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Home My WebLink About20150981_Stream Call Request_20150512� ARC�IDIS lnfras�ructure, environmc�nt, buildrngs Mr. David Bailey US Army Corps of Engineers 3331 Heritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 Subject: Request for a Jurisdictional Determination of Waters of the United States within the project study area — NCDOT TIP No. 17BP.7.R.30, Bridge No. 191 over Jacobs Creek on SR 2337 (Carlton Road), Rockingham County, NC. Dear Mr. Bailey: ARCADIS has performed a stream and wetland delineation in the vicinity Bridge No. 191 over Jacobs Creek on SR 2337 (Carlton Road), Rockingham County, NC for the North Carolina Department of Transportation (NCDOT). This letter serves as the formal request for a Jurisdictional Determination. The study area consists primarily of undeveloped woodland, pond and field. NCDOT is proposing to replace the existing bridge at this location. One pond, three stream and three wetlands were identified within the study area. The wetlands are small, totaling 0.03 acres, and flow directly into SA. The wetlands originate at small seeps coming from the pond and hillside. Three wetlands form were completed, one for each wetland. One upland form was completed because the wetlands are separate from each other by a very narrow berm. One upland form is representative of the area. Additional information pertaining to the proposed project is provided in the attached Request for Jurisdictional Determination Information Package. We would like to formally request a Jurisdictional Determination site visit for wetlands located with the project area at your earliest convenience. If you have any questions or concerns, please contact me either by phone or by email. Thank you. Sincerely, ARCADIS G&M of North Carolina, Inc. Robert Lepsic PWS Senior Scientist Copies: Jerry Parker, NCDOT Tim Jordan, HMM File Imagine the result ARCADIS G&M of North Carolina 801 Corporate Center Drive Suite 300 Raleigh North Carolina 27607 Tel 919.854.1282 Fax 919 854.5448 www.arcadis-us.com TRANSPORTATION Date: March 18, 2015 Contact: Robert Lepsic Phone: 919.415.2278 Email: Robert.lepsic@arcadis-us.com Our ref: NC612002. B 191 ARCADIS G&M of North Carolina, Inc. NC Engineering License # C-1869 NC Surveying License # C-1869 , �'.P.,� ��cl' -�. --. � � { . . .. � _; � . . � . � � ' - ' %� , i�I�4 GY�g , . 'I - � ,.% r 3 _ �, ., - . . � ; . . ` _ :. � � . � '� i - _ S � � �� W . � '� ^-. . � "� i * ' ?,�'�L -��,,� � � X Y� � �"` `'.y , �,, ,✓ f= �` `"'.'� + � '+ �4'k`�,+� � • � y - --"f f'"^ � � ��, °: _ - 4-�' , �; "� ,r� �`ti p, � a� �, �4� ,J�� ti ' � � i, \ti�i, �� .� �� ,.l � 4� �� 1 ��P -_� - �` __ 4 �,� I . 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'�,;°_ �,` �', � ` �`�' �I Study Area , �E`,` ;�� ,� � �' ��, � .t r' �", * '* � � �-� �'�. , b 7.i � '� �- r > WETLAND DELINEATIONS N o 165 33o Project No. 17BP.7.R.30 FIGURE Feet Bridge No. 191 on SR 2337 1 inch = 167 feet (Carlton Road) � Rockingham County, NC Source: Bing Maps Aerial, Microsoft, copyright 2011 '�i M ,1� I .{ � '•I' p ' � ♦ . �� ., 4� Sl !'� t� �� ♦. \'ti � `tiin�,�'��£1 i�'y � I i � �\ � ��.�R ,� .' � �'. • 4�' ..1�' � �k�' � Y � Ah � •'�• � 'y, � . .. . '� � � �1 - . - ...i � . ;,,,�: � , r 1 ��.. �' + `. ' � . `. � ¢..>t \ ,e. .,� *�� \i � v, ,� �r. ��.f1-� �� R> ..� l -' .w- + i �"' R °� T � v �,� s -,� � ,` �� t � � . . � �Y (( 4 � �, �` � -` t� � � '� '� \• �l ♦ t' .\�F \ �..� �, t 4 • t Y \ ,a\� J � • 'f' �\��`�.�+" C� ` , ,'it ~� �� } 1��• 1 V�� '' �� ,�,'� � .7C�'}'. � 1!. 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" �� ` �, ,� ', �� ' �` , 4 4 '`� . �'� ' � - '�, � Study Area �Yn d� ��`��,.ti` \ � , � � �, , � � �� '� �� y.-�'�` � � � � . ^ � SOIL TYPE � �, � � . ,. �, . -, , �.� � � , , , , ,. , �.� # . . ;.� �.� �. , , ,, i� .,�� , � � ��* � { \ � ` Clifford , �4 ., �',,,�,� �`. �, . ` �� ,, ' .'� • � �:�` � ' : �.'. �, t ,►� " � �� '� . �, ,•.�� ,,��, � ,�,,o ��,• � Fairview-Poplar Forest ::�.�' R�.�'��" �.�y �D�y, �`�" � � ~ . • �V�'��, , � �. . :�4 �� "''� `� �� '�, Fairview-Poplar Forest ' � _l .�� , �'�� b 7.i � .. s � ��.1� '� . *� SOILS N o 165 33o Project No. 17BP.7.R.30 FIGURE Feet Bridge No. 191 on SR 2337 1 inch = 167 feet (Carlton Road) � Rockingham County, NC Source: Bing Maps Aerial, Microsoft, copyright 2011 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Project/Site: Bridge No. 191 on SR 2337 (17BP.7.R.30)) City/County: Rockingham County Sampling Date: 11 Feb, 2015 Applicant/Owner: NCDOT State: N� Sampling Point: WA-01 up Investigator(s): R. Lepsic Section, Township, Range: Landform (hillslope, terrace, etc.): hummock Local relief (concave, convex, none): none Slope (%): 0-3 Subregion (LRR or MLRA): LRR P Lat: 36.300465 �ong: -79.925302 Datum: NAD83 Soil Map Unit Name: NWI classification: Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.) Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.) SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc. Hydrophytic Vegetation Present? Yes No ✓ Is the Sampled Area Hydric Soil Present? Yes No ✓ within a Wetland? Yes No ✓ Wetland Hydrology Present? Yes No `� Remarks: Hummocks/mounds between wetland drainages. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required) Primarv Indicators (minimum of one is required; check all that applv) _ Surface Soil Cracks (B6) _ Surface Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8) _ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Patterns (B10) _ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16) _ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2) _ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8) _ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9) _ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1) _ Iron Deposits (B5) _ Geomorphic Position (D2) _ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (D3) _ Water-Stained Leaves (69) _ Microtopographic Relief (D4) _ Aquatic Fauna (B13) _ FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes No ✓ Depth (inches): Water Table Present? Yes No ✓ Depth (inches): Saturation Present? Yes No ✓ Depth (inches): Wetland Hydrology Present? Yes No ✓ includes capillary frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology indicators not present. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. sampiing Point: WA-o� up Absolute Dominant Indicator pominance Test worksheet: Tree Stratum (Plot size: 20' x 20' � % Cover Species? Status Number of Dominant Species � Liquidamber styraciflua 4p Y FAC That Are OBL, FACW, or FAC: Z (A) 2 Liriodendron tulipifera 40 Y FACU 3 Quercus alba 20 Y FACU Total Number of Dominant $ Species Across All Strata: (B) q Ostrya virginiana 10 N FACU Percent of Dominant Species 5� That Are OBL, FACW, or FAC: 25% (A/B) 6. � Prevalencelndex worksheet: $ Total % Cover of: Multiplv bv: 110% - Total Cover OBL species � x 1= � Saplinq/Shrub Stratum (Plot size: 20' x 20' � FACW species � x 2= � � Ostrya virginiana 10 Y FACU FAC species � x 3= � 2 Fagus grandifolia 10 Y FACU FACU species � x 4= � 3 Elaeagnus angustifolia 5 Y FACU UPL species � x 5= � 4. Column Totals: � (A) � (B) 5. 6. 7. 8. 9. 10. Herb Stratum (Plot size: 20' x 20' 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Woodv Vine Stratum (Plot size � Smilax rotundafolia 2 Hedera helix 3. 4. 5. 6. 0 20' x 20' � 25°�o = Total Cover �% = Total Cover 15 Y FAC 10 Y FACU 25% = Total Cover Remarks: (Include photo numbers here or on a separate sheet.) Wooded area upslope of WA. Located between WA and pasture. Prevalence Index = B/A = � ✓ 1- Rapid Test for Hydrophytic Vegetation 2 - Dominance Test is >50% 3 - Prevalence Index is <_3.0' _ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) _ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub - Woody plants, excluding vines, Iess than 3 in. DBH and greater than 3.28 ft (1 m) tall. Herb - All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine - All woody vines greater than 3.28 ft in height. Hydrophytic Vegetation ✓ Present? Yes No US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0 SOIL Sampling Point: WA-01 up Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) °/o Tvpe' Loc2 Texture Remarks 0-1 10 YR 4/4 100 clay loam many fine roots 1-12+ 10 YR 4/6 100 'Type: C=Concentration, D=Depletion, Hydric Soil Indicators: _ Histosol (A1) _ Histic Epipedon (A2) _ Black Histic (A3) _ Hydrogen Sulfide (A4) _ Stratified Layers (A5) _ 2 cm Muck (A10) (LRR N) _ Depleted Below Dark Surface (A11; _ Thick Dark Surface (Al2) _ Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) _ Sandy Gleyed Matrix (S4) _ Sandy Redox (S5) Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: Hydric soil indicators not present. RM=Reduced Matrix, MS=Masked Sand Grains. sandy clay ZLocation: PL=Pore Lining, M=Matrix. Indicators for Problematic Hydric Soils3: _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) _ Depleted Matrix (F3) (MLRA 136, 147) _ Redox Dark Surtace (F6) _ Red Parent Material (TF2) _ Depleted Dark Surface (F7) _ Very Shallow Dark Surface (TF12) _ Redox Depressions (F8) _ Other (Explain in Remarks) _ Iron-Manganese Masses (F12) (LRR N, MLRA 136) _ Umbric Surface (F13) (MLRA 136, 122) _ Piedmont Floodplain Soils (F19) (MLRA 148) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes No ✓ US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Project/Site: Bridge No. 191 on SR 2337 (17BP.7.R.30)) City/County: Rockingham County Sampling Date: 11 Feb, 2015 Applicant/Owner: NCDOT State: N� Sampling Point: WA-01 wet Investigator(s): R. Lepsic Section, Township, Range: Landform (hillslope, terrace, etc.): `^�etland drainage/seep Local relief (concave, convex, none): convace Slope (%): 0-3 Subregion (LRR or MLRA): LRR P Lat: 36.300465 �ong: -79.925302 Datum: NAD83 Soil Map Unit Name: NWI classification: Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.) Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.) SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc. Hydrophytic Vegetation Present? Yes ✓ No Hydric Soil Present? Yes ✓ No Wetland Hydrology Present? Yes `� No Remarks: Seep coming fro roadway, hillside or dam. HYDROLOGY Is the Sampled Area within a Wetland? Yes ✓ No Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required) Primarv Indicators (minimum of one is required; check all that applv) _ Surface Soil Cracks (B6) ✓ Surface Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8) ✓ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) ✓ Drainage Patterns (B10) ✓ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16) _ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2) _ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8) _ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9) _ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1) _ Iron Deposits (B5) _ Geomorphic Position (D2) _ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (D3) ✓ Water-Stained Leaves (69) _ Microtopographic Relief (D4) _ Aquatic Fauna (B13) _ FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes ✓ No Depth (inches): �2 Water Table Present? Yes ✓ No Depth (inches): $ Saturation Present? Yes ✓ No Depth (inches): � Wetland Hydrology Present? Yes ✓ No includes capillary frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Standing water and flow present. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) - Use scientific names of plants. sampiing Point: WA-o� wet Absolute Dominant Indicator pominance Test worksheet: Tree Stratum (Plot size: 20' x 20' � % Cover Species? Status Number of Dominant Species 1. That Are OBL, FACW, or FAC: 3 (A) 2. Total Number of Dominant 3� Species Across All Strata: 6 (B) 4. Percent of Dominant Species 5• That Are OBL, FACW, or FAC: 50% �q�g� 6. � Prevalencelndex worksheet: $ Total % Cover of: Multiplv bv: �% = Total Cover OBL species � x 1= � Saplinq/Shrub Stratum (Plot size: 20' x 20' � FACW species � x 2= � � Liquidamber styraciflua 15 Y FAC FAC species � x 3= � 2 Alnus serrulata 10 Y FACW FACU species � x 4= � 3_ UPL species � x 5= � 4. Column Totals: � (A) � (B) 5. 6. 7. 8. 9. 10. Herb Stratum (Plot size: 20' x 20' � Rosa multiflora 2 Polystichum acrostichoides 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Woodv Vine Stratum (Plot size � Smilax rotundafolia 2 Lonicera japonica 3. 4. 5. 6. 0 20' x 20' � 25°�o = Total Cover 5 Y FACU 5 Y FACU 10% = Total Cover 10 Y FAC 5 Y FACU 15% = Total Cover Remarks: (Include photo numbers here or on a separate sheet.) Canopy trees not growing in wetland. Prevalence Index = B/A = � _ 1- Rapid Test for Hydrophytic Vegetation ✓ 2 - Dominance Test is >50% 3 - Prevalence Index is <_3.0' _ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) _ Problematic Hydrophytic Vegetation' (Expiain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub - Woody plants, excluding vines, Iess than 3 in. DBH and greater than 3.28 ft (1 m) tall. Herb - All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine - All woody vines greater than 3.28 ft in height. Hydrophytic Vegetation Present? Yes ✓ No US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0 SOIL Sampling Point: WA-01 wet Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) °/o Tvpe' Loc2 Texture Remarks 0-1 10 YR 5/1 100 loam many fine roots 1-10 10 YR 5/2 90 10YR 4/4 10 D M clay loam few med faint 10-12+ !0 YR 4/4 100 clay loam fine gravel present 'Type: C=Concentration, D=Depletion, Hydric Soil Indicators: _ Histosol (A1) _ Histic Epipedon (A2) _ Black Histic (A3) _ Hydrogen Sulfide (A4) _ Stratified Layers (A5) _ 2 cm Muck (A10) (LRR N) _ Depleted Below Dark Surface (A11; _ Thick Dark Surface (Al2) _ Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) _ Sandy Gleyed Matrix (S4) _ Sandy Redox (S5) Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: Fine gravel present in bottom 2 inches. RM=Reduced Matrix, MS=Masked Sand Grains. ZLocation: PL=Pore Lining, M=Matrix. Indicators for Problematic Hydric Soils3: _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) ✓ Depleted Matrix (F3) (MLRA 136, 147) _ Redox Dark Surtace (F6) _ Red Parent Material (TF2) _ Depleted Dark Surface (F7) _ Very Shallow Dark Surface (TF12) _ Redox Depressions (F8) _ Other (Explain in Remarks) _ Iron-Manganese Masses (F12) (LRR N, MLRA 136) _ Umbric Surface (F13) (MLRA 136, 122) _ Piedmont Floodplain Soils (F19) (MLRA 148) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes ✓ No US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Project/Site: Bridge No. 191 on SR 2337 (17BP.7.R.30)) City/County: Rockingham County Sampling Date: 11 Feb, 2015 Applicant/Owner: NCDOT State: N� Sampling Point: WA-01 up Investigator(s): R. Lepsic Section, Township, Range: Landform (hillslope, terrace, etc.): hummock Local relief (concave, convex, none): none Slope (%): 0-3 Subregion (LRR or MLRA): LRR P Lat: 36.300465 �ong: -79.925302 Datum: NAD83 Soil Map Unit Name: NWI classification: Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.) Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.) SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc. Hydrophytic Vegetation Present? Yes No ✓ Is the Sampled Area Hydric Soil Present? Yes No ✓ within a Wetland? Yes No ✓ Wetland Hydrology Present? Yes No `� Remarks: Hummocks/mounds between wetland drainages. HYDROLOGY Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required) Primarv Indicators (minimum of one is required; check all that applv) _ Surface Soil Cracks (B6) _ Surface Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8) _ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) _ Drainage Patterns (B10) _ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16) _ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2) _ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8) _ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9) _ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1) _ Iron Deposits (B5) _ Geomorphic Position (D2) _ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (D3) _ Water-Stained Leaves (69) _ Microtopographic Relief (D4) _ Aquatic Fauna (B13) _ FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes No ✓ Depth (inches): Water Table Present? Yes No ✓ Depth (inches): Saturation Present? Yes No ✓ Depth (inches): Wetland Hydrology Present? Yes No ✓ includes capillary frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Wetland hydrology indicators not present. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) — Use scientific names of plants. sampiing Point: WA-o� up Absolute Dominant Indicator pominance Test worksheet: Tree Stratum (Plot size: 20' x 20' � % Cover Species? Status Number of Dominant Species � Liquidamber styraciflua 4p Y FAC That Are OBL, FACW, or FAC: Z (A) 2 Liriodendron tulipifera 40 Y FACU 3 Quercus alba 20 Y FACU Total Number of Dominant $ Species Across All Strata: (B) q Ostrya virginiana 10 N FACU Percent of Dominant Species 5� That Are OBL, FACW, or FAC: 25% (A/B) 6. � Prevalencelndex worksheet: $ Total % Cover of: Multiplv bv: 110% - Total Cover OBL species � x 1= � Saplinq/Shrub Stratum (Plot size: 20' x 20' � FACW species � x 2= � � Ostrya virginiana 10 Y FACU FAC species � x 3= � 2 Fagus grandifolia 10 Y FACU FACU species � x 4= � 3 Elaeagnus angustifolia 5 Y FACU UPL species � x 5= � 4. Column Totals: � (A) � (B) 5. 6. 7. 8. 9. 10. Herb Stratum (Plot size: 20' x 20' 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Woodv Vine Stratum (Plot size � Smilax rotundafolia 2 Hedera helix 3. 4. 5. 6. 0 20' x 20' � 25°�o = Total Cover �% = Total Cover 15 Y FAC 10 Y FACU 25% = Total Cover Remarks: (Include photo numbers here or on a separate sheet.) Wooded area upslope of WA. Located between WA and pasture. Prevalence Index = B/A = � ✓ 1- Rapid Test for Hydrophytic Vegetation 2 - Dominance Test is >50% 3 - Prevalence Index is <_3.0' _ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) _ Problematic Hydrophytic Vegetation' (Explain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub - Woody plants, excluding vines, Iess than 3 in. DBH and greater than 3.28 ft (1 m) tall. Herb - All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine - All woody vines greater than 3.28 ft in height. Hydrophytic Vegetation ✓ Present? Yes No US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0 SOIL Sampling Point: WA-01 up Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) °/o Tvpe' Loc2 Texture Remarks 0-1 10 YR 4/4 100 clay loam many fine roots 1-12+ 10 YR 4/6 100 'Type: C=Concentration, D=Depletion, Hydric Soil Indicators: _ Histosol (A1) _ Histic Epipedon (A2) _ Black Histic (A3) _ Hydrogen Sulfide (A4) _ Stratified Layers (A5) _ 2 cm Muck (A10) (LRR N) _ Depleted Below Dark Surface (A11; _ Thick Dark Surface (Al2) _ Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) _ Sandy Gleyed Matrix (S4) _ Sandy Redox (S5) Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: Hydric soil indicators not present. RM=Reduced Matrix, MS=Masked Sand Grains. sandy clay ZLocation: PL=Pore Lining, M=Matrix. Indicators for Problematic Hydric Soils3: _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) _ Depleted Matrix (F3) (MLRA 136, 147) _ Redox Dark Surtace (F6) _ Red Parent Material (TF2) _ Depleted Dark Surface (F7) _ Very Shallow Dark Surface (TF12) _ Redox Depressions (F8) _ Other (Explain in Remarks) _ Iron-Manganese Masses (F12) (LRR N, MLRA 136) _ Umbric Surface (F13) (MLRA 136, 122) _ Piedmont Floodplain Soils (F19) (MLRA 148) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes No ✓ US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 WETLAND DETERMINATION DATA FORM — Eastern Mountains and Piedmont Project/Site: Bridge No. 191 on SR 2337 (17BP.7.R.30)) City/County: Rockingham County Sampling Date: 11 Feb, 2015 Applicant/Owner: NCDOT State: N� Sampling Point: WC-04 wet Investigator(s): R. Lepsic Section, Township, Range: Landform (hillslope, terrace, etc.): `^�etland drainage/seep Local relief (concave, convex, none): convace Slope (%): 0-3 Subregion (LRR or MLRA): LRR P Lat: 36.300294 �ong: -79.925491 Datum: NAD83 Soil Map Unit Name: NWI classification: Are climatic / hydrologic conditions on the site typical for this time of year? Yes ✓ No (If no, explain in Remarks.) Are Vegetation , Soil , or Hydrology significantly disturbed? Are "Normal Circumstances" present? Yes � No Are Vegetation , Soil , or Hydrology naturally problematic? (If needed, explain any answers in Remarks.) SUMMARY OF FINDINGS — Attach site map showing sampling point locations, transects, important features, etc. Hydrophytic Vegetation Present? Yes ✓ No Hydric Soil Present? Yes ✓ No Wetland Hydrology Present? Yes `� No Remarks: Seep coming from roadway, hillside or dam. HYDROLOGY Is the Sampled Area within a Wetland? Yes ✓ No Wetland Hydrology Indicators: Secondarv Indicators (minimum of two required) Primarv Indicators (minimum of one is required; check all that applv) _ Surface Soil Cracks (B6) ✓ Surface Water (A1) _ True Aquatic Plants (B14) _ Sparsely Vegetated Concave Surface (B8) ✓ High Water Table (A2) _ Hydrogen Sulfide Odor (C1) ✓ Drainage Patterns (B10) ✓ Saturation (A3) _ Oxidized Rhizospheres on Living Roots (C3) _ Moss Trim Lines (B16) _ Water Marks (B1) _ Presence of Reduced Iron (C4) _ Dry-Season Water Table (C2) _ Sediment Deposits (B2) _ Recent Iron Reduction in Tilled Soils (C6) _ Crayfish Burrows (C8) _ Drift Deposits (B3) _ Thin Muck Surface (C7) _ Saturation Visible on Aerial Imagery (C9) _ Algal Mat or Crust (B4) _ Other (Explain in Remarks) _ Stunted or Stressed Plants (D1) _ Iron Deposits (B5) _ Geomorphic Position (D2) _ Inundation Visible on Aerial Imagery (B7) _ Shallow Aquitard (D3) ✓ Water-Stained Leaves (69) _ Microtopographic Relief (D4) _ Aquatic Fauna (B13) _ FAC-Neutral Test (D5) Field Observations: Surface Water Present? Yes ✓ No Depth (inches): �� Water Table Present? Yes ✓ No Depth (inches): � Saturation Present? Yes ✓ No Depth (inches): 10 Wetland Hydrology Present? Yes ✓ No includes capillary frin e Describe Recorded Data (stream gauge, monitoring well, aerial photos, previous inspections), if available: Remarks: Standing water and flow present. US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 VEGETATION (Four Strata) - Use scientific names of plants. sampiing Point: Wc-oa wet Absolute Dominant Indicator pominance Test worksheet: Tree Stratum (Plot size: 20' x 20' � % Cover Species? Status Number of Dominant Species � Liquidamber styraciflua gp Y FAC That Are OBL, FACW, or FAC: 4 (A) 2. Total Number of Dominant 3� Species Across All Strata: 5 (B) 4. Percent of Dominant Species 5• That Are OBL, FACW, or FAC: $�% (A/B) 6. � Prevalencelndex worksheet: $ Total % Cover of: Multiplv bv: 60% = Total Cover OBL species � x 1= � Saplinq/Shrub Stratum (Plot size: 20' x 20' � FACW species � x 2= � � Liquidamber styraciflua 5 Y FAC FAC species � x 3= � 2 Ligustrum sinense 5 Y FAC FACU species � x 4= � 3_ UPL species � x 5= � 4. Column Totals: � (A) � (B) 5. 6. 7. 8. 9. 10. Herb Stratum (Plot size: 20' x 20' � Polystichum acrostichoides 2 Sphagnum sp 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Woodv Vine Stratum (Plot size 1. 2. 3. 4. 5. 6. 0 20' x 20' � 10°/o = Total Cover 5 Y FACU 5 Y OBL 10% = Total Cover �°�o = Total Cover Remarks: (Include photo numbers here or on a separate sheet.) Prevalence Index = B/A = � _ 1- Rapid Test for Hydrophytic Vegetation ✓ 2 - Dominance Test is >50% 3 - Prevalence Index is <_3.0' _ 4 - Morphological Adaptations' (Provide supporting data in Remarks or on a separate sheet) _ Problematic Hydrophytic Vegetation' (Expiain) 'Indicators of hydric soil and wetland hydrology must be present, unless disturbed or problematic. Definitions of Four Vegetation Strata: Tree - Woody plants, excluding vines, 3 in. (7.6 cm) or more in diameter at breast height (DBH), regardless of height. Sapling/Shrub - Woody plants, excluding vines, Iess than 3 in. DBH and greater than 3.28 ft (1 m) tall. Herb - All herbaceous (non-woody) plants, regardless of size, and woody plants less than 3.28 ft tall. Woody vine - All woody vines greater than 3.28 ft in height. Hydrophytic Vegetation Present? Yes ✓ No US Army Corps of Engineers Eastern Mountains and Piedmont - Version 2.0 SOIL Sampling Point: WC-04 wet Profile Description: (Describe to the depth needed to document the indicator or confirm the absence of indicators.) Depth Matrix Redox Features (inches) Color (moist) % Color (moist) °/o Tvpe' Loc2 Texture Remarks 0-12+ 10 YR 5/2 80 10 YR 4/6 20 D M clay loam many med faint 'Type: C=Concentration, D=Depletion, RM=Reduced Matrix, MS=Masked Sand Grains. Hydric Soil Indicators: _ Histosol (A1) _ Histic Epipedon (A2) _ Black Histic (A3) _ Hydrogen Sulfide (A4) _ Stratified Layers (A5) _ 2 cm Muck (A10) (LRR N) _ Depleted Below Dark Surface (A11) _ Thick Dark Surface (Al2) _ Sandy Mucky Mineral (S1) (LRR N, MLRA 147, 148) _ Sandy Gleyed Matrix (S4) _ Sandy Redox (S5) Stripped Matrix (S6) Restrictive Layer (if observed): Type: Depth (inches): Remarks: Fine gravel present in bottom 2 inches. ZLocation: PL=Pore Lining, M=Matrix. Indicators for Problematic Hydric Soils3: _ Dark Surface (S7) _ 2 cm Muck (A10) (MLRA 147) _ Polyvalue Below Surface (S8) (MLRA 147, 148) _ Coast Prairie Redox (A16) _ Thin Dark Surface (S9) (MLRA 147, 148) (MLRA 147, 148) _ Loamy Gleyed Matrix (F2) _ Piedmont Floodplain Soils (F19) ✓ Depleted Matrix (F3) (MLRA 136, 147) _ Redox Dark Surtace (F6) _ Red Parent Material (TF2) _ Depleted Dark Surface (F7) _ Very Shallow Dark Surface (TF12) _ Redox Depressions (F8) _ Other (Explain in Remarks) _ Iron-Manganese Masses (F12) (LRR N, MLRA 136) _ Umbric Surface (F13) (MLRA 136, 122) _ Piedmont Floodplain Soils (F19) (MLRA 148) 3lndicators of hydrophytic vegetation and wetland hydrology must be present, unless disturbed or problematic. Hydric Soil Present? Yes ✓ No US Army Corps of Engineers Eastern Mountains and Piedmont — Version 2.0 �/� iJ � �a ��.•r°":cC, � NC Division of Water Quality -Methodology for ldentification of Intermittent and Perennial Streams and Their Origins v. 4.11 NC DWQ Stream Identification Form Version 4.11 Date: Pro'ect/Site: , Latitude: � o� f r/ 5 ' b��%� l S' l ��.:��a� �/� � Evaluator: � .�, � r � County:��R,, P �M � � Longitude: � t�� 4�,.� � � �� Total Points: � 4 �„ Stream Determin�'on (circle one) Other +�' �� .,,�{,� � J Stream rs at /east intermittent � Ephemeral �intermi t Perennial e. if?99orperennialif>_30' ��'� � �,,,.:„...{:�,.;-, g.QuadName: A. Geomor holo (Subtotal =�� ) Absent Weak Moderate Strong 1a Continuity of channel bed and bank 0 1 3 2. Sinuosity of channel along thalweg 0 1 �,�..• 3 3. In-channel structure: ex. riffle-pool, step-pool, 0 1 �2e.� 3 ri le- ool se uence 4. Particle size of stream substrate 0 1 3 5. Active/relict floodplain 0 1 3 6. Depositional bars or benches 0 c°'� 2 3 7. Recent alluvial deposits 0 ;�1 '� 2 3 8. Headcuts �.�" 9 2 3 9. Grade control 0 L�5" 1 1.5 10. Natural valley 0 0.5 1 � 11. Second or greater order channel �,;�N� Yes = 3 PiU�iV�PI UILliI1GJ Ci1G IIVI IULG � Gc UJJIVIIJ 111 IIIaIIUPI B. Hydrology (Subtotal = �. � ) 12. Presence of Baseflow 13. Iron oxidizing bacteria 14. Leaf litter 15. Sediment on plants or debris 16. Organic debris lines or piles 17. Soil-based evidence of high water table? C. Biology (Subtotal = ) 0 1 �::2'� 3 0 1 � 2- � 3 1.5 1 �_� �,�"a 0 �0-- = 0.5 1 1.5 _,Q.��= 0.5 1 1.5 Nn-n �2scs 18. Fibrous roots in streambed C,�.� 2 1 19. Rooted upland plants in streambed �.�- 2 1 20. Macrobenthos (note diversity and abundance) 1 2 21. Aquatic Mollusks t.:`�0"`° 1 2 22. Fish >-< p" 0.5 1 23. Crayfish 0 0.5 1 24. Amphibians ti.,.� Q�,.°^ 0.5 1 25. Algae ��. 0' 0.5 1 26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 `perennial streams may also be identified using other methods. See p. 35 of manual. Notes: .S �"x.rr� �,+,�. .�,.o< <c t �,"La,.._.� �.�`s .r�. a` r. h:hr e.v` I Cro35ud Sketch: � ..n wt'., � '* .t � O �- �. ��✓L '�"�6�( G� YG."`�-� _ / _ _ ,�-`'--_.. _� ,�.,�.� ��-' �° i� ��. �e..� �,w-�.�= / 41 �� /�", / a 0 0 3 3 1.5 1.5 1.5 1.5 'N z��_._: USACE AID# DWQ # Site # (indicate on attached map) ;a�,; STREAM QUALITY ASSESSMENT WORKSHEET � : � � ,: Provide the following information for the stream reach under assessment: 1. Applicant's name: /�''� l `�� 3. Date of evaluation: �� o �'� 5. Name of stream: (� % �o �� 5 � •!• �:�� 7. Approximate drainage area: �, � e,�,,�c�- H• .-�'c_ 9. Length of reach evaluated: .�� `� I 11. Site Coordinates (if known): prefer in decimal degrees. e Latitude (ex. 34.872312): ° -� �, m:� v.�°' � � � Method location determined (circle): G(r',�S� Topo Sheet Ortho (Aerial) PF►oto1�C� Other GiS Other 13. Location of reach under evaluatio� (notc nearby roads and landmarks �rid attach map identifying stream(s) location): 2. Evaluator's name: �. �. �;:�, '�°m".. 4. Time of evaluatio �--� r"�.°= �" 6. River basin: � � � -� '� � , ' ' � � � �,6� �, 8. Stream order: d 10. County: �.�,�- �"�,,, l'!r_ ,.... � 12. Subdivision name (if any): / �/`� Longitude (ex. —77.556611): " <� � � � �- ` 7 � �� -Il �.��,�.��S�,�fL�� .� ��.,.�� ...,� 14. Proposed channel work (if any): E� 6' a' �'.� c 15. Recent weather conditions: �� R` �. l�`� �� 16. Site conditions at time of visit: �, /e�,.� c_n � l 17. ldentify any special waterway classifications known: _Section 10 _Tidal Waters _Essential Fisheries Habitat _Trout Waters _Outstanding Resource Waters _ Nutrient Sensitive Waters _Water Supply Watershed �`Y� (I-IV) 18. Is there a pond or lake located upstream of the evaluation point?="��"E�? NO If yes, estimate the water surface area: � r'e 19. Does channel appear on USGS quad map? YES�N� 20. Does channel appear on USDA Soil Survey? YE�\N� 21. Estimated watershed land use: �% Residential �O% Forested 22. Bankfull width: �,�, _% Commercial _% Industrial _% Agricultural _% Cleared / Logged _% Other ( 23. Bank height (from bed to top of bank): �' 3 24. Channel slope down center of stream: _Flat (0 to 2%) X 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 must range between 0 and 100, with a score of 100 representing a stream of the highest quality. Evaluator's Signature < � Date S � '� This channel evaluation form is inte ded to be used only as a guide to assist landowners an 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 ca11 919-876-8441 x 26. � `.''„�l STREAM QUALITY ASSESSMENT WORKSHEET # CHARACTERISTIC5 �� R�� SCORE ` Coastal Piedmont Mountain _ . �, . Presence of flow / persistent pools in stream � 1 no flow or saturarion = 0; stron flow = max oints 0— 5 0— 4 0— 5 Evidence of past human alteration ,�� . 2 extensive alteration = fl; no altera#ion = max oints 0— 6 0— 5 0— 5 � � l6 a,�� 3 Riparian zone 0— 6 0— 4 0— 5 '� �� ' no buffer = 0; conri uous, wide buffer = m� ints ��, �� ,�� 4 Evidence of nutrient or chemical discharges 0— 5 0— 4 0— 4 ��' �' extensive dischar es = 0; no dischar es = maac oints ,., E�5 Groundwater discharge p_ 3 0— 4 0— 4 � � no dischar e= 0; s rin s, see s, wetlands, etc. = ma�c oints .,,� ;^ � 6 Presence of adjacent floodplain 0— 4 0— 4 0— 2 � �a� ,��,,� �^� no flood lain = 0; extensive flood lain = ma�c oints Entrenchment / floodplain access � i p"' � dee 1 entrenched = 0; fre uent floodin = max ints 0— 5 0— 4 0— 2 g Presence of adjacent wetlands p_ 6 0— 4 0— 2 ` �� no wetlands = O; lar e ad' acent wetlands = max ints d� �� : ,A,��;; 9 Channel sinuosity 0— 5 0— 4 0— 3 � e3ctensive channelization = 0; natural meander = max oints 10 Sediment input 0— 5 0— 4 0— 4 �►u+�` ✓ extensive de sition= O; little or no sediment = max oints ; 11 Size & diversity of channel bed substrate NA* 0— 4 0— 5 �`� i fine, homo enous = 0;1ar e, diverse sizes = max ints � a,, . �.�<�� Evidence of channel incision or widening �`-°' +� 12 dee 1� incised = 0; stable bed & banks = m� ints 0— 5 0— 4 0— 5 �"'' 13 presence of major bank failures 0— 5 0— 5 0— 5 ['` '� ,� severe erosion = 0; no erosion, stable banks = max oints � ;>,y; '_ Root depth and density on banks � �� 14 0-3 0-4 0-5 ;,H no visible roots = U• dense roots throu hout = ma�c oints � Impact by agriculture, livestock, or timber production ��', ,„- 15 0-5 0-4 0-5 �-` ''�° �'' substantial im act =0; no evidence = max ints ;.�,�,� Preseoce of riffle-pooUripple-pool complexes 16 0-3 0-5 0-6 � no riffles/ri les or ools = 0; well-develo ed = max oints ..� .� Habitat complezity � E<� 1� little or no habitat = 0; fre uent, varied habitats = max oints 0— 6 0— 6 0— 6 � ��Canopy coverage over streambed �, , t F 18 no shadin ve etation = 0; continuous cano = max oints �— 5 0— 5 0— 5 °�, �`F h v Substrate embeddedness * `� 19 dee 1 embedded = O; loose structure = ma.x NA 0— 4 0— 4 3 20 Presence of stream invertebrates (see page 4) 0— 4 0— 5 0— 5 � no evidence = 0; common numerous s= maac oints �-' ;�% 21 Presence of amphibians . 0— 4 0— 4 0— 4 � i,4 no evidence = 0; common, numerous es = max oints Q 22 Presence of fish 0— 4 0— 4 0— 4 � ,;� no evidence = 0; common numerous es = maac oints 23 Evidence of wildlife use 0— 6 0— 5 0— 5 � no evidence = 0; abundant evidence = max oints Total Points Possible 100 100 100 TOTAL SCORE (also enter on first page) `��`;� T inese cnaracteristics are not assesseci m coastal streams. �� -�� .� �°�� NC Division of Water Quality -Methodology for ldentification of Intermittent and ^ Perennial Streams and Their Origins v. 4.11 �.� -,,' j-�,;.,,'�� NC DWQ Stream Identification Form Version 4.11 Date: � � � � ,�- ProjecUSite: � � /� / Latitude -�,� � � n � � s +" t�., �° � Evaluator: �� p�, County: /��l��G �� Longitude:_ ?�+ � „�� Total Points: Stream Determination (cir e Other /.� �/�� Stream is at least intermittent �� 'f' if? 19 orperennialif>_ 30' Ephemeral Intermitten erenni e.g. Quad Name: A. Geomor holo (Subtotal =� � ) Absent Weak Moderate Strong 1a Continuity of channel bed and bank 0 1 2 C.�3"! 2. Sinuosity of channel along thalweg 0 1 2 C� 3. In-channel structure: ex. riffle-pool, step-pool, 0 1 2 � ri le- ool se uence 4. Particle size of stream substrate 0 1 ��,. 3 5. Active/relict floodplain 0 1 �.=2""`§ 3 6. Depositional bars or benches 0 �:.�:a'� 2 3 7. Recent alluvial deposits 0 w- 1'"° 2 3 8. Headcuts �, 1 2 3 9. Grade control 0 0.5 1 �`�5� 10. Natural valley 0 0.5 1 � 11. Second or greater order channel No = 0 ��s = e a artificial ditches are not rated; see discu�sions in manual B. H drolo Subtotal = S 12. Presence of Baseflow 0 1 2 C.,"ia 13. Iron oxidizing bacteria ,�"' 1 2 3 14. Leaf litter �4:�- " 1 0.5 0 15. Sediment on plants or debris °�..uD �� 0.5 1 1.5 16. Organic debris lines or piles 0 "°9:5° 1 1.5 17. Soil-based evidence of high water table? No = 0 = C. Biolo (Subtotal = 18. Fibrous roots in streambed �'3"' 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 �,��1-:-` 0.5 1 1.5 24. Amphibians ,;�; 0`�'.'' 0.5 1 1.5 25. Algae „,:,�.D�." 0.5 1 1.5 26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 er = `perennial streams may also be identified using ot�ier methods. See p. 35 of manual. Notes: y �-�� ca�. "� .,,r .,� . o..,._ . � � � r�.: � �5 �'� r• � `°'� Sketch: J�! �--__-.�� °`"... , .. �� s,� J /�' 41 _____ r__ — _ _ - - - — �USACE AID# DWQ # --_- - -----f ` -- __—� __ _- -- ---__ Site # � (indicate on attached map) 1 ;,�„ STREAM QUALITY ASSESSMENT WORKSHEET Provide the following information for the stream reach under assessment: 1. Applicant's name: �� J�'� 2. Evaluator's name:�'� u�- �' � 3. Date of evaluation: ��a/ 1 /'j 4. Time of evaluation: )/�� ^/ /�1 � � � 5. Name of stream: C.��'�.:<r.� ` � �'�'� �° 6. River basin: ��a�- �` '�.'�" � °�`, �'.'� � � " ��"1 ��. y � / 7. Approximate drainage area: ��- -� �+ �"��' 8. Stream order: � b.�( � � � ��' � 9. Length of reach evaluated: ��''�� 10. County: � ��.� 3,� a�x,< 11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):��'� Latitude (ex. 34.872312): � � . � � ^s:� � � � Longitude (ex. —77.556611): � � °�'- �' e� "'� � Method location determined (circle), �.��PS �'` Topo Sheet Ortho (Aerial) P�to/G� IS ;° Other GIS Other 13. Location of reach under evaluati n(note ne by roads and land r s and attach map identifyipg stream(s) location): � �t�r a�i�� '� � ��r„v�/o�n �o.:�� Gi 1a ��c�X'e�t�i s� � �� P g '�G °G4 �� c'�� °' G� 14. Proposed channel work (if any): 15. Recent weather conditions: 16. Site conditions at time of visit: ,R�r� ��.. 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) — — i�� 18. Is there a pond or lake located upstream of the evaluation point�� NO If yes, estimate the water surface area: ic� .e::� �,-_°�. 19. Does channel appear on USGS quad map? � NO 21. Estimated watershed land use: �% Residential .� '� % Forested 20. Does channel appear on USDA Soil Survey?�„`if�, NO % Commercial _% Industrial 3 a% Agricultural �<� % Cleared / Logged _% Other 22. Bankfull width: �`� -�+� � 23. Bank height (from bed to top of bank): �-`� 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 must range between 0 and 100, with a score of 100 representing a stream of the hiehest aualitv. Evaluator's Signature �d6� � �° �°�-_�°-� Date �' �i / ,� �s This channel evaluation form is inte�ided to be used only as a guide to assist landowners an 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 ca11919-876-8441 x 26. S� J�� '��. STREAiVi QUALITY ASSESSMENT WORKSHEET _ . # CHARACTERISTICS ��I�� p�� SCORE �Qa�� Piedmont Mountain . � _ �.a ,. Presence of flow / persistent pools in stream � 1 no flow or saturation = 0; stron flow = matc oints 0- 5 0- 4 0- 5 � 2 Evidence of past human alteration �.�� `� �� extensive alteration = 0; no alteration = max oints 0- 6 0- 5 0- 5 � 4�,5 3 Riparian zone 0- 6 0- 4 0- 5 � no buffer = 0; conti uous, wide buffer = maac oints ,� 4 Evidence of nutrient or chemical discharges 0- 5 0- 4 0- 4 � extensive dischar es = 0; no dischar es = ma�c ints ,.� $ Groundwater discharge 0- 3 0- 4 0- 4 �:�' � no dischar e= 0• s rin s, see s, wetlands, etc. = max oints ...:� Presence of adjacent floodplain � y�^ �,.�¢` '� 6 no flood lain = 0; extensive flood lain = ma�i oints �- 4 0- 4 0- 2 � Entrenchment / floodplain access 0- 5 0- 4 0- 2 ��' �= �� ` dee 1 entrenched = 0; fre uent floodin = max oints c .',�, �W ��` g Presence of adjacent wetlands 0- 6 0- 4 0- 2 , no wetlands = 0; lar e ad'acent wetlands = max ints �- Channel sinuosity � I 9 extensive channelization = 0; natural meander = max oints 0- 5 0- 4 0- 3 10 Sediment input 0- 5 0- 4 0- 4 �� :.`;, �� , extensive de osition= O; little or no sediment = max oints � z. r�+„. 11 Size & dir•ersity of channel bed substrate NA* 0- 4 0- 5 `�' A� �= fine, homo enous = O; lar e diverse sizes = max oints �,�, ��;,,,;t,: 12 Evidence of channel incision or widening 0- 5 0- 4 0- 5 �, �, dee 1 incised = 0; stable bed & banks = maaz ints �� Presence of major bank failures f a 13 severe erosion = 0; no erosion, stable banks = max oints 0- 5 0- 5 0- 5 � ��`� Root depth and density on banks l 14 no visible roots = 0; dense roots throu hout = maac oints 0- 3 0- 4 0- 5 d� Impact by agriculture, �vestock, or timber production �,�a,• z, �-; ,:� _. 15 substantial im act =0; no evidence = max oints 0- 5 0- 4 0- 5 � �� .�y� ¢ 16 Presence of riffle-pooUripple-pool complexes 0- 3 a- 5 0- 6 �� ,� no riffles/ri les or ools = 0; well-develo ed = max oints �� Habitat complexity ��`° 17 0-6 0-6 0-6 �"' little or no habitat = 0; fre uent, varied habitats = m� oints �j �� g Canopy coverage over streambed � no shadin ve etation = 0; continuous cano = max oints 0- 5 0- 5 0- 5 .`, Substrate embeddedness 19 NA* 0-4 0-4 �' dee I embedded = O; loose structure = max -.:� 20 Presence of stream invertebrates (see page 4) 0- 4 0- 5 0- 5 ,� no evidence = 0• common numerous es = maY oints �' ' � Presence of amphibians ,, k� 21 � 0-4 0-4 0-4 ,�� ,,O no evidence = 0; common, numerous es = max oints - Presence of fish 0- 4 0- 4 0- 4 � i= � 22 no evidence = 0; common, numerous es = ma�c oints 23 Evidence of wildlife use 0_ 6 0- 5 0- 5 � no evidence = 0; abundant evidence = max ints Total Points Possible 100 100 100 TOTAL SCORE (also enter on first �a�e) �� J!` ° i nese cnaracter�siics are not assessea m coastai streams. S� � �� .�� c��.� � NC Division of Water Quality -Methodology for ldentification of fntermittent and Perennial Streams and Their Oriains v. 4.11 NC DWQ Stream Identification Form Version 4.11 Date: d �� ProjectlSite:� � Evaluator: � �� ..�� r„ County� � � Total Points: P Stream Deter Stream is atleast intermittent �./ Ephemeral � if >_ 19 or oerennial if ? 30" "y A. Geomorphology (Subtotal =�) 1a Continuity of channel bed and bank 2. Sinuosity of channel along thalweg 3. In-channel structure: ex. riffle-pool, step-pool, ripple-pool sequence 4. Particle size of stream substrate 5. Activelrelict floodplain 6. Depositional bars or benches 7. Recent alluvial deposits 8. Headcuts 9. Grade control 10. Natural valley 11. Second or greater order channel artificial ditches are not rated; see discussions in manual � .� 0 � 0 � 0 0 0 0 �� ❑� �' ,'�',',� Latitude:3� �� ,S� f�� Longitude•� 7 � ,�,,,�� '.�.� . .�� iation (circle one) Other �� /, r., ��„rr� m� Pefennial e.g. QuadName: Weak 1 1 �.K .1,. ;:. ..�,. �,- `.�.°", - �;w. �_.'1, :.,. 1 0.5 0.5 Moderate 1 1 Yes=3 3 3 3 3 3 3 3 3 1.5 B. H drolo Subtotal = �� 12. Presence of Baseflow 0 1 -' °�`' 3 13. Iron oxidizing bacteria 0 1 ��''2''� 3 � ..,.. 14. Leaf litter 1.5 1 �� 0 15. Sediment on plants or debris 0 ��f.5' 1 1.5 16. Organic debris lines or piles 0 ��5. - 1 1.5 17. Soil-based evidence of high water table? No = 0 "�Y�es = C. Biolo (Subtotal = 18. Fibrous roots in streambed 3 1 0 19. Rooted upland plants in streambed C~� 2 1 0 20. Macrobenthos (note diversity and abundance) �==:'�' 1 2 3 21. Aquatic Mollusks =E��' 1 2 3 22. Fish c;Qm;s 0.5 1 1.5 23. Crayfish �0 ' 0.5 1 1.5 24. Amphibians =.�;�`� 0.5 1 1.5 25. Algae f��'i7°�; 0.5 1 1.5 26. Wetland plants in streambed FACW = 0.75; OBL = 1.5 Ot�ei� _ "perennial streams may also be identified using other methods. See p. 35 of manual. , C , NOt@$. J'#1�K .� < ..:"� � L�'�Y �,, ��?Et�. r� +�a"� t°a` .. ac�,'`� C.i ti7 �,�+ n�',K ;' br � 1i*�./ b +:L. - : �! p,�a! `%�c:w. � �„� ...�s �•t .. Sketch: "`-----`._._ � � �� `s--,---.ti f ..o. , u..�, �. ...� � ..._... - .•�� ' .s �i i ,a a_..,._._.. , _..:r-�-�'� ,SG G ,a �;c � � �" � 41 USACE AID# DWQ #. Site # � (indicate on attached map) � STREAM QUALITY ASSESSMENT WORKSHEET � � ,-,� Provide the following information for the stream reach under assessment: , e '1 1. Applicant's name: �� ` �� 2. Evaluator's name: �^ •� � � ." .' 3. Date of evaluation: 01 � P(�`� 4. Time of evaluation: �,�. : ac`� !�.°�i J ;; . � .. 5. Name of stream: C,�! � T� c .� � �' 6. River basin: ` � ',"� 4. . '' '� ' � " �� ' F .g, c, � �✓'r,r 7. Approximate drainage area: �. `�;;��t:..ac�R.` �-•. � 8. Stream order: �� 9. Length of reach evaluated: �.� '� 10. County: /�;�, �� a'.�� s � 11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any): ./� H"� Latitude (ex. 34.872312): 3� J �� '�..�� Longitude (ex. -77.556611): ' 7 g � `� � � '� Method location determined (circle): � Topo Sheet Ortho (Aerial) Photo/G1S z:rOfher Ci�, Other 13. Location of reach under evaluation note nearby •toads and landmarks ancj attach mapA ident�fying stream(s) location): r�b� .S/� s� .��' �,� � 9 .G� r'! �o t-, f��-� � s�>"� X,'"x.,..T�� f' /� 1�, "��. ��: �,+ �1�' a��,ca'1 14. Proposed channel work (if any): 15. Recent weather conditions: / 16. Site conditions at time of visit: �`"" 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 TO�O+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��, NO 21. Estimated watershed land use: 5�--''% Residential _% Commercial _% Industrial _% Agricultural 'i c:"'% Forested T% Cleared / Logged _% Other ( ) � i 22. Bankfull width: �'�.3 23. Bank height (from bed to top of bank): �' � 24. Channel slope down center of stream: _Flat (0 to 2%) _Gentle (2 to 4%) X 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 must range between 0 and 100, with a score of 100 representing a stream of the hi�hest aualitv. i / ) , , . .... . Evaluator's Signature ! !�• � - Date �,�� ` �� This channel evaluation form is in nded 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 ca11919-876-8441 x 26. � �,. � �pMR. STREAM QUALITY ASSESSMENT WORKSHEET _ _ . _ __. # CHARACTERISTICS ��d�GI�N PCIIN'T RANGE SCORE Coastal Piedmont Mountain Presence of flow 1 persistent pools in stream � 1 no flow or saturation = 0• stron flow = max oints 0— 5 0— 4 0— 5 2 Evidence of past human alteration 0— 6 0— 5 0— 5 ��"� "' ''�� extensive alteration = 0; no alteration = max oints 3 Riparian zone p_ 6 0— 4 0— 5 � no buffer = 0• conti uous, wide buffer = max ints J 4 Evidence of nutrient or chemical dischar es 0— 5 0— 4 0— 4 ��`��`', ea�tensive dischar es = 0; no dischar es = maxg oints �� a,,� ;,;a Groundwater discharge �� 5 no dischar e= 0; s rin s, see s, wetlands, etc. = max oints 0— 3 0— 4 0— 4 ? � 6 Presence of adjacent floodplain 0— 4 0— 4 0— 2 � � no flood lain = 0; extensive flood lain = m� omts �"�� ' �' •-` Entrenchment / floodplain access 'a' � dee 1 entrenched = 0; fre uent floodin = maac oints 0— 5 0— 4 0— 2 I 1�G �„�w Presence of adjacent wetlands g no wetlands = O; lar e ad' acent wetlands = maar ints 0— 6 0— 4 0— 2 ��.. !,�� ,., �:� 9 Channel sinuosity 0— 5 0— 4 0— 3 � extensive channelization = 0; natural meander = ma�c ints �/�" '"" 10 Sediment input 0— 5 0— 4 0— 4 � extensive de osition= O; little or no sediment = max oints � 1 Size & diversity of channel bed substrate NA"` 0— 4 0— 5 r fine, homo enous = 0• lar e, diverse sizes = max oints � �a ,�+Y 12 Evidence of channel incision or widening 0— 5 0— 4 0— 5 � iu^�dee I incised = 0; stable bed & banks = max oints 13 Presence of major bank failures 0— 5 0— 5 0— 5 ;,�� 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 throu hout = maac oints `'� Impact by agriculture, livestock, or timber production � e�4 f/, ",, 15 substantial im act =0; no evidence = max ints 0— 5 0— 4 0— 5 Presence of riftle-poollripple-pool complexes � ,f,,,� "�. , � 6 no rii�les/ri les or ools = 0; well-develo ed = max oints 0— 3 0— 5 0— 6 :�; Q 1 � Habitat complezity 0— 6 0— 6 0— 6 � y' �` , �' little or no habitat = 0; fre uent, varied habitats = m� oints ,�„�,�,�¢ ; 18 Canopy coverage over streambed 0— 5 0— 5 0— 5 �� no shadin ve etation = 0; continuous cano = max oints 19 Substrate embeddedness NA* 0— 4 0— 4 � dee I embedded = 0• loose structure = max �- 20 Presence of stream invertebrates (see page 4) 0— 4 0— 5 0— 5 �„� no evidence = 0• common numerous es = max oints �`' �' 21 Presence of amphibians ' 0— 4 0— 4 0— 4 c`'_``> O no evidence = 0; common, numerous es = max ints Presence of fish O 22 0-4 0-4 0-4 �? � no evidence = 0; common, numerous es = ma7c ints 23 Evidence of wildlife use 0— 6 0— 5 0— 5 � no evidence = 0; abundant evidence = maac oints Total Points Possible 100 100 100 TOTAL SCORE (also enter on first page) ,� � � i nese cnaracter�sucs are not assessea m coastal streams. W'`r, �"`�� `✓�, WETLAND RATING WORKSHEET Fourth Version ProjectName �j �.�� d � Nearest Road ��-,°��,,,,y ��...., ; �,*„ � - �� County f�a ��; �-� , Wetland area�^, �� acres Wetland width �/��ry feet �m�� Name of evaluator �, � � ;��, ��,- Date ! �� Wetland location � on pond or lake on perennial stream � on intermittent stream �5.=� within interstream divide other: Soil series• _ predominantly organic - humus, muck, or peat � predominantly mineral - non-sandy _ predominantly sandy Hydraulic factors � steep topography ditched or channelized total wetland width > 100 feet Wetland type (select one)� � Bottomland hardwood forest �C Headwater forest _ Swamp forest Wet flat _ Pocosin Bog forest Adjacent land use (within %z mile upstream, upslope, or radius) x forested/natural vegetation i� % K agriculture, urban/suburban �l� % X impervious surface ;�% Dominant vegetat'on �l� L��'sp z�a��i,_� r �1J�'6G.,,' �dJ' �2� ,�l 1'F tJ � .�w=. t" ➢' P.y� I C l""'-a (3) ,Ja�.a..r,, x €`'�T'�,r-..�� °� �' .,� Flooding and wetness semipermanently to permanently flooded or inundated � seasonally flooded or inundated intermittently flooded or temporary surface water _ no evidence of flooding or surface water � Pine savanna Freshwater marsh Bog/fen Ephemeral wetland �_ Carolina bay Other: ' The rating system cannot be applied to salt or brackish marshes or stream channels __-- _ R Water storage �? x 4.00 �-- Q A Bank/Shareline stabilization ;� x 4.00 =� �'etland rating T Pollutant removal �. �� x 5.00 = �'c' � I Wildlife habitat � X 2.00 =� -� r F" ` � �m. N Aquatic life value � x 4.00 =� G Recreation/Education x 1.00 � � ** Add 1 point if in sensitive watershed and >10% nonpoint source disturbance within'/� mile upstream, upslope, or radius ; r r � � .� ` + _ �:j:�R�'G,,.� "l' f <:� c-f,. �'g , _:.�..rr"' ,� ✓- tisi�� i_1,.7IFiJ. `°y �..:. � k:G �f ` h'd� i�Y�6:5 tr ��U'y, Yn 1 L.•�,G,�� ? 7 �� YU�� ! � a f :,,,,.� ,: - — _ � I, � � 7 + Bridge #191 over Jacobs Creek on SR 2337 (Carlton Road) SA Looking downstream �� ,�. �. _ SB looking upstream toward bridge 191 ;�. SB looking upstream from bridge 191 �,� .� ,�, ,f � ,. ,% � r �1 '+,�� i:f^. . d r- � }�'• p� � 1�iX .. �,, �� d ' �.� �' i ]� � t�'� � � �y � 7 '�h A � 1l.. * � � t e r �, � �. > . � � a ��r .�� ,f �. .,y.d7 � :'r� . �. a�}��SR� °';, q � y 1 I'� � n �,�` �4� �1 Sfi 1�, s "i ,✓, ry� y ��, � � i �i { � ;, j m: �.� U. '^ aE` i � # . ''�"- ��. � +. . _ . + ! i ,�, �� , e � " / � �� iP � 'n��e �� p . . . � �''. Zt�kk ., w � F- t y � ' yyy��6,,,; �! "� A.r�.". ,� " ' . {�� l. : IkY �" ,} ;�yM1 f � �re ti,`� . � : ,wk' a9� 1 �d .�.a+� ,� ;# �'�.� �, ;�j� �'; �`... �� a� : t �` , i � � 3�. .�-�t,_� � , ,� '$`� ak�+.:�y � '� '��`�� - r � `�:r�.-a� ��, WA SB looking downstream from bridge 191 WB Bridge #191 over Jacobs Creek on SR 2337 (Carlton Road) WC F,,�� , �h. , �� .y� �:r''; ` , $;,-� �� =: .:-� �.:� .. APPROVED JURISDICTIONAL DETERMINATION FORM U.S. Army Corps of Engineers This farm should be completed by following the instructions provided in Section IV of the JD Form Instructional Guidebook. SECTION I: BACKGROUND INFORMATiON A. REPORT COMPLETION DATE FOR APPROVED JURISDICTIONAL DETERMINATION (JD): Three streams, three wetlands and one pond is located within the studay area. SA and SB are intermittant. SB (Jacobs Creek) is perennial. WA, WB, and WC directly abut SA. Pond PA is an impoundment of SA. B. DISTRICT OFFICE, FILE NAME, AND NUMBER: C. PROJECT LOCATION AND BACKGROUND INFORMATION: The site is located on SR 2337 (Carlton Road) approximatelt 1/2 mile east of US 220 StaYe: NC County/parish/borough: Rockingham County City: Center coordinates of site (lat/long in degree decimal format): Lat. 36.300465° N, Long. -79.925302° E. Universal Transverse Mercator: 17S Name of nearest waterbody: 7acobs Creek Name of nearest Traditional Navigable Water (TTIW) lnto which the aquatic resource flows: Dan River Name of watershed or Hydrologic Unit Code (HC7C): Upper Dan River 03010103 � Check if map/diagram of review area and/or potential jurisdictional areas is/are available upon request. ❑ Check if other sites (e.g., offsite mitigation sites, disposaL sites, etc...) are associated with this action and are recorded on a different JD form. D. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY): ❑ Office (Desk) Determinarion. Date: ❑ Field Determination. Date(s): SECTION IL• SUMMARY OF FINDINGS A. RHA SECTION 10 DETERMINATION OF JURISDICTION. There Are no "navigable waters of the U.S." within Rivers and Harbars Act (RHA) jurisdicrion (as defined by 33 CFR part 329) in the review area. [Required] ❑ Waters subject to the ebb and flow of the tide. ❑ Waters are presently used, or have been used in the past, or may be susceptible for use to transport interstate or foreign commerce. Explain: . B. CWA SECTION 404 DETERMINATION OF JURISDICTION. There Are "waters of the �7.5." within Clean Water Act (CWA) jurisdiction (as defined by 33 CFR part 328) in the review area. [Required] 1. Waters of the U.S. a. Indicate presence of waters of U.S. in review area (check all that apply):' ❑ TNWs, including territorial seas ❑ Wetlands adjacent to TNWs � Relatively permanent waters� (RPWs) that flow directly or indirectly into TNWs ❑ Non-RPWs that flow directly or indirectly into TNWs � Wetlands directly abutting RPWs that flow directly or indirectly into TNWs ❑ Wetlands adjacent to but not directly abutting RPWs that flow directly or indirectly into TNWs ❑ Wetlands adjacent to non-RPWs that flow directly or indirectly into TTIWs � Impoundments of jurisdictional waters ❑ Isolated (interstate or in�rastate) waters, including isolated wetlands b. Identify (estimate) size of waters of the U.S. in the review area: Non-wetland waters: sa 351.8' SB 534.2 ' SC 141.0 linear feet: SA 3-4' SB 15-20' SC 2-3' width (ft) and/or PA 0.65 acres. Wetlands: 0.03 acres. c. Limits (boundaries) of jurisdiction based on: 1987 Delineation Manual Elevation of established OHWM (if known): . 2. Non-regulated waters/wetlands (check if applicable):3 ❑ Potentially jurisdictional waters and/or wetlands were assessed within the review area and determined to be not jurisdictional. Explain: . ' Boxes checked below shall be supported by completing the appropriate sections in Section III below. � For purposes of this form, an RPW is defined as a trbutary that is not a TNW and that typically flows year-round or has continuous flow at least "seasonally" (e.g., typically 3 months). 3 Supporting documentation is presented in Section III.F. SECTION III: CWA ANALYSIS A. TNWs AND WETLANDS ADJACENT TO TNWs The agencies will assert jurisdiction over TNWs and wetlands adjacent to TNWs. If the aquatic resource is a TNW, complete Section III.A.1 and Section IILD.1. only; if the aquatic resource is a wetland adjacent to a TNW, complete Sections III.A.1 and 2 and Section IILD.1.; otherwise, see Section III.B below. 1. TNW Identify TNW: Summarize rationale supporting determination: 2. Wetland adjacent to TNW Summarize rationale supporting conclusion that wetland is "adjacent°: B. CHARACTERISTICS OF TRIBUTARY (THAT IS NOT A TNV� AND TTS ADJACENT WETLANDS (IF ANY): This section summarizes information regarding characYeristics of the tributary and iYs adjacent wetlands, if any, and it helps determine whether or not the standards for jurisdicYion esYablished under Rapanos have been met. The agencies will assert jurisdiction over non-navigable tributaries of TNWs where the tributaries are "relatively permanent waters" (RPWs), i.e. tributaries that typically flow year-round or have continuous flow at least seasonally (e.g., typically 3 months). A wetland that directly abuts an RPW is also jurisdictionaL If the aquatic resource is not a TNW, but has year-round (perennial) flow, skip to Section III.D.2. If the aquatic resource is a wetland directly abutting a tributary with perennial f1ow, sldp to Section IILD.4. A wetland that is adjacent to but that does not directly abut an RPW requires a significant nexus evaluation. Corps districts and EPA regions will include in the record any available information that documents the existence of a significant nexus between a relatively permanent tributary that is not perenuial (and its adjacent wetlands if any) and a traditional navigable water, even though a significant nexus finding is not required as a matter of law. If the waterbody4 is not an RPW, or a wetland directly abutting an RPW, a JD will require addiYional data Yo determine if the waterbody has a significant nexus with a TNW. If the tributary has adjacent wetlands, the significant nexus evaluation must consider the tributary in combination with all of its adjacent wetlands. This significant nexus evaluation that combines, for analytical purposes, the tributary and all of its adjacent wetlands is used whether the review area identified in the JD request is the tributary, or its adjacent wetlands, or both. If the JD covers a tributary with adjacent wetlands, complete Section III.B.1 for the tributary, Section III.B.2 for any onsite wetlands, and Section III.B.3 for all wetlands adjacent to that tributary, both onsite and offsite. The determination whether a significant nexus exists is determined in Section III.0 below. 1. Characteristics of non-TNWs that flow directly or indirectly into TNW (i) General Area Conditions: Watershed size: 1.0 square miles Drainage area: 1.0 Pick List Average annual rainfall: 42 inches Average annual snowfall: 12 inches (ii) Physical Characteristics: (a) Relationship with TNW: ❑ Tributary flows directly into TNW. � Tributary flows through 2 tributaries before entering TNW. Project waters are 5-10 river miles froin TNW. Project waters are 1(or less) river miles from RPW. Project waters are 5-10 aerial (straight) miles from TNW. Project waters are 1-2 aerial (straight) miles from RPW. Project waters cross ar serve as state boundaries. Explain: no. Identify flow route to TNW': Jacobs Creek to Little Jacobs Creek to Dan River. Tributary stream order, if known: SA and SC are zero arder. SB is 2"d order. 4 Note that the Instructional Guidebook contains additional information regarding swales, ditches, washes, and erosional features generally and in the arid West. ' Flow route can be described by identifying, e.g., tributary a, which flows through the review area, to flow into tributary b, which then flows into TNW. (b) General Tributary Characteristics (check a11 that applv): Tributary is: � Natural ❑ Artificial (man-made). Explain: ❑ Manipulated (man-altered). Explain: Tributary properties with respect to top of bank (estimate): Average width: SA 3-4 feet, SB 15-20 feet and SC 2-3 feet Average depth: SA 1-3 feet, SB 2-4 feet and SC 1-2 feet Average side slopes: 2:1. Primary tributary substrate composition (check all that apply): � Silts � Sands ❑ Concrete ❑ Cobbles � Gravel ❑ Muck � Bedrock ❑ Vegetation. Type/% cover: ❑ Other. Explain: . Tributary condition/stability [e.g., highly eroding, sloughing banks]. Explain: All tributaries have fairly stable vegetated banks. Presence of run/riffle/pool complexes. Explain: SB has a well developed riffle pool sequence. Pools are formed in areas of bedrock. SA and SC have poor riffle/pool sequence due to the small size and intermittent flow. Tributary geometry: Relatively straight Tributary gradient (approximate average slope): 2-5 % (c) Flow: Tributary provides for: Intermittent but not seasonal flow Estimate average number of flow events in review area/year: 20 (or greater) Describe flow regime: SA and SC are intermittent. SB is perennial. Other information on duration and volume: . Surface flow is: Discrete and confined. Characteristics: All tributaries has obvious bed and banks. Subsurface flow: Unknown. Explain findings: ❑ Dye (or other) test perfarmed: . Tributary has (check all that apply): � Bed and banks � OHWM6 (check all indicators that apply): � clear, natura] line impressed on the bank ❑ changes in the character of soil � shelving ❑ vegetation matted down, bent, or absent ❑ leaf litter disturbed or washed away ❑ sediment deposition ❑ water staining ❑ other (list): ❑ Discontinuous OHWM.� Explain: . ■ ■ ■ ►/ ■ ■ ■ the presence of litter and debris destruction of terrestrial vegetation the presence of wrack line sediment sorting scour multiple observed or predicted flow events abrupt change in plant communiry If factors other than the OHWM were used to determine lateral extent of CWA jurisdiction (check all that apply): ❑ High Tide Line indicated by: ❑ Mean High Water Mark indicated by: ❑ oil or scum line along shore objects ❑ survey to available datum; ❑ fine she(1 ar debris deposits (fareshore) ❑ physical markings; ❑ physical markings/characteristics ❑ vegetation lines/changes in vegetation types. ❑ tidal gauges ❑ other (list): (iii) Chemical Characteristics: Characterize tributary (e.g., water color is clear, discolored, oily film; water quality; general watershed characteristics, etc.). Explain: SA and SC were clear. SB was slightly turbidy due to recent rain and snowmelt. Identify specific pollutants, if known: . �A natural or man-made discontinuity in the OHWM does not necessarily severjurisdiction (e.g., where the stream temporarily flows underground, or where the OHWM has been removed by development or agricultural practices). Where there is a break in the OHWM that is unrelated to the waterbody's flow regime (e.g., flow over a rock outcrop or through a culvert), the agencies will look for indicaYors of flow above and below the break. 'Ibid. (iv) Biological Characteristics. Channel supports (check all that apply): � Riparian corridor. Characteristics (type, average width): Bottomland hardwood buffer surrounds all tributaries. The width is typicaly greater than 50 feet except where roads and driveways cross the tributaries. � Wetland fringe. Characteristics: Small wetland seeps bound portions of SA. ❑ Habitat far: ❑ Federally Listed species. Explain findings: . ❑ Fish/spawn areas. Explain findings: . ❑ Other environmentally-sensitive species. Explain findings: . � Aquatic/wildlife diversity. Explain findings: No bentic organisms were observed due to the season. 2. Characteristics of wetlands adjacent to non-TNW that flow directly or indirectly into TNW (i) Physical Characteristics: (a) General Wetland Characteristics: Properties: Wetland size:WA 0.016 acre, WB 0.009 acre and WC 0.004 acres Wetland type. Explain: Headwater forest. Wetland quality. Explain:Wetlands scored 38 on NC wetland rating form. ProjecY wetlands cross or serve as sYate boundaries. Explain: no. (b) General Flow Relationship with Non-TNW: Flow is: Intermittent flow. Explain: Source of water appears to be seeps from pon and hillside. Surface flow is: Confined Characteristics: Small channels have developed. Subsurface flow: Unknown. Explain findings: ❑ Dye (or other) test performed: . (c) Wetland Adjacency Determination with Non-TNW: � Directly abutting ❑ Not directly abutting ❑ Discrete wetland hydrologic connection. Explain: ❑ Ecological connection. Explain: . ❑ Separated by berm/barrier. Explain: . (d) Proximity (Relationship) to TNW Project wetlands are 5-]0 river miles from TNW. Project waters are 5-10 aerial (straight) miles from TNW. Flow is from: Wetland to navigable waters. Estimate approximate location of wetland as within the 2-year or less floodplain. (ii) Chemical Characteristics: Characterize wetland system (e.g., water color is clear, brown, oil film on surface; water quality; general watershed characteristics; etc.). Explain: Surface was was clear. Identify specific pollutants, if lrnown: . (iii) Biological Characteristics. Wetland supports (check all that apply): � Riparian buffer. Characteristics (type, average width):headwater forest. � Vegetation type/percent cover. Explain:Mostly woody and vines. Approximately 80-90% canopy coverage. ❑ HabitaY for: ❑ Federally Listed species. Explain findings: . ❑ Fish/spawn areas. Explain findings: . ❑ Other environmentally-sensitive species. Explain findings: . � Aquatic/wildlife diversity. Explain findings:The site provided habitat for variouls amphibians and mammals. 3. Characteristics of all wetlands adjacent to the tributary (if any) All wetland(s) being considered in the cumulative analysis: 3 Approximately ( 0.03 ) acres in total are being considered in the cumulative analysis. For each wetland, specify the following: Directiv abuts? (Y/N� Size (in acresl WA Yes 0.016 WC Yes 0.004 Directly abuts? (Y/N) Size (in acres) WB Yes 0.009 Summarize overall biological, chemical and physical functions being performed: As a whole the wetland meter surface runoff prior to entering tributary SA. Metering the flows reduces flood potential and filters runoff. The wetlands also provide habaYat for a variety of aquatic and Yerrestrial species. C. SIGNIFICANT NEXUS DETERMINATION A significant nexus analysis will assess the flow characteristics and functions of the tributary itself and the functions performed by any wetlands adjacent to the tributary to determine if they significantly affect the chemical, physical, and biological integrity of a TNW. For each of the following situations, a significant nexus exists if the tributary, in combination with all of its adjacent wetlands, has more than a speculative or insubstantial effect on the chemical, physical and/or biological integrity of a TNW. Considerations when evaluating significant nexus include, but are not limited to the volume, duration, and frequency of the flow of water in the tributary and its proximity to a TNW, and the functions performed by the tributary and all its adjacent wetlands. It is not appropriate to determine significant nexus based solely on any specific threshold of distance (e.g. between a tributary and its adjacent wetland or between a tributary and the TNW). Similarly, the fact an adjacent wetland lies within or outside of a floodplain is not solely determinative of significant nexus. Draw connections between the features documented and the effects on the TNW, as identified in the Rapanos Guidance and discussed in the Instructional Guidebook. Factors to consider include, for example: • Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to carry pollutants ar flood waters to TNWs, or to reduce the amount of pollutanYs or flood waters reaching a TNW? • Does the tributary, in combination with its adjacent wetlands (if any), provide habitat and lifecycle support functions for fish and other species, such as feeding, nesting, spawning, or rearing young for species that are present in the TNW? • Does the tributary, in combination with its adjacent wetlands (if any), have the capacity to transfer nutrients and organic carbon that support downstream foodwebs? • Does the tributary, in combination with its adjacent wetlands (if any), have other relationships to the physical, chemical, ar biological integrity of the TNW? Note: the above list of considerations is not inclusive and other functions observed or known to occur should be documented below: 1. Significant nexus findings for non-RPW that has no adjacent wetlands and flows directly or indirectly into TNWs. Explain findings of presence or absence of significant nexus below, based on the tributar}� itself, then go to Section III.D: . 2. Significant nexus findings for non-RPW and its adjacent wetlands, where the non-RPW flows directly or indirectly into TNWs. Explain findings of presence or absence of significant nexus below, based on the tributary in combinarion with all of its adjacent wetlands, then go to Section IiI.D: Water flows directly into SA from the wetlands. There is no berm ar barrier. 3. Significant nexus findings for wetlands adjacent to an RPW but that do not directly abut the RPW. Explain findings of presence or absence of significant nexus below, based on the tributary in combination with all of its adjacent wetlands, then go to Section IILD: . D. DETERMINATIONS OF JURISDICTIONAL FINDINGS. THE SUBJECT WATERS/WETLANDS ARE (CHECK ALL THAT APPLY): 1. TNWs and Adjacent Wetlands. Check all that apply and provide size estimates in review area: ❑ TNWs: linear feet width (ft), Or, acres. ❑ Wetlands adjacent to TNWs: acres. 2. RPWs that flow directly or indirectly into TNWs. � Tributaries of TNWs where tributaries typically flow year-round are jurisdictional. Provide dafa and rationale indicating that tributary is perennial: SB is Jacobs Creek. It rated as perennial on the NC Stream Identification Form. � Tributaries of TNW where h-ibutaries have continuous flow "seasonally" (e.g., typically three months each year) are jurisdictional. Data supporting this conclusion is provided at Secrion IILB. Provide rationale indicating that tributary flows seasonally: SA and SC are tributaries to Jacobs Creek. They rated as intermittant on the NC Stream Identification Form. Provide estimates far jurisdictional waters in the review area (check all thaY apply): � Tributary waters: 1,027 linear feet width (ft). ❑ Other non-wetland waters: acres. Identify type(s) of waters: . 3. Non-RPWsR that flow directly or indirectly into TNWs. ❑ Waterbody that is not a TNW or an RPW, but flows directly or indirectly into a TNW, and it has a significant nexus with a T`NW is jurisdictional. Data supporting this conclusion is provided at Section IILC. Provide estimates for jurisdictional waters within the review area (check all that apply): ❑ Tributary waters: linear feet width (ft). ❑ Other non-wetland waters: acres. Identify type(s) of waters: . 4. Wetlands directly abutting an RPW that flow directly or indirectly into TNWs. � Wetlands directly abut RPW and thus are jurisdictional as adjacent wetlands. ❑ Wetlands directly abutting an RPW where tributaries typically flow year-round. Provide data and rationale indicating that tributary is perennial in Section III.D.2, above. Provide rationale indicating that wetland is directly abutting an RPW: . � Wetlands directly abutting an RPW where tributaries rypically flow "seasonally." Provide data indicating that tributary is seasonal in Secrion III.B and rationale in Secrion III.D.2, above. Provide rationale indicating that wetland is directly abutting an RPW: Wetlands flow directly into SA. Surface flow is obvious with no berm or barrier. Provide acreage estimates for jurisdictional wetlands in the review area: 0.03 acres. 5. Wetlands adjacent to but not directly abutting an RPW that flow directly or indirectly into TNWs. ❑ Wetlands that do not directly abut an RPW, but when considered in combination with the tributary to which they are adjacent and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisidictional. Data supparting this conclusion is provided at Section IfI.C. Provide acreage estimates for jurisdictional wetlands in the review area: acres. 6. Wetlands adjacent to non-RPWs Yhat flow directly or indirectly into TNWs. ❑ Wetlands adjacent to such waters, and have when considered in combination with the tributary to which they are adjacent and with similarly situated adjacent wetlands, have a significant nexus with a TNW are jurisdictional. Data supporting this conclusion is provided at Section III.C. Provide estimates far jurisdictional wetlands in the review area: acres. 7. Impoundments of jurisdictional waters.9 As a general rule, fhe impoundment of a jurisdictional tributary remains jurisdictional. � Demonstrate that impoundment was created from "waters of the U.S.," or ❑ Demonstrate that water meets the criteria for one of the categories presented above (1-6), or ❑ Demonstrate that water is isolated with a nexus to commerce (see E below). E. ISOLATED [INTERSTATE OR INTRA-STATE] WATERS, INCLUDING ISOLATED WETLANDS, THE USE, DEGRADATION OR DESTRUCTION OF WHICH COULD AFFECT INTERSTATE COMMERCE, INCLUDING ANY SUCH WATERS (CHECK ALL THAT APPLI�:10 ❑ which are or could be used by interstate or foreign travelers for recreational or other purposes. ❑ from which fish or shellfish are or could be taken and sold in interstate or foreign commerce. ❑ which are ar could be used for industrial purposes by industries in interstate commerce. ❑ Interstate isolated waters. Explain: . ❑ Other factors. Explain: . "See Footnote # 3. ' To complete the analysis refer to the key in Section IILD.6 of the Instructional Guidebook. 10 Prior to asserting or declining CWA jurisdiction based solely on this category, Corps Districts will elevate the action to Corps and EPA HQ for review consistent with the process described in the Corps/EPA Memorandaim Regardi�ag CWA Act Jurisdiction Following Rapanos. Identify water body and summarize rationale supporting determination: Provide estimates far jurisdictional waters in the review area (check all that apply): ❑ Tributary waters: linear feet width (ft). ❑ Other non-wetland waters: acres. Identify type(s) of waters: . ❑ Wetlands: acres. F. NON-JURISDICTIONAL WATERS, INCLUDING WETLANDS (CHECK ALL THAT APPLI�: ❑ If potential wetlands were assessed within the review area, these areas did not meet the criteria in the 1987 Corps of Engineers Wetland Delineation Manual and/ar appropriate Regional Supplements. ❑ Review area included isolated waters with no substantial nexus to interstate (or foreign) commerce. ❑ Prior to the Jan 2001 Supreme Court decision in "SWANCC," the review area would have been regulated based solelv on the "Migratory Bird Rule" (MBR). ❑ Waters do not meet the "Significant Nexus" standard, where such a finding is required for jurisdiction. Explain: . ❑ Other: (explain, if not covered above): . Provide acreage estimates for non jurisdictional waters in the review area, where the sole potential basis of jurisdiction is the MBR factars (i.e., presence of migratary birds, presence of endangered species, use of water for irrigated agriculture), using best professional judgment (check all that apply): ❑ Non-wetland waters (i.e., rivers, streams): linear feet width (ft). ❑ Lakes/ponds: acres. ❑ Other non-wetland waters: acres. List type of aquatic resource: . ❑ Wetlands: acres. Provide acreage estimates for non jurisdictional waters in the review area that do not meet the "Significant Nexus" standard, where such a finding is required far jurisdiction (check all that apply): ❑ Non-wetland waters (i.e., rivers, streams): linear feet, width (ft). ❑ Lakes/ponds: acres. ❑ Other non-wetland waters: acres. List type of aquatic resource: . ❑ Wetlands: acres. SECTION IV: DATA SOURCES. A. SUPPORTING DATA. Data reviewed for JD (check all that apply - checked items shall be included in case file and, where checked and requested, appropriately reference sources below): � Maps, plans, plots or plat submitted by or on behalf of the applicant/consultant: . � Data sheets prepared/submitted by or on behalf of the applicant/consultant. ❑ Office concurs with data sheets/delineation report. ❑ Office does not concur with data sheets/delineation repart. ❑ Data sheets prepared by the Corps: . ❑ Corps navigable waters' study: . ❑ U.S. Geological Survey Hydrologic Atlas: . ❑ USGS NHD data. ❑ USGS 8 and 12 digit HUC maps. � U.S. Geological Survey map(s). Cite scale & quad name: 124000 Ellisboro. � USDA Natural Resources Conservation Service Soil Survey. Citation: Web Soil Survey. ❑ National wetlands inventory map(s). Cite name: . ❑ State/Local wetland inventory map(s): . ❑ FEMA/FIRM maps: . ❑] 00-year Floodplain Elevation is (National Geodectic Vertical Datum of 1929) � Photographs: � Aerial (Name & Date): . or � Other (Name & Date):Site photos (2/ll/2015). ❑ Previous determination(s). File no. and date of response letter: . ❑ Applicable/supporting case law: . ❑ Applicable/supporting scientific literature: . ❑ Other information (please specify): . B. ADDITIONAL COMMENTS TO SUPPORT JD: