20210589 Ver 1_Scientific Street Jurisdictional Determination_20210423

NC DWQ Stream Identification Form Version 4.11
r
Date: /, �� Project/Site: `"nr 6 " a " `
Latitude: ? 1 > r 8 > F
/ Count Longitude: , , a
Evaluator: ! c3 ." , �.;:.1. ,� y• J i{�. �_ m 7 `3 ,_ r s .•,d"
Total Points: Stream Deter t; ircle one) Other 1 r h 1'fi, i`l- 1- !cat,'
Stream is at least intermittent r Ephemeral n, termitter?i erennial e.g. QoabN�ame:
if 19 or perennial It z 30. G�
rc-
A. Geomor•hology (Subtotal = Or `) ) Absent Weak Moderate Strong
la Continuity of channel bed and bank 0 1 2 .__3_>!
2. Sinuosity of channel along thalweg 0 1 Z) 3
3. In-channel structure: ex. riffle-pool, step-pool, 0 1 C. 3
ri. .le-.00l se.uence
4. Particle size of stream substrate . r�, /4.,/a. 0 'c - 2 3 -
5. Active/relict floodplain -� T 0 c-_ 1'-) 2 3
6. Depositional bars or benches <:';Q-' 1 2 3
7. Recent alluvial deposits =:",D 1 2 3 _
8. Headcuts z. .A) 1 2 3 -
9. Grade control `_- 0 :04-` 1 1 .5
10. Natural valley 0 0.5 Cc() 1.5
11. Second or greater order channel No= 0„� Yes = 3 -
artificial ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = ei, e3 ) _
12. Presence of Basefow 0 1 2 ''--3�
13. Iron oxidizing bacteria e-' 1 2 3
14. Leaf lifter r .a-- 1 0.5 0
15. Sediment on plants or debris (2 ) 0.5 _ 1 1 .5
16. Organic debris lines or piles a :5 0.5 1 1.5
17. Soil-based evidence of high water table? < No = 0) Yes = 3
C. Bioloav (Subtotal = , -
18. Fibrous roots in streambed } ==3 2 1 0
19. Rooted upland plants in streambed _ a' 2 1 0
20. Macrobenthos (note diversity and abundance) 1 2 -_ 3
21 . Aquatic Mollusks F--cum„) 1 2 3
22. Fish Td-) 0.5 1 1 .5 -_
23. Crayfish ---- ---_- _ . =-yj 0.5 ,-_ 1 1.5
24. Amphibians U:% _ 0.5 1 1.5
25. Algae
Co:'' 0.5 1 1.5
26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Qtheffo,
'perennial streams may also be identified using other methods. See p. 35 of manual.
y
Sketch: Sl;tlr 54
9
51k
- - - - -

i USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET rI
F 8e§�
Provide the following information for the stream reach under assessment: 7 /
1 . Applicant's name:, 4 ' T .t.- 2. Evaluator's name: Nw, 4 r�e /c'_
3. Date of evaluation: 5 1 4. Time of evaluation: /0 1 or") /4 Al
ir
5. Name of stream: ' r I .
4c / 'x tl$$�' 4- 6. River basin: Ce >c l`4u
J �t
7. Approximate drainage area: C c9, ll int : `)' 8. Stream order: r
9. Length of reach evaluated: () 'c ei 4 10. County: i,t,) . tCf"l
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 71.) 4.
/ r.,}'
Latitude (ex. 34.872312): by �, �i �7 EP,.J e� " Longitude (ex.-77.55661 q: 7�7 . f' �, l6:.-,
Method location determined (circle>GP Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of reach under evaluation (note ne rby roads and landmarks and attach map identifying stream(s) location):
! T�' r It A/c..ii 1 1 % . i ' .ie H r ,s
14. Proposed channel work (if any): , f_ E'a r ,r7, w. ?.6,7, Ik' e. c,-,.�.
,, i
15. Recent weather conditions: `"3 / � [
16. Site conditions at time of visit: a o t s" ^/- t'"v `le, I'
t
17. Identify any special waterway classifications known: Section 10 _Tidal Waters _Essentiaaly iii
Fis//jeer s Habitat
_Trout Waters Outstanding Resource Waters _ Nutrient Sensitive Waters X Water Supply Watetshdd (I-IV)
18. Is there a pond or lake�tp cated upstream of the evaluation point? YES )f yes, estimate the water surface area:
R1 A Pa l ,.:.'. , da dp ,.oQ_
19. Does channel appear or&USGo quad map? <Y NO 20. Does.channel appear on USDA Soil Survey? YESC-NQ�
21. Estimated watershed land use: 1O % Residential __% Commercial _% Industrial _% Agricultural
/D% Forested _% Cleared / Logged -®_% Other ( )
22. Bankfull width: <7',. ( 23. Bank height (from bed to top of bank): j ' 3
24. Channel slope down center of stream: X Flat (0 to 2%) Gentle (2 to 4%) _Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: Y. Straight ___Occasional bends _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 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 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 Sco a (from reverse): 1 Commrnts ',%4la.'h&< 7^a , /'..3f- h oi,„ , ,a - i r 4 t`�1,' -
.+� lrx�! .L-.,,c+Ki.. r, Nei tin av 3�,11f4✓.
/
.!4-',,, f_ 'V_n . ,c ,sit , i Y2 C . �� M iC)e for
I 4
Evaluator's Signature et. ere a f J t». "'''' Date Ch.) ia0 1
This channel evaluation form is inteilaed to be used only as a guide to assist landowners and nvironmental 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. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.
1

z— i
i)'.fa
STREAM QUALITY ASSESSMENT WORKSHEET �; °z--
CHARACTERISTICS ECOREGION POINT RANGE ' SCORE
Coastal Piedmont 'Mountain ' .
1 Presence of flow I persistent pools in stream 0 5 0 — 4 0 — 5 II
(no flow or saturation = 0; strong flow=max points)
2 ' Evidence of past human alteration 0 — 6 0 — 5 0 — 5
(extensive alteration 0; no alteration =max points)
3 Riparian zone p _ 6 0 -4 0 - 5
(no buffer — 0; contiguous, wide buffer max points)
4 Evidence of nutrient or chemical discharges '
(extensive discharges = 0; no discharges= max points). '
Groundwater discharge
5 (no discharge=0;springs, seepswetlands, a"tc. = max points)
w Presence of adjacent floodplain 0 _ 4 0 -4 0 - 2
z 6 (no floodplain 0; extensive floodpiain = max points) CS
7 Entrenchment/ floodplain access 0 — 5 0 —4 0 — 2
P, (deeply entrenched = 0; frequent flooding =max points)
(, Presenceofadjacentwetlands 0 - 6 0 -4 0 - 2 Q
(no wetlands =0,large adjacent wetlands= max points]
9 Channel sinuosity 0 _ 5 0-4 0 - 3 %7
(extensive channelization = 0; natural meander=max points) 7
10` Sediment input 0 _ 5 0 -4 0 - 4
(extensive deposition= 0; little or no sediment — max points)
11
Size & diversity of channel bed substrate NA* 0— 4 0 — 5
(Fine;homogenous =0; large; diverse sizes — max points)
12 Evidence of channel incision or widening 0 _5 0 —4 0 — 5 -
(deeply incised 0 stable bed &banks = max points)
Presence of major bank failures 0- 5 0 —3 0 — 5
z.
13- (severe erosion = 0 no erosion,stable banks = max points)
PA
14 Root depth and density on banks 0 3 0 — 4 0 — 5
(no visible roots 0; dense roots throughout — max points)
rn 15 Impact by agriculture, livestock, or timber production 0 _ 5 0 _4 0 — 5
(substantial impact =0; no evidence =max points)
l6 Presence of riffle goollripple pool complexes 0 _ g 0— 5 0 — 6 Z
(no riffles/ripples or pools = 0;well-developed =max points)
Habitat complexity 0 _ 6 0 — 6 0 — 6 3
H17 (little or no habitat= 0; frequent,varied habitats= max points) - /
Canopy coverage over streambed 0 _ 5 0 —5 0 5 G-
i B (no shading vegetation = 0; continuous canopy = max points)
19 Substrateembeddedness - NA* 0 —4 0 -4
(deeply embedded =0; loose stricture =max)
20 Presence of stream invertebrates (see page 4)
(no evidence =0; common, numerous types —max points)
iin n 21 Presence of amphibians, 0 _ 4 0 — 4 0 — 4 eii
O (no evidence — 0; common,numerous types — max points)
�l Presence of fish p 4 0 4 0 — 4
22 (no evidence =0; common, numerous types =max points)
23 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 first page) )
* These characteristics are not assessed in coastal streams.
2

�I
USACE AID# DWQ # Site # (indicate on attached map) !
r STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment: /
1. Applicant's name: 11 rw / to T. 2. Evaluator's name: . J,°:' / '
3. Date of evaluation: `? 0, 4 �/ 4. Time of evaluation: 4--') t i ) , 1. ,,n'•}
` Jr ff f
4lit/ q, ,'�_.h:°Cr'e. 6. River basin: � �'"4
5. Name of stream: Ai • ) l
7. Approximate drainage area: ‘ ,. vm , 8. Stream order: f
9. Length of reach evaluated: ' ?' �� 10. County: i' r i ' I
I1. Site coordinates (if known): prefer in deci/ma1 degrees. 12. Subdivision name (if any): 11 � {� .
Latitude (ex. 34.872312): . J `J # e' .> F 6 ' ft( Longitude(ex.—77.55661 l): ` ) /, Si': )el
Method location determined (circle): C G r 'Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location of rrreach under evaluation (note
AI
n(arby roads and landmarks and attach map identifying stream(s)location):
ate,' ,. ^ h,^en 7'j I tie-A ' h a 5 c I-::: ,'J4_-f( Oi
14. Proposed channel work (if any): > 11
ff/ ':, >,� �/°r 2-A;4..x t�ti�
15. Recent weather conditions: TLit!y , 'i'A �/ ' f`—'""
// (t !
16. Site conditions at time of visit: ti v.' .�.;,�e ✓ "" f'"" f PTO j,
17. Identify any special waterway classifications known: Section 10 Tidal Waters Eg ntial Risheries Habitat
_Trout Waters _Outstanding Resource Waters Nutrient Sensitive Waters Xf Water Supply Watershed /\j (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES c$Fltj If yes, estimate the water surface area:
t''Y,> Iv F'*'� P.,1 .�cal�cs
19. Does channel appeatP on USGS quad map? . S--,NO 20. Does channel appear on USDA Soil Survey? YES`"NOM
21. Estimated watershed land use: rr % Residential _% Commercial —% IndusMal _% Agricultural
' 4)% Forested _% Cleared /Logged _% Other ( )
22. Bankfull width: f - 23. Bank height (from bed to top of bank): I" c
•
24. Channel slope down center of stream: Flat (0 to 2%) 7( Gentle (2 to 4%) Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: h° Straight Occasional bends __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 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 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, r
c./ l �>' jj f c e . II
Tot Score (fror�j,7t reverse): ri. Comments:�( / E E t Ir
a'// ('�` /0 JG�d--. � Ve- . A. in 1 :1nt< 4/ ` q/-!., r 1 X 1. z.dt Ne N ..< .e_ )Lett TO��4 /}61 s+t
/
1
Evaluator's Signature 0j 4,/, P ;si -_•.. Date 6/1� 1
This channel evaluation form is i tended to be used only 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 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.
1

STREAM QUALITY ASSESSMENT WORKSHEET ,�� ��"
ECOREGION POINT RANGE SCORE
# - CHARACTERISTICS Coastal Piedmont Mountain
Presence of flow / persistent pools in stream 0 5 0 — 4 0 - 5 al
1 (no flow or,saturation= 0; strong flow= max points)
Evidence of past human alteration p 6 0 — 5 0 — 5
2 (extensive alteration = 0;no alteration= max points)
Riparianzone p - 6 0 —A' 0 - 5 i
3 (no buffer = 0; cous,wide buffer = max points)
Evidence of nutrient or chemical discharges p- 5 0 —4 0 —4 -
(extens no discharges =max Points) '
4 ive discharges = 0;
Groundwater discharge p,_ 3 0 —4 A —4
(no discharge= 0; springs, seeps;wetlands, etc. =max points) t
Presenceotadjacentfloodplan p-4 0 -4 0 -2
~� 6 (no#toodplaine0; extensive`-hoodplain=max pointa)
EntrenchmentIfloodplainaccess p - 5 0 -4 0 - 2 a
7 (deeply entrenched= 0; frequent flooding = max points),
Presenceofadiacentwetlands p _ 6 " 0-4 0-2
8 (no wetlands= 0; large adjacent wetlands =max points)
channel sinuosity
9 (extensive channelizatlon=0; natural meander= max points)
sedimenkinput 0 5 0-4 0 =4
10 (extensive deposition— 0; little or no sediment = max points)
11' Size di"varsity of channel bed substrate _ NAB i
(fine, homogenous = , large, diverse sizes= max points)
Evidence_of channel"incision or Widening p — 5 0 —"4 0 —5
12' (deeply incised= 0; stable bed &banks = max points)
tfar i
Presence ofmajotbankfaflures 0_5 i 0 -5 0 - 5 .-
a 13 (severe erosion=b;no erosion; stable banks banks 0 — 3
=max Paints)
Boot depth and'denslty,on i
1 14 (no visible roots = 0; dense roots throughout= max points) I-1
th. Is Impact by agriculture, livestock, or timber production Q 5 0 —4 0 5
(Subtamimimpaet=0;_noevidence— niax points) -- _ 0 5 0 — 6
I
Presence of riffle poollnpple pool complesea 0_3 .-
(no riffles/ripples orpools= 0; well-developed=max Points)
$abftatcompleaity p 6 0 - 6 0 - 6
17 (little or no
(no shading habitat= 0; frequent, varied habitats = max Points)
m Canopy coverage over streainbed
pey� 1$
vegetation= 0; continuous oauopy=max points)
.19 . Substrate embeddednesg - gyp* 0 -A 0 4 i
(deeply embedded= 0; loose stmctare =max) p _ 5'
20 Presence of stream invertebrates(see page 4) ' p _ 4 0 — S
(no`evidenee 0; common, numerous types=max points)
1 rot0
Presence of amphibians 0 —4 0 A 0 -4 0 21 (no evidence= 0; common,numerous types =max points)
fish 0 - 4 0 - 4 .
0 22 (no evidence = 0; common,numerous types = max points)
Evidence of wildlife use 0— D
23 (no evidence 0; abundant evidence= max points)
Total PointsPOSsfble 1-00 " " 1® too
TOTAL"SCORIF '{h7so.enter on first gage) "
* These characteristics are not assessed in streams.
2

NC Division of Water Quality -Methodology for Identification of Intermittent and
Perennial Streams and Their Origins v. 4.11
NC DWQ Stream Identification Form Version 4.11 Date: r/
5 / 2 ' r I j Projectisite: i - t 1 CLie S'1 St Latitude: 1 (7'4 9, r1,0
Evaluator: A _ --c arryit.7 County: 6:0j (r{yrd
Longitude: 7r7,67 '1,S?rY
Total Points: Stream Determinatto circle one) Other .1.'h h9di rat
i
Stream is at least intermittent -is Ephemeral ntermittent erennial e.g. Quad Name: cm P ,,,,�
if z 19 of perennial if 30'
A. Geomorphology (Subtotal = (0 ) Absent Weak Moderate Strong
1 a' Continuity of channel bed and bank �0 1 2 2 3
0
2. Sinuosity of channel along thalweg ( )
3, In-channel structure: ex. riffle-pool, step-pool, O 1 2 3
ripple-pool sequence 3(3)1 1 /'�
4. Particle size of stream substrate 0 3
0 1 2 3
5. Acflve/relict floodplain 0 l '�
6. Depositional bars or benches �0 1 2 3
7. Recent alluvial deposits 0 1y 2 3
8. Headcuts ) 1 .5
9. Grade control (0) 0,5 1
0 0.5 (1) 1,5
10. Natural valley Yes = 3
11. Second or greater order channel ( No _�
a arttliclal ditches are not rated; see discussions in manual
B. Hydrology (Subtotal = _) 1 3
12. Presence of Baseflow 0
0 1 2 3
13. Iron oxidizing bacteria 0 5 0
14. Leaf litter 1'
(q) 1 1 .5
15. Sediment on plants or debris 0 5 1 _ 1 .5
16. Organic debris lines or piles (a) Yes=`
17. Soil-based evidence of high water table? No = 0 t
C. Biolo Subtotal = ( 3 2 1 0
18. Fibrous roots in streambed 2 1 0
19. Rooted upland plants In streambed 1 2 3
20. Macrobenthos (note diversity and abundance) 2 3
21 . Aquatic Mollusks 0 0 1 5 1 1 .5
22. Fish 0.5 1 1.5
23, Crayfish , 0.5 1 1.5
24. Amphibians t,J 0 5 1 1 .5.
25. Algae r v-r FACW = 0.75; OBL = 1.5�they = 0)
26, Wetland plants in streambed
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: 'T e 1 h h t"" 0 AV r li c
1-- �t , inv;i0- 1 drin ri ryrd - Yi 19' rDe t COlcirytu ca.hi
orb iv- ei a,l-nri s. t v, e AA , nA. J
Sketch:
41

USACE AID# DWQ # Site # (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: ad-
O"j"" 2. Evaluator's name: ' t
3. Date of evaluation: F' `)h / i `' 4. Time of evaluation: / / •' c60 ,4,- "t
5. Name of stream: L F 6. River basin: „_„,- -.,,, - -'
7. Approximate drainage area: e- Gn 1 "'" , 8. Stream order: c D
9. Length of reach evaluated: �'" )og> 10. County: &o + T'` J?)
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 44
> , '77 c+ a^r, ri
Latitude (ex. 34.872312): J'�,?^ T? 5 / `� Longitude (ex.-77.55661I):
Method location determined (circle): -76 Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location o reach under evaluation (note nearbyr roads and landmarks and attach map identifying stream(s) location):
{ k , ! b '
f dr�'F:,... i'tT . e, !'mil' t..le,-44' b ?Z. 1'
t
14. Proposed channel work (if any): >",1 ,F..,4. 24JL,.�`"'..-" r
� i I.„„-, V
15. Recent weather conditions: i i'l k a)w .'I/ i.�-''4s -
16. Site conditions at time of visit: L ),.3 t t .-. r '.-z -.. / ,r> 1
17. Identify any special waterway classifications known: Section 10 Tidal Waters Essenttiak is eries Habitat
_Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters ,k Water Supply Watershed /\/ (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES{NOT'yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YES-:`ND-7 20. Does channel appear on USDA Soil Survey? YESi NO1`)
21. Estimated watershed land use: 51''5% Residential % Commercial __% Industrial __.% Agricultural
'J % Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: `l" 7 1 23. Bank height (from bed to top of bank): '1'' t
24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%)
ek Moderate (4 to 10%) Steep (>10%)
25. Channel sinuosity: x Straight _Occasional bends Frequent meander _.Very sinuous ,_.Braided channel
Instructions for completion of worksheet (located on page 2): Begin by detenn ning 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 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 score of 100 representing a stream of the
highest quality.
Cemments: A/re F /ra ,.r '�C- r-,a - _ 4-.i',
Total Score (front reverse): 9
1t ez
jY(�� �`{' t7
e� �`t NA/ 1.�(L��3(' _ / iW. /�V11.^HNF-./ r
// / ' Date 0 IPn l7 `t
/
Evaluator's Signature G�n'''r++ '' to b
This channel evaluation form is intended to be used only as a guide to assist landownersand�envu'onmental 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. Form subject to change - version 06/03. To.Comtnent, please call 919-876-8441 x 26.
I

STREAM QUALITY ASSESSMENT WORKSHEET
EGOREGIOlY POINT RANGE SCORE
# - CHARACTERISTICS Coastal Pedman} Mountain
Presence of flow/persistent pools in stream 0 _ S 0 _4 0 — 5
1 (no flow or saturation = 0; sarong flow = max points)
Evidence of past human alteration 0 — G 0 — 5 0 — 5 1
2
(extensive alteration = 0; no alteration = max points)
Riparian zone 0 _ G 0 — 4 0 5
3 (no buffer = 0; contiguous, wide buffer max points)
4 Evidence of nutrient or chemical discharges 0 5 0 —4 0 —4 ?
(extensive discharges = 0; no discharges =max points)
Groundwater discharge 0 _ g 0 —4 0 — 4
5 (no discharge =0; springs* seeps,wetlands,etc. t max points) "
H Presence of adjacent floodplain 0 - 4 0 —4 0 —2
6 (no floodplam =-0, extensive floodplam . :max points)' -
7 Entrenchment/ floodplam access 0 - 5 0 - 4 0 -2
{deepl entrenched= 0; frequent flooding =max points)
g Presence of adjacent wetlands 0= 6 0 —4 0 — 2
(no wetlands = O; large adjacent wetlands =max points)
Channelsinuosity 0- 5 0 -4 0 3
9 (extensive cbannelization — 0; natural meander= max points) ,
Sedimenfinpak p _ 5 0 -4 0 - 4 ' E
10 (extensive deposition— 0; little or no sed ment= max points)
11 Size & diversity of channel bed substrate NA* , p _ )
(fine, homogenous = O; large,diverse sizes =max Points) `
Evidence of channel incision or widening 0 _5 0 —4 0 -5
12, (deeply incised= 0; stable bed &banks max points)
Presence of major bank failures p _ 5 0 —5 0— 5 i
gi 13_
(severe erosion= 0; no erosion, stable banks= max points) 1
14 Root depth t=max points)
and;density cl
(no visible roots=0; dense roots klvoughou
rFt) IS Impact by agriculture, livestock, or timber pradoction O _ 5 0 _4 0 — 5
(substanta dence =max points)
1 G Presence of riffle-pooll ax points)
ripple-pool complexes _ 0 —3
(no riffles/ripples or pools= 0;,well-devetoped
`� 17 Habitafcompledty
{little or no habitat= 0; frequent, vaned habitats-=max points) 0 — 5 "
Canopy coverage over streambed p _ 5 0 — 5 `,
18
(no shading vegetation = 0; continuous canopy = max points)
19 - Substrateembeddedness NA+-. , 0- 4 0 -4
(deeply embedded = 0;loose structure
20 Presence of stream inverte =
brates (see
(no evidence =-0;common;numerous=types max points)
21 Presence ofamphibiaus 0 _ 4 0 -4 0 - 4
Q (no evidence--0; common; numerous types = max points) -
Presence of fish 0 -4 0 -4 0 -4
0 22 toms)
Evidence of wildlife use- 0 _ G 0 5 0 — 5
23 (no evidence = 0; abundant evidence =max points)
- TokatPointsPosaible
100. 100 100 . -
TOTAL SCORE (also,enter"ori first "`a a
* These characteristics are not assessed in coastal streams.
2

NC DWQ Stream Identification Form Version 4.11
Date: 1 g
1 SL `" ` '
f Uite a ' Latitude: '›,s- c y
.a :. 7 )� 50 -
County: I'L) Longitude )-i 7 c3esef
Evaluator: ? i , r, (�"�u , . _
Total Points: Stream Determination (cncle.opelo Other J li . r_, 'xa.T
Stream is at least intermittent ": , 't' Ephemeral Intermittent erenniah} e.g. Quad`Name:
if>_ 19 or perennial if z 30• , ' ' -' ` --
A. Geomorphology (Subtotal = I _) Absent Weak Moderate Strong
.�- -____ -
1a Continuity of channel bed and bank 0 1 - --- ` ------ - -
2. Sinuosity of channel along thalweg .-� 0 --
3. In-channel structure: ex riffle-pool, step-pool, 0 1 t5r2ID 3
ripple-pool sequence_ 1 ,._2>�y 3
4. Particle size of stream substrate ___ 0 .---- -
5, Active/relict floodplain
6. Depositional bars or benches 0 1 2 . 3
Cr, 2 3
7. Recent alluvial deposits 0.-_ ,) ----1 2 3 -'
8. Headcuts '-`9. Grade control 0 _- 0.5 __._,-110. Natural valley _--_-- 0 0.5 --- 1 Cin•
No = 0
11 . Second or greater order channel -_ ----
artificial ditches are not rated; see discussions in manual
B. H drolo (Subtotal = qt. T ) -_-_- 1 2
12. Presence of Baseflow 0
13. Iron oxidizing bacteria - --- 0
14. Leaf litter __ �'f-6) _ 1 0.6
15. Sediment on plants or.debris +.;1)cIIr _ .--_0.5 - 1 1.5
0.5 1 1 .5 --
16. Organic debris lines or piles Yes = 3
17. Soil-based evidence of high water table? N Q �,_.C. Biology (Subtotal = -S ) - 0
18. Fibrous roots in streambed . ' ; -> _ 2 _-._--- 1 _-_
19. Rooted upland plants in streambed c=: .S--' 2 ---- 1
0
20. Macrobenthos (note diversity and abundance) 0 _-._-.-- 2 - 3
21 , Aquatic Mollusks T . 1
22. Fish --- - 0 - -- 0.5 -_---- h1__ 1.5
------- p`;,� as 1 1 .5
23 Crayfish .,_ ``_ 1 .5
24. Amphibians -` - > _ 0.5 1
S 0.5 1 1 .5
25. Algae -------._._ -I.0
26. Wetland plants in streambed FACW - 0.75; OBL = 1.5 Ottler
'perennial streams may also be identified using other methods. See p. 35 of manual.
Notes: ,r -h 1 ‘s 24 e, (1_f vv, r ,, ,.4”,- .=•.,i'.
Sketch:

V...6..i..a r
USACE AIM DWQ# Site # (indicate on attached map)
161 STREAM QUALITY ASSESSMENT WORKSIHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: /Ili)m "j" 2. Evaluator's name: / I �S/fr.'3. Date of evaluation: 7 /,A `' J-J.1 > 4. Time of evaluation: /l .aa' lT
5. Name of stream: Jf c� / 1H , = : V'✓` 6. River basin: he--== ."
�(I he,
7. Approximate drainage area: tie /!'+ b w,, 8. Stream order: / .t f
+''�'° ;l ''COr 10. Coun 4,--ir�r<ar:.`
9. Length of reach evaluated: r" t)'
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): /r,/, -
' `h ., 'F ge �' Longitude (ex. -77.556611): 7 �7 /
Latitude (ex. 34.872312): c-) • .7 , g
Method location determined (circle): GPS Topo Sheet Ortho (Aerial) Photo/GIS Other GIS Other
13. Location offye/a'ch under
ei",/levalujgtion (note ne,,arby roads and landmarks
�and attach map identifying stream(s) location):
d:kliI: .., 1':{}P"G- ot'y:e•- ' ',leap in as (-1 fP iJG7 / (
2 1
14. Proposed channel work (if any): O.r."..,4-r_ ri /1 e 1"'t" i
/ t /
15. Recent weather conditions: 21-1"l) 04 vii,=/ `°" /'tb
ii
16. Site conditions at time of visit: �. u n i'' .l¢f " `- e ,-.-1 ,/ AA
17. Identifyanyspecial waterwayclassifications known: Section 10 Tidal Waters Essential Fisheries Habitat
P L^ - 6. ,tr..
_Trout Waters Outstanding Resource Waters Nutriennttt Sensitive Waters k Water Supp` y Watershed /� (I-IV)
18. Is there a pond or lake located upstream of the evaluation point?C r na/NO If yes, estimate the water surface area: /`hkeii +1+re. !
19. Does channel appear on USGS quad map?�YE O 20. Does channel appear on USDA Soil. Survey`it . NO
21. Estimated watershed land use: R g% Residential /0% Commercial _% Industrial _% Agricultural
to % Forested _% Cleared /Logged % Other ( )
22. Bankfull width: f0 P di GDI 23. Bank height (from bed to top of bank):
24. Channel slope down center of stream: _Flat (0 to 2%) Y Gentle (2 to 4%) _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 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 worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic Scannot 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 score of 100 representing a stream of the
highest quality. 6
Total Score (from reversp): C mments .1/' -s.- , 1 r 'P de 1. " ' F"
/ I Pt t
' r <�eh/y. Wi�o-. rH41d. 4 e....•. ,.•.S h"rA .� - 1 0 - Y"' �•i0, r1j
M�M, �„ V ;wvn.c. id.i�,IG, i -+_ wa,, c1y <t 'e. .e / .. C`'vt . , . .' IJ4 � ' s ,'a I"t S
r:
Evaluator's Signature ') ^ i1 .: Date R/1 r'11
This channel evaluation form is in/ended to be used only as a guide to assist landowners .and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make 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, please call 919-876-8441 x 26.
1

STREAM QUALITY ASSESSMENT WORKSHEET `.. /" �',` 'vt t-
ECOREGION POINT RANGE
# CHARACTERISTICS SCORE
Coastal Piedmont Mountain
1 < Presence of flow/ persistent pools in stream 0 - 5 0 -4 0 - 5
(no flow or saturation = 0; strong flow = max points)
2 Evidence of past human alteration 0 -6 0 — 5 0 — 5 - 4f
(extensive alteration = 0; no alteration =max points)
3 Ripariauzone 0 - 6 0 -4 0 - 5
(no buffer= 0; contiguous, wide buffer= max points) - '
4 Evidence of nutrient or chemical discharges 0 - 5 0 —4 0 —4
(extensive discharges — 0; no discharges = max points)
e - Groundwater discharge ' : 0- 3 ' -0-4 0 -4 i
r 5 (no discharge= 0; springs, seeps, wetlands, etc. = max points)
6 Presence of adjacent floodplain 0 - 4 0- 4 0 -2
(no floodplain =-0, extensive tloodplain= max points)`:
Entrenchment / floodplainaccess 0- 5 0 - 4 0 -2
04 - (deeply entrenched = 0; frequent flooding =max points) -
-
Presenceofadjacentwetlands 0 -6 0-4 0-2
(no wetlands = 0; large adjacent wetlands = max points) - 0
9 Channel sinuosity 0 - 5 0 -4 0- 3 - _
(extensive-channelization'= 0; natural meander max points)
10 ' Sedimentinput p- 5 0- 4 0 -4 s
(extensive deposition— 0;little or no sediment=max points)
11 Size & diversity of channel bed substrate NAe 0 — 4 0 — 5
(fine,homogenous= 0; large,diverse sizes max points)
12 Evidence of channel incision or widening 0 _5 0 — 4 0 5
(deeply incised= 0; stable bed & banks =,max points)
13 Presence of major bank faflures 7
_ (severe erosion— O; no erosion, stable banks= max points) - V,
s14 Root depth and density on banks 0 -3 0 —4 0 — 5
El (no visible roots -- 0; dense roots throughout= max points)
CO 1j Impact by agriculture, livestock, or timber production 0- 5 0 -4 0 - 5 L
i
(substantial impact - , no evidence — max points)
16 - Presence of riffle-pool/ripple-pool complexes 0 3 0 — 5 0 —6 _ ii
(no riffles/ripples or pools = 0; well-developed=max points)
,� 17 Aabitat complexity 0- 6 0 — 6 0 6 7
(little or no habitat =0; frequent,varied habitats — max points) ..�+
1g Canopy coverage overstreambed 0 - 5 0 -5 0 - 5to-
(no shading vegetation — 0; continuous canopy = max points)
19 , Substrateembeddedness Nm 0-4 0 --4 a
(deeply embedded = 0 loose structure = max)
20 . Presence of stream invertebrates (see page 4) 0 — 4 0 — 5 0 — 5 i f
- evidencetypes - - - -
C7 - - Presence of amphibians - 0 4 - 0 —4 0 — 4
0 21 (no evidence = 0; common, numerous =max points)
-O 22 Presence offish 0 _ 4 0 4 0 4 "'
14 (no evidence .-I-- 0; common,numerous types =max points) a
23 Evidenceofwiidlifeuse 0= 6 0= 5 0 - 5
(no evidence = 0; abundant evidence =max points)
i otal=Points Possible 100 - -° 100 " i00 - . `
TOTAL SCORE (also enter on first page) - 61
* These characteristics are not assessed in coastal streams.
2

df/ r
USACE AID# DWQ # Site # (indicate on attached map)
J
C STREAM QUALITY ASSESSMENT WORKSHEET
Provide the following information for the stream reach under assessment:
1. Applicant's name: 4A" / cs 7' 2. Evaluator's name: / , L� ' 6 5. .
3. Date of evaluation: ) /d 1 I, h 4. Time of evaluation: / i 3$ /tit
}]
5. Name of stream: 07' A A4 -> 'il ,'/-r�-s 6. River basin: 7_, ,_ Pe.., w'
7. Approximate drainage area: " ale/7 v i '' 8. Stream order: �/'rt'"'�
9. Length of reach evaluated: ^' AtJ c"a 10. County: (ride l am/
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): 4,14
Latitude.(ex. 34.872312): 3 Kp 1 >5 }m 2 Longitude(ex. -77.556611): ` )S . 9 s 1e5Ca I
Method location determined (circle): Topo Sheet Ortho (Aerial)Photo/GIS Other GIS Other
13. Location of reeach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
.:'.. raw.... js_..fi*i`e,.. !b:2' .✓A 'ry I ,W '- � h' T.�-^� r`v , 1.tt1j ! 1 107
14. Proposed channel work (if any): ' „//','..--/..,, .+ ( >S ,} Le-4 '44 ce. r
s 1 i �a /
15. Recent weather conditions: , Ci' v c r_h., ,+''' •-`-e. /
16. Site conditions at time of visit: t�s GI / 4 v.,. t Z'U^ / /''e7(
17. Identify any special waterway classifications known: _Section 10 _Tidal Waters Essential Fisheries Habitat
a se ,/ -1
_Trout Waters Outstanding Resource Waters _ Nutrient Sensitive Waters ,( Water Supply afershed /V (I-DO
^, r t, 1
18. Is there a pond or lake located upstream of the evaluation point?" ES _NO If yes, estimate the water surface area: r - 1a/a ,.
19. Does channel appear on USGS quad mapzcytS?NO 20. Does channel appear on USDA Soil Survey? YES') NO
21. Estimated watershed land use: el % Residential /a % Commercial _% Industrial _% Agricultural.
/0% Forested _% Cleared / Logged _% Other ( )
22. Bankfull width: /CI a :)r e) (A 23. Bank height (from bed to top of bank): AI*6 'r' 7
•
24. Channel slope down center of stream: )(.Flat (0 to 2%) _Gentle (2 to 4%) _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 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 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 mustrange between 0 and 100, with a score of 100 representing a stream of the
highest quality. /
TotI Score (from reverse); hi , Comments �! stA.:%.,+ t" & . - } /✓ 7 r ..tom. ' sz 10s
'J' G ) ir6 A Ala e rw(/av (7v'sa s. , tc to ) j ✓r I e t t �^h,i 11 10, { + 7 fcirde (w/ '�' /y
�Cq,'4g e �/ `J, I'T r1 m, 5 / ,..,+� ): `-/ W i4,461.rx 4•i+ : P / /f 4 ,,, •• .4, R4 f°fl/ ,e.4. 1,4: T(ti
j� !I '�i
14 IC
Evaluator's Signature 0f/i.�� 0
Date I
This channel evaluation form is intended to be used only 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 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.
1

STREAM QUALITY ASSESSMENT WORKSHEET
ECOItEGIO :
# CHARACTERISTICS SCORE
osstal ' Piedmont 'POINT RANGE Mountain
l Presence of flow / persistent pools in stream 0 5 0 — 4 0 — 5
(no flow or saturation— 0; strong flow = max points)
Evidence of past human alteration
2 (extensive alteration =0; no-alteration = max points) - - 0-- 6 0 — 5 0 — 5
L/
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 -4 0 - 4 A
(extensive discharges = 0; no discharges = max points)
5 Groundwater discharge 0 - 3 0 - 4 0 -4
(no discharge = 0; springs, seeps,:wetlands, etc. =max points)
Presence of adjacent floodplain
6 0 - 4 0 - 4 0 -2
(no floodplain =0; extensive floodplain = rnax points)
7 Entrenchment l floodplain access 0 — 5 0 4 0 —2
?^ (deeply entrenched = 0; frequent flooding =max points)-
Presence of adjacent wetlands
g 0= 6 0 =4 0 2
(no wetlands = 0; large adjacent wetlands = max points)
9 Channel "slnuosity 0 - 5 0 -4 0 - 3
(extensive.ehannelization= 0; natural meander max points)'.
10 Sediment input 0 - 5 0 -4 0 -4
(extensive deposition— 0; little or no sediment= max points)
Size diversity of channel bed substrate
11 _ NA 0 - 4 0 - 5(fine, homogenous= 0; large, diverse sizes=max points) - 1
Evidence of channel incision or widening '
12 0 - 5 0 -4 , 0- 5
(deeply incised =0; stable bed & banks = maxpoints)
", Presence of major bank failures '
(severe erosion — 0;no erosion, stable banks= max points)
4" Root depth and den ity pn bagke , ,
14 - 0_ 3 0_q 0 - 3
(no visible roots = 0; dense roots throughout=max points)
*� Impact by agriculture, livestock,or timber0 5 0 -4
production -
I5 - 0 - 5
- (substantial impact =0;no.evidence= max points) ..
Presence of riffle pool/ripple•pool complexes
16 (no riffles/ripples or.pools= b; well-developed= max points) 0 - 3 -0 — 5 0 — 6
�" Habitat complexity .
�"
(little or no habitat =_0; frequent, varied habitafs=max points)
18 Canopy coverage over streambed 0 - 5 0 — 5 0 - 5
(no shading vegetation=0; continuous canopy — max points)
-
Substrate embeddedness . , =
19 (deeply embedded —"O; loose shucture= max) Iq; 0 —4 0 —4
20 Presence of stream invertebrates (see page
(no evidence = 0; common, numerous types = max points)
->� - Presence of amphibians . - - . 0
21' -
— 4 0 - 4 0 -4
O (no evidence = 0; common, numerous types-=max points) r
opt22 Presence of fish 0 - 4 0-4 0- 4
CA (no evidence = 0; common, numerous types = max points)
23 Evidence of wildlife use
(no evidence =;9; abundant evidence=-max points)
Tatal kointsPossible - 100 100 100
TOTAL SCORE (also enter on-first page);
* These characteristics are not assessed in coastal streams.
2