
16. Site Conditions at time ofvisit:
17. Identify any special waterway classifications knotian: Section 10 Tidal WatersEssential Fisheries Habitat
Trout Waters Outstanding Resource Waters Nutrient Sensitive Waters �1'�'ater Supply Watershed (I -1V)
IS. Is there a pond or lake located upstream of the evaluation point"? YES j1g--:4fyes, estimate the water surface area:
19. Does channel appear on USGS quad map? YESNO 20. Does channel appear on USDA Soil Surrey? YES 0
31. Estimated watershed land use: % Residential °'o Commercial Ta Industrial x'10 Agricultural
o Forested 96 Cleared 1 Logged Tb Other ( )
7pcAn�
3 �, ankful �vtd ; c "� 23. B k hei=__*ht (froth bed to top of bank):
2.1. Channel slope down c7,1�—
l'"stream: Flat (U to 390) ._ r�e (? to 44b) �hloderate (4 to 14° 0) —Steep (> l (1° o)
25. Channel 5inuosih; ti�ht Occasional bends Frequent meanderVery sinuous Braided channel
Instructions for completion of morksheet (located( on page 2): Begin by detennininu the most appropriate ecurrgion based on
location. terrain, vegetation, stream classification, etc. Exert characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the ranee shotin for the ecoregion. Page 3 provides a brief description of how to review the
A characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under et aluation. If a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring box and provide an explanation in the
comi„ent section. Where there are obvious changes in the character of a stream under re,iew (e.g.. the stream tlm%s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate form used to er aluate each
reach. The total score assiagned to a strum reach must range between 0 and 100. x illia score of 100 representing a stream of the
highest quality
Total Score (front reverse). Comments: t-1
Evaluator's Si¢nature late �` '
This channel evaluation form, is Intended to lie us(d onlr as a guide to assist landowners and en, ironmental professionals in
gatliering the data required by the United States Arm3 Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from, the completion of this form Is subject to USACE, approval and does not imply a
particular mitigation ratio or requirement. For(-, suit -jest ic, chamg - %ersiori CI `1 Ct_ . To Co ttmenn. plebe) call � 0-9 7 b -S I I -% 26.

Scr41r5
STREAM [QUALITY ASSESSMENT NVORKSHEET
C11 -A.
1 i:+RIS 1 iCr,7
�Ci�astal'
`in.
�riC
f h
I'iec�tnorit4ib
n r^
Presence of flow I persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0: strong flow = maxpoints)
Et idence of past buntau alteration
0-6
0— 5
0-5
2
(extensh a alteration = 0. no alteration = maxpoints)
F
3
Riparian zone
0-6
0-4
0- 5
(no buffer= 0; contiguous. wide buffer = may oints)
Evidcncc of nz trient or chefit cal discharges
0—S
4-4
U-4
4
(e.-densive dischar es - �; no dischames = tnaxt oints)
-,
5
Groundwater discharge -
0-3
0-4
0-4
(no discltar e 0 s ria s see s 4� etlands etc = max pints
G
�Presence ofadjarent%floodplain
0-4
0-4
0-2
(no flood lain = 0; extensive hood Iain = max oints
Entrencbment I floodplain 'access
0-5
0-4
0-2 l
(deeply entrenched = 0' frequent flooding = max pints)j
.
S
Presence of adjacent wetlands
0-6
0-4
d--2
(no wetlands = 0- large adjacent wetlands = max oints)
Channel sinuosity
0-5
0-4
0-3
(extensive channelizzation = 0• natural meander = max flints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition-- 0; little or no sediment = maxpoints)
11
Sire & diversity of channel bed snfistrafc
y
NA*
0-4
0-5
hvinogenous = 0 lar e, diverse sizes .maxpoints)
Evidence of channel incision or widening
0-5
0-4
0-5
12.
(deeply incised = 4; stable bed &r. banks = maxpoints)
Presence of major bank failures
0-5
0-5
0-5
i3
(severe erosion = 0• no erosion stable banks = maxpoints)
p
Root depth and density on banks
0-3
— 4
0-5
14
(no visible roo ts = 0; dense roots throu out = max pints)0
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
'.
15
{substantial impact =0; no evidence = max oints)
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
16
no riffies,'ri les or pools = 0; well-developed = max points)
1
Habitat compleiity
0— 6
0— 6
0— b
(little or no habitat = 0; uent, varied habitats = max pin#s
fie
18
Canopy coverage over streambed
0 — 5
0 — 5
0 — 5
(no shading vegetation = 0• continuous canopy = max points)
a`
19)
Substrate embeddedness
x ; IRM
0-4
0 — 4
(deeply embedded = 0; loose structure = max
Presence of stream invertebrates (see page 4}
0 — 4
0 - 5
0-5
>
�0
(no evidence = 0: common. numerous ri es = max oints)
.1
Presence of amphibians
0 _ 4
0-4
0-4,
Q
(no evidence = 0; common. numerous es = max oints
p
70
Presence of fish
0-4
0-4
0-4
(no evidence = 0: common, numerous h! es = max R2rots)
23
Evidence of S'iidlife use
0— 0
0— 5
0— 5
(no er idence = 0 abundant evidence max points)
t
Tota! Paints Possible
lad °
-
idd
t 10
TQTAli SCORE (also enteron first gaged
i -rt 4!
53
* These characteristics are not assessed in coastal strearns.

scrvm- 00T
NC DWQ Stream Identification Form Version 4.11
Date:- ( I
ProjectlSlte: N[.
Latitude:7S. 3 3Ug
Evaluator: , -��A GIfICj�►prii��+�,+MiSfE 1y+
County: Gtcl1b ([
Longitude: -_7 . 7 %J
Total Points:
Stream is at least intermittent 7
Stream Determination (circle one)
Other \10()6C r
if 2 19 orperennial if 2:30*
Ephemeral Inte i en Perenniala
g. Quad Name:
A. Geomorphology {Subtotal =
Absent
Weak
Moderate
Strong
la, Continuity of channel bed and bank A'_�- CV -N
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structures ex. riffle -pool, step -pool,
ripple -pool sequence
0i
0 0.5
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
1
2
3
6. Depositional bars or benches
(0
1
2
3
7. Recent alluvial deposits
0
1
t2
3
8. Headcuts
1
2
3
9. Grade control
0
0.5
1
1,5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No 0
Yes = 3
a artificial ditches are not rated; see dis ussions in manual
B. Hydrology Subtotal = T S
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1.5
0.5
0
15. Sediment on plants or debris
0 0.5
1
1.5
16. Organic debris lines or piles
0 0.5
1
1.5
17. Sail -based evidence of high water table?
No = 0
Yes
1.5
C. Bioloov (Subtotal = 46 l
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed l 3
2
1
0
20. Macrobenthos (note diversity and abundance) 0
( 1)
2
3
21. Aquatic Mollusks 0)
1
2
3
22, Fish 0
0.
1
1.5
23. Crayfish (f})
0.5
i 1
1.5
24. Amphibians
0.5
1
1.5
25. Algae 0
t,-
1
1.5
28. Wetland plants in streambed
FACW = 0.75,
OBL = 1,5 Other Kd
"perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: r0� ul(n;1 ECl s" ci
Sketch:
om�m W "ct - i �'. Ltr­c
-C)C ",/ 7 -

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmr005 facing southeast across bank.
Photo Sheet 2 of 2

USAC E ATD-" DSk l 1 = tiite = (indicate on attnclledMap )
s�-m1�z 5006
0 STREAM QUALITY ASSESSMENT NYORKSHEET
Prm Ide the followw ing information for the stream reach tinder assessment:
I. applicant's name: WEINI � O C` -
3. Date of ewalualion: -5t9k
"� aisle of stream: (elf T 4-0 Fx L► C -"E PZJ<..
7. Approximate drainage area :,2�0 6NC.(z°
9. Len,th of reach ev aluated: �
2. Evaluator's name: Mu (9-tt r'
4. Time of ew aluation:
6. River basin: C-ZIkk- � •'�
S. Stream order 0
10. Countti: CCA01 ed gzl1,L►
11. Site coordinates i.ifknowvn): prefer in decimal degrees. 12. Subdivision name Of any): 111 A
1.:ttitude (ew. 3 4.872312)' r
3 30l.oneitude (ex. -77.556531 ): 7 8. 7 3 2
Method location determined (circle): GP. Topo Sheet Orlho (Aerial) Phota'GIS Other GIS Other
13. Location of reach tender evalua nate nearby roads and landmarks and attach map identiRin streams) location):
Cv, fv C
14. Proposed channel work (if any.): P P(Jt $ i ( f PC) '
1 S. Recent weather conditions: `; n
16. Site conditions at t!me of visit: MAN ' A^01AR, 0 ,t
17. ldenllf! any special waterway classifications known: ,^Section 10 Tidal Waters _Essential Fisheries Habitat
grout WatersOutstanding Resource Raters � Nutrient Sensitive Waters _Writer Supply Watershed (1-1V)
IS. Is there a pond or lake located upstream of the evaluation point? YES N6 f} es, estimate the water surface area:
19. Does channel appear on USGS quad reap? YES ('LOD 20. Does channel appear on USDA Soil Survey? YES
2.1. Estimated watershed land use: 2! ° Residential °a Commercial °o Industrial®Agricultural
'Vl,a Fot d % Cleared f )Jogged �96 Other ( )
23. Bank height (froth bed to top of bank):
res e
22. ankful vvtd ( �
24. Channel slope down cent of stream: Flat (010'24.6)
^Gentle (? to 496)Twloderate (4 to 10%) --Steep (>10'30
25. Channel sinuosity: ' StraiL)ht -_Occasional bends __Frequent meander 'w�ery sinuous _Braided channel
Instructions for completion of wvorkslieet (located on page 2): Begin by detenninin�r the most appropriate ecoregion based on
location. terrain. vegetation, stream classificalion, etc. Ever► characteristic must be scored using the same ec}region. Assign points
to each characteristic .within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified In the wvorlcsheet. Scares should reflect an oier&ll assessment of the stream reach under evaluation. if tt
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring boy: and provide an explanation in the
comment section. Where there are obvious chain; es in the character of a stream under review (e.g., the stream flm7 s from a pasture
into a forest). the stream may be divided into smaller reaches that display more continuity, and a separate forth used to ew aluate each
reach. The total score assiLmed to a stream reach must range between 0 and 100. wwitll a score of 100 representing a stream of the
hialtest quality.
Total Score (front reverse): Comments:
Evaluator's Signature )late 5
This channel Evaluation farm is Intended to be used only 19s a guide to assist landowners and env ironntental professionals in
gathering the data required by the United States Arne` Corps of Engineers to male a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USaCE approval and does not imply a
particular Mitigation ratio or requirement. Fonnn subjieet to chisive — version 06 (G. To Co nmetn. please call 919476-814 1 %'6.

STREAM QUALITY ASSESSIMENT WORb.SHEET SCmr(V6V
GCDRtQ Wits �I :" " t�dRE
t
TERIS'iIC �
CiA'ftiG, 'Coastal'f'�ecmont
,1. Presence of now I persistent pools in strearn � _ � o-4 0-5 �
(no flow or saturation = 0: strong flow = inaxpoints) rr`•
Evidence of past liuntan alteration
0-6 0-5 0-5
(extensir a alteration = Q; no alteration =mos Dints
Riparianzonc 0-6 0-4 0-5
i" LAI 3 (no buffer = 0; Conti nous. wide buffer - maxpoints)
4 Evidence of nutrient or the nkal dischirges
4-5 0-4 0=4 1
(extensive dischar es discharees = rna Dints)
Groundwater discharge
5 0-3 0- 4 0=4
d . (no discharee — 0 ` -in sees wetlands etc = max points)
Presence of adjacent floodplain
6 0--4 0-4 0-2
no floodplain = 0: extensive flood lain =mos Dints
7 Entrenchment I floodplain access 0_ 5 0-4 0-2 C)+'
(deeply entrenched = 0 fre cent floodin = max oints
Presence of adjacent isefiands 0-6 0_4 0-2
(no wetlands = 0; laree adjacent NA-etlands = max ohits)
Channel sinuosity 0-5 0-4
0-3
(extensive cbannelization = 0• natural meander = max Dints)
Sediment input 0-5 0-4 0-4 10 (extensive de osition= 0• little or no sediment =max points)
Y. Size 6r dis•ehit y ofchannel bed substrate
} NA* 0-4 0-5 _"r—.
(fine hoino enous = 0• lar e. diverse sixes = max Points)
12 Evidence of channel incision or widening
0-5 0 — 0-5
(deeply incised = i0; stable bed & banks = max points)
13 Presence of major bank failures " 0 _ $ 0 — 5 0 — 5
severe erosion = 0; no erosion stable banks = max oints)
14 Root depth and densiiy on banks 0-3 0 — 4 0-5
r)
(no visible roots= 0• dense roots throe out = max pints) �'`
. 15 impact fly agriculture, Iivestock, or timber production 0-5 0-4 0-5
substantial impact =0• no evidence = maxpoints)
16 Presence of riffle -pool/ripple-pool complexes 0-3 0-5 0-6
(no riffleslripples or pools = 0• well-developed = max pints
17 Habitat complexity 0 _ 6 0-6 0 -- 6.
(little or no habitat = 0 fre uent, varied habitats =max Dints
P2 184 (no coverage over streantbed 0-5 0-5 0-5 (no shadin vegetation = 0• continuous canopy = maxpoints)
19 Substrate embeddedness 1+1A* 0-4 0-4
(dee0v embedded - 0 loose structure =max
�0 Presence of stream invertebrates (seepage 4) 0 —4 0-5 0-5
(no evidence = 0; common.. numerous qpes = maxpoints)
C�
Presence of amphibians 21� 0-4 0-4 0-4
C; (no evidence = 0, common. numerous types Y rna c points)
Presence of fish{ �}
22 4-4 0-4 0-4
+� (no evidence = 0; common, numerous tti es max oints)
Evidence of wildlife use
23 0-6 0-5 0-5
rf- (no evidence = 0; abundant evidence = max paints)
( Total }?oinfs Pn dale 100
. 1110 °
TCITAL SORE (also► enter on fiat page}
* These characteristics are not assessed in coastal streams.

LA
NC DWQ Stream Identification Farm Version 1.11 SemR 00
Date: 5112 /16
Project/Slte: � [ �
Latitude: 35
EvaluatorCSI-1<,Mtjrrhaffl<��ftU��la�"C
County: CC(jr (.,f 'ioz"16
Longitude:..-
Total Points:
Stream Determination (circle one)
Other ver C -C Ir
Stream is at feast intermittent
it z 19 or perennial if a 30"
p e eeral ntermittent Perennial
a g. Quad Name:
A. {Geornor halo Subtotal =
Absent
Weak
Moderate
'Strong
1 a Continuity of channel bed and bank ;_r [ („
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
LTJ
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
0. depositional bars or benches
b
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. ileadcuts
0
1
2
3
9. Grade controlEd
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
No
0
Yes = 3
a artlEcial ditches are not rated-, see discussions in manual
B. Hydrology (subtotal=
12, Presence of Baseficw
0
1
2
3
13. Iron oxidizing bacteria
(0
1
2
3
14. Leaf litter
1.
1
0.5
0
15. Sediment on plants or debris
b
0.5._ 1
1 1
1.5
16. Organic debris lines or piles
0
5 '
1
1.5
17. Soil -based evidence of high water table?
0 )
No = 0
Yes f3
1.5
C. Biolociv (Subtotal = C", '5-' )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos [note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
'U0)
1
2
3
22. Fish
b
0.5
1
1.5
23. Crayfish
0 )
0.5
1
1.5
24. Amphibians
b
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75;
OBL, r .5 ` ther = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: L+.Y i f r cJ T i; "d.
it 5'v(\A_
Sketch:

tom' ��� r • �-xu.`sQ�� g _ �' z
19P
►., ?
a�
T �
y ,
+xx
ri
s•
i .
l A e,
ok
AtY

[]nun Watprhnrfv rata Shoet
Survey Description
Protect Name:
Waterbody Name:
Waterbody ID:
Date:
L11 I
State.rr��
County -.Company:
Crew Member IInnitials: Photos;
Tract Number(s):
Nearest Milepost:
lAssoclated Wetland ID(s):
F(
2-2-- 085- iq OU
I
Survey Type:
(check ane) ®Centerline *e•Route ❑Access Road []Other:
Physical Attributes
Waterbody Type:
(-check one) Stock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other.
Hydrologic Regime;
) permanently Flooded El Semipermanently Fiooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM €]HWM
Indicator:
(check
ag that apply) C] Clear line ❑Shelving ❑Wrested El Scouring ❑Water
Height:
on bank vegetation staining
Bent, matted, or missing ❑Wrack ❑Litter and ❑Abrupt plant ❑Soil characteristic change
vegetation line debris community change
Depth of Water
Bank height (average):
Bank slope (average):
ft,R.
degrees
YA❑
Qualitative Attributes
Water Appearance:
{check one) ❑No water Clear ❑Turbid C)Sheen ❑Surface (Algal El Other:
on surface scum mats
Substrate: El Bedrock ❑ Boulder ❑ Cobble ❑ Gravel XSand A Sill} clay ❑ Organic ❑ Other
{check an that apply)
f -
% of Substrate: % % % % W 0 % LIQ °/a % %
Width of Riparian Zone:
Vegetative Layers:
(Check all that apply) E3Trees: )N SaplingsiShrubs: ;�'iierbs
ft -
Avg. DSH of Dominants: in. 1 in. /in.
!A \
(appy)
Dominant Bank Vegetation (list);
y
GLV`` rubf-uly) r Onj(Q v C7n VIV 6MILU5
Aq Uatic Habitats (ex sL merged or emerged aquatic vegetation, oveMar4rig bankshoots, IBaf packs. large submerged wood, ntRes, deep poets,
wr l e'_s
Aquatic Organisms Observed (fist):
nC)nt�' D65Efd eA
T&E Species Observed (hso:
YNt)n&
Disturbances (ex: livestock access manure in watetbody, waste discharge pipes):
i - R-tIc
Waterbody Is:
(Check ogre) ❑ Natural XArtificia.l, man-made D Manipulated
Waterbody Quality =:
(check one) ❑ Hugh ❑ Moderate Low
Form Ray. 04 30,2013

Waterbody ID:
pGrv-xD OD3
' High Quality Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; watercolor is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Altered by rip -rap; natural vegetation extends 1I3-112 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality. Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration;
filtering function severely compromised; banks unstable (eroding); water color is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor; severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes
Waterbody Sketch (Include north arrow, centerfino distance from centerline, data point lbcatbons, survey boundary. and fes of associated features)
v�ON LX
D
/ d
r�
Fc rm R:v 03.-30.'tj t i

Environmental Field Surveys
Water Point Photo Page
0
Open waterbody data point ocmo003 facing north.
Open waterbody data point oemo003 facing west.
Photo Sheet 1 of 1

USACE M1 D13 Q = Site = iindicate on attached tmnp)
S cmr) ©31
STREAM QUALITY ASSESSMENT NVOMRKSHEET
M AGM
Prot isle the foil ott ing liforttlatioll for the siren in reach tinder asses."Ineitt:
1. applicant's name: DQL-nLIVNiOn
3. Date of et alualiow L(1)811L
3. Nance of stream. 'U 0 7 5 t,►�(y ire e.�c
7. ,Approximate drtirtage area: kr-
9.
9. Lerls2ih of reach e%.tluated:_ 3 D P f
2. E% aluator s name: L- % Roper
4. Time of e%aluatlon: reN
0. R't\erbasin: C6-ne Fe cL r
8. Stream order: 0
10. County : m be 0'_'r\8,,
11. Site coordinates (if kno%%'n): prefer in decimal degrees. 12. Subdivision name (if an\}: n Q (AQ.
Latitude (cN.3a.b77,3121: S 5 - 0 -LI 10-1 Longitude (ev-77356611):_ —IL -239 3
Method location determined (circle): si'S Topc Sheet 0riho (Aerial) photo.'G1S Other GIS Other
13. Location of reach under e%aluatmn (note nearb% reads and landmarks and atlach ]nap identify i112 streatn(s) location):
oo+l- n� Cj ► vi+on Q_�, its i:>o rde( �iVAL P_b
14. Proposed channel %%�ork (ifany): C , e,C:� V_ tt (24-5-11 IN U . .
15. Recent weather condltlon5: W 0-Cv+T1 `i-' j w'
16. Site conditions at time of visit: �� � � J JC.
17. ldentify an„+ special waterway classifications known: _Section 10 _Tidal Walers —Essential Fisheries Habitat
_Trout WatersOutstanding Resource Waters — Nutrient Sensitive Waters _)Fater Supply Watershed (MV)
l8. Is there a pond or lake located upstream oftlte e%aluation point? YES 'O If yes, estimate the water surface area:
19. hoes channel appear on L�SGS quad trap? YES 20. Does channel appear on USDA Soil Surrey'.' YES hCG
21. Estimated %watershed land use: _°a Residential °b Commercial °'o Industrial °o Agricultural
(mac �{ ��°o Forested °a Cleared 1 Locaed _ _ °a Other ( __)
22, l3ankfulp''std1)l:_ _ 23. Ban); height (from bed to top of bank):
24. Channel slope down center of stream: Flat (0 to 2°0) _Gentle (2 to 41 c.) _.Moderate (4 to I0"o) Steep (>1090
25. Channel sinuosity: _LStraiaht ___Occasional bends .Frequent meander _Ver% sinuous _Braided channel
Instructions for Completion of ttot'I sheet (located on page 2): Begin by detenninin�g the most appropriate ecoregiun based on
location. terrain. %egetntion, stream classification. etc. E%er} characteristic must be scored using the same eco+region. assign points
to each characteristic a ithin the range sho%%n for the ecoregion. Page 3 pro%ides a brief description of how to review the
characteristics identified in the %Norksheet. 'Scores should reflect an overall assessment of the stream reach under e%aluation, if a
characteristic cannot be a%aluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious chan-es in the character of a stream under review (e.ea., the stream f1mis, front a pasture
into a forest). the stream may be di%ided into smaller reaches that display more continuity. and a separate form used to e%aluate each
reach. The total score assiumed to a stream reach must range between 4 and 100. %%ith a score of 100 representing a <treant of the
highest qualm.
Total Score tfrom reeerse): '33 Comments:
Evaluator's Signature Date -f � r�� f 9 __ _
This channel Evaluation nt is intended to he used onI as a g e to assist lando%wners atte lt�ninental professionals in
gathering the data required by the United States Arrn Corps of Engineers to make a prelintinar� assessment of stream
quality-. The total score resulting front the completion of this forst is subject to USACL appro%al and does not imply a
particular mitigation ratlo or i-equii-EEtiEltt. TCS CCntnieni. plC4:54 cell `)I cj4-n.g +-11 \-6.

STREAM QUALITY ASSESSMENT WORKSHEET
#
CIIARA.CTEItISTIGS' "' r
_
r
Presence of flaw 1 persistent pools in stream
(no flow or saturation = 0: strong flow = max oints)
E -ideiiec of past human alteration
(extensive alteration v 0, no alteration = max Points
r
3
Icarian zone
{.no buffer = o; ronti Thous, wide buffer = max points)
Evidence of nutrient or chemical discharges
r'
4
(extensive discharges = t7; do dischar es = ttiax)pints)
Groundwater discbarge
r5
no discharge = 0• Trings see s, wetlands, etc = max oints
Presence of adjacent floodplain
(no floodplain = 0; extensive flood lain = maxpoints)
Entrenchment f floodplain access
`
T
(dee 1 entrenched = Q• frequent flooding =coax points)
Presence of adjacent wetlands
(no wetlands = 0• large adjacent wetlands = maxpoints)
9
Channel sinuosity
(extensive channelization = 0; Natural meander = maxpoints)
Sediment input
10
(extensive deposition= 0; little or no sediment = maxpoints)
'
Size & diversity of channel bed substrate
2'
11
(fine, homogenous = 0; large, diverse sizes _ maxpoints)
Evidence of channel incision or widening
17
(deeply incised = 0; stable bed &: banks = maxPoints)
13
Presence of major bank failures
severe erosion = 0; no erosion stable banks = maxpoints)
p
Root depth and density on banks
14
(no visible roots = 0; dense roots througltaui =may points)
Wl5
Impact by agriculture, livestock, or timber production
(substantial impact =0; no evidence = maxpoints)
Presence of riffle-poolfripple-goal complexes
16
(no rifflesIripples or pools = 0; well-developed = max pints
Habitat complexity
-+
12
(little or no habitat = 0• frequent, varied habitats = max point;
18
Canopy coverage over streambed
(no shading vegetation = 0; continuous canopy = max points
19
Substrate embeddedness
(dee2ly embedded = 0; loose structure = max)
'
Presence of stream invertebrates (see page 4)
7o
(no evidence = 0; common, numerous types = max points)
Presence of amphibians
Q
01
(no evidence = 0' Comman. numerous es =max points)
Presence offish
0-5
0-6
0-6
0-5
0--3
0-4
0-5
0-6
0-5
0-5
NA*
0-5
0--5
0-3
0-5
0-3
o-6
0-5
NA*
o-4
o-4
0-4
o-4
0_5
0-4
o-4
0-4
0-4
0-4
o-4
0-4
0-4
0-4
o-4
0-5
0-4
0-4
0-5
0-6
0-5
o-4
0-5
0-4
0-4
0-5
0-5
0-5
(i-4
0-4
0-2
0-2
0-2
0-3
0-4
0-5
0-5
0-5
0-5
0-5
0—b
0-6
0-5
0-4
0-5
0-4
0-4
(no evidence = 0: common, numerous types = ina%points)
73 Evidence of wildlife use
0-6 0-5 0-5
(no evidence = 0; abundant evidence = coax points)
Total Paints Possible100 100 100
TOTALSCORE (also enter on firCt Page
These characteristics are not assessed in coastal streams.
s
n
0
C
D
PIA

NC D4WO Stream Identification Form Version 4.11 5L.VYN4 U 3
Date: 1 8
Project/Site: R c?
Latitude: 3 56 6 Z I
Evaluator: L, 4p -t ­l &NO -1,
County: Comber r i6_(NCJ
Longitude: -78. 7 3 q
Total Points:
Stream is at least intermittentt
St terminatlon (circle one)
hamar Intermittent Perennial
other �=� m r,
a g. Quad Name:
if a 19 or erennial if z 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology Subtotal = Q }
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and hank d,
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
'��'
1
2
3
4. Particle size of stream substrate
No = o
1
2
3
5. Active/relict floodplain
CV
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
M
1
2
3
B. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
t={1
Yes = 3
Sketch:
i
Iv I
artificial ditches are not rated; see discussions in manual '
B. Hvdroloav (Subtotal = 7,_5
]
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
fl 0.5
1
1.5
17. Sail -based evidence of high water table?
No = o
kes =
11,?
C. Biola (Subtotal= 9 )
18. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants In streambed
kv
2
1
0
20. Macrobenthos (note diversity and abundance)
00
1
2
3
21. Aquatic Mollusks
0
1
2
3
22, Fish
0
0.5
11,?
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
s'
015y
1
1.5
25. Algae
0
1
1.5
26. Wetland plants in streambed
FACW = 0,75; 03L = 1,V
other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual'..
Motes:
Sketch:
i
Iv I
31
Di. r.I-- w: Jth . 6 -{'�"

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo031 facing southeast upstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo031 facing northeast across.
Photo Sheet 2 of 2

USACE Ain= DNN t 7 = Site = I indictee ort attached snap)
S tvrnv U
STREAM QUALITY ASSESSMENT «'ORKSHEET
iroN isle the follmi ing information for the stream reach under assessnient: VOW
1. Applicant's name: �n'i 411 2. Et aivator's name: L - a 12e r
3. Date of et aluaiion: !1 ✓F -- - a. Time of et aluation: Ovn
'true of stream: L. O -T +D 'Er, w� " Cr[(f G. RiNer basin: ! �
7. ,ApproAiniate drainage area: 0 �`�- S. Stream order:...-. Z7
9. Length of reach e% aluated:—vo 10. Count.: L yy-\ bex— t o r -N
11. Site coordinates (ifkt7o%3-n): prefer in decimal decrees. 12. Subdi� ision name (if any): V�\ Co
l.Zritude lax. 34.87231z): 35' bZ010 longitude (ee,.-77.ssbol l): —78-1395J
Method location deten73ined (circle): t' ropo Sheet Onho (Aerial) Photo GIS Other CIS Other
13. Location of reacli under eN aluat iolftTnote nearby roads and landmarks and attach snap identif\ing strean7(s) location 1: -
14. Proposed channel work (ifany): tpJ&,
15. Recent weather conditions wr�-�'�Y�
16. Site conditions at time of,,isit:
17. identify any special waterwav classifications known: Section 10 Waters —Essential Fisheries Habitat
!Trout Waters Outstanding Resource Waters —Nutrient Sensiti%a Waters —Waier Supply Watershed (I-IV)
18. Is there a pond or lake located upstream ofthe eNalualion point.' YES Of 3 es, estimate the grater surface area
19. Does channel appear on USGS quad map? YES ND 20. Does channel appear on USDA Soil Surrey? YES
21. Estimated watershed land use: °o Residential —°6 Commercial —a6 Industrial "0' Agricultural
} Li a Forested '° o Cleared i Loeged a Other (. )
anhful id 7:_
24. Channel slope down center of stream: ZFlat (0 to ?°b)
25. Channel sinuosin,: 5traieht zoccasional bends
23. Bank height (fron-t bed to top of bank):
Gentle (2 to°o)—Alodemle (4 to 10°') --Steep(>1096)
—Frequent meander Ven sinuous e,13raided channel
instt•uctiotts for completion of 1%GrhSheel (located on page 2): Begin by deienninin+ flit most appropriate ecuregion based on
location. terrain. vegetation. stream classification, etc. E%en characteristic must be scored using, the same ecoregion, Assign points
to each characteristic within the range shin{n for the ecoregion. Page 3 protides a brief description of how to re%iew the
characteristics identified in the % orksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be eN aluated due to site or weather conditions, enter 0 in the scoring boa and pro\ ide an explanation in the
cornment section. Where there are obvious chanaes it) the character of a stream under ret iew (e,e., the stream float s from a pasture
into a forest). the stream may be diNided into smaller reaches that display more cont inuh , and a separate fonn used to e4 aluate each
reach. The total score assigned to a stream reach must ranee bemeen 0 and 100, ttith a score of 100 representing a stream of the
highest quality.
Total Score (front reterse): Comments:
Eralua,tor's SI-natur 2L(O2A-
Date Ll //811
This channel ei'aiuntion f rIn is intended to lie its on]S a a guide to assist landottners an en►i ontnental professionals in
Yn7.. Corps of Engineers to make a preliminart assessment of stream
gathcrittg the data required its the United States
quality. The total score resulting from the contpietion of this form is subject to USACE appro,,al and does not inipls a
particular mitigation ratio or requirement. Forni sul?le�.t t,? Chu17_e — %trsion 06 03. To Comment. fdeaat call `t10-8 h-N''q I % -b.

STREAM QUALITY ASSESSMENT NVORI-SHEET
#
1
3
f CHARAGTIRISTICSr
Presence of low I persistent pools in stream
(no flow or saturation = 0. strong flow = inax points)
Evidence of past human alteration
(extensive alteration - 0. no alteration = max oints)
Riparian zone
(no buffer= 0; contiguous, vide buffer =max aims)
►:
Evidence idencc cf tt itricnt or ch al discharges
w
(extensive discharges = 0, no discharges = titaxpoints)
a':
Groundwater discharge
FLj..
$
(no discharge = 0• . yrunas sees wetlands etc. = max points)
U,
6
Presence of adjacent floodplain
(no flood lain = Q; e.Ntensive flood lain = maxpoints)
I floodplain
Entirencliment access
7
(dee 1 y entrenched - 0; fro cent flooding =rnaxpoints)
r ' °
Presence of adjacent `1•etlands
z ..
(no wetlands = 0; larSe adjacent wetlands = maxpoints)
Channel sinuosity
(extensive channelization -- 0; natural meander = maxpoints)
^
Sediment input
10
(extensive deposition= 0• little or no sediment = max ❑ints)
Size & diversity of channel bed substrate
r
i l
(fine, homo genous � 0; laree, diverse sizes = max Points)
Evidence of channel incision or widening
3�
(deeply incised = 0; stable bed & banks = rnaxoints
Presence of major bank failures
13
severe erosion = 0; no erosion stable banks -rnax points)
q
Root depth and density on banks
l4
(no visible roots = 0; dense roots throughout = maxpoints)
Impact by agriculture, livestock, or timber production
15
(substantial impact =a no evidence = inax Dints)
Presence of riffle-paoUripple-pool complexes
16
no riffleslri les or Dols = 0; ■-ell-developed =rnax points
Habitat complexity17
(little or no habitat = 0; frequent, varied habitats = max point
P2
Canopy coverage over streambed
18
(no vegetation = 0; continuous cano v = ntax 2212ts
-shading
Substrate embeddedness
19
(dee lv embedded = 0 loose structure =max
'
Presence of stream ins ertebrates (see page 4)
�0
(no evidence = 0: common, numerous types = maxpoints)
Presence of amphibians
O
l
(no evidence = 0; cormnon, numerous types = max points,
0-5
0-6
4-6
0-5
0-3
0-4
0-5
0-6
0-5
fl -5
0-5
0-5
0-3
0-5
0-3
0-6
0-5
0-4
0-4
0-4
0--5
0-4
o-4
0-4
0•-4
0-4
0-4
0-4
0-4
0-4
0-4
0-5
0-4
0-4
0-5
0-6
0-5
0-4
0-5
0-4
0-5
0-5
0-5
0-4
0 4
0-2
0-2
0-2
0-3
0-4
0-5
0-5
0-5
0-5
0-5
0-6
0-6
0-5
0-4
0-5
0-4
22 Presence of iislt 0-4 0- 4 0-4
(no evidence = 0: cottunon, numerous tr es = max dints
�3 Evidence ofzt ildlife use
0-6 0-5 0-5
(no evidence = 0; abundant evidence rnax points)
Total Points Possible it)0 140 l�0
TOTAL SCORE (alsoenter on first pale
* These characteristics are not assessed in coastal streams.
c.

NC DWO Stream Identification Form `'ersian 4.11 rit miD'D 31
Date: 9/ � B ! to
ProjectlSlte: H GP
Latitude: 3 5, D V) ! D
Evaluator. L k f oper
County: Cu,rnb&r bn<A
Longitude: -3 f s'7 3� 57
Total Points:
"�
Str termination (circle one)
i
Other
Stream is at feast intermittent
Stream
2s or perennial tlleast
if rf r 30' f
phemeral ntermittent Perennial
e.g. Quad Name:
A. Geomorphology Subtotal = r
Absent
Weak
Moderate
Strong
I" Continuity of channel bed and bank
0
1
2
3
2. 'Sinuosity of channel along thalweg
0
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
0
,(�
LJ
2
3
4. Particle size of stream substrate
V1
1
2
3
5. Active/relict floodplain
1
1
2
3
6. Depositional bars or benches
o
1
2
3
7. Recent alluvial deposits
'perennial streams may also be identified using other methods. See p. 35 of manual.
1
2
3
B. Headcuts
1
2
3
9. Grade control
CO)0.5
Sketch: I+
1
1.5
10. Natural valley
0
0.5
1 1
1.5
11. Second or greater Larder channel
No - 0
Yes = 3
. artificial ditches are not rated; see discusslons in manual
B. Hvdroloav (Subtotal= 'tl r 5 ]
12. Presence of Baseflow
0 1
2
e
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1:5 1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0.5
1
1.5
17, Sail -based evidence of high water table?
No = 0
1
Ces = 3
C. Biolo (Subtotal= 1
1 S. Fibrous roots in streambed 3
2
1
0
19. Rooted upland plants In strearnbed 3
2
1
0
20. Macro benthos {note diversity and abundance}
1
2
3
21. Aquatic Mollusks 92
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25. Algae
0.5
1
1,5
26. Wetland plants in streambed
FACW = 0.75;
L : 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch: I+
5�m 32,
O W M : (�
6ir_nk, w # �ff

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo032 facing southeast upstream.
Waterbody data point semo032 facing northwest downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo032 facing southwest across.
Photo Sheet 2 of 2

USACE . ID=f . D«'+;t v Site = (indicate ort attached ntiap!
Scmu 033
M
STREAM QUALITY ASSESSMENT NVORKSHEET
Pro► ide the follmi in- information for the stream reach under assessment:
1. Applicant's name: _,po n' , # V-\ l o Ori 2. Evaluator's name: L J 2,0 �'/r
3. Date of ew a1wnion:� � ,�� � LI (IQ 4. Time of ew, alttatinn: vtirl
5. Nance of streatit:� L t4 -T- Q) �n dy C re r-� 6. Riv er basin: C -6 -De
7. apliroximate dr,iinsgre area: 5 0 S. Stream order:
9. Lenuth of reach ev aluated: H 10. Cuunt< : C Yi�ti 13P1Y' t�•
11. Site coordinates (ifknown): prefer in decimal decrees. 12. Subdivision name (Iifatty): h it
Lafliude rex. _4.872.31"_I: 351019816 1 ongiut.le (ex. -77.556611) 8, 3-5 9 9 Z --
Klethod location determined (circle): 40 rope Sheet Onho (aerial) !'hoto GIS Other GIS Other
13. Location of reach under ev alumion (note nearby reads and landmarks and attach mast identiR inn streams) location):
Sou--- of CI't,\to,n ? � :PoWe-r4fiv% c, C) UD
14. Proposed channel work (if any): i�yQoDS _ w ap— Rt+�J
15. Recent weather conditions: W i vtn � cl r
16. Site conditions at time of visit:
17. Identify an\- special w'atenvay classifications known: Section 10 Tidal Waters _Essential Fisheries Habitat
Trout Waters _Gutstandins- Resource Raters ,Nutrient Sensitive Waters _Water Supply Watershed (I -1V)
18. Is there a pond or lake located upstream of the evaluation point? YES 'C) IfYes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Dries channel appear on USDA Soil Survey? YES
21. Est imated watershed land use: a � Residential 06 Commercial °o lndustrial -0 Auricultural
}} {n��I Q0 o Forested ° a Cleared 1 Logged —° o 0iher (. )
�.aritl,t IPwiil is - — 23. Bank height (from bed to top of bank):
2. r-_
24. Channel slope doww2straiaht
r of stream: v'Flat (0 to ?40) __Gentle (2 to -106) _Moderate (-1 to 10°a) _Steep (>I0°u)
35. Channel sinuosity: —Occasional bends __Frequent meander _ _Very sinuous Braided channel
Instructions for completion of m ork-sheet (located on page 2): Begin by detennining the must appropriate ecurestion based on
location. terrain, vegetation, stream classification. etc. Ew er\ characteristic must be scored using the same ecoregion. Assign points
to each characteristic ww ithin the ranee shovw n for the ecoreginn. PaLe 3 prow ides a brief description of how to revievv the
characteristics identified in the wvorksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring box and provide an e%planmion in the
comment section. Where there are obvious changes in the character of a stream under review the stream f7oww5 from a pasture
into a forest). the stream niay be div ided into smaller reaches that display more continuity, and a separate form used to ev aluate each
reach. The total score assigned to a stream reach must range between 0 and 100. vw hh a score of 100 representing a stream of the
highest qualm.
Total Score (front reverse) Comments:
Evaluator's Signature Date �[n
This channel E, -,l aluatlott f tit is intended to he used on as a ulde to assist landowners ttw iroItnitntal professionals in
gathering the data requi ed by the United States arm, Corps of Engineers to trink � a I}t-elhitinarw assessment of stream
quality-. The total score resulting front the completion of this forint is subject to USACE approval and sloes not Imply a
particular mitigation ratio or requirenient. Form SLiI left tb cli flit — w cl"tivn 06 ()�. To Cc-ninietii. please -all `7l =+-S-7b-S t -l1

STREAM QUALITY ASSESSMENT WORKSHEET
r
F�COREGt(INuP91 T`ANQE S ORI
t
.
CHARACTERISTICS'
r a .Coasfal`°'
T'cdtnatt
; llTbtintaitir
Presence of flow I persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0: strong flow = inax Dints)
Evidence of past butuan alteration
0-6
0-5
0-5
[7
`
(extensive alteration = 0: no alteration = max dints
3
Riparian zone
0-6
0-4
0-55
(no buffer= 0; contiguous. wide buffer = max points)
4
Ei idence of ttufricnt or chemical discliarges
0-5
0-4
ti -4
r
�.&
(extensive discharges - 0. no discharges = tji Dints}
5
Gro6ndwater discharge
0-3
0-4
0 4
Q
(no discharge = 4• sp rigs, sees wetlands. etc. =max dints
.,
Presence of adjacent floodplain
0-4
0-4
0-2
b
(no flood lain = 0; extensive #load lana = maxPoints)
7
Entrenchment 1 floodplain access
0-5
0-4
0-2
0
(deeply entrenched = 0• frequent flooding = makpoints)
'
Presence of adjacent wetlands
0-6
0-4
0-2
�]
(no wetlands = 0- large adjacent wetlands = maxpoints)
Ch annelsin uosity0-5
0-4
0-3
4
{extensive channelization v 0; natural meander = max oints)
r
10
Sediment input0
0-5
�4
0-4
?�
(extensive de osition= 0• little or no sediment = max flints)
rz,
Size & diversity of channel bed substrate
NA*
0-4
0 5
r
11
fine, homogenous = 0- lar e. diverse sizes = may,points)
Evidence of channel incision or widening
0-4
0-5
120-5
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion stable ranks = max points)
p
14
Boot depot and density on banks
0-3
0-4
0-5
(no visible roots = 0• dense roots throe_Rbout = maxpoints)
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
Q
15
(substantial impact =0: no evidence = max Dints)
r
1
Presence of riffle-paoUripple-pool complexes
0-3
0-5
0-6
(no riffleslri les or dols = 0; well-developed = max.points)
l
Habitat complexity
0-6
0-6
0-6
1 01
(little or no habitat = 0; frequent, varied habitats = max ousts
M
18
Canopy coverage over streambed
0-5
0-5
0-5
(no sliadin vegetation = 0• continuous canopy =max Dints
19
Substrate embeddeduess
..
0-4
0-4
—
(deeply embedded = 0; loose structure = max)
0
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(]
(no evidence_= 0: common, numerous t� es = max Dints)
1
Presence of amphibians
0_ 4
0_ 4
0– 4
d
(no evidence = 0; common, numerous q es = max oints)
fl
22
Presence of fish
0--4
0-4
0-4
0
(no evidence = 0: conunon, numerous es = max points)
�3
Evidence of wildlife use
0 –,6
0-5
0 -- 5
{no evidence = 0 abundant evidence = max pointsl
Total Points Possible
00
100
110
TOTAL SCOT also enter on frit pace
J
,k
These characteristics are not assessed in coastal streams.

NC DNI'O Stream Identification Fortn Version 4.11 1i0ni7 033
Date: I [ }
Project/Site: H -C, P
Latitude: 3.5 , b 1118 G
Evaluator: ti
County: C-4orn bpf 10,
Longitude: _ k 13 q
Total Points:
Stream is at least intermittent t_Qb1glaraWntermittent
St rmination (circle one)
Perennial
Other
a g. Quad Narne: _ MAN
if? 14 or perennialifa 30*
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal =
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and hank
0
1
2
3
2. Sinuosity of channel along thalweg
0
15. Sediment on plants or debris
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
1
1
2
3
6. Depositlanal bars or benches
1.5
1
2
3
7. Recent alluvial deposits
CO)1
2
3
8. Headcuts
1
2
3
9. Grade control
Sketch:
dQ rt
0.5
1 1
1.5
10. Natural valley
.5
1 1
1.5
11. Second or greater order channel
o = 0 -
Yes = 3
0 artificial ditches are not rated; see discussions in manual
B. Hvdroloay [Subtotal = 74 1
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
1
2
3
14. Leaf litter
1
0.5
0
15. Sediment on plants or debris
0.5
1
1.5
16. Organic debris lines or piles
0.5
1
1.5
17. Sall -based evidence of high water table?
No = 0
1
ss = 3
G. Biolo Subtotal =
16. Fibrous roots in streambed (
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
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24, Amphibians
0.5
1
1.5
25. Algae 0
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.5 ther = 0
`perennial streams may also be identified usirig other methods. See p. 35 of manual.
Notes:
Sketch:
dQ rt
QHL') rv) ,3 14
a-. w � d1+h 6 4

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo033 facing east upstream.
Waterbody data point scmo033 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo033 facing north across.
Photo Sheet 2 of 2

I '; VE AID D1i Q='
Site = (indiclie nil attached inap)
5cmo 03
iTi;7.1n STREAM QUALITY ASSESSMENT NVORKSHEET
Pro, irle the foll(m ing information for the stream reach tinder assessineni:
?. Ei aluator's name: c V er-
4. Thele of ei aluation: 13 m
6. Ricer basin: C[kFeces(
S. Stream order: O
to. County: inn 1& 8
12. Subdivision name (if any): 1rZ.VnP-.,:�
l.aiiude(n.3a.:i73312): 3E) i 110 oS 1.on huticte .-1i.5s61it1); -751-73992—
Method
5 -739 J2 -
Method location deteniiincd (circle):ropo Sheet Onhc (Aerial) Photo GIS Oilier GIS lather
13. Location of reach under 0aluat91frote nearby roads and landniarks and attach map identift ing stream(s) location):
14, Proposed channel worn (if any): ?
15. Recent heather conditioits: r" d'
16. Site conditions at time of i isit: :p oy r l i vuL 9-C)1O , g U .Redd d i `f`Lk\
17. Identifi, ant special watenl ay classifications known: Section 10 Tidal Waters _Essential Fislieries Habitat
,Trout Waters _Outstanding Resource Waters _Nutrient Senshii a WOters ----1'i'ater Supply Watershed (]-]V)
18. Is there a pond orlahe located upstream of the eNaluation point? TES (9 If yes. estimate the crater surface area:
19. Does channel appear oil USGS quad trap? YES 20. Does channel appear on USDA.? Soil Sun ey? YES ]tid
21. Estimated i� atershed land use: ^0 Q Residential —° o Commercial � 0 Industrial 'LD % Arericultural
7pof A�
' a Forested ° a Cleared J Logged ° a Oiber ( )
$� � �r
?I. an4;fuli «td t:, [a 3. Bank heig from bed to top of bank):
24. Channel slope down center of stream: —ZF]at (0 to 21o) _Gentle {2 to -1°a} _Nloderate (4 to 101.0) _Steep (>10%)
25. Channel sinuosity: —/—Strairaht ^Occasional bends Frequent meander _Ven sinuous Braided channel
lnstulietions far completion of iiorl slicet (located ole pare 2): Begin by detennining the must ap rupriate ecurcuion based on
Iocation. terrain, ienetation, stream classification, etc. Eiert characteristic trust be scored using the same ecoregi on. ,assign points
to each characteristic ii]tltin the range shout for the ecoregion. Pane 3 pro%ides a brief description of how to reiieii' the
characteristics identified in the iiorksheel. Scores should reflect an overall assessment of the stregin reach under e.aluation. if a
characteristic cannot be eialumed due to site or weather conditions, enter 0 in the scoring box and protide an explanation in the
cominent section. Where there are obvious, C]tanne5 in the CharWer of a stream tinder reiieii' (e.g., the stream baits from a pasture
into a forest). the stream cleat be dii ided into smaller reaches that display more continuity, and a separate form used to ei aluate each
reach. The total scare assigned to a stream reacli must range betiieen 0 and 100. melte a score of 100 representing a stream of the
lih.d tsi qualir..
1. Applicant's name: Dar" iy� i o 12
3. late ofelaluatiow � I I V QI I to
5. Name ofsiream: LA1M46 sdAJV Creel
7. ,Approximate draii ige area: S a r,-{
9. Lenr;tli of reach a%altiated: 30 Lic
11. Site coordinates (if known). prefer in decimal decrees.
Toinl Seore (frons ret erse): 1 � Comments:
Evaluator's Signature Date
This channel ei aluatloi f ri is intended to lie use onlN s a wide to assist landowners an cele it itntenta! ltrUftssinnals in
gathering the data req red lit- the United States Arm Corgis of Engineers to inake a prellmina* assessment of streain
quality. The total score resulting front Lite completion of this forth is subject to USACE approval and does not imply a
particular mitigation ratio or requirenietit. Forn-, subject to chan-e — %ersion 0(i 0- . To Conninern. please call `i0 -87t)4441 % 26.

STREAM QUALITY ASSESSMENT WORKSHEET
F '
ECOR�GIIN r
rOIT°'.SC0E
#
CI�iRACTERIS ICS'' r
�Co al;
ast
T'iedtnotit
111buniri
. 4. z
1
Presence of flow I persistent pools in stream
0-5
4-4
0-3
(no flow or saturation = 4: strong flow = max oitrts)
E-idetice ofast human alteration
p.
0-6
0-5
0-5
(extensive alteration = 0. no alteration = max Dints)
t #
3
Riparian zone
0—&
0-4
0-5
(no buffer= 0; conn �uous. ve ide buffer - tnex Dints)
Evidence idence ofitutrigrtt or chemical discliarges
0- 5
{}-4
0— #
4
(e%tc.6sive discharges = 0; no discharges max oints
13
v;
5
Groundwater discharge
4-3
4-4
4=4
7
G�1
(no discharge = 0 rig s sec s, N3•etlands etc. = mai: points)
U.
G
Presence of adjacent floodplain
0— 4
0-4
0-2
(no floodplain = 0; extensive floodplain = max points)
7
Entrenchment I floodplain access
0-5
0-4
0-7
D
rW
(dee l y entrenched = 0• frequent flooding maxpoints)LJ
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0 large adjacent wetlands = max points)
Channel sinuosity
0_$
0-4
0-3
((extensive channelization = 0; natural meander max Dints)
t
=.
14
Sediment input
0-5
0 -4
0-4
(extensive deposition-- 0. little or no sediment = max oints)
J
Size & diversity of channel bed substrate
NAS
4 —4
0-5
�—
(fine homogenous= 4 large, diverse sizes = maxpoints)
Evidence of channel incision or widening
0-5
0 _4
0-5
17
(deeply incised — 0; stable bed & banks= max points)
1'
Presence of major bank failures
0-5
0-5
0-5
CJ
severe erosion = 4; no erosion stable banks = maxpoints)
14
Root depth and density on bangs
0-3
0 —4
0-5
(no visible roots = 0; dense roots throughout = max flints
Impact by agriculture, livestock, or timber production
0-5
0 .-4
0-5
15
(substantial impact =0• no evidence = max pints)
1
Presence of riffle-poaUripple-pool complexes
0-3
0-5
0-6
(no riffles,ripples or pools= 0; well-developed =max.points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; fre uent, varied habitats =max Dints
PA
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous cano v =maxpoints)
19
Substrate embeddedness
" NA*
0-4
0-4
—�
(dee l embedded = 0; loose structure = max
- -
�0
Presence of stream invertebrates (see page 4)
0 _ 4
0 — 5
4 —5
(no evidence = 0; common. nutnerous es = max points)-
-�_
21
Presence of amphibians
0-4
0_4
0-4
0
(no evidence = 0. comnton, numerous tv es = max dints)
�a
Presence offish
0-4
0-4
4-4
*�
(no evidence = Q: common, nutnerous tYPes = max dints
23
Evidence of wildlife use
4 — ti
0-5
Q — 5
(no evidence = 0; abundant evidence Y max points)
Total Pouts Possible
l00 °
l0Q
14
x TOTAL SCORE (also enter on first p e),
These characteristics are not assessed in coastal streams.

NC DW© Stream Identification IN ornt Version 4.11 5Lvy) o Q -5q
Date: G} � � �j 1 J (D
ProjecttSite: 14L_P
Latitude:3 CJ, �,-1 UOS
Evacuator; %_oPer
County: CA.)Y,►ber"A
Longitude: --75.7 99Z
Total Points:
Stream is at least intermittent
Str oeterminatlon (circle one)
RSheme__r1A Intermittent Perennial
Other
e.g. Quad Name: SW +Mrsl�
-if a Igor erenniat if;! 30'
2. Sinuosity of channel along thalweg
0
A. Geomorphology (Subtotal = c )
Absent
Weak
Moderate
Strong
1" Continuity of channel' bed and bank d , h
0
1
2
3
2. Sinuosity of channel along thalweg
0
16. Organic debris lines or piles
2
3
3. In -channel structure: ex. riffle -pool, step-pool,0
ripple -pool sequence
No = 0
L "J
2
3
4. Particle size of stream substrate
L02
1
2
3
5. ActIvelrelict floodplain
1
1
2
3
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
'perennial streams may also be Identified using other methods. See p. 35 of manual.
1
2
3
B. fieadcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
.5
1
1.5
11. Second or greater order channel
a = 0=2
Yes = 3
a artificial ditches are not rated; see discussions in. manual
B. H drola (Subtotal = B}
12. Presence of Baseflow
0 1 2
1
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1 0.5
0
15. Sediment on plants or debris
0.5 1
1.5
16. Organic debris lines or piles
0 1
1.5
17. Soil -based evidence of high water table?
No = 0
=
C:_ Rinlnnv dS iMnIal _ Co S 1
18. Fibrous roots in streambed -
2
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5�
1
1.5
25. Algae 0
1.5
26. Wetland plants in streambed
FACW = 0.75; OBL = 1.
Other = 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes:
Sketch:
Yc'�
N

...1 -I I P., I
Ep
J
k4.
3
x
ti
yy S
t
...1 -I I P., I
Ep
J
k4.
3
x
ti

{
1
'

USACE AID:' 1711 i7 = Site = vindicate on atiached nt:lpl
5Ct+'v1a 035-
0 STREAM QUALITY ASSESSMENT NVORKSHEET
Proi ide the folloii ing information for the stream track tinder assessment:
1. Applicant's name: T) o 1 YX i Q n ?. Esaluator's name: L too ew-
3. Date o e\aivation: I � � � � �U __ a. Time ofo:nluntion:
5. Name of snram-, 5c--r%A, 6.1� ii er basin: F i�
7. Approximate drainage area: I LID Q ML S. Stream order:
9. Length of reach es aluated:, i'{ � � �' 10. County : b r 1
11. Site coordinates (if known): prefer in decimal decrees. 12. Subdivision name (if any): I\Mf —d
1.11itlidC ION. 34.872311: 35 . 0 14 3 1 ongittide (ex. -77.556611):
Method location determined (circle): a1'.' Topo Shect Qnho (Aerial) i'holoiGIS t7ther GiS Other
13. Locaiion of reach under ei alunt ion {note nearby roads and landmarks and Minch map identi%ing streams) location):
Snuf�1 � clin+p IU IY%�wt(1 tee �Dw
�r II
14. proposed channel work (if any): 2t�000 I i�;(M 6e, .
15. recent wealher conditions: LA3 &-t'vr, 't'
16. Site conditions at time ofsisit:,
0
17. ldentif j any special Wateni-a)' classifications known: _Section 10 Tidal Waters`' _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters —Nutrienl Sensitise Waters _Wafer Supply Watershed (I_Iir)
13. Is there a pond or lake located upstream of the es aluation point? YES 0 If yes, estimale the grater surface area:
19. Does channel appear on USGS quad reap?'ES NO 24. Does channel appear on LISDA Soil Survey? NO
21. Estimated watershed land use: ("o Resi ential 06 Commercial _4a Industrial �00o Agricultural
_t"° g Forested Q<p Cleared ! Logged %Cather { )
tTcpcfArl
�
anl,ful ii id t; I3 23, Bank height (from bed to top of bank):
24. Channel slope down center of stream: lat (Oto ?° Q) __,Gentle (2 to -l° o) _Modemle (4 to l U° a) _Sleep (> 109 a)
'_5. Channel sinuosit-, Straight Inc ,ional bends __Frequent meander _Very sinuous �I3raided channel
Instructions for completion of iiorkslieel (located on page «i): Begin by deteniiiiiing the must appropriate ecuregiun based on
location, terrain. vegetation. stream classification, etc. Eser\ characteristic inust be scored using the same ecoregion. :kssiun points
to each characteristic m iihin the ran;,e shoNin for the ecoreg on. Page 3 protiides a brief description of how to rei ieis- the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under et aluation. if a
characteristic cannot be e,,aluated due to site or iseather conditions. enter 4 in the scoring box and proside an explanation in the
comment section. Where there are obvious changes in tate character of a stream under resiew (e.g., the stream floNas from a pasture
into a forest). the stream may be diiided into sinaller reaches that display more eontinuit}, and a separate forth used to ei aluate each
reach. The total score ass i-ned to a stream reach must range beth een U and 100. %l ith a score of 100 representing a stream of the
highe_i qualirt.
I from reverse): t
Evaluator's Signature Date
/1,
This channel evaluation f rift t nteitded to bel;►tlps
guide to assist landowners an ens irdnmental professionals in
gatlierittg tllc data req red llr the L`nitcd States �rnt} of Eiiglneers to intake a preifutinam assessinent of stream
quality. The total score resulting from the completion of this forth 1s subject to USACE approval and does not imply a
particular niitlgation ratio or requirement, Form subjecl to cis ilge — l ersion 06 03. To CC:mmet i. please call 919-976-8441 % =6-

STREAM QUALITY ASSESS E, NT NVORKSHEET
,V4-©ltl'.Q-T0,�p1101N.
A
Presence of flol►' 1 persistent pools in strearn
0-5
0_4
0-5
(no low or saturation = 0: strong flow = ]rax—amts)
Evidence of past human alteration
0-6
0-5
0-5
(e�lensiti a alteration = 0; no alteration =max amts}
3
Riparian zone
0-6
0_4
0-5
nx
(no buffer. — 0: contiguous. wide buffer - maxpoints)
irs'idcuce of Iiutrient or chemical discliarges
0 — 5
0-4
0
(extensive discharges.= 0; no dischar es = max oints
a
5
Groundwater discharge
0-3
0-4
0-4
Q
(no discharge = 0` _ rines seeps, ►wetlands etc r max oints
Presence of adjacent floodplain
0-4
0-4
0-2
(no flood lain = 0; extensive flood lain = matpoints)
Entirenchnient I floodplain access
'1
=max
0-5
0-4
0-2
dee 1 entrenched = 0` fxe dent fiaodin4 oints
p�
Presence of adjacent wetlands
0-6
0--4
0-2
(no wetlands = 0; lar a adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0 natural meander= max amts)
10
Sediment input
0-5
0-4
0-4
extensive de osition= 0• little or no sediment= max points)
Size & diversity of channel bed su'hstrate
3
NA*:
0-4
0-5
(fine, home enous_= 0• large, diverse sixes = max oints)
Evidence of channel incision or ividening0
_ 5
0-4
0-5
C
1
(deeply incised = 0. stable bed & banks = max profs)—
]
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0: no erosion stable banks = max points)
Root depth and density on banlis
0-3
0_4
0-5
14
(no visible roots = 0; dense roots throughout = max points)
CIS
Impact by agriculture, livcstocic, or timber production
0-5
0-4
0-5
15
(substantial impact =0• no evidence = max dints)
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
16
(no riffleslri les or pools = 0; -well-developed =max amts)
17(little
Habitat complexity
0-6
0— 6
0-6
or no habitat = 0: fr trent, varied habitats = maxpoints)
Canopy coverage over streambed
io—:5:
0-5
0-5
18
(no shading vegetation = 0• continuous canopy = maxpoints)
19
Substrate embeddedness
. Nab*
0-4
0-4
--�
(deal(dealy embedded = 0• loose structure = max
Presence of stream invertebrates (seepage 4)
0-4
0_5
70
(no evidence = 0: common, numerous es = maxpoints)
7
L
23
Presence of amphibians
0-4
0-4
4-4
G�
(no evidence = 0; common, numerous t�, es = max points)_
a-
{}
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0: common, numerous ' es = max pints)
�3
Evidence of wildlife use
o-6
0-5
0 -- 5
[
(no evidence = 0. abundant evidence = max points)
Total Points Possible
iO4 °
100
1il0
TOTALSCORE {also enter on first pale}
* These characteristics are not assessed in coastal streams.

Nt' T)WO';t,-psti, Irientifientinn Form Ves-slali 4.11 . (r` Vyl Iib 35
Date: [$ f(
Projectl5ite: ftclr
Latitude: 3c.V j q
Evaluator:
County: WZ ,-
S, t�
Longitude: --7 C] 1 0
Total Points:
Stream is at least intermittent ,,5
Stream Determination (circl n
Ephemeral Intermittent erennla
Other r"), f j
e.g Quad Name:
rf z f 9 or ereranial if? 3D'
2. Sinuosity of channel along thalweg
0
A. Geomor halo Subtotal = 10 --)
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
0 0.
3
3. In -channel structure: ex, riffle -pool, step-pool,�
ripple -pool sequence
16. Organic debris lines or piles
1
2
3
4. Particle size of stream substrate
0
Yes = 3
2
3
5. Activelrelict floodplain
0
1.5
2
3
6. Depositional bars or benches
M1
26. Wetland plants in streambed
2
3
7. Recent alluvial deposits
0
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
No = 0
=
a artificial ditches are not rated; see discussions in manual
R l-lvrimInnv lSi9htntal = Q 1
12. Presence of Basedow
0 1
2
3
13. Iron oxidizing bacteria
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 0.5
1
1.5
17. Sail -based evidence of high water table'?
No = fl
Yes = 3
1.5
C Biolo (Subtotal=
18. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3 2
1
0
20. Macrobenthos {nate diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0 0.5
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
1
1.5
25, Algae
0 0.5
1
1.
26. Wetland plants in streambed
FACW = 0.75; OBL =1.
Other =
'perennlal streams may also be identified using other methods. See p. 35 of manual.
Notes:
n h
Sketch:
J
i
{� H w I (.0 +�V
�&_n�_ W i c�+b `, �04

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo035 facing north upstream.
Waterbody data point scmo035 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point sctno035 facing west across.
Photo Sheet 2 of 2

NC D«'O Stream Identification Fornt Version 4.11 _S r- n11 9 0 D 2
Date: 2 1
ProjectlS(te: 6 C,
Latitude: 3 5.01133
Evaluator, 5 - �-,p
Counfy:jYYi iL Vi (
Longitude: --71
3--7917-3
Total Points:
Stream Deter circle one)
Other
Stream is at feast fntennittent} y
Ephemeral ntermitten Perennial
e g Quad Name:
2:f 9 orperennial if a 30'
2
3
A. Geomorphology (Subtotal = )
Absent
Weak
Moderate
Strong
1" Continuity of channel bed and bank tl
0
1
2
3
2. Sinuosity of channel along thalweg
0
FTJ
2
3
3. 1n -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
22. Fish
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Active/relict floodplain
0
1
2
3
6. Depositional bars or benches
1.5
1
2
3
7. Recent alluvial deposits
1
2
3
8. Head'cuts
0
1
2
3
9. Grade control
Sketch;
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
es = 3
a artificial ditches are not rated; see discussions in manual
R_ Hvdrnlnarr fSubtotal = 3 l
12. Presence of Baseflow
0 1 2
13. Iron oxidizing bacteria
1 2 3
14. Leaf litter
1.5 1 0.5 0
15. Sediment on plants or debris
C15 .5 1 1.5
16. Organic debris lines or piles
5 1 1.5
17. Soil -based evidence of high water table?
No = 0 es = 3
('. Rinlnnv lSiihtntal = 7,,5 1
18. Fibrous roots In streambed
3
1
0
19. Rooted upland plants in streambed
022
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5
t ip
1.5
25. Algae
0.5
1
1.5
26. Wetland plants in streambed
FACW = 0.75; Cid ether = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch;
1
`ppm
y
I
` S�w�UUZ
0 vvy)

1 -' _A(f 11D.; DNN,Q = Site = tindicate on attached map)
Z' 0 0 2.
STREAM QUALITY ASSESSMENT WORKSHEET
ProN isle the follw8ing Inrortilation for tile stream reach underassessment:
2. EN aluator's name: EST - 40
4. Time of eN aluation: 9 30 Cur
i. Applican t`s name: 1)pyy, t n y t-2 n _
3.1)atoofevaluation: R z
�. Name of stream: UT -b AoLn&v
7. ApproNimate drainage area: I c)o 4-
9, Length of reach evaluated:
11. Site coordinates (if known): prefer in decimal degrees.
Latitude (ex. 34.872312): -6 5, D11'&3
6. Rig er basin:
8. Stream order:
rr( _
10. County: CAjoi NA -ion
12. Subdivision name (if any"): i� 1PY"1
Longitude (ex. -77.556611): —28
E::
Method location determined (circle): E'' l'opo Sheet Ortho (Aerial) Phots /GlS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location)
5Du4+\ or NCA- , E&,5+ o-� 09 Va-nAe� .
J
14. Proposed channel work (if any): 1 p
15. Recent weather conditions:`.at G� '2 fG �r►Q V+lt�° �$ t 4'r'► `► tit r5 .
16. Site conditions at time of
17. ldentify any special waterway classifications knovvn: _Section 10 TTidal Waters
Habitat
Trout WatersOutstanding Resource Waters ^ Nutrient Sensitive Waters ____�Nater Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 14 if yes, estimate the water surface area:
19. Does channel appear on USGS quad map? 6 NO 20. Does channel appear on USDA Soil Survey? YES
21. Estimated %8atershed land use: �" o Residential
"o Forested
72. Bankfull v� idtll: S T�
24. Channel slope down center of stream: ✓Flat (0 to 2� 0)
25. Channel sinuosity: ✓ Straight Occasional bends
° d Commercial �% Industrial °'o Agricultural
° a Cleared } Logged _% Other (- )
23. Bank height (from bed to top of bank):
Gentle (2 to 490) -Moderate (4 to 10%) Steep (>10°x)
—frequent meander —Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic t� ithin the range shown for the ecoregion. Page 3 provides a brief description of hm� to review the
characteristics identified in the Nvorksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated dine to site or v%eather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate forth used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, vi ith a score of 100 representing a stream of the
highest quality.
Total Score (frons reverse): 5 Comments.
Evaluator's Signature c.� Date
This channel craluatioi or is intended to I u only as a guide to assist landowners and em iro mental professionals in
gathering the data re uir d by the United at Army Corps of Engineers to maI'ie a preliminary assessment of stream
quality. The total sc resulting From the completion of this forin is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06 03. To Comment. please call 919-876-8441 x -26.

STREAM QLiALIT1' ASSESSi1IENT NN''OIZKSIIEET
* These characteristics are not assessed to constai streams.
ECOREG"10N POINT
RANGE
##
CHARACTERISTICS.
Mountain
SCORE
Coastal
Piedmont
1
Prescncc of flow 1 persistent pools in stream
0-5
0_4
0 - 5
Jr
(no float/ or saturation -- 0: strong floRv __ mar dints)
�
Evidence of past human alteration
0-6
0-5
f}-5
d
(extensive alteration = 0; no alteration = marpints)
3
Riparian zone
0-6
0_.4
0-5
(nog buffer = 0; contiguous. wide buffer = max oints)
4
Evidence of nutrient or chemical discharges
0-5
0 -4
o-4
(extensive discharges = 0; no discharges = max.points)
5
Groun(M ater discharge
0-3
0-4
0-4
d
(no dischar fe = 0; s rin =s, see s, vv etlands, etc. == marpoints)
6
Presence of adjacent floodplain
0-4
0 ._4
0-2
(no floodplain = 0-, extensive floodplain = maxpoints)
Entrenchment l floodplain access
0- 5
0- 4
0-
t;]
(deeply entrenched = 0. frequent flooding � ,max points)
8
Presence of adjacent vv ctlands
0. 6
0.-, 4
0-2
4
1
(no wetlands = 0; large adjacent wetlands = max oints)
9
Channel sinuosity
0-5
o-4
0- 3
extensive channelization = 0; natural meander= maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0, little or no sediment = max points)
I i
Size & diversity of channel bed substrate
NA*
0-4
0 5
(fine, homogenous = 0; large, diverse sizes '=. maxpoints)
12
Evidence of channel incision or n idening
0 _ 5
0-4
0-5
(dee l y incised = 0. stable bed & banks = max point
13
Presence of major rank failures
0-5
0_.5
0-5
5
(severe erosion = 0; no erosion, stable banks = ma.Xpoints.)
14
Root depth and density on banks
0 - 3
0 - 4
0 - 5
�]
G�
(no visible roots = 0; dense roots throughout = max oints
15
Impac t by agriculture, livestock, or timber production
0-5
0-4
0-5
0
'
(substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-pootfripple-pool complexes
0-3
0_5
0-6
(na riflf es.'Tipples or pools= 0; %vel l-develo ed = nearpoints)
17
Habitat complexity
o-6
0-6
0-6
j
E--
(little: or no habitat = 0; frequent, varied habitats =max Dints}
1 fi
Canopy coverage over strearnbcd
0-5
0-5
0-5
(no shadin2 v e xctation = 0; continuous canopy=max pints)
19
Substrate embeddedness
` NA*
0-4
0 - 4
--..
(deeply embedded = 0; loose structure =max)
20
Presence of stream inw ertebrates (seepage 4)
0-4
0_5
0-5
(no evidence = 0; common, numerous types = max pints)
1
Presence of amphibians
0-4
0-4
0-4
Q
(no evidence = 0; common, numerous "es = maxpoints)
2?
Presence of fish
P
{}-4
0-4
0-4
Q
q(no
evidence .= 0; common, numerous types = max dints)
:231
Evidence afvvildlife use
�j
(no evidence v 0; abundant evidence = max paints)
1 Deal Points Passible
100
100
100
TOTALSCORE (also enter on first Page)
* These characteristics are not assessed to constai streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmf002 facing southwest upstream.
Waterbody scmf002 facing northeast downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmf002 facing north across bank.
Photo Sheet 2 of 2

NC DNV Stream Identification Form Versimi 4.11 5C..YYN ' DD
Date: 112. g It ISA
ProjectlSlte: kl?
Latitude: 3 5, Q! a 7 S
Evaluator: Ec, - L F o e,,-
County: Co rn I n d
Longitude: --7 6. -1 Ll I
Total Paints: 111
Stream is least inteimittent
Stream Determination circle one)
Other]�, t
at {
Ephemeral Ip rmittent erennial
e g Quad Name:
if z 13 or verenniai if? 30` I
2
3
A. Geomo holo (Subtotal = )
Absent
Weak
Moderate
Strong
1$- Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
02
r
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool sequence
%,^^,
!= )
1
2
3
4. Particle size of stream substrate
0
1
1
3
5. Active/relict floodplain
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
1
2
3
9. Grade control
O
0.5
1
1.5
10. Natural valley
Ic
0.5
1
1.5
11. Second or greater order channel
tNo
= 0
Yes = 3
Sketch:
a artifcial ditches are not rated; see discuns in manual
B H drolo Subtotal = 5,L-
12. Presence of Baseflow
0 1 2
13. Iron oxidizing bacteria
1 2 3
14. Leaf litter
15. Sediment on plants or debris
5 1 0.5 0
0 1.5 1 1.5
16. Organic debris lines or piles
0 1 1.5
17. Soil -based evidence of high water table?
No = 0 Les := 3
C" Rinlnriv IRtihtntal = `7 ,.S_ 1
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
2
1
0
20. Macrobenthos (note diversity and abundance)
(07
1
2
3
21. Aquatic Mollusks
CD
1
2
3
22. Fish
on
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphiblans
0
0.5
1.5
25. Algae
0
0.5
i
1.5
26. Wetland plants in streambed
FACW W 0.75;
BL = 1.5 Other = 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes:
Sketch:
IUM�tb[
• ,ruin
0 M 544
IN-

USACF AID' D%k 0 Site = (indicate on attached snap)
5 G.hr+4 003
iii
' STREAM QUALITY ASSESSMENT WORKSHEET
I'rav id tate following information for the stream reach under assessment:
2. L: aluator's name: Ebj
1. Applicant's name; D0v10 %.n i'n n
3. 1)ate o1 elaluatinn: 917-6/16,
5. "varve of e'-�a-ncIQ 4X -t_
7. Aplrrasitnate drains e area:�� fiylexc'
9. Length ofreach evaluated:_ ci� !
4. Time of evaluation: I D o nI l
6. Ricer basin:
S. Stream order:
10. County: Cor"yi lop'r 1 n -yl e4
11. Site coordinates (if knovvn): prefer in decimal degrees. 12. Subdivision name (if tany')::-_7`100 C.,
Latitude (ex. 34.872312): 3 E) - D 1015 Longitude (ex. -77.556611): / S. 7
Method location determined (circle): }'-' I'opo Sheet Ortho (Aerial) Photo+GIS Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying strearn(s) location):
5aA of -0 18
z �•�p �n
14. Proposed channel work (if any):
15. Recent weather conditions:
16. Site conditions at time of
17. Identify any special waterway classifications hno%kn: „Section 10 �I-idal Waters —Essential Fisheries Habitat
_Trout Waters Outstanding Resource Waters—Nutrient Sensitive Waters _Water Supply Watershed (]-IV)
1S. Is there a pond or lake located upstream of the evaluation point? YES A 10 lfyes, estimate the water surface area:
19. Does channel appear on USGS quad map? 9 NO 20. Does channel appear on USDA Soil Survey? ES O
21. Estimated %Natershed land use: °o Residential °o Commercial —°fl Industrial ° Agricultural
CoD ° forested °o Cleared i Logged °n Other )
22. Bankfull width: l0 23. Flank height (Frorn bed to top of bank):
2.4. Channel slope down centers f stream: _ Iat (0 to 2° p) Gentle (2 to =ln,u) ____Moderate (4 to 10%) „_,_Steep (> 10%)
25. Channel sinuosity: ~/Straight Occasional bends Frequent meander _Very sinuous _Braided channel
instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecore�.;ion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of hove to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream ready under evaluation. If a
characteristic cannot be evaluated due to site or NN eather conditions, enter 0 in the scoring box and provide an explanation in tlae
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to e%aluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (frons reverse)-� 00—) Comments:
Evaluator's Signature Date
This channel evaluation f m is intended to It use my as a guide to assist hindo►sners and en ironinen al professionals in
gathering the data req sed by the United S rte :army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from tite completion of this farm is subject to USAC E appro%al and does not imply a
particular mitigation ratio or requirement. Foran subject to change - version 06 03. To Comment, please call 919-876-8141 x 26.

S'rREAN1 QUALITY ASSESSNIENT 1VORKSIIEET
*These characteristics are not assessed in coastal streams.
�T
ECORE(aION POINT
RANGE,.
('11AItA.CTERISTICS
SCORE
Coastal
Piedmont
Mountain,
-
1
Presence of floii 1 persistent pools in stream
0-5
0-4
0 -
(no flow or saturation = 0; strong flo«' L max Hints)
C► idence of past human alteration
0-6
0-5
n-5
(extensive alteration = 0; no alteration = max dints)
Ripa Tian zone
0-6
0-4
0 5
d
(no buffer = 0; contiguous. wide buffer =max Dints
4
Evidence of nutrient or chemical discharges
0-5
0_4
0-4
(extensive dischar es = 0; no discharges = maspoints)
5
Ground►saterdischarge
0-3
0-4
0-4
(no discharge = 0; springs, seeps, tt eilands. etc. -- max tints)
6
Presence of adjacent floodplain
0-4
0-4
0 -2
(�
(no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment 1 floodplain access
0-5
0-4
0-2
l`
(deeply entrenched = 0; frequent flooding, = maxpoints)
8
Presence ofadjacentwetlands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization - 0; natural meander= maxpoints)
10
Sediment input
0-5
0 --. 4
0-4
(extensive deposition-- 0. little or no sediment = maxpoints)
t?
1l
Size & dfversit y of channel bed substrate
y
NA* -
0-4
0`5
(fine, homogenous = 0; large, diverse sizes = maxpoints)
1,
Evidence of channel incision or ►i ideninti
0 - 5
0-4
0-5
(deeply incised = 0: stable bed &, banks = maxpoints)
3
Presence of major bank failures
0
0-5
0-5
sevcre erosion = 0; no erosion, stable banks - maxpoints)
14
Root depth and density on banks
0 - 4
0 5
77—
(no visible roots = 0; dense roots throughout = maxpoints)0-3
15
Impact by agriculture, livestock, or timber production
0-5
0 -4
0-5
D
substantial impact =0; no evidence = max points)
16
Presence of riffle complexes
0-3
0-5
0-6
I�
(no rifflcslTipples or pools = 0; well-developed = nlaxpoints)
d
17
Habitat com lexit
p y
0-6
0-6
0-5
E
(little or no habitat = 0, frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shadingvegetation = 0; continuous canopy = maxpoints)
f
19
Substrate embeddedness
l,J�q
0--4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream ins ertebrates (seepage 4)
0-4
0-5
0-5
(no evidence = 0; common. numerous types = maxpoints)
1
Presence of amphibians
o-4
0-4
0-4
Q
(no evidence = 0; common. numerous types = max points)
220-4
Presence offish
0-4
0--4
(no evidence = 0; common, numerous t y es = maxpoints)
p
23 Evidence of wildlife use
0-6
0-5
0-5
(no ek idence = 0; abundant evidence = max points)
Total Points Possible
100
100 4
1(}0.
y.
TOTAL SCORE (also enter on first paged
*These characteristics are not assessed in coastal streams.

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmf003 facing west upstream.
Waterbody scmf003 facing east downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmf003 facing north across bank.
Photo Sheet 2 of 2

LISACE Alli"" DI's Q Site # (indicate on attached map)
S crn-p0Q1
M STREAM QUALITY ASSESSMENT WORKSHEET
Prov ide the following information for the stream reach under assessment:
1. Applicant's name: Dnn , tr1 i D rn
3. Date of evaluation: I 1 11P I 16
5. Name of stream; UPT f rCC�P..dlc r tfre-ek
7. Approximate drainage area:
9. Length of reach evaluated: �~
2. Evaluator`s name: I~5-L� -_Lk 09-ar-
4.TimCGf`cvaIuation:n: - l c)& \ - _-
6. Riverbasin: f-
3. Stream order: d
10. County: CLArnlQerl&V1 A
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):n D n �.�
t..atitude (ex. 34.872312}: , B 3 Longitude (ex. -77.556611): tff
D
Method location determined (circle): 'S Topo Sheet Ortho (,Aerial) Photo/GlS Other GIS Other
13. Location of reach under evalua66rr'6o1e nearb roads and landmarks and attach map ident€ftiing streams) local ion):
_a
10
Cas- n �a` �+ h,
14. Proposed channel work (if any):
la. Recent weather conditions: W64lid-_ 13'
16. Site conditions at time of v isit:,
I7. Identify any special vvatervvay classifications known: „Section 10 _Tidal Waters _Essential Fisheries Habitat
Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters �1�4'ater Supply 1Vatershed (l -1V)
18. Is there a pond or lake located upstream of the evaluation point? YES SIf yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 20. Does channel appear on USDA Soil Survey? YES C
21. Estimated watershed land use: Lo°/a Residential ifl,o Commercial _%a Industrial Zb°a Agricultural
%i Forested _° a Cleared I Logged % Other
22. Bank -full width:6 23. Bank height (from bed to top of bank): _ � t"
2.4. Channel slope down center of stream: YFlat (0 to 2%) __Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>I0%)
25. Channel sinuosity: Straight Qccasional bends _Frequent meander —Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate: ecoreelon based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the some ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. I'age 3 provides a brief description of hove to review the
characteristics identified in the vkorksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream tinder review (e.g., the stream flows from a pasture
into a forest.), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must ranee between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature Date
This channel evaluation rm is intended to be used only s a g e to assist landowners anti envlronmental professionals in
gathering the data req red by the United States Arnty Corps tf Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USAGE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06.03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGi�.
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain.
l
Presence of flow J persistent pools in streAaointsl
_
0-4
- 5
(no flow or saturation = 0: strong* flow = max
2
`
Evidence of past human alteration
0-6
0-5
0 -_, 5
(extensive alteration = 0. no alteration = maxpoints)
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous. Nvide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0-5
4-4
0- 4
`
(extensive discharges = 0; no discharges = maxpoints)
I
5
Groundwater discharge
0-3
o-4
0-4
U(no
discharge = 0; springs, see . s, wetlands. etc. = max points)
U
6
Presence of adjacent floodplain
0-4
0_ 4
0-2
.
(no floodplain = 0; extensive floodplain = maxpoints)
aw
Entrenchment / floodplain access
0 ._ 5
0-4
0- 2
(dee lv entrenched = 0; frequent flooding = max points)
S
Presence of adjacent 11-etlands
0- 6
0-4
0-2
(no wetlands = 0; lar =e adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = maxpoints)
.:
10
Sediment input
0-5
0-4
0-4
w ,
(extensive deposition= 0; little or no sediment = maxpoints).
m
3.
11
Size & diversity of channel bed substrate
NA* ,
0-4
0-5
(fine, homogenous = 0; large. diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0- 5
0-4
0-5
'
(deeply incised = 0; stable bed & banks = maxpoints)
3
Presence of major bank failures
0-5
0-5
0-5
w
(severe erosion = 0; no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0-4
0-5
(no visible. roots = 0; dense roots throughout = maxpoints)
E
15
Impact by agriculture, livestock, or timber production
0 -- 5
0 -4
0 -5
rj
(substantial i n act =0; no evidence = maxpoints)
0j
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
les or pools = 0; ell -developed - maxpoints)
(no rifffeslri w
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0. frequent, varied habitats = max ppints)
F4
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canoRy = Inax olnts)
19
Substrate embeddedness
0-4
[}-4
(dee l +embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0; common. numerous types = maxpoints)
21
Presence of amphibians
0-4
0-4
0-4
d
(no evidence = 0; common, numerous tv es = maxpoints)
C)
22
Presence offish
0-4
0-4
0-4
( ,no evidence = 0: common, Numerous types = maxpoints)
�3
Evidence of wildlife use
0-6
0 - 5
0-5
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on f rst page
* These characteristics are not assessed in coastal streams.

NC DNVO Stream Identification Form Version 4.11 C'r_mt oo
Cate: 116/11
ProJectlSite: A -L
Latitude:31,
Evaluator: E6T L , �% ev-
County:or b 'f_
Longitude:. 76.W iJ6
Total Points:
Stream is at least intermittent 1 viral
5trsarn-{]e Imination (circle one)
ntermittent Perennial
Other ,1 A ut[le-
e g Quad !Name:
if a 19 or perennial if a 30'
1.5
1.5
A. Geomorphology (Subtotal = Z .57-)
Absent
Weak
Moderate
Strong
1'9- Continuity of channel bed and bank cL t ItV\
0
1
2
3
2. Sinuosity of channel along thalweg
1.5
1.5
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri ie- ool sequence
0
1
2
3
4. Particle size of stream substrate
0
0.5
2
3
5. Active/relict floodplain
0
1
2
3
+6. Depositional bars or benches
0
0.5
2
3
7. Recent alluvial deposits
0
1
2
3
B. Headcuts
F_AG
i
2
3
9. Grade control
0
0.
1
1.5
10. Natural valley
0.5
1 1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
1
f
a artificial ditches are not rated; see discussions in manual
R _ Hvrirolnov fSuhtotnl = 7 �- 1
12. Presence of Basefiow
0 1 2
3
13. Iron oxidizing bacteria
1 2
3
14. Leaf litter
1 0.5
0
15. Sediment on plants or debris
16. Organic debris lines or piles
0 1
0 .5 1
1.5
1.5
17. 'Soil -based evidence of high water table?
No = 0 4 es = 3
3
C_ Riolnrsv fSubtntal = 7. 'Z_S 1
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
(
2
1
0
20. Macrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
1
2
3
22, Fish
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphlbians
t]
0.5
1
1.5
25. Algae
0
0.5
1
1.5
26. Wetland plants in streambed
F_AG
=
- OBL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
1
f
it stmt' OD I
NC -7.1-D
D�10M ' 3

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmf001 facing northeast upstream.
Waterbody data point scmf001 facing southwest downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmf001 facing southeast across bank.
Photo Sheet 2 of 2

USACE- AID:2 D\\ s �
Site w (indicate on auached map 1
SGrKF DY LF
STREAM QUALITY ASSESSMENT NVORKSHEET
Prov id the Tommi inn, inrorntation for the streant reach under assessmell t:
1. Applicant's name: Mt'M,,0tN ?. Evaluator's name:
3. [late of ex aluation: s �-9 A. Time of evaluation: 0 30fA'►
3. 'game of stream: U T , Cree k
7. Approximate drainage area: Zn Ae.rc s
9. Length ofreach evaluated: �56k
6. River basin: C Mint lrev� y'
S. Stream order:
l (). Counr; :
I L She coordinates (if known): prefer in decimal decrees. 12. Subdivision name (ifanv): 1V � Q
l.alhude 1cx. 34.8723121: 34.11670's Longitude (ex. -77.556611): —7 %. -? 3 f 7Cs�
Method location determined (circle): PS i-opu Sbco Ortho (Aerial) PhotniGIS Other GIS Other
13. Location of reach under /evaluatio note nearby roads and landmarks and attach snap identif ]ng stream(s) location):
f o (f �'1 • J l L-i� fM1°� D` --r` t e -,L "" 6 eek PO" .
14. Proposed channel Nvork (if any): P(b?05C0 Pa Pei; #1-Q
15 . Recent weather conditions: PM 41 VO4 ren Pek&+ 4 2' 1P i
16. Site conditions at time ofvisit: h", - M,A—L t" �-
17. Identify any special Nvatenvav classifications known, _Section 10 Tidal Waters Essential Fisheries Habitat
_Trout Waters _Outstanding Resource NVaters _Nutrient Sensitiv a Waters _Water Supply Watershed (1-1V)
13. Is there a pond or lake located upstream of the evaluation poim? YES Q If) es, estimate the water surface area:
19. Dees channel appear on USGS quad map? YES N: 20. Does channel appear on USDA Soil Sun -e%? YES
21. Estimated watershed land use: 16 Residential �06 Commercial _°a Industrial �°'o Agricultural
pof Arl
} ° a Forested 0 ° o Cleared/ Longed —° o 0iber ( )
ankful %vj J t: + 13. Bank heiaht (from bed to top of bank): SdC4-
24. Channel slope down center ofstream: .--'flat (4 to 200) Gentle (21o4'16) __h9oderate (4 to 101o)_—Steep (>l0°o)
25. Channel sinuosity,: Straight Occasional bends _Frequent meander Ven- sinuous _Braided channel
Instructions for contpletlan of iiorlabeet (located oft page 2)1 Begin by detentlilting ille MW appl'Upriatr ecoregion based on
location. terrain. vegetation. stream classification, etc. Evcn characteristic must be scored using the same ecoregion. .Assign points
to each characteristic N thin the ranee shown for the ecareLlion. Page 3 provides a brief description of how to reiiew the
characteristics identified in the tx orksheet. Scores should reflect an overall assessment of the stream reach under ex aluation. if a
characteristic cannot be evaluated due to site or weather conditions. enter 0 in the scoring boy: and provide an explanation in the
comment section. Where there are obvious chan�,es in the character of a stream Under relteW (e.;5,, the Stream tlMx 5 from a pasture
into a forest 1. the streant tray be divided into smaller reaches that display more continuity, and i separate form used to ei aluate each
reach. The total score asci<rned to a stream reach must ran!e bet%N een 0 and 140. vi hh. a score of 100 representing a stream of the
highest quality. Y
Total Score (front: reverse). � Comments:
ivaIuatar's Signature
", Dale
-31g��6
This channel evaluation form i% intended to be use only as a guide to assist landowners and env ironmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total 'Score resulting from the contplCtlon Of this forIn is subject to USACE approval aI1d {lois not Imply" a
particular mitigation ratio or requirement. Form, subject to change - version 06 01 . To Coni: -;ern -pease call `119-91.6-S441 \ -'6.

STREAM QUALITY ASSESSIMENT WORKSHEET
I
W-4
E C t -04 R -A -L G,,,j�;
MISTICS, -04
Presence of now persistent pools in stream
0-5
0-4
0-5
1
(no flow or saturation = 0: strong flow = niax Points)
Evidence of past liurnan alteration
A
o-6
0-5
0-5
(extensive alteration = 0 -,no alteration = max oints)
p
Monrian zone
0-6
0-4
0-5
(no buffer 0; conn uous. wide buffer inax points)
4
Lvidence ofnutricnt or cllen7ical
0-5
0-4
0-4
(Wensive discharges = 0. no discliarres = iiiax i2ointO
5
Gro 6 n diva t e r d is cb a rge
0-3
0-4
0 4
(DO discharge 0; springs, seeps, wellands. etc.- Max points)
6
Prcsence of adjacent floodPlail,
0-4
0-4
0-2
(no flood lain 0; extensive f1bodplain = Max Points)
7
Entrenchment I floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; teAuent flooding = max points)
8
Presence Of adjacent ii-eflands
0-6
0-4
0-2
(no wetlands = 0; large adjacent wetlands = max Robits)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization � 0; natural meander max points)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = max points)
t.,-;
Size & dive rsity of clia'nnel bed substrate
0-4
0-5
(fine, bernoeenous:F 0; large. diverse sizes max points)
Evidence of channel incision or widening
-
0-5
0-4
0-5
12
(deeply incised = 6, stable bed & banks = max points)
.
Presence of major bank failures
I 3
0-5
I
0-5
0-5
(severe erosion = 0; no erosion, stable banks = max points)
;A
14
Root depth and density on banks
0-3
0-4
0-5
F(no
visible roots = 0, dense roots throe out = max points)
M
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
(substantial impact. =0; no evidence = max points)
16
Presence of riffle -poollripple-pool complexes
0-3
0-5
0-6
(no riffles!ripples or ools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = max points18 )
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = max points)
I
r.7
19
Substrate embeddeduess
0-4
0-4
(deeply embedded = 0; loose structure = mix)
Presence of stream invertebrates (seepage 4)
0-4
0-5
0-5
20
(no evidence = 0: common. numerous types = a% points)
21
Presence of amphibians
0-4
0-4
0-4
(no evidence = 0: common, numerous types = max points)
22
Presence of fish0-4
0-4
0-4
(no evidence = 0- common, numerousLypes = max points)
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0. abundant evidence = max points)
Total Paints POS116
100'
100
160
T& SCOIRE (also 'enter on first page)
These characteristics are not assessed in coastal streams.
I
W-4

Nt'_ I]\VFl Stream Idcntiticatian Form Version 4.11
SCM ID D 44
Date: �
Project/Site:
Latitude:�
Evaluator: s -�r f �k1Gfi (C,MU(Ph(ey
County: Ct✓fM fGr�V
Longitude: 7 ,1`i397o
Total Points:
Stream Is at feast irtermitterat
eterminatlon (circle one)
Cather r; lie, NC
if? t9 or erenniaf if? 30'
phemeral ntermittent Perennial
e g Quad Name:
A. Geomorphology (Subtotal= )
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0
1
2
3
3. In -channel structure: ex. riffle -pool, step-pool,j„
O le ool sequence
1
CO'
1
2
3
4. Particle size of stream substrate
0_
1
2
( 3
5. Active/relict floodplain
U
1
2
3
6. Depositional bars or benches
U}
5
2
3
7. Recent alluvial deposits
Oa
0.5
2
3
B. Headcuts
a
1
2
3
9. Grade control
i)
W -V
1 1 1
1.5
14. Natural valley
t]
0-5
1 1
1.5
11. Second or greater order chan net
N W
Yes = 3
i
H artificial ditches are not rated; see discussions in manual
B H drolo (Subtotal= R 5
12. Presence of Baseflow
0 1
2
3
13. Iron oxidizing bacteria
0
2
3
14. Leaf litter
1.5 1
0.5
0
15. Sediment on plants or debris
4 0A
1
1.5
16. Organic debris lines or piles
o .5
1
1.5
17. Soil -based evidence of high water table?
No = 0
Yes 3
1
r.. Rinlnnu l Ri ihtntal =
1 B. Fibrous roots in streambed
3
2
1
0
19. Rooted upland plants in streambed
3
2
1
0
20. Macro benth os (note diversity and abundance)
! 0
1
2
3
21. Aquatic Mollusks
1
2
3
22. Fish
0
o.5
1
1.5
23. Crayfish
0
OA.
1
1.5
24. Amphibians
0
5
1
1.5
25. Algae
0
0.5
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, d,- Yn ! ski S 1 ,n„r1
Sketch:C�„P44`i
i
OkAVjM W404 : R 4.A
`la, ue ot- (ow -c- W � luklrr lfy i' k

ploov
br/✓��_ C
i
i v
14 �JIN
1•�, to
—,� . ` r
w�.
s
r i
r r
,r
ria .
�,^- �i''.
.,..4 i' ��� � � : �, y.� }e
•i. { � �
ploov
br/✓��_ C
i
i v
14 �JIN
1•�, to
—,� . ` r

Environmental Field Surveys
Waterbody Photo Page
Waterbody semp044 facing west across bank.
Photo Sheet 2 of 2

USACE AIDS DM Q Site K (indicate on attached ntap)
�TGv�,edg3
STREAM QUALITY ASSESSMENT WORKSHEET
Prot id the folloti ing information for the stream reach under assessment:
1. applicant's name: AC? 2. Evaluator's name; � -5.7- Is. oda •i�a'- k` M— 'C"_
3. Date (if eEaluad4on:.3 d. Time ofeialuation: Z= `f 5 Ph
5. Lame of stream: rd—r � dar eels 6. i kerbasin: t ri.a,-
7. Approximate drainaL'e area: 10 &crc-s S. Stream order: I sr
9. Length of reach exahrated: Tdo Ff. 10. Count),: Cww.Lo{law+=�
1 L Site coordinates (if knottn): prefer in decimal decrees. 12. Subdivision name (Iifany):
1.alilude tea..a.87231"_1: �, gYJ1A _ Lono, rude (ex. -77.536611): --2 tr k
Method location determined (circle): GDTopo Shect Ortho (Aerial) Photo"GIS Other GIS Other
13. Location of reach tinder etaluation {nate nearby roads and landmarks and attach Snap identifying `treant(s) location):
M1 ro, a Ft4m t ee-dL-f Crttl- 2a AA
14. Proposed channel work (if any):—Pa,i red � irt+ e
15. Recent weather conditions: Sl-titn4 ra � rare-yi'ac•i " -
16. Site conditions at time of visit: in EK,'s L'°:! p,..%4 ,'1 Af. g& r e 1 C— E'
17. Identify, any special ttaterttay classifications known: —Section 10 _Tidal Waters Essential Fisheries Habitat
`Trout Waters ___Outstanding Resource 11'aters ^Nutrient Sensitize Waters _Water Supply Watershed tl-1V)
1 S. Is there a pond or lake located upstream of the etaluation point? YES aIf yes, estimate the stater surface area:
19. Does channel appear on USGS quad map" Co NO 20. Does channel appear on USDA Soil Survev? 0NO
21. Estitrtated ttatershed land use: 10 ° o Residential _°o Commercial —°n Industrial ^°'o Aericultural
$ �° o Forested 0o Cleared i Lopced _° o Other ( )
2*2. Banhf iPwi Q,, �+ 13. Bank height (from bed to top of bank): Pr
24. Channel slope down center of stream: Zilat t0 to 29 a) Gentle (? to 4%) ­h'loderate (-1 to 1011 o) Steep (>I (i°0
25. Channel sinuosity: Straight fOccasionai bends _Frequent meander _Very sinuous Braided channel
Instructions for Completion of tzorkslleet (locate -d ,on page 2): Begin by detennining (he must appropriate ecore�xion based on
IoCatloll. terrain, te�elatiolt, stream classification. etc. Et en characteristic ]oust be scared using the sante ecoregion. Assign points
to each characteristic within the range sho,,ttt for the ecoregion. Page 3 proxides a brief description of how to ret iew the
characteristics identified its the ttorksheet. Scores should reflect an overall assessment of the stream reach under etaluation. if a
charaeteristic cannot be etaluated due to site or zteather conditions, enter 0 in the scoring boy; and protide an explanation in the
comment section. Where there are obvious chanuwes in the character of a stream tinder reziew (e.g.. the stream mons from a pasture
into a forest). the stream may be ditided into smaller reaches that display more continuity, and a separate form used to etaluate each
reach. The total score assiYned to a stream reach must ranee between 0 and 100. tt itlt a score of 100 representing a Ftream of the
highest quality.
f r
Total Score (front reverse): .1 Comments:
Evaluator's Signature __ _ Date %;i /16
This channel evaluation form is intended to he used onI} as a wide to assist landowners mid ens ironntentai professionals in
gathering the data required by the United States Arm) Corps of Engineers to make a preiiminar► assessment of streams
quality. The total score resulting from the complelion of this forth is subject to USACE approval and docs not imply a
particular mitigation ratio or requirement. Fonn subject io char e — version 06 [t . To CCnimeni. please cell X104- 6-S-141 % 26.

STREAM QUALITY ASSESSMENT WORKSHEET
CI A A I ERIST�CS_ ��s, EC+DTtEGTON,;I'T RAI S E SC0ICE
".
T 3 P �• ;;, r•., iti,- >� t'w
Caastai�
l'iedinorit
il'[fi��untam.�,
s
Presence of flow 1 persistent pools in stream
0-5
0_4
0-5
�-
i
(no flow or saturation = 0: strong flow = may amts)
Evidence of past human alteration
0-6
0_5
0-5
(extensive alteration = 0: no alteration = max pints)
3
Riparian zone
0-6
0-4
0-5
(no buffer= 0; conti uou& wide buffer= inax pints)
-ILEvidence
of nutrient or chemical discharges
0 _ 5
0 _ 4
0-
0- 4
-64V
4
(6;tensive dischar es = tl; no Eichar es = riiax pints)
S
Gro0itdwater discharge
0_ 3
o-4
0= 4
(no discharge = 0 s -rips sees wetlands etc = max oints
r,
G
Presence of adjacent floodplain
0-4
0-4
0-2
(iso floodplain = 0; extensive flood lain = mar- oints
Entrenchment { floodplain access
0-5
0-4
0-2
P
7
(deeply entrenched = 0• fre vent flooding = maxpoints)
y
Presence of adjacent Avetlands
0-6
0-4
0-2
0
(no wetlands = 0• large a&cent wetlands = max oints)
Channel sinuosity
0_ 5
0-4
0— 3
(extensive channeliaation = 0; natural meander = max oints)
r y.
t
l0
Sediment input
0--5
0-4
0-4
extensive deposition- 0• little or no sediment = maxpoints)
�..
Sized. diversity of channel bed substrate
(fine homo enous = 0; large, diverse sizes =.-max pints
Evidence of channel incision or widening
0-50
_ 4
0-5
i
(dee 1 incised = 0; stable bed & banks = max oints)
i3
Presence of major bank failures
0-5
0-5
0-5
(severe erosion= 0; no erasion stable banks = maxpoints)
pQ�
Root depth and density on banks
0-3
0-4
0-5
14
(no visible routs = 0; dense roots throe boui = max points
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
15
(substantial impact =0• no evidence = max pamts
of riffle-paoUripple-pont complexes
0-3
0— 5
0-6
160-5
(no rifflesfri les or pools = 0; well-develo ed =max amts)
17
Habitat complexity
0-6
0-6
0-6
(little or no habitat = 0; frequent, varied habitats = maxpoints)
p
i
Canopy coverage over streambed
0-50
— 5
0-5
(no shading vegetation = 0; continuous canopy = max:points)
i9
Substrate embeddedness
NA*
0-4
0_4
(dee lv embedded = 0• loose structure = max
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
20
(no evidence = 0: common, numerous types =maxpoints)
t i
Presence of amphibians
0_ 4
0_ 4
0— 4
t
(no evidence = 0• common. numerous t- es = max points)
a.
C�
�2
Presence of fish
0-4
0-4
0-4
(no evidence = 0: conunan, ntttnerous !! es = max points)
Evidence of tisiidlifeuse
0-6
0-5
0--5
t3
(no evidence = 0; abundant evidence = inax points)
Total Points PoSsihle
100 °"
100
;a
TOTAL SCOE, (also eritet lin firstpage)
These characteristics are not assessed in coastal streams.

NC D'4 O Strennl Identification Farm Version 4.11 , r_r%A P6q 3
Date: r' J� J
Project/Site:: �
Latitude: 3'+.q {0(0a a
Evaluator:EST-S On4bcof, i1,Mtrt(N(Al
County; (r Gd4►r t�#t
Longitude: 772 . 73gf3
Total Points:
Stream is at least intermittent s Z
Stream Determination {circ
Perennial
Other rr
N 4y` V`�
Quad tV 1 l
,
ifs 19 or erenniat if a 30•
Ephemeral Intermitter
e g me:
A. Geoma holo y (Subtotal= _)
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank
0
1
2
lc�
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
0
1
2
1.5
5. Activelrellet floodplain
0
1
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
0
0.5
2
3
8. Headcuts
0
1
3
9. Grade control
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes
e artificial ditches are not rated; see discussions in manual
Rw Hvdrol❑❑v iSubtotal = q . 4; 1
12. Presence of Baseflow
0 1 2 3
13. Iron oxidizing bacteria
0 2 3
14. Leaf litter
1 0.5 0
15. Sediment on plants or debris
0.5 1 1.5
16. Organic debris lines or piles
0.5 1.5
17. Sall -based evidence of high water table?
No = 0 Yes ` 3
f': RinlnnU (Siihfntal = R _ 7 E; ]
1'0. Fibrous roots in streambed
2
1
0
19. Rooted upland plants in streambed
3j
2
1
0
20. Macrobenthos (note diversity and abundance)
0
1
2
3
21. Aquatic Mollusks
1
2
3
22, Fish
0
Lo -5)1
1.5
23. Crayfish
0
0.5
1
1.5
24. Amphibians
0
0.5
1
25. Algae
0
0.5
1
1.5
26. Wetiand plants in streambed
FACW = .75; ❑BL = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:er.nnetI+
t.
Sketch;

!, �Alz
4.
r t
I� s Iia iloe�.
1
r

� i
-� � r \ !k ���✓ sk
l�
,� ��
�'"Y
_ � s
�
� � `
F �,
a
- ..
�yy
-'�li�T�
f ��;�
{ J � E
'1
! ��
1. ��
4.
1 .
1 4 4
M �
�i�'p ~
' ,,I 1
_
��
y
� 1
��px� � �
1
y
:.. _ ..
e'#,
� w
�,.
.\ A�'',� '
'�
"shy
� -
F t f
7 `
�r
_!'
i
- i �
A
�� j_.r. :..��
•
\
��yy"""'''
.._ 1 1

USAGE AID# DWQ 4
STREAM QUALITA7
Site 7 (indicate on attached map)
SCmt7 DSS
ASSESSMENT WORKSHEET ,,
Pro%isle the Mimi ing Information for the stream reach under assessment:
1. Applicant's name:DYn t Yl a 2. Evaluator's name:. L. pf�1P,r
3. Date of evaluation: 12. b L 4. Time of evaluation:
5. Name of stream:_ x Q �� h. Ri%erbasin: Cxxalt Fuky-
7. Approximate drainage area:, 2 Z d� L - - S. Stream order: d
9. Length of reach evaluated: 3QE 10. County: -
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): Y
Latitude (ex,34.s7za12): 3'`1.96Zzci1 t_ongitude(ex.-77.556611):--7 B, -3 1111
Method location determined (circle): ("P.` Topo Sheet Ortho (Aerial) PhotolGIS Other GiS Other
13. Local ion of reach under evaluation(note nearby roads and landmarks and attach map identifying streams) location):
14. Proposed channel work (if any):�i' 0 � D� �'.t� ;�! �� � t n , �
15. recent weather conditions: L)D&C M Id'
16. Site conditions at time of visit: 'i7 0,S" 0-Irf , J--
17. Identify any special waterway classifications known: Section 10 _Tidal Waters ,Essential Fisheries habitat
Trout WatersOutstanding Resource Waters Nutrient Sensitive Waters .Water Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estimate the eater surface area:
19. Does channel appear on USGS quad map? YES NO 20. Does channel appear on USDA Soil Survey? YES NQ
21. Estimated watershed land use: 0% Residential — 'a Commercial _% Industrial ®% Agricultural
�% Forested _° a Cleared / Logged b % Qther ( : -MMU rto� rr )
22. Bankfull width' - 23. Bank height (froth bed to top of bank):
24. Channel slope down center of stream:,Flat (0 to 2° a) Gentle (Z to 4°/a} „..Moderate (4 to 10%) Steep (>I 00
25. Channel sinuosity: Straight __Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using tice same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a scare of 100 representing a stream of the
highest quality.
Total Score (from reverse): Comments:
Evaluator's Signature Date I�t=}i�
This channel evaluation m is tntencle to Ice use"Ary
as a guide to assist ]undo �►ners and enNir nntental professionals in
gathering the data requ ed by the United States Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change -- version 06:03. To Comment, }Tease call 919-876-8441 x 26.

STREAM QUALIT17 ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
ECOREGION POINT
RANGE.
�
#
CHARACTERISTICS,
SCORE
Coastai
Piedmont
Mountain
.Presence
of flow 1 persistent pools in stream
0 - 5
0--4
0 -.5
3
(no flow or saturation = 0. strop = flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
(extensive alteration = 0: no alteration = max points)
l
3
Riparian zone
0- 4
0- 5
(no buffer = 0; contiguous, wide buffer = max points)
f?vidence of nutrient or chentieal discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4
0-4
1Z
(no discharge = 0; s rings see s ��'etlands. etc. = max points)
Presence of adjacent floodplain
0-4
0_4
0-2
(no floodplain = 0; extensive floodplain = maxpoints)
,i
Entrenchment 1 floodplain access
0 5
0 4
0_�
�-
(deeply entrenched = 0; frequent flooding = max points)
Presence of adjacent wetlands
0-6
0 - 4
0-2
(no Nvetlands = 0; large adjacent wvctlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0--3
(�
(extensive channeliration = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = maxpoints)
`
t
1l
Size & diversity of channel bed substrate
_ NA *
0-4
0-5
--
(fine, homogenous = 0; large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0- 5
0-4
0-5
y,
(dee 1 incised = 0; stable bed & banks = maxpoints)
Fes,
�3
Presence of major bank failures
0-5
0 - 5
0-5
severe erosion = 0- no erosion, stable banks = max points)
14
Root depth and density on hanks
0-3
0-4
0-5
�7
L
(no visible roots = 0; dense roots tlirou�hout = maxpoints)
i5
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0; no evidence = max hints)
16
Presence of riffle-poollrippie-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; we] l-develo ed = maxpoints)
17
Habitat complexity
o-6
0-6
0-b]
F
(little or no habitat = 0; frequent, varied habitats = max points)
D7
1$
Canopy coverage over streanmbed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = maxpoints)
lg
Substrate embeddcdness
l`l *
0-4
a - 4
-�
(deeply embedded = 0; Ioose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-$
0-5
J
(no evidence = 0: common. numerous types = max oiints)`
71
Presence of amphibians
o-4
0-4
0-4
fl
{no evidence = 0; common. numerous types = maxpoints)
*�
C)
')�
Presence of fish
0-4
0--4
0 4
(no evidence = 0. common, numerous nes = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0. abundant evidence = maxpoints)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 ScrA.a 033
Bate: t_l .. 16
Project/Site: �G?
Latitude: y9 G 1-2 }
Evafuatar:L' �O @1r ` #'U4 T1# ii
County: L .Y fi �i� l
Longitude. - 3 r�27L
Total Points:
Stream Deter n circle one)
Other Igtxt(ygl
Stream is at least in€ermittent
Ephemeralntermittent rennial
e.g. Quad Name:
if a 19 orperennial iia 30'
2
3
A. Geomorphology (Subtotal = 3 - )
Absent
Weak
Moderate
Strong
1a. Continuity of channel bed and bank rr LL,
0
1
2
3
2. Sinuosity of channel along thalweg
1.5
1
2
3
3. In -channel structure: ex, riffle -pool, step -pool,
ripple -pool sequence
(it
1
2
3
4. Particle size of stream substrate
0
1 0.5
2
3
5. Activelrelict floodplain
❑
1
(D
3
6. Depositional bars or benches
(0
1
2
3
7. Recent alluvial deposits
(M
1
2
3
S. ldeadcuts
01
2
3
9. Grade control
0.5
J 1
1.5
10. Natural valley
0
0_' t
1 1
1.5
11. Second or greater order channelo
= 0
Yes = 3
a ar icial ditches are not rated, see discussions in manual
B Hvdroloov fSubtotal = E5
12. Presence of Basefiow
0
1
0
3
13, Iron oxidizing bacteria
❑
1
20. Macrobenthos {note diversity and abundance}
3
14. Leaf litter
1.5
21. Aquatic Mollusks
o.5
0
15. Sediment on plants or debris
(it
1 0.5
1
1.5
16. Organic debris lines or piles
I (}
1 0.5
1
1.5
17. Soil -based evidence of high water table?
I
No = 0
Yes = 3
0
R_ Rinlsav fSuhtntal = 71.5 1
18. Fibrous roots in streambed
3
2
0
19. Rooted upland plants in streambed
2 1
0
20. Macrobenthos {note diversity and abundance}
1 2
3
21. Aquatic Mollusks
1 2
3
22. Fish
(
0.5 1
1.5
23. Crayfish
(0
0.5 1
1.5
24. Amphibians
0
0.5 I'D
1.5
25. Algae
0
0.5
1.5
26. Wetland plants in streambed
FACW = 0.75; Q9L= 1.t Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
3
Sketch: 'J L' "off ' ,y l
4 41
`j 'J fv�
S `m0 b3

Environmental Field Surveys
Waterbody Photo Page
A.
Waterbody data point semo039 facing north upstream.
Waterbody data point semo039 facing south downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point semo039 facing east across.
Photo Sheet 2 of 2

USACE AID" DWQ = Site a (indicate on attached map)
.SCM0039
STREAN'I QUALITYASSESSMENT NVORKSHEET Armal
rrim we the fulim ng information For the stream reach umlerassessmeni:
I. Applicant's name: Yvi t rli 17 t^+ 2. Evaluator's name: ^L c aoosr
3. Date nfevaluatian: qr `Z S 1 ff'���__�� f' _� ,r 4. Time of e►nluation: I Q f1�U1r1
S. Name ofstream: �'tl►y -' o L F� P,L . &Ca- — 6. finer basin: 1P. F kt=C
7. Approximate drainaue area: 7 0 0 Q &C S. Stream order:�Q 4
9. Length of reach evaluated: 10. County: tfv't bee. 6-kI8
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): II DO
Latitude (ex 34.8723)2): -SLI .rl (i I qZ Longitude (ex -77.556611): --] 911 •-139 Z si
Method location determined (circle):Zlps'Fopo Sheet Ortho (Aerial) PhotolGlS Other GIS Cather _
13. Local inn of reach under evaluation (note nearby roads and landmarks and attach map identifying siream(s) location):
+u
I4. Proposed channel work (if an} )_ 2irt3 *
I5. [decent weather conditions: ( CY
16. Site conditions at tune of visit:
a.' a a -
17. Identify any special waterway classifications known: _Section 10 _1 idaT'L1'aters _Essential Fisheries Habitat
_Trout WatersOutstanding Resource Waters _ Nutrient Sensitive Waters ^Water Supply Watershed (I-iV)
IS. Is there a pond or lake located upstream of the evaluation point? YES Of yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES (9 20. Does channel appear on USDA Soil Survey? YES C)
21. Estimated watershed land use: LD—R6 Residential _0110 Commercial _Na Industrial � �'3 °o Agricultural
1.11 `'' a,p Forested ^°`a Cleared J Logged �% Other ( )
22. I3ankfull width: I C) -P+ 23. Bank height (from bed to top of bank): S
2.1. Channel slope down center of stream: YWIat (0 to 2%) _Gentle (2 to 4%) _-_-,_Moderate (4 to 10%) ^Steep (>10%)
25. Channel sinuosity: Straight VOccasional bends iFrequent meander Very sinuous iBraided channel
Instructions for completion of morksheet (located on page 2). Begin by detennining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Ever;+ characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of hove to rev ie\V the
characteristics identified in the worksheet Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring= box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream floNNS from a pasture
into u forest), the stream may be divided into smaller reaches that display more continuity, and a separate farm used to evaluate each
reach. The total score assigned to a stream reach must range bet\�een 0 and 100, ►vide a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
Evaluator's Signature A A Date YJ za /to
This channel evaluation f m is it to be usedti-3wisguide to assist landowners and em fru Mental professionals in
gathering the data reel ed by the United Statesyrps of Engineers to make a preliminary assessment of stream
duality. The total score resulting from the completion of this form is subject to LISACE approval and does not imply a
particular mitigation ratio or requirement. Foran subject to chance - version 06'03. To Comment. please call 919-876-8441 x ?6.

STREAM QUALITY ASSESSNI ENT WORKSHEET
* These charaCWI-kt;Ls are not assessed in coastal streams.
EC:OREGION P.oFNT
9,ANGE�-
4
CHARACTERISTICS
SCONE
P—
Coastal
Piedmont
Mountain,
l
Presencc of flow I persistent pools in stream
0-5
0 _ 4
0-5
(no flow or saturation = 0; strong flow = maxpoints)
Evidence of past human Alteration
0- 6
0-5
0-5
y
(extensive alteration = 0; no alteration = maxpoints)
1
3
Riparian tone
0-6
O-4
o-5
(no buffer = 0; contiguous. wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0 -4
0-4
r✓
(extensive discharges = 0` no discharges = maxpoints)
5
Groundwater discharge
0-3
0-4
0-4
(no discharge = 0; springs, sees wetlands, etc. = max points) -
Presence of adjacent floodplain
0-4
0-4
0-2
(no floodplain = 0; extensive floodplain = maxpoints)
Entrenchment 1 floodplain access
0-5
0-4
0-2
(deeply entrenched = 0; frequent flooding =max points
$
Presence of adjacent ►►°etlands
0-6
0-4
0-2
(no wetlands_ = 0; large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0- 4
0-3
(extensive channelization = 0; natural meander= maxpoints)
10
Sediment input
0-5
0-4
o-4
(extensive deposition= 0; little or no sediment = maxpoints)
1 i
Size & diversity of channel bed substrate
*
NA �
0--4
0-5
(fine, homogenous = 0; large, diverse sizes = maxpoints)
-
12
Evidence of channel incision or widening
0-5
0 -4
0-5
(deeply incised = 0. stable bed & banks = maxpoints)
13
Presence of major bank failures
0-5
0-5
0-5
-a
(severe erosion = 0• no erosion, stable banks = maxpoints)
p
14
hoot depth and density on banks
0-3
0 4
0-5
(no risible roots = 0; dense roots throughout = maxpoints)
I S
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
'j
�`I
substantial impact =0; no evidence = maxpoints)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; welkdevelo ed = maxpoints)
l
Habitat complexity
o-6
0-6
0-6
F�
(little or no habitat = 0; frequent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0 - 5
0-5
0-5
(no shadingvegetation ation = 0; continuous canopy = maxpoints)
Z
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max
_._.
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0; common, numerous types = maxpoints)
21
Presence of amphibians
o-4
0-4
0-4
Q
(no evidence = 0` common, numerous Djes = maxpoints)
C7
22
Presence of fish
0--4
0-4
0-4
(no evidence = 0; common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0--5
0-5
(no evidence = 0; abundant evidence = max points)
Total Points Possible
1 Cl0
] Oi]
100
TOTAL SCORE (also enter on.tifst page)
* These charaCWI-kt;Ls are not assessed in coastal streams.

NC DWO Stream Identification Form Version 4.11 �`CMOC3$
Date.
ProjectlSlte: A
Latitude;3LI
Evaluator. , �O� n�F1
County: t�U �R�
Longitude: 7,6,-73128q
Total Points:
Stream Determination (circle one
Other (� �lYV'1
Stream is at feast intermittent
ff 19 or perennial if 30'
ERhemeral la erennla
e g Quad Name;
A. Geomor halo Subtotal = fir,. 5 )
Absent
Weak
Moderate
Strong
1"Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
0Q
16. Organic debris lines or piles
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ripple -pool se uence
0
0 0.5
2
3
4. Particle size of stream substrate
0
26. Wetland plants in streambed
2
3
5. Activelrelict floodplain
0
2
3
6. Depositional bars or benches
0
1
2
3
7. Recent alluvial deposits
1
2
3
8. Headcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Naturai valley
0
1
1.5
11. Second or greater order channel
Cdo -,0
Yes = 3
A artificial ditches are not rated; see discussions in manual
B. H drolo Subtotal =
12. Presence of Basefiow
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
1 0.5 1
1.5
16. Organic debris lines or piles
0 CZ.5 1
1.5
17. Soil -based evidence of high water table?
No = 0es =
0 0.5
C_ Riolnnv fSuhtntal = A, E ]
18. Fibrous roots in streambed
3
1 0
19. Rooted upland plants in streambed 2
1 0
20. Macrobenthos (note diversity and abundance) 0 1
2 3
21. Aquatic Mollusks
0 1
2 3
22. Frisk
0 0.5
1 1.5
23. Crayfish
J 0.5
1 1.5
24. Amphibians
0 0.5
1.5
25. Algae
0 0.5
=175 1.5
26. Wetland plants in streambed
FACW = 0.75;c 1_= 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: rr',,, `"
J
Sketch: h.
SLrna 31

Environmental Field Surveys
Waterbody Photo Page
Waterbody data point scmo038 facing east upstream.
Waterbody data point scmo038 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
4
Waterbody data point scmo038 facing north across.
Photo Sheet 2 of 2

t 5:'►t F :I11) []kk ».' Site (indicate on attached reap)scvnD 020
DTSTREAM QUALITY ASSESSMENT WORKS14EET
Provide the following information for the stream reach under assessment:
1. Applicant's name: atm tern 1 G ►n - 2. Ew - lualor's name: ► f7 t� Pif"
3. bate of evaluation: II- H -1r: 4. Time of evaluation: 'd;�}[]
5. Name of stream: 'urea Cei3nr Creck 6. Riverbasin: Co'ap' Eeo-+r
7. Approximate drainage area: `J© O -L 8. Stream order:
9. Length of reach evaluated: 10. County: crtG,
11. Site coordinates (if known):
prefer in decimal degrees. 12. Subdivision name (if any):�1�1D'I R-,
Lalitudc let. 34.872312): Cl l ti ® Longitude (ex. -77.55(1611): y
]wlelhnd location detcnniaed (circle): GI'S Topo Sheet Orshcl (Aerial) PhotoiGIS Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarl; , nrid attach map identifying stream(s) location):: }
<- _ Ll- -c 2---w WN ir'0 A.. a 0 "o r V IC' �6
14. Proposed channel wort fany)
1:5. Decent weather conditions: CQui , r __
16. Site conditions at time of visit: D0 W er, a4 F t i J pct.
17. Identify any special wvaterwvay classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat
_Trout Waters Outstanding Resource Paters _Nutrient Sensitive Waters Water Supply Watershed (1 -IV)
18. Is there a pond or lake located upstream of the evaluation point? YES l a If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES 0 20. Does channel appear on USDA Soil Survey? YES 9P
21. Estimated watershed land use: % Residential
50% Forested
22. Bankfull width:m{
24. Channel slope down center of strea: ✓ Fiat (0 to 211,10)
25. Channel sinuosity: Strai-aht /Occasional bends
°n Commercial _1,o Industrial '2— 0 % Agricultural
' Cleared J Logged _°o Other ( }
23. Bank height (from bed to top of bank): 3 -N-
_Gentle (2 to 4%) _„_,Moderate (4 to 10%) _.Steep (>10%)
Frequent meander —Very sinuous Braided channel
Instructions for completion of worksheet (located on page 2): Begin by detennining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the wworksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): ; " B Comments: ns: ' ac, '()gw``A 2vts? *
E►aluator's Signature Date I f Ito
This channel evaluation o m is Intetrded to he use any a guide to assist larrdowwners and niron rental professionals in
gathering the data required by Ilrc United States Army Corps of Engineers to make a preliminary assessment of stream
duality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Foran subject to change — w ersion 06:'03. To Comment. please call 919-876-8.441 r 26.

STIZEAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal sireanis.
ECOREGION POINT
RANGEe.
CHARACTERISTICS
CoastalPiedmont
Mountain,SCORE
l
Presence of flow 1 persistent pools in stream
0-5
0-4
(1._ 5
(no flow or saturation = 0; strong flow = magpoints)
Evidence of past human alteration
0--6
0-5
0-5
(extensive alteration = 0; no alteration = max oints)
3
Riparian zone
0-6
0-A
0-5
(no buffer = 0; contiguous, wide buffer = maxpoints)
l
4
Evidence of nutrient or chemical discharges
0-5
0 _..4
0-4
(extensive discharges = 0- no discharges = maxpoints)
`
5
Groundwater discharge
0-3
0-4
0-4
4
Uno
discharge = 0; springs, see s, tketlands, etc. = max dints
6
Presence of adjacent floodplain
o-4
0-4
0-2
(no bond lain = 0; extensive floodplain = maxpoints)
Entrenchment 1 floodplain access
0- 5
0- 4
0- 7
(dee 1 entrenched = 0; frequent flooding, = max points)
1
8
Presence of adjacent wetlands
0-6
0- 4
0-2
(no wetlands = 0; large adiacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0-3
extensive channelization �- 0; natural meander= maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive de wWon= 0; little or no sediment = maxpoints)
Size & diversity of channel bed substrate
A*
0-4
0-5
fine, homo enous = 0; large, diverse sizes = maxpoints)
12
Evidence orchannel incision or widening
0-5
0-4
0-5
`
(dee I , incised = 0; stable bed & banks = max points
130-5
Presence of major bank failures
0-5
0-5
a(severe
erosion = 0; no erosion, stable banks = maxpoints)
14
Root depth and density on Danks
0-3
0 - 4
0-5
(no visible roots = 0; dense roots throughout = maxpoints)
l 5
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial impact =0; no evidence = maxpoints)l
16
Presence of riffle-poollripple-pool complexes
0-3
0_5
0-6
]
(no riffles/ripples or pools = 0; well-developed = makpoints)
1
Habitat complexity
_-
0-6
0-6
0-6
little or no habitat = 0; fre vent, varied habitats = maxpoints)
18
Canopy coverage over streambed
0 �,
0-5
0 - 5
r
(no shading vegetation = 0; continuous canopy = max points)
19
Substrate embeddedness
NA
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream. invertebrates (see page 4)
0-4
0-5
0-5
C)
(no evidence = 0, common. numerous types = maxpoints)
21
Presence of amphibians
0-4
0 -4
0-4
(�
Q
(no evidence = 0; common, numerous types = max oints
22
Presence orlish
0-4
0-4
0--4
(no evidence = 0; common, numerous types = maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
l00
10t]
lil0
TOTAL SCORE (also enter on first page)
* These characteristics are not assessed in coastal sireanis.

IVC DW© Stream Identification Form Version 4.11 scM a 02 o
Date: G L - G
Project/Site:
Latitude: 3115 9 {
Evaluator: L, e4 -County:
�c.�u
Longitude: `713,
0
1
2
`fatal Paints:
Stream Determ (circle one)
Other I�►A�P-ti 4"OJLI
Stream is at Least intermittent S
Ephemeral ermitte Perennial
e.g. Quad Name:.
if ? 19 or perennial if z 30'
, n1
LJ
1
A. Geomorphology (Subtotal = 2- )
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank
0
1
2
3
2. Sinuosity of channel along thalweg
Q
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
, n1
LJ
1
2
3
4. Particle size of stream substrate
0
1
2
3
5. Activelrelict floodplain
0
0
2
3
6. Depositional bars or benches
(0
1
2
3
7. Recent alluvial deposits
fyCl1
1
2
3
S. Headcuts
(Of
1
2
3
9. Grade control
s;Ql
0.5
1
1.5
10. Natural valley
0
0.5
1
1.5
11. Second or greater order channel
No = 0
Yes = 3
Sketch:
or�t�
du-�c°pc�r�
NX
"artificial ditches are not rated; see discussions in manual
R Hvrlrnlonv f5;t3htntal e 10 1
12. Presence of Baseflow
0
1
2
r
13. Iron oxidizing bacteria
Q
1
2
3
14. Leaf litter
1.5
(+1
0,5
0
15. Sediment on plants or debris
T
0.5
1
1.5
16. Organic debris lines or piles
17. Soil -based evidence of high water table?
0
1 Q.5
No = 0
1
1.5
`Yes = 3 j
C_ Flinlnav fSuhtntal = 7. ti 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)
m5
1
2
3
21. Aquatic Mollusks
{Q,
1
2
3
22. Fish
(Q'
0.5
1
1,5
23. Crayfish
{Q
0.5
1
1.5
24. Amphibians
:' 0
0.5 -1
1,5
25. Algae
0
0.5
iJ
1.5
26. Wetland plants in streambed
FACW = 0.76. OBL =1.5
Other = 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes:T
St
Sketch:
or�t�
du-�c°pc�r�
NX
$GY►'Rti ��
Top od iP.,I.-
QHWt1 '3f4-

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmo020 facing east upstream.
�j�F. .iMb�.f � dl11. � f 4yy�.. ��. .'1w^' i. _ � 4 � A � �• y
+yy�� r�.ld�r �� .. d '-•� � 4.. i �, i T4, !� � � yr 'T
Waterbody scmo020 facing west downstream.
Photo Sheet 1 of 2
,.'}'tet! "�
yv >3R: - T � d•�'�-._
r
� �
✓rT�'�e'N• e"1:7'!! 44 3`. .t:y�y�nggr. .r'.9 r� ��� � '
r
Waterbody scmo020 facing west downstream.
Photo Sheet 1 of 2

Environmental Field Surveys
Waterbody Photo Page
Waterbody scmo020 facing south across bank.
Photo Sheet 2 of 2

DW'Q Site Y (indicate on attached map)
5Cwto Dn?1
.' STREAM QUALITY ASSESSMENT WORKSHEET
Provide the folloiOng information for the stream reacts under assessment:
L Applicant's name:'D D Y-1 63 i r) n --
3. Date ofevaluation: - t f - IG
5. Name ofstream: ''� c�tar Criak
7. Approximate drainage area: b 0-L --
9. Length of reach evaluated: `.)0- -P±
2. Evaluator's name: L % .r . VV - VA Vlv�, n _
4. 'Time of evaluation: i o ' 3C, ckr^r-i
6. River basin:
8. Stream order:
10, County: C 1'7trV't bee I&1n J
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.8723) 2): 314. G1 5 S � i Longitude (ex. -77.556611);
Method location determined (circle): CIPS Topo Sheet Ortho (;Aerial) Moto GiS Other GIS father
13. [vocation of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any):
15. Recent weather conditions: Jr 1 Coo --
16. Site conditions at time of visit: -O CALLb vx ltil
17. Identify any special watenvay classifications known: _'Section 10 Nidal Waters _Essential Fisheries habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters Water Supply Watershed (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES 0 If yes, estirnate the water surface area:
19. Does channel appear on USGS quad map? YES 0 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: ",� Residential
$a ° o Forested
22. Bankfull width:
24. Channel slope down center of stream- Zrlat (0 to 2%)
25. Channel sinuosity; Straight Occasional bends
�% Commercial %Q industrial 20% Agricultural
�°fQ Cleared 1 Logged —% Other ( )
23. Bank height (from bed to top of bank):_ 2 :P -
_Gentle (2 to 4°) Moderate (4 to 10%) ___".,Steep (> 10%)
Frequent meander Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic lnust be scored usIn- the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief' description of how to review the
characteristics identified in lite worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring boa and provide an explanation in tite
comment section. Where there are obvious changes in the character of stream under review (e.g., the stream flows from a pasture
into a forest), (lye stream may be divided into smaller reaches that display more contimtity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach trust range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse): 32- Comments: -�)' �
E1 aluator's Signature Date_ V/ Y/ HO
This channel evaluation fo is intended to lac used only as gal to assist landowners and emit iiknmental professionals in
gathering the data requirYd by the United. States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this Form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - v ersion 06'03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT NVORKSHEET
These characteristics are not assessed in coastal streams,
,ECOREMON POINT
RANGE.
#
CHARACTERISTICS
SCORE
_ .
-
-
CoastalTMf
Piedmont
?Mountain:
1
Presence of flow I persistent pools in stream
0-5
0-4
0-5
(no flow or saturation = 0: strong flow = maxpoints)
Evidence of past human alteration
0-6
0-5
0-5
l
(extensive alteration W 0; no alteration r max points)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0
0-4
{extensive disehar es = 0; n❑ discharges max pints)
a
5
Groundwater discharge
0 3
0-4
0- 4
d
(no discharge 0; springs, see s, wetlands, etc. = maxpoints)
Presence of adjacent floodplain
0-4
0-4
0-2
(no floodplain = 0; extensive floodplain = max points)
7
Entrciichment / floodplain access
0-5
0 _. 4
0 —?
(deeply entrenched = 0; frequent flooding = max points)
S
Presence of adjacent wetlands
0-6
0-4
0-2
j
(no wetlands = 0; large adiacent wetlands = max hints)
1
9
Channel sinuosity
0— 5
0-4
0-3
extensive channelization = 0; natural me=ander= maxpoints)
10
Sediment input
0-5
0— 4
0-4
(extensive deposition= 0; little or no sediment — max points)
13
Size & diversity of channel bed substrate
NA* ,
0-4
0 —5
F
I 1
(fine, homogenous = 0; large, diverse sizes = maxpoints)
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0. stable bed & banks = max dints)
13
Presence of major bank failures
0-5
0-5
0-5
(severe erosion = 0; no erosion, stable banks = maxpoints)
14
Root depth and density on banks
0-3
0_4
0-5
1
1
(no visible roots = 0; dense roots throughout Q max points)
<�
15
Impact by agriculture, livestock, or timber production
0-5
0 —4
0-5
(substantial impact =0; no evidence = max dints
1b
Presence orriffle-pool/ripple-pool complexes
o-3
0-5
0-6
ri es/ri2ples or pools = 0; we] kdevelo ed = maxpoints)
Hno
17
Habitat complexity
0-6
p`ti
0-6
Ems'
(little or no habitat = 0; frequent, varied habitats = max pints
18
Canopy coverage over streambed
0-5
0-5
0-5
ma
(no shading ve retation = 0; continuous cano v = x points)
19
Substrate embedded ness
NA* .:
0-4
0-4
(deeply embedded = 0; loose structure = max
20
Presence of stream invertebrates (see Page 4)
0-4
0-5
0 5
[
(no evidence - 0; common. numerous types = max points)
'
21
Presence of amphibians
0-4
0 —4
0-4
Q
(no evidence = 0; common, numerous types es = max pointsi
C
77
Presence of lisle
0-4
0-4
0-4
{ =no evidence = 0; common, numerous t es = max dints)
q
23
Evidence of wildlife use
0-6
0-5
0— 5
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
10.0
100
TOTAL SCORE (also enter on first page)
.-.
These characteristics are not assessed in coastal streams,

NC DWO Stream Identification Form Version 4.11 ScmoM)
[late: � lqfflo
ProfectlSlte: T
Latitude: 3 5 8-6
Evaluator: L, Po e{r, W Vauc, 6,.y)
County:Coy rn t -101V -",
Longitude:..? ,13
Total Points: I
Stream is at leasf intermittent �]
Stre determination (circle one]
Others
++
phemera Intermittent Perennial
e g Quad Name:�"�+
if a 19 or perennial if a 30* 1 f 4
2
3
A. Geomorphology (Subtotal =--J-) -)
Absent
Weak
Moderate
Strong
1aContinuity of channel bed and bank ,l, ! r
0
1
2
3
2. Sinuosity of channel along thalweg
No = 0 Yes =
1
2
3
3. In -channel structure: ex. riffle -pool, step -pool,
rf le- ool sequence
0.5
1
2
3
4. Particle size of stream substrate
25. Algae
1
2
3
5. Activefrelict floodplain
0
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
41
7 a
U �
1
2
3
8. hteadcuts
1
2
3
9. Grade control
0.5
1
1.5
10. Natural valley
0.5
1
1.5
11. Second or greater order channel
Na = 0
Yes = 3
a artificial ditches are not rated; see discussions in manual
F3_ i-Ivdminov [Subtotal = ; _r5 3
12. Presence of Baseflow
0 1 2
13. Iron oxidizing bacteria
1 2 3
14. Leaf litter
1 0.5 0
15. Sediment on plants or debris
0 1 1.5
16. Organic debris lines or piles
0 1 1.5
17. Soil -based evidence of high water table?
No = 0 Yes =
C_ Biolnflv !Subtotal = _7,7.'�;_ 1
18. Fibrous roots in streambed
2
1 0
19. booted upland plants in streambed
M 2
1 0
20, Macrobenthos (note diversity and abundance)
1
2 3
21. Aquatic Mollusks
1
2 3
22. Fish
C 0.5
1 1.5
23. Crayfish
0.5
1 1.5
24, Amphibians
00 0.5
1 1.5
25. Algae
0Mg&
1.5
26. Wetland plants in streambed
fjKCW = .75; 0I3L = 1.5 Other = 0
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes:
Sketch:
S�,flQZo
*�4ri1L1Q Zt
41
7 a
U �
T&V

v1�
r s
-r r
� y G
r
t
.yam,
aAy�,.,�

A
+�, �., �, iiT Tr •r � .C� gni � c� }■����'S -a' •,.r ai' � t
41,
s
� T
4

USACE AID"" DWO Y
Site"" (indicate on attached snap)
5(—mo 02-2-
STREAM
ZZSTREAM QUALITY ASSESSMENT WORKSHEET
- 11"W
Prov ide (lie foilois ing information for the stream reach under assessment:
2. Evaluator's name: L
4. Time of evaluation:_
6. River basin: Cr -0
].Applicant's name:
3. Date of evaluation:
3. game of stream: L% Ce e-
7. Approximate drainage area: JD a, en
9. Length of reach evaluated:, D L _
8. Stream order: U
10. County:
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 0,70,V'1
Latitude (ex. 34.1372312): ;q 9 3 2—Z- — 1.onaitude (ex. -77,556ri111: - :2 9) . :7 3 r3 3,r-
Method
s
h9ethaid location detertninccl {circle} G1'S Tapir sheet Ortho t ��erial)1°Itc7ta�'G1S Other GIS Other
13. Location of reach under evaluation note nearby roads and landmarks and attach map identifying. stream(s) location):
n I 1 n — r , n e i % .r _ b
V
14. Proposed channel work (if any):
15. Recent weather conditions: Cobi afy
16. Site conditions at time of visit: th r
17. Identify any special waterway classifications known: _____Section 10
_Tidal Waters TEssential Fisheries. Habitat
_Trout Waters !Outstanding Resource Waters Nutrient Sensitive Waters—Water Supply Watershed (]-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES Of yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES Q 20. Does channel appear on USDA Soil Survey? YES
21. Estimated watershed land use: —9.6 Residential 0,0 Commercial _ _% Industrial Za % Agricultural
-&0% Forested _9p Cleared I Logged _9% Other ( )
22. Bankfull width: 23. Bank height (from bed to top of bank): - --'r
24. Channel slope down center of stream: ^Flat (0 to 2%) _,___Gentle (2 lo4l/6) ,Ivloderate (4 to 10%) _Steep (> 10° o)
25. Channel sinuosity: Straight —ZOccasional bends _Frequent meander _Vere sinuous Braided channel
Instructions for completion of worksheet (located on page 2). Begin by determining tate most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic vwithin the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the wWksheet. Scores should reflect an overall assessment of the stream reach under evaluation. if a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section, Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display store continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a streasn of the
highest quality.
Total Score (from reverse): e� Comments: -D s4 -c
Evaluator's Signature J,( Date V 1 - - - This channel evaluation f r t is intended to lie used onl as a ide to . sist landory vers ands nv roitntental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement, Forts subject to change -- version 06:`03. To Comment. please call 919-876-8441 x 26.

STREAM QUALITY ASSESSti'IL1''+1T WORKSHEET
* These characteristics are not assessed in coastal streams.
LCORE(-'ION I'©iNT.
RANGE
-----
#f
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain,
l
Presence of flog►• 1 persistent pools in stream
0 - 5
o-4
0-.5
(no flaw or saturation = 0: strong flow = max pints)
7
Evidence of past liuman alteration
0-6
0-5
0-5
(extensive alteration = 0, no alteration = maxpoints)
3
Riparian zone
0-6
0-4
0-5
(no buffer = 0; contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chentical discharges
0-5
0 4
0-4
(extensive discharges = 0; no dischar es = maxpoints)
r
5
Groundwater discharge
0-3
0-4
0-4
U
no discharge = b; springs, seeps, wetlands, etc. maxpoints)_
$
Presence of adjacent floodplain
0-4
0-4
0-12
0
(no floodplain = 0; extensive floodplain = maxpoints)
7
Entrenchment 1 floodplain access
0_ 5
0_ 4
0 _?
(deeply entrenched = b; Frequent flooding - max points)
8
Presence of adjacent wetlands
0.-.$
0-4
0-2
(�l
(no wetlands = 0• large adjacent wetlands = maxpoints)
9
Channel sinuosity
0-5
0-4
0- 3
1
(extensive channelization = 0; natural meander = maxpoints)
lb
Sediment input
0- 5
0 -4
0- 4
;
(extensive deposition= 0; little or no sediment = max Dints)
Size & diversity of channel bed substrate
Na*
0-4
0-5
r
(fine, homogenous = 0• large, diverse sizes = maxpoints)
1�
Evidence of channel incisivii or widening
0-5
b -4
0-5
(deeply incised = 0; stable bed & banks = maxpoints)
13
Presence of major hank failures
0-5
b-5
0-5
severe erosion = 0; no erosion, stable banks = maxpoints)
W
14
Root depth and density on banks
W 3
0 - 4
0 _ 5
(no visible roots = 0; dense roots throughout � maxpoints)0
CA
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
(substantial b -n act =0; no evidence = max pints
1$
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
no riffles/ripplesm pools = 0; wel]-develo ed = maxpoints)
17
Habitat complexity
0-6
0-•$
0-$
I
!
H
(little or no habitat = b; frequent, varied habitats = max oints
W
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy = rnaxpoints)
19
'Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = b; loose structure = max)
b
Presence of stream invertebrates (see page 4)
0-4
0_5
0-5
(no evidence = 0; common, numerous tv es = maxPoints)
21
Presence of amphibians
0-4
0-4
0-4
CD
Q
(no evidence = 0; common, numerous types = max hints)
..04-
22
Presence of fish
0-4
0-4
0-4
q
(no evidence = 0; common, numerous types = maxpoints)
73
Evidence of wildlife use
0-6
0-5
0-5
(no evidence = 0; abundant evidence = maxpoints)
Total Points Possible
100
100
TOTAL SCORE (also enter on first page) '
r
* These characteristics are not assessed in coastal streams.

Nr 1f wn etre-im identification rnrm Vorsion 4.11 -S(_Ma 0-2 2
Rate: ' _c( fG
ProJecfl5ife: ff V
Latitude: r J1 76?w 2-7
Evaluator: �®pEj- � . �� �Ct� h
County:
�
Longitude: --7B.-734B35'
Total Points;
Stream is at least intermittent 4
termination (circle one)
era intermittent Perennial
Others,
I e g Quad Name:
if a: 19 or perennial if a 30'
0
r l
A. Geomorphology Subtotal =_L2_)
Absent
Weak
Moderate
Strong
1a' Continuity of channel bed and bank Ai c.t"
0
1
2
3
2. Sinuosity of channel along thalweg
0
r l
2
3
3, in -channel structure: ex. riffle -pool, step -pool,
ri le- ool sequence
0
0
2
3
4. Particle size of stream substrate
U)
1
2
3
5. Activelrellet floodplain
1
2
3
6. Depositional bars or benches
1
2
3
7. Recent alluvial deposits
0
1
2
3
8. Headcuts
dD
1
2
3
9. Grade control
t
0.5
1
1.5
10. Natural valley
10
0.5
1
1.5
11. Second or greater order channel
Io
=
Yes = 3
4QZ�
Sketch:
`
s
artificial ditches are not rated; see discussions in manual
R Hvrfrn€nnv 1SiihtntAl = .. 1
12. Presence of Baseflow
0
1
3
13. Iron oxidizing bacteria
19. Rooted upland plants in streambed
1
2 3
14. Leaf litter
i.5
1
0.5 0
15. Sediment on plants or debris
0
04
1 1.5
16.Organic debris lines or piles
0
j
3
17. Soil -based evidence of high water table?
U)
No = 0
es = 3
r Rinlrinv (giihtntnl =
18. Fibrous roots in streambed
3
1
0
19. Rooted upland plants in streambed
(
2
1
0
20. Mdcrobenthos (note diversity and abundance)
1
2
3
21. Aquatic Mollusks
CDt
1
2
3
22. Fish
U)
0.5
1
1.5
23. Crayfish
0.5
1
1.5
24. Amphibians
0.5,
1
1.5
25. Algae
0
r' 0541
1.5
26. Wetland plants in streambed
FA�CW = 0.75;
cOBL = 1.5 20ther = 0
'perennial streams may also be Identified using other methods. See p. 35 of manual.
Notes:
4QZ�
Sketch:
`
s
[}ZZ
_�10
o lw t'1

Environmental Field Surveys
Waterbody Photo Page
.BVI" _ 9'
° 6 A
ADU
9
ar
Waterbody scmo022 facing southeast upstream.
yfAA r �
Waterbody scmo022 facing northwest downstream.
Photo Sheet 1 of 2

kC
Environmental Field Surveys
Waterbody Photo Page
4., dt pp�
Waterbody scmo022 facing southwest across bank.
Photo Sheet 2 of 2

Onen Waterhodv Data Sheet
Survey [description
Project Name:
Waterbody Name:
aterbody 1D:
Date:
RCS
1. Wnomed FOVO
0LAr-00D
Ll
State:
ounlyCompany,
Crew (Member Initials:
Photos::
N,W
Tract Numbers):
Nearest Milepost:
sociated Wetland ID(s):
2Z- 0
L] i • S
N
Survey Type:
(check one) ❑Centerllne Ke -Route ❑Access Road ❑Other.
Physical Attributes
Waterbody Type:
(check one) tock Pond ❑ Natural Pond ❑ Lake ❑ Reservoir ❑ Impoundment ❑ Oxbow ❑ Other:
Hydrologic Regime:
permanently Flooded ❑ Semipermanently Flooded ❑ Seasonally Flooded ❑ Temporarily Flooded
OHWM
(check
OHWM Indicator.
all that apply) ,KClearline
❑Shelving ❑Wrested ❑Scouring ❑Water
Height:
on bank
vegetation staining
Sent, matted, or missing ❑Wrack
❑Litter and ❑Abrupt plant 0Soil characteristic change
egetation line
debris community change
Depth of Water.
Bank height (average):
Bank slope (average):
R.Ft,
degrees
N!A❑
Qualitative Attributes
Water Appearance:
(check one) 0 N waterClear ❑Turgid ❑Sheen
❑Surface ❑Algal ❑Other.
an surface
scum mats
Substrate: ❑ Bedrock ❑ Boulder ❑ Cobble ❑ Gravel ASand
XSilt1clay ❑ Organic q Other.
(check al that apply)
'Pio a% ^� c% °,©"�
. ^�
L-'0 o% "% °%
of Substrate:
Width of Riparian Zone;
Vegetative Layers:
(Mack arrthat apply) ❑ Trees:
❑ Saplings/Shrubs: tf Herbs
NIA :I`
Avg. DBH of Dominants: ln,
in. f �r in.
appr04
Dominant Bank Vegetation (list):
oY and ; +Ir-} a.,l°' i pa- 8 i
Aquatic Habitats (or submerged or emerged aquatic vegetallon, overhanong banks(nats, leaf packs, large submerged wood, nines, deep pools, etc.):
,vec�e4r,e res, dee,re.►- to.Je-Y-5
Aquatic Organisms Observed (list):
n QviL Pb5eevtJ
T&E Species Observed (list):
Y1 On &
Disturbances (ex: livestock access, manure in walerb ody, waste discharge pipes):
Waterbody is:
(check orae) ❑ Natural .Artlficial, manmade ❑ Manipulated
Waterbody Quality':
(check one) ❑ High ❑ Moderate ALow
Form Rev. 04/41013

Farm Rev. 04.30.=013
Waterbody ID.
ouv-'a b V
' High Quality: Natural, natural bank vegetation around entire waterbody; banks stable and protected by roots; wafer color Is clear to tea -colored; no
barriers to fish movement; many fish cover types available; diverse and stable aquatic habitat; no disturbance by livestock or man.
Moderate Quality: Aftered by rip -rap; natural vegetation extends 113-112 of the active channel width on each side; filtering function or bank vegetation
only moderately compromised; banks moderately unstable; water color Is cloudy, submerged objects covered with greenish film; moderate odor; minor
barriers to fish movement; fair aquatic habitat; minimum disturbance by livestock or man.
Low Quality: Rip rap and channelization excessive; natural vegetation less than 113 of the active channel width on each side; lack of regeneration,
filtering function severely compromised; banks unstable (eroding); water color Is muddy and turbid; obvious pollutants (algal mats, surface scum,
surface sheen); heavy odor, severe barriers to fish movement; little to no aquatic habitat; severe disturbance from livestock or man.
Notes:
Waterbody Sketch (include north arrow, centerNnu distance from centerffne, datapofnt focatlons, survey boundary, and Ills of associated features)
C) C 0 1
Farm Rev. 04.30.=013

Environmental Field Surveys
Water Point Photo Page
Open waterbody data point ocmo004 facing north.
Open waterbody data point ocmo004 facing west.
Photo Sheet 1 of 1