20170761 Ver 1_401 Application_20170621

Wetlands and Environmental Planning Group
tp �:
June 14, 201t 4
Mr. William Elliott
U.S. Army Corps of Engineers
Asheville Regulatory Field Office
151 Patton Avenue, Room 208
Asheville, NC 28801
Mr. Zan Price
NCDEQ
Division of Water Resources
2090 US Hwy 70
Swannanoa, NC 28778
Ms. Karen Higgins
NCDEQ
Division of Water Resources
Wetlands & Storm Water Branch
512 North Salisbury Street
Raleigh, NC 27604
Leonard S. Rindner. PLLC.
017076
0
Subiect: Nationwide Permit #29 Request for Lakewood Park residential development, in
Asheville, Buncombe County, North Carolina. AID SAW -2016-01949.
Ms. Higgins and Messrs. Elliot and Price,
A pre -construction notification is being submitted to request impact to 134 linear feet of stream
channel and 0.037 acre of wetlands in order to construct a residential development. The USACE
(Mr. William Elliott) and NCDWR (Mr. Zan Price) visited the site on October 4, 2016 to
confirm our stream/wetlands determinations and review the proposed impact areas. We believe
that the site plan has been designed to avoid and minimize impacts to aquatic resources on the
site while still being able to construct the number of lots needed for this site. We appreciate the
opportunity to submit this information and please contact me if you have any questions, (828)
708-7059 or email at amanda.jones e wetlands-epa com.
Sincerely,
Amanda Jones
Regulatory Specialist
Charlotte Office: www.wetlands-epg.com Asheville Office:
10612-D Providence Rd. 1070 Tunnel Rd., Bldg. I
PMB 550 Suite 10. PM 283
Charlotte, NC 28277 Asheville, NC 28805
[phone] [phone]
[e-mail] 1 [e-mail]

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Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.4 January 2009
Page 1 of 10
PCN Form — Version 1.4 January 2009
Pre -Construction Notification (PCN) Form
A.
Applicant Information
1.
Processing
1 a.
Type(s) of approval sought from the Corps:
❑X Section 404 Permit ❑ Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 29 or General Permit (GP) number:
1c.
Has the NWP or GP number been verified by the Corps?
❑X Yes ❑ No
1d.
Type(s) of approval sought from the DWQ (check all that apply):
❑X 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e.
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ
401 Certification:
❑ Yes ❑X No
For the record only for Corps Permit:
❑ Yes ❑X No
1f.
Is payment into a mitigation bank or in -lieu fee program proposed for
mitigation of impacts? If so, attach the acceptance letter from mitigation bank
or in -lieu fee program.
❑ Yes ❑X No
1 g.
Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
❑ Yes ❑X No
1 h.
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes ❑X No
2.
Project Information
2a.
Name of project:
Lakewood Drive Residential Development
2b.
County:
Buncombe
2c.
Nearest municipality / town:
Asheville
2d. Subdivision name:
Lakewood Park
2e.
NCDOT only, T.I.P. or state project no:
3.
Owner Information
3a.
Name(s) on Recorded Deed:
Cane Creek Vistas, LLC
3b.
Deed Book and Page No.
3c.
Responsible Party (for LLC if
applicable):
Christopher Eller
3d.
Street address:
54 Blue Heron Drive
3e.
City, state, zip:
Fletcher, NC 28732
3f.
Telephone no.:
828-252-5388
3g.
Fax no.:
3h.
Email address:
[e-mail]
Page 1 of 10
PCN Form — Version 1.4 January 2009

4. Applicant Information (if different from owner)
4a. Applicant is:
❑ Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Jeff Levi
5b. Business name
(if applicable):
Leonard S. Rindner, PLLC
5c. Street address:
1070 Tunnel Road, Building 1, Suite 10, PMB 283
5d. City, state, zip:
Asheville, NC 28805
5e. Telephone no.:
828-699-3697
5f. Fax no.:
5g. Email address:
[e-mail]
Page 2 of 10

B. Project Information and Prior Project History
1. Property Identification
1a. Property identification no. (tax PIN or parcel ID):
19648843372;9648845097
1 b. Site coordinates (in decimal degrees):
ILatitude: 35.57829 Longitude: -82.53749
1 c. Property size:
2.46 acres
2. Surface Waters
2a. Name of nearest body of water to proposed project:
Lake Kennilworth
2b. Water Quality Classification of nearest receiving water:
B
2c. River basin:
06010105 French Broad
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Site is currently wooded with surrounding low-density residential development
3b. List the total estimated acreage of all existing wetlands on the property: 0.037
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property: 134
3d. Explain the purpose of the proposed project:
Project purpose is to construct residential houses and roads.
3e. Describe the overall project in detail, including the type of equipment to be used:
Construction will use typical equipment: backhoes, excavators, grading equipment.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (includingall prior phases)in the past?
❑X Yes ❑ No ❑ Unknown
Comments:
4b. If the Corps made the jurisdictional determination, what type
of determination was made?
El Preliminary Q Final
4c. If yes, who delineated the jurisdictional areas?
Name (if known): Amanda .tones/Jeff Levi
Agency/Consultant Company:
Other: WEPG
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
The delineation/determinations submitted by WEPG reviewed and verified by both the USACE (William Elliot) and DWR (Zan Price) during an on-site
meeting on October 4, 2016. AID 2016-01949
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past?
El Yes ❑X No ❑ Unknown
5b. If yes, explain in detail according to "help file" instructions.
6. Future Project Plans
6a. Is this a phased project?
❑ Yes ❑X No
6b. If yes, explain.
Page 3 of 10
PCN Form — Version 1.4 January 2009

C. Proposed Impacts Inventory
1. Impacts Summary
1a. Which sections were completed below for your project (check all that apply):
❑X Wetlands ❑X Streams — tributaries ❑ Buffers ❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted.
2a.
Wetland impact
number
Permanent (P) or
Temporary T
2b.
Type of impact
2c.
Type of wetland
2d.
Forested
2e.
Type of jurisdiction
Corps (404,10) or
DWQ (401, other)
2f.
Area of
impact
(acres)
W1 P
Fill
Headwater Wetland
Yes
Corps
0.037
W2 -
Choose one
Choose one
Yes/No
-
W3 -
Choose one
Choose one
Yes/No
-
W4 -
Choose one
Choose one
Yes/No
-
W5 -
Choose one
Choose one
Yes/No
-
W6 -
Choose one
Choose one
Yes/No
-
2g. Total Wetland Impacts:
0.037
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
Stream impact
number
Permanent (P) or
Temporary (T)
3b.
Type of impact
3c.
Stream name
3d.
Perennial (PER) or
intermittent (INT)?
3e.
Type of
jurisdiction
3f.
Average
stream
width
(feet)
3g.
Impact
length
(linear
feet)
S1 P
Culvert
Seasonal RPW A
INT
Corps
3
102
S2 P
Culvert
Perennial RPW B
PER
Corps
2
32
S3 -
Choose one
-
S4 -
Choose one
-
S5 -
Choose one
-
-
S6 -
Choose one
-
-
3h. Total stream and tributary impacts
134
3i. Comments:
Page 4 of 10
PCN Form — Version 1.4 January 2009

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then indivi ually list all open water impacts below.
4a.
Open water
impact number
Permanent (P) or
Temporary
4b.
Name of waterbody
(if applicable)
4c.
Type of impact
4d.
Waterbody
type
4e.
Area of impact (acres)
01 -
Choose one
Choose
O2 -
Choose one
Choose
03 -
Choose one
Choose
04 -
Choose one
Choose
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
Pond ID number
5b.
Proposed use or
purpose of pond
5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
(acres)
Flooded
Filled
Excavated Flooded
Filled Excavated
P1
Choose one
P2
Choose one
5f. Total:
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a. Project is in which protected basin?
❑ Neuse ❑ Tar-Pamlico ❑ Catawba ❑ Randleman ❑ Other:
6b.
Buffer Impact
number —
Permanent (P) or
Temporary
6c.
Reason for impact
6d.
Stream name
6e.
Buffer
mitigation
required?
6f.
Zone 1
impact
(square
feet)
6g.
Zone 2
impact
(square
feet
61 -
Yes/No
B2 -
Yes/No
B3 -
Yes/No
B4 -
Yes/No
B5 -
Yes/No
B6 -
Yes/No
6h. Total Buffer Impacts:
6i. Comments:
Page 5 of 10

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
Due to the small size of the parcel/project (2.46 acres), avoidance/minimization opportunities were limited given the project purpose and to effectively
maximize the number of lots needed/proposed for this site. Road crossings/impacts are needed to access the site in which a majority of the stream
channel and impacts are associated with. Seasonal RPW A is degraded and extremely incised due to historical storm water runoff (see attached
NCSAM).
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Measures will be for proper sediment & erosion control on the site during construction to ensure that there are no impacts to downstream waters.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
❑ Yes ❑X No
2b. If yes, mitigation is required by (check all that apply):
❑ DWQ ❑ Corps
2c. If yes, which mitigation option will be used for this
project?
❑ Mitigation bank
❑ Payment to in -lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter)
Type: Choose one
Type: Choose one
Type: Choose one
Quantity:
Quantity:
Quantity:
3c. Comments:
4. Complete if Making a Payment to In -lieu Fee Program
4a. Approval letter from in -lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
Choose one
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non -riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
5a. If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 6 of 10
PCN Form —Version 1.4 January 2009

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
buffer mitigation?
❑ Yes ❑ No
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
Zone
6c.
Reason for impact
6d.
Total impact
(square feet)
Multiplier
6e.
Required mitigation
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 7 of 10

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1. Diffuse Flow Plan
1 a. Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ❑X No
within one of the NC Riparian Buffer Protection Rules?
1 b. If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
2. Stormwater Management Plan
2a. What is the overall percent imperviousness of this project?
61%
2b. Does this project require a Stormwater Management Plan?
0 Yes ❑ No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why:
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
Stormwater plan is shown on attached Sheet 5 and is subject to approval by local designated review (City of Asheville) and approvals will be forward
to NCDWR once received.
2e. Who will be responsible for the review of the Stormwater Management Plan?
City of Asheville
3. Certified Local Government Stormwater Review
3a. In which localgovernment's jurisdiction is thisproject?
City of Asheville
❑x Phase II
❑ NSW
3b. Which of the following locally -implemented stormwater management programs
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
❑ Other:
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes Q No
attached?
4. DWQ Stormwater Program Review
❑Coastal counties
❑HQW
4a. Which of the following state -implemented stormwater management programs apply
❑ORW
(check all that apply):
E] Session Law 2006-246
❑ Other:
4b. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
5. DWQ 401 Unit Stormwater Review
5a. Does the Stormwater Management Plan meet the appropriate requirements?
❑X Yes ❑ No
5b. Have all of the 401 Unit submittal requirements been met?
Q Yes ❑ No
Page 8 of 10
PCN Form — Version 1.4 January 2009

F. Supplementary Information
1. Environmental Documentation (DWQ Requirement)
1 a. Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
❑X No
use of public (federal/state) land?
1 b. If you answered "yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c. If you answered "yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
❑ Yes
❑ No
letter.)
Comments:
2. Violations (DWQ Requirement)
2a. Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑Yes
Q No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b. Is this an after -the -fact permit application?
❑Yes
No
2c. If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3. Cumulative Impacts (DWQ Requirement)
3a. Will this project (based on past and reasonably anticipated future impacts) result in
❑Yes
Q No
additional development, which could impact nearby downstream water quality?
3b. If you answered "yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
There are no additional phasestfuture impacts planned and sediment and erosion control management on the site during construction will eliminate
any downstream impacts.
4. Sewage Disposal (DWQ Requirement)
4a. Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
theroposed project, or available capacity of the subject facility.
Wastewa er on the si a will be transported via existing sewer lines to the nearest WWTP.
Page 9 of 10
PCN Form — Version 1.4 January 2009

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes Q No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ❑X No
impacts?
5c. If yes, indicate the USFWS Field Office you have contacted.
-
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The site is wooded which may be considered summer roosting habitat for the listed Northern Long Eared Bat. However, we have consulted with the
latest guidance associated with the Final 4(d) ruling and there are no known hibernation and/or roosts sites within a 45 -mile radius of the project area.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes Q No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
Professional knowledge of area - no EFH listed for this area/region.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ❑X No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
http://gis.ncdcr.gov/hpoweb/
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑ Yes Q No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination?
Information provided by Engineer.
Amanda Digitally signed J Amanda Jones
DN: cn=Amenda Jones, o=WEPG,
Amanda Jones for WEPG
ou=Leonard S. Pindner, PLLC,
Wetlands 8 Environmental Planning
Jones Group,email=amanda.jonea wetlands-
A
06-14-2017
epg.com1 c=US
Date: 2017.06.1415:58:43 -04'00'
Applicant/Agent's Printed Name
Date
Applicant/Agent's Signature
(Agent's signature is valid only if an authorization
letter from the applicant isprovided.)
Page 10 of 10

Wedands and Environmental Planning
A ent Authorization Letter
Leonard S. Rindner, PLLC.
The purpose of this form is to authorize our firm to act on your behalf in matters related to aquatic
resource (i.e. stream/wetlands) identification/mapping and regulatory permitting. The
undersigned, who are either registered property owners or legally authorized to conduct due
diligence activities on the property as identified below, do hereby authorize associates of
Leonard S. Rindner, PLLC, Wetlands and Environmental Planning Group (WEPG) to act on my
behalf and take all actions necessary for the processing, issuance, and acceptance of applicable
permit(s) and/or certification(s).
Project/Site Name: Lakewood Road
Property Address: Kennilworth Road/Lakewood Road
Parcel Identification Number (PIN): 9648843372, 9648845097
Select one: I am the current property owner
Name: Cane Creek Vistas, LLC
Company:
Mailing Address: S�# �LI.E ( cK.1, PV -,,4E t FL5TCIkv 9� t4 Z$ l3 Z -
Telephone Number: 92.44 -z5Z- 5'358
Electronic Mail Address: G£1.[.JU-(g,> GDc&o. coeA
G
Buyer* / Qther*
6-14-(7
Date
* The Interested Buyer/Other acknowledges that an agreement and/or formal contract to purchase and/or conduct
due diligence activities exists between the current property owner and the signatory of this authorization in cases
where the property is not owned by the signatory.
Charlotte Office:
www,wetlands-epg.com Asheville Office:
10612-D Providence Rd.
1070 Tunnel Rd., Bldg. I
PMB 550
Suite 10, PMB 283
Charlotte, NC 28277
Asheville, NC 28805
[phone]
[phone]
[e-mail]
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NRCS SOILS MAP
Soil Map --Buncombe County, North Carolina
360570 360620 360670 360720 3607M 3608M 360670 360
3
Map Scaie: 1:2,3301 prated on A landscape (11" x 85') gvieL
� Meters
N
0 30 60 120 180
Feet
0 700 200 400 600
Map projedion: Loeb Verutor or Comer caordm*es: VVGS84 Edge tla: UTM Zane 17N VYGSM
tsrm Natural Resources Web Soil Survey
Conservation Service National Cooperative Soil Survey
FIGURE NO. Lakewood Drive Project Drawn By: Reviewed By: Date:
4 Buncombe County, NC PJK LSR 09/23/16
Prepared for: Acres:
NRCS SOILS MAP Cane Creek Vistas, LLC +/-2.4
\ ' ' Subject to USACE verification

LEGEND
Photo location and
direction
Non -jurisdictional
gully or Swale
Waters of the US
Abutting Wetland C
(+/- 0.037 acres)
FIGURE NO.
D1
SCALE
100 50 0 IalV reel)
Non -jurisdictional !wale �17-
Waters of the US
Seasonal RPW A
(+/- 102 L.F.
0.002 acres)
Intermittent Stream
STREAM
ASSESSMENT
REACH A
Upland Project Area
form Boundary
2.46 acres)
Xedand
form 1
Waters of the US,
Perennial RPW B 7ASSESSMENT
TREAM
(+/- 32 L.F. 0.00007 acres)continues downslope) EACH B Non - jurisdictional swale
Lakewood Drive Project
Civil Design Concepts, P.A.
Buncombe Countv, NC
APPROXIMATE MAP — WATERS OF THE U.S.
EXISTING CONDITIONS STUDY
SUBJECT TO USACE/DWR VERIFICATION
WUSACE/DWR
Field Verified
10/04/16
Drawn By: Reviewed By:
AJ/PK/JL LSR
Date:
09/15/16

NOM
O 100V.
a P\.
76,
f
0
6
P
WETLAND C
1,624 SF
0.037± AC. \:x
I
PERENNIAL RPW B
±32 LF (0.0007± ACRES)
DCon�Pb. PA
NCBELS fk G218I
DEVELOPMENT DATA
APPLICANT: CANE CREEK VISTAS, LLC
PROJECT LOCATION: KENILWORTH RD-AAKEWOOD RD.
1 OF 5
SEASONAL RPW A
±102 LF (0.002± ACRES)
/
so
/
�b
LAKEWOOD
EXISTING CONDITIONS MAP
JUNE 2017

PERENNIAL RPW B
32± LF (0.0007± ACRES)
DISTURBANCE
1 – 36" HDPE
1 – 24" HDPE WITH
HEADWALL
PROPOSED SEWER
EASEMENT
CVCcwl
"
Conespb,PA
WBELsr.
J
PROPOSED CONSTRUCTION EASEMENT
�1
PROPOSED WATER EASEMENT
WETLAND C IMPACT
1,598± SF (0.03± AC.)
DISTURBANCE
SEASONAL RPW A
102± LF (0.002± ACRES)
DISTURBANCE
5 – 24" HDPE WITH
HEADWALL
DEVELOPMENT DATA
APPLICANT: CANE CREEK VISTAS, LLC
PROJECT LOCATION: KENILWORTH RD./LAKEWOOD RD.
NORM BRA
N�Op PK Wy •.�"""wam
20F5
��-,�"`�- gip, /� \ � •
=,;.�, EXISTING SEWER EASEMENT
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Ilk
",Z
ftw
K WMV Z W Tat+ alar
LAKEWOOD
OVERALL SITE PLAN
JUNE 2017

1 - 99± LF OF 36" HDPE
PERENNIAL RPW B 1 - 76± LF OF 24" HDPE
32± LF (0.0007 ACRES)
DISTURBANCE
PROPOSED RETAINING WALL
LAKEWOOD
ENLARGEMENT OF THE IMPACT AREA
�'�"'�' PA JUNE 2017
DEVELOPMENT DATA
APPLICANT: CANE CREEK VISTAS, LLC
NORrN
PROJECT LOCATION: KENILWORTH RD-AAKEWOOD RD.
0
50
1 - 204± LF OF 24" HDPE
3 O F 5
EXISTING PROPERTY LINE
1 - 28± LF OF 24" HDPE
%.-
-
SEASONAL RPW A
102± LF (0.002± ACRES)
DISTURBANCE
WETLAND CIMPACT
1 - 15± LF OF 24" HDPE
1,598± SF (0.03± AC.)
DISTURBANCE
T
1
- 46± LF OF 24" HDPE
1
S • • •
_
- 27± LF OF 18" HDPE
� �,,:.,
�-
1
- 57± LF OF 18" HDPE
• •'�'+'• •
- \
��
�\
PROPOSED RETAINING WALL
2'11
1 - 99± LF OF 36" HDPE
PERENNIAL RPW B 1 - 76± LF OF 24" HDPE
32± LF (0.0007 ACRES)
DISTURBANCE
PROPOSED RETAINING WALL
LAKEWOOD
ENLARGEMENT OF THE IMPACT AREA
�'�"'�' PA JUNE 2017

2130-
130-
2120-
2120
2110-
2110--
2100—
2100
PROPOSED
PROPOSED GRADE AT CENTERLINE (TYP)
PROPOSED 36" HDPE CULVERT
INV. = 2119.28± AT CL
PROPOSED 24" HDPE CULVERT
INV. = 2118.48± AT CL
2130 2130— 2130
2130—
2120 2120— n 2120
�EXISING GRADE ATCENTERLINE (TYP)
2110 2110-- 2110
2100 2100— 2100
2090— 2090
O
O
O O
PERENNIAL RPW B
C s
tea"
Coneepb, PA
DEVELOPMENT DATA
APPLICANT: CANE CREEK VISTAS, LLC
PROJECT LOCATION: KENILWORTH RD-AAKEWOOD RD.
2140— 2140 4 O F 5
PROPOSED GRADE AT CENTERLINE (TYP)
30 2130— �--2130
1 — 15± LF
24" HDPE
5.5790 SLOPE
2120— \2120 2120— 2120
EXISTING GRADE AT CENTERLINE
2110— 21102110— —2110
11 _ 1
99± LF
– – 36" HDPE ® –
7.43% SLOPE
2100— --2100 2100---- 2100
2090— 2090
o 2090— 2090 2090— 2090
O O O 00 O N
O N O M
O O O
SEASONAL RPW A O 2
PERENNIAL RPW B SEASONAL RPW A
0 5 10 20 LAKEWOOD
CROSS SECTION & PROFILE OF THE IMPACT AREA
1 inch = 10 ft. (V) JUNE 2017

(5
NOM
0 100
PROPOSED CROSSING (TYP)
CONTRACTOR TO ENSURE ALL
APPROPRIATE CLEARANCES.
cnl
n
WBELsr. case' conoePu. PA
EXISTING STORM DRAINAGE (TYP)
PROPOSED 2' CONTOURS (TYP)
EXISTING 2' CONTOURS (TYP)
PROPOSED PERMANENT DITCH (TYP)
PROPOSED RETAINING WALL (TYP)
� PICW
� � 0
DEVELOPMENT DATA
APPLICANT: CANE CREEK VISTAS, LLC
PROJECT LOCATION: KENILWORTH RD-AAKEWOOD RD.
PROPOSED IMPERVIOUS AREA: 1.50± ACRES
5OF5
PROPOSED STORM DRAINAGE
STRUCTURE (TYP)
EXISTING STREAM (TYP)
i
PROPOSED STORM DRAINAGE PIPE (TYP)
LAKEWOOD
STORM WATER PLAN -INFORMATION
JUNE 2017

Jurisdictional Determination Request
A. PARCEL INFORMATION
0 Property Information Lakewood Park residential development
Address: Lakewood Drive/Kenilworth Road
County: Buncombe County
Directions: Traveling west on Kenilworth Road, site will be on left behind Harvest House community
center between Waverly Road and Lakewood Drive, in Asheville, NC
Parcel Index Number (PIN): 9648843372; 9648845097
B. REQUESTOR INFORMATION
Name: Leonard S. Rindner, PLLC,
Wetlands & Environmental Planning Group (WEPG)
Mailing Address: 10612-D Providence Road, PMB 550, Charlotte NC 28277
Telephone Number: 704-904-2277
Electronic Mail Address: len.rindner(a�wetlands-ep .com
Select one:
I am the current property owner.
I am an Authorized Agent or Environmental Consultant2
Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
✓❑ Name: Christopher Eller for Cane Creek Vistas, LLC
Mailing Address: 54 Blue Heron Drive, Fletcher, NC 28732
Telephone Number: 828-252-5388
Electronic Mail Address 3: [e-mail]
Select one:
Q I am the current property owner.
❑ I am an Authorized Agent or Environmental Consultant'
Interested Buyer or Under Contract to Purchase
❑ Other, please explain.
1 If available
Z Must attach completed Agent Authorization Form
s If available
a Must attach completed Agent Authorization Form
3

Jurisdictional Determination Request
C. PROPERTY OWNER INFORMATION
❑✓ PIN#:
Name:
Mailing Address:
Telephone Number:
Electronic Mail Address 5:
❑✓ Proof of Ownership Attached (e.g. a copy of Deed, County GIS/Parcel/Tax Record data)
D. PROPERTY OWNER CERTIFICATION4
I, the undersigned, do authorize representatives of the Wilmington District, U.S. Army
Corps of Engineers (Corps) to enter upon the property herein described for the purpose of
conducting on-site investigations and issuing a determination associated with Waters of
the U.S. subject to Federal jurisdiction under Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act of 1899.
Property Owner
(please print)
Property Owner Signature
5 If available
Date
0

Jurisdictional Determination Request
E. JURISDICTIONAL DETERMINATION TYPE
Select One:
❑✓ I am requesting that the Corps provide a preliminary JD for the property identified herein.
❑ I am requesting that the Corps investigate the property/project area for the presence or
absence of WoUS6 and provide an approved JD for the property identified herein. This
request does NOT include a request for a verified delineation. (proceed to F and G
below).
❑ I am requesting that the Corps delineate the boundaries of all WoUS on a property/project
area and provide an approved JD (this may or may not include a survey plat).
❑ I am requesting that the Corps evaluate and approve a delineation of WoUS (conducted
by others) on a property/project area and provide an approved JD (may or may not
include a survey plat).
F. ALL REQUESTS
Map of Property or Project Area (attached). This Map must clearly depict the boundaries
of the area of evaluation.
❑✓ Size of Property or Project: 2.46 acres
17 I verify that the property (or project) boundaries have recently been surveyed and marked
by a licensed land surveyor OR are otherwise clearly marked or distinguishable.
G. JD REQUESTS FROM CONSULTANTS OR AGENCIES
(1) Preliminary JD Requests:
Completed and signed Preliminary Jurisdictional Determination Form.
Project Coordinates: Latitude Longitude 35.57829 -82.53749
Maps (no larger than 11x17) with Project Boundary Overlay:
W✓ Large and small scale maps that depict, at minimum: streets, intersections, towns
a Waters of the United States
' See Appendix A of this Form. From Regulatory Guidance Letter No. 08-02, dated June 26, 2008
5

Jurisdictional Determination Request
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps, LIDAR maps, FEMA floodplain maps)
Delineation Information (when applicable):
Wetlands:
B
0
0
Wetland Data Sheets
Upland Data Sheets
Landscape Photos, if taken
Tributaries:
Field Sketch overlain on legible Map that includes:
USACE Assessment Forms
Other Assessment Forms
(when appropriate)
All aquatic resources (for sites with multiple resources, label and identify)
Locations of wetland data points and/or tributary assessment reaches
Locations of photo stations
Approximate acreage/linear footage of aquatic resources
(2) Approved JDs including Verification of a Delineation:
❑ Project Coordinates:
Maps (no larger than 11x17) with Project Boundary Overlay:
Large and small scale maps that depict, at minimum: streets, intersections, towns
Aerial Photography of the project area
USGS Topographic Map
Soil Survey Map
Other Maps, as appropriate (e.g. National Wetland Inventory Map, Proposed Site
Plan, previous delineation maps)
Delineation Information (when applicable):
tlands:
Wetland Data Sheetsg
Upland Data Sheets
Tributaries:
USACE Assessment Forms
Other Assessment Forms
(when appropriate)
B Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.
9 Delineation information must include, at minimum, one wetland data sheet for each wetland/community type.

Jurisdictional Determination Request
❑ Landscape Photos, if taken
F1 Field Sketch overlain on legible Map that includes:
All aquatic resources (for sites with multiple resources, label and identify)
Locations of wetland data points and/or tributary assessment reaches
Locations of photo stations
Approximate acreage/linear footage of aquatic resources
Supporting Jurisdictional Information (for Approved JDs only)
❑ Approved Jurisdictional Determination Form(s) (also known as "Rapanos
Form(s)")
Map(s) depicting the potential (or lack of potential) hydrologic connection(s),
adjacency, etc. to navigable waters.
I. REQUESTS FOR CORPS APPROVAL OF SURVEY PLAT
Prior to final production of a Plat, the Wilmington District recommends that the Land
Surveyor electronically submit a draft of a Survey Plat to the Corps project manager for
review.
Due to storage limitations of our administrative records, the Corps requires that all hard-
copy submittals include at least one original Plat (to scale) that is no larger than 11"x17"
(the use of match lines for larger tracts acceptable). Additional copies of a plat, including
those larger than 11"x17", may also be submitted for Corps signature as needed. The
Corps also accepts electronic submittals of plats, such as those transmitted as a Portable
Document Format (PDF) file. Upon verification, the Corps can electronically sign these
plats and return them via e-mail to the requestor.
Plats submitted for approval must:
❑ be sealed and signed by a licensed professional land surveyor
be to scale (all maps must include both a graphic scale and a verbal scale)
be legible
include a North Arrow, Scale(s), Title, Property Information
include a legible WoUS Delineation Table of distances and bearings/metes and
bounds/GPS coordinates of all surveyed delineation points
❑ clearly depict surveyed property or project boundaries

Jurisdictional Determination Request
clearly identify the known surveyed point(s) used as reference (e.g. property
corner, USGS monument)
❑ when wetlands are depicted:
*include acreage (or square footage) of wetland polygons
*identify each wetland polygon using an alphanumeric system
❑ when tributaries are depicted:
*include either a surveyed, approximate centerline of tributary with
approximate width of tributary OR surveyed Ordinary High Water Marks
(OHWM) of tributary
*include linear footage of tributaries and calculated area (using
approximate widths or surveyed OHWM)
*include name of tributary (based on the most recent USGS topographic
map) or, when no USGS name exists, identify as "unnamed tributary"
❑ all depicted WoUS (wetland polygons and tributary lines) must intersect or tie -to
surveyed project/property boundaries
❑ include the location of wetland data points and/or tributary assessment reaches
❑ include, label accordingly, and depict acreage of all waters not currently subject to
the requirements of the CWA (e.g. "isolated wetlands", "non jurisdictional
waters"). NOTE: An approved JD must be conducted in order to make an official
Corps determination that a particular waterbody or wetland is not jurisdictional.
❑ include and survey all existing conveyances (pipes, culverts, etc.) that transport
WoUS
CERTIFICATION LANGUAGE
When the entire actual Jurisdictional Boundary is depicted:
8

of
41,
We
'; •'
All i t.

STREAM REACH EVALUATION FORM
0
Date:
09/13/16 1 Evaluator: I PJK, JAL Eastin : -82.53737 W
Project:
Lakewood Drive: Perennial RPW B Northing: 35.57839 N
Total Points:
Strong
Stream is at least intermittent if > 19 or perennial if > 30"
27.5
(right -click the purple number and left -click Update Field to summarize points)L�
0
A.
Geomorphology
Absent
Weak
Moderate
Strong
SCORE
1a.
Continuity of channel bed and bank
0
1
2
3
2
2.
Sinuosity of channel along thalweg
0
1
2
3
2
3.
In -channel structure: riffle- / step- pool sequence
0
1
2
3
1
4.
Particle size of stream substrate
0
1
2
3
1
5.
Active/relic floodplain
0
1
2
3 1
1
6.
Depositional bars or benches
0
1
2
3
1
7.
Recent alluvial deposits
0
1
2
3
1
8.
Headcuts
0
1
2
3
1
9.
Grade controls
0
0.5
1
1.5
0.5
10.
Natural valley
0
0.5
1
1.5
1.5
11.
Second or greater order channel
No = 0
Yes = 3
0
Geomorphology
Subtotal
,u'
Man-made ditches are not rated: see discussion in NCDWQ Manual
B. Hydrology
12.
Presence of Baseflow
0
1
2
3
1
13.
Iron Oxidizing Bacteria
0
1
2
3
2
14.
Leaf litter
1.5
1
0.5
0
1
15.
Sediment on plants or debris
0
0.5
1
1.5
1
16.
Organic debris lines or piles Wrack lines
0
0.5
1
1.5
0.5
17. Soil -based Evidence of high water table?
Crayfish
No = 0
Yes
= 3
3
0
24.
Amphibians
0
Hydrology
Subtotalx
Fy
C. Biology
18.
Fibrous roots in streambed
3
2
1
0
2
19.
Rooted upland plants in streambed
3
2
1
0
3
20.
Macrobenthos note diversity and abundance
0
1
2
3
1
21.
Aquatic Mollusks
0
1
2
3
0
22.
Fish
0
0.5
1
1.5
0
23.
Crayfish
0
0.5
1
1.5
0
24.
Amphibians
0
0.5
1
1.5
0.5
25.
Algae
0
0.5
1
1.5
0.5
26.
Wetland plants in streambed
FACW=
0.75, OBL= 1.5, Other= 0
0
Biology
SubtotalR„
" perennial streams may also be identified using other methods. See paqe 35 of NCDWQ manual
Notes:
Slow persistent flow. Downslope of wetland seep. Silty, clay substrate. Midge/mosquito larva. Adult
salamanders observed.
Adapted from NCDWQ: Methodology for Identification of Intermittent and Perennial Streams and their
(version 4.11)
Ongins.

STREAM REACH EVALUATION FORM
I_1
Date: 09/13/16 1 Evaluator: I PJK, JAL Eastin : -82.53728 W
Project: Lakewood Drive: Seasonal RPW A Northing: 35.57853 N
Total Points:
Stream is at least intermittent if > 19 or perennial if > 30" 23 ,
(rioht-click the purple number and left -click Update Field to summarize ooints)
A.
Geomorphology
Absent
Weak
Moderate
Strong
SCORE
1a.
Continuity of channel bed and bank
0
1
2
3
3
2.
Sinuosity of channel along thalweg
0
1
2
3
1
3.
In -channel structure: riffle- / step- pool sequence
0
1
2
3
1
4.
Particle size of stream substrate
0
1
2
3
1
5.
Active/relic floodplain
0
1
2
3
0
6.
Depositional bars or benches
0
1
2
3
0
7.
Recent alluvial deposits
0
1
2
3
1
8.
Headcuts
0
1
2
3
2
9.
Grade controls
0
0.5
1
1.5
0.5
10.
Natural valley
0
0.5
1
1.5
1
11.
Second or greater order channel
No
= 0
Yes
= 3
0
Geomorphology
Subtotal
a Man-made ditches are not rated: see discussion in NCDWQ Manual
B. Hydrology
12.
Presence of Baseflow
0
1
2
3
1
13.
Iron Oxidizing Bacteria
0
1
2
3
1
14.
Leaf litter
1.5
1
0.5
0
1
15.
Sediment on plants or debris
0
0.5
1
1.5
0.5
16.
Organic debris lines or piles Wrack lines
0
0.5
1
1.5
0.5
17.
Soil -based Evidence of high water table?
No = 0
0.5
Yes
= 3
3
24.
Amphibians
0
0.5
Hydrology
Subtotal
C. Biology
18.
Fibrous roots in streambed
3
2
1
0
2
19.
Rooted upland plants in streambed
3
2
1
0
2
20.
Macrobenthos note diversity and abundance
0
1
2
3
1
21.
Aquatic Mollusks
0
1
2
3
0
22.
Fish
0
0.5
1
1.5
0
23.
Crayfish
0
0.5
1
1.5
0
24.
Amphibians
0
0.5
1
1.5
0.5
25.
Algae
0
0.5
1
1.5
0
26.
Wetland plants in streambed
FACW=
0.75, OBL= 1.5, Other= 0
0
Biolo
y Subtotal
perennial streams may also be identified usinq other methods. See paqe 35 of NCDWQ manual.
Notes:
Highly eroded to water table. Silt, clay substrate. Midge/mosquito larva. 1 adult salamander.
Adapted from NCDWQ: Methodology for Identification of Intermittent and Perennial Streams and their
(version 4.11)
Origins.

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2
calculator version z
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5 -minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property,
identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for
detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were
performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Lakewood Drive Project 2. Date of evaluation: 09/13/16
3. Applicantlowner name: 4. Assessor name/organization: WEPG
5. County: Buncombe 6. Nearest named water body
7. River basin: French Broad on USGS 7.5 -minute quad: Lake Kenilworth
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.57840 N, -82.53719 W
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): RPW A 10. Length of assessment reach evaluated (feet): 75
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 8 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 10 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ❑Perennial flow ®Intermittent flow []Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ® Mountains (M) ❑ Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A�� J ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ®Size 1 (< 0.1 mit) ❑Size 2 (0.1 to < 0.5 miZ) ❑Size 3 (0.5 to < 5 miZ) ❑Size 4 (z 5 miZ)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III ❑IV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ®Yes ❑No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
®A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
❑B Not A
3. Feature Pattern - assessment reach metric
❑A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
®B Not
4. Feature Longitudinal Profile -assessment reach metric
®A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
❑B Not
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
❑A < 10% of channel unstable
❑B 10 to 25% of channel unstable
®C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
❑B ❑B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
®C ®C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
7. Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
❑B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
®J Little to no stressors
S. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b.
Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mossesW
❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F❑G
Submerged aquatic vegetation
E:1
—8 sticks and/or leaf packs and/or emergent g
❑H Low -tide refugia (pools)
vegetation Y L3
Eli Sand bottom
❑C
Multiple snags and logs (including lap trees) t 1
❑J 5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
❑K Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
***""*'"**"************"*REMAINING
QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS***************-**********
11. Bedform and Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a.
❑Yes
®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b.
Bedform evaluated. Check the appropriate box(es).
®A
Riffle -run section (evaluate 11c)
❑B
Pool -glide section (evaluate 11 d)
❑C
Natural bedform absent (skip to Metric 12, Aquatic Life)
11c.
In riffle
sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check
at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) _
absent,
Rare (R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP
R C A P
®
❑ ❑ ❑ ❑ Bedrock/saprolite
®
❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
❑
® ❑ ❑ ❑ Cobble (64 — 256 mm)
❑
® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑
® ❑ ❑ ❑ Sand (.062 — 2 mm)
❑
❑ ❑ ❑ ® Silt/clay (< 0.062 mm)
❑
® ❑ ❑ ❑ Detritus
®
❑ ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d.
❑Yes
[:]No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12. Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes [:]No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrim p)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ®Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ®Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland
runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil
compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water >_ 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
❑Y ❑Y Are wetlands present in the streamside area?
ON ON
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
❑A Streams and/or springs Qurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
OF None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
❑C Urban stream (Z 24% impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
El Assessment reach relocated to valley edge
OF None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
®A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated Wooded
LB RB LB RB
®A ®A ®A ®A >_ 100 feet wide or extends to the edge of the watershed
❑B ❑B ❑B ❑B From 50 to < 100 feet wide
❑C ❑C ❑C ❑C From 30 to < 50 feet wide
❑D ❑D ❑D ❑D From 10 to < 30 feet wide
❑E 0 0 ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB
RB
®A
®A
Mature forest
❑B
❑B
Non -mature woody vegetation or modified vegetation structure
❑C
❑C
Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D
❑D
Maintained shrubs
❑E
❑E
Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If none of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts < 30 feet 30-50 feet
LB RB LB RB LB RB
❑A ❑A ❑A ❑A ❑A ❑A Row crops
❑B ❑B ❑B ❑B ❑B ❑B Maintained turf
❑C ❑C ❑C ❑C ❑C ❑C Pasture (no livestock)/commercial horticulture
❑D ❑D ❑D ❑D ❑D ❑D Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
®A ®A Medium to high stem density
❑B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ❑A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
❑B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
®C ®C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ®Yes ❑No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑ B 46 to < 67 ❑ C 67 to < 79 ®D 79 to < 230 [:]E z 230
Notes/Sketch:
Deeply eroded with extreme channel downcutting, unstable banks, incised to water table. Contains debris jams restricting flow. Little to no
floodplain access. Invasive species dominating multiple taxa.

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 1
Rating Calculator Version 2
Stream Site Name Lakewood Drive Project Date of Assessment
09/13/16
Stream Category Mb1 Assessor Name/Organization
WEPG
Notes of Field Assessment Form (Y/N)
NO
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Intermittent
USACE/
NCDWR
Function Class Rating Summary All Streams
Intermittent
(1) Hydrology
LOW
LOW
(2) Baseflow
HIGH
HIGH
(2) Flood Flow
LOW
LOW
(3) Streamside Area Attenuation
LOW
LOW
(4) Floodplain Access
LOW
LOW
(4) Wooded Riparian Buffer
HIGH
HIGH
(4) Microtopography
NA
NA
(3) Stream Stability
LOW
LOW
(4) Channel Stability
LOW
LOW
(4) Sediment Transport
LOW
LOW
(4) Stream Geomorphology
MEDIUM
MEDIUM
(2) Stream/Intertidal Zone Interaction
NA
NA
(2) Longitudinal Tidal Flow
NA
NA
(2) Tidal Marsh Stream Stability
NA
NA
(3) Tidal Marsh Channel Stability
NA
NA
(3) Tidal Marsh Stream Geomorphology
NA
NA
(1) Water Quality
MEDIUM
MEDIUM
(2) Baseflow
HIGH
HIGH
(2) Streamside Area Vegetation
HIGH
HIGH
(3) Upland Pollutant Filtration
HIGH
HIGH
(3) Thermoregulation
HIGH
HIGH
(2) Indicators of Stressors
NO
NO
(2) Aquatic Life Tolerance
LOW
NA
(2) Intertidal Zone Filtration
NA
NA
(1) Habitat
MEDIUM
MEDIUM
(2) In -stream Habitat
LOW
LOW
(3) Baseflow
HIGH
HIGH
(3) Substrate
LOW
LOW
(3) Stream Stability
LOW
LOW
(3) In -stream Habitat
LOW
LOW
(2) Stream -side Habitat
HIGH
HIGH
(3) Stream -side Habitat
MEDIUM
MEDIUM
(3) Thermoregulation
HIGH
HIGH
(2) Tidal Marsh In -stream Habitat
NA
NA
(3) Flow Restriction
NA
NA
(3) Tidal Marsh Stream Stability
NA
NA
(4) Tidal Marsh Channel Stability
NA
NA
(4) Tidal Marsh Stream Geomorphology
NA
NA
(3) Tidal Marsh In -stream Habitat
NA
NA
(2) Intertidal Zone
NA
NA
Overall
MEDIUM
MEDIUM

NC SAM FIELD ASSESSMENT FORM
Accompanies User Manual Version 2
Rau114 a.01tu10w1 verasvn c
USACE AID #: NCDWR #:
INSTRUCTIONS: Attach a sketch of the assessment area and photographs. Attach a copy of the USGS 7.5 -minute topographic
quadrangle, and circle the location of the stream reach under evaluation. If multiple stream reaches will be evaluated on the same property,
identify and number all reaches on the attached map, and include a separate form for each reach. See the NC SAM User Manual for
detailed descriptions and explanations of requested information. Record in the "Notes/Sketch" section if supplementary measurements were
performed. See the NC SAM User Manual for examples of additional measurements that may be relevant.
NOTE EVIDENCE OF STRESSORS AFFECTING THE ASSESSMENT AREA (do not need to be within the assessment area).
PROJECT/SITE INFORMATION:
1. Project name (if any): Lakewood Drive Project 2. Date of evaluation: 09/13/16
3. Applicant/owner name: 4. Assessor name/organization: WEPG
5. County: Buncombe 6. Nearest named water body
7. River basin: French Broad on USGS 7.5 -minute quad: Lake Kenilworth
8. Site coordinates (decimal degrees, at lower end of assessment reach): 35.57840 N, -82.53719 W
STREAM INFORMATION: (depth and width can be approximations)
9. Site number (show on attached map): RPW B 10. Length of assessment reach evaluated (feet): 75
11. Channel depth from bed (in riffle, if present) to top of bank (feet): 8 ❑Unable to assess channel depth.
12. Channel width at top of bank (feet): 10 13. Is assessment reach a swamp steam? ❑Yes ❑No
14. Feature type: ®Perennial flow ❑Intermittent flow ❑Tidal Marsh Stream
STREAM CATEGORY INFORMATION:
15. NC SAM Zone: ® Mountains (M) ❑ Piedmont (P) ❑ Inner Coastal Plain (1) ❑ Outer Coastal Plain (0)
16. Estimated geomorphic ❑A� ®B
valley shape (skip for
Tidal Marsh Stream): (more sinuous stream, flatter valley slope) (less sinuous stream, steeper valley slope)
17. Watershed size: (skip ®Size 1 (< 0.1 miZ) ❑Size 2 (0.1 to < 0.5 mit) ❑Size 3 (0.5 to < 5 miZ) ❑Size 4 (>_ 5 mit)
for Tidal Marsh Stream)
ADDITIONAL INFORMATION:
18. Were regulatory considerations evaluated? ❑Yes ®No If Yes, check all that apply to the assessment area.
❑Section 10 water ❑Classified Trout Waters ❑Water Supply Watershed (❑I ❑II ❑III DIV ❑V)
❑Essential Fish Habitat ❑Primary Nursery Area ❑ High Quality Waters/Outstanding Resource Waters
❑Publicly owned property ❑NCDWR Riparian buffer rule in effect ❑Nutrient Sensitive Waters
❑Anadromous fish ❑303(d) List ❑CAMA Area of Environmental Concern (AEC)
❑Documented presence of a federal and/or state listed protected species within the assessment area.
List species:
❑Designated Critical Habitat (list species)
19. Are additional stream information/supplementary measurements included in "Notes/Sketch" section or attached? ®Yes ❑No
1. Channel Water - assessment reach metric (skip for Size 1 streams and Tidal Marsh Streams)
®A Water throughout assessment reach.
❑B No flow, water in pools only.
❑C No water in assessment reach.
2. Evidence of Flow Restriction - assessment reach metric
❑A At least 10% of assessment reach in -stream habitat or riffle -pool sequence is severely affected by a flow restriction or fill to the
point of obstructing flow or a channel choked with aquatic macrophytes or ponded water or impoundment on flood or ebb within
the assessment reach (examples: undersized or perched culverts, causeways that constrict the channel, tidal gates, debris jams,
beaver dams).
®B Not
3. Feature Pattern - assessment reach metric
❑A A majority of the assessment reach has altered pattern (examples: straightening, modification above or below culvert).
®B Not A
4. Feature Longitudinal Profile - assessment reach metric
❑A Majority of assessment reach has a substantially altered stream profile (examples: channel down -cutting, existing damming,
over widening, active aggradation, dredging, and excavation where appropriate channel profile has not reformed from any of
these disturbances).
®B Not A
5. Signs of Active Instability - assessment reach metric
Consider only current instability, not past events from which the stream has currently recovered. Examples of instability include
active bank failure, active channel down -cutting (head -cut), active widening, and artificial hardening (such as concrete, gabion, rip -rap).
®A < 10% of channel unstable
❑B 10 to 25% of channel unstable
❑C > 25% of channel unstable

6. Streamside Area Interaction — streamside area metric
Consider for the Left Bank (LB) and the Right Bank (RB).
LB RB
❑A ❑A Little or no evidence of conditions that adversely affect reference interaction
®B ®B Moderate evidence of conditions (examples: berms, levees, down -cutting, aggradation, dredging) that adversely affect
reference interaction (examples: limited streamside area access, disruption of flood flows through streamside area,
leaky or intermittent bulkheads, causeways with floodplain constriction, minor ditching [including mosquito ditching])
❑C ❑C Extensive evidence of conditions that adversely affect reference interaction (little to no floodplain/intertidal zone access
[examples: causeways with floodplain and channel constriction, bulkheads, retaining walls, fill, stream incision,
disruption of flood flows through streamside area] or too much floodplain/intertidal zone access [examples:
impoundments, intensive mosquito ditching]) or floodplain/intertidal zone unnaturally absent or assessment reach is a
man-made feature on an interstream divide
Water Quality Stressors — assessment reach/intertidal zone metric
Check all that apply.
❑A Discolored water in stream or intertidal zone (milky white, blue, unnatural water discoloration, oil sheen, stream foam)
®B Excessive sedimentation (burying of stream features or intertidal zone)
❑C Noticeable evidence of pollutant discharges entering the assessment reach and causing a water quality problem
❑D Odor (not including natural sulfide odors)
❑E Current published or collected data indicating degraded water quality in the assessment reach. Cite source in "Notes/Sketch"
section.
❑F Livestock with access to stream or intertidal zone
❑G Excessive algae in stream or intertidal zone
❑H Degraded marsh vegetation in the intertidal zone (removal, burning, regular mowing, destruction, etc)
❑I Other: (explain in "Notes/Sketch" section)
❑J Little to no stressors
8. Recent Weather — watershed metric (skip for Tidal Marsh Streams)
For Size 1 or 2 streams, D1 drought or higher is considered a drought; for Size 3 or 4 streams, D2 drought or higher is considered a
drought.
❑A Drought conditions and no rainfall or rainfall not exceeding 1 inch within the last 48 hours
❑B Drought conditions and rainfall exceeding 1 inch within the last 48 hours
®C No drought conditions
9. Large or Dangerous Stream — assessment reach metric
❑Yes ®No Is stream is too large or dangerous to assess? If Yes, skip to Metric 13 (Streamside Area Ground Surface Condition).
10. Natural In -stream Habitat Types — assessment reach metric
10a. ❑Yes ❑No Degraded in -stream habitat over majority of the assessment reach (examples of stressors include excessive
sedimentation, mining, excavation, in -stream hardening [for example, rip -rap], recent dredging, and snagging)
(evaluate for Size 4 Coastal Plain streams only, then skip to Metric 12)
10b.
Check all that occur (occurs if > 5% coverage of assessment reach) (skip for Size 4 Coastal Plain streams)
❑A
Multiple aquatic macrophytes and aquatic mosses a N
❑F 5% oysters or other natural hard bottoms
(include liverworts, lichens, and algal mats) F W
P:
❑G Submerged aquatic vegetation
E:113
Multiple sticks and/or leaf packs and/or emergent
❑H Low -tide refugia (pools)
vegetation x L
❑I Sand bottom
❑C
Multiple snags and logs (including lap trees) r ,t,
❑J 5% vertical bank along the marsh
❑D
5% undercut banks and/or root mats and/or roots
❑K Little or no habitat
in banks extend to the normal wetted perimeter
®E
Little or no habitat
********* ***********************REMAINING QUESTIONS ARE NOT APPLICABLE FOR TIDAL MARSH STREAMS**************"****** ******
11. Bedform and
Substrate —assessment reach metric (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)
11a.
❑Yes
®No Is assessment reach in a natural sand -bed stream? (skip for Coastal Plain streams)
11 b.
Bedform evaluated. Check the appropriate box(es).
®A
Riffle -run section (evaluate 11c)
❑B
Pool -glide section (evaluate 11 d)
❑C
Natural bedform absent (skip to Metric 12, Aquatic Life)
11c.
In riffle
sections, check all that occur below the normal wetted perimeter of the assessment reach — whether or not submerged.
Check at least one box in each row (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams). Not Present (NP) _
absent,
Rare (R) = present but < 10%, Common (C) _ > 10-40%, Abundant (A) _ > 40-70%, Predominant (P) _ > 70%. Cumulative
percentages should not exceed 100% for each assessment reach.
NP
R C A P
®
❑ ❑ ❑ ❑ Bedrock/saprolite
®
❑ ❑ ❑ ❑ Boulder (256 — 4096 mm)
®
❑ ❑ ❑ ❑ Cobble (64 — 256 mm)
❑
® ❑ ❑ ❑ Gravel (2 — 64 mm)
❑
❑ ® ❑ ❑ Sand (.062 — 2 mm)
❑
❑ ❑ ® ❑ Silt/clay (< 0.062 mm)
❑
❑ ® ❑ ❑ Detritus
®
❑ ❑ ❑ ❑ Artificial (rip -rap, concrete, etc.)
11d.
[]Yes
❑No Are pools filled with sediment? (skip for Size 4 Coastal Plain streams and Tidal Marsh Streams)

12.
Aquatic Life — assessment reach metric (skip for Tidal Marsh Streams)
12a. ®Yes ❑No Was an in -stream aquatic life assessment performed as described in the User Manual?
If No, select one of the following reasons and skip to Metric 13. ❑No Water ❑Other:
12b. ®Yes ❑No Are aquatic organisms present in the assessment reach (look in riffles, pools, then snags)? If Yes, check all that
apply. If No, skip to Metric 13.
1 >1 Numbers over columns refer to "individuals" for Size 1 and 2 streams and "taxa" for Size 3 and 4 streams.
❑ ❑Adult frogs
❑ ❑Aquatic reptiles
❑ ❑Aquatic macrophytes and aquatic mosses (include liverworts, lichens, and algal mats)
❑ ❑Beetles
❑ ❑Caddisfly larvae (T)
❑ ❑Asian clam (Corbicula)
❑ ❑Crustacean (isopod/amphipod/crayfish/shrimp)
❑ ❑Damselfly and dragonfly larvae
❑ ❑Dipterans
❑ ❑Mayfly larvae (E)
❑ ❑Megaloptera (alderfly, fishfly, dobsonfly larvae)
❑ ®Midges/mosquito larvae
❑ ❑Mosquito fish (Gambusia) or mud minnows (Umbra pygmaea)
❑ ❑Mussels/Clams (not Corbicula)
❑ ❑Other fish
❑ ®Salamanders/tadpoles
❑ ❑Snails
❑ ❑Stonefly larvae (P)
❑ ❑Tipulid larvae
❑ ❑Worms/leeches
13. Streamside Area Ground Surface Condition — streamside area metric (skip for Tidal Marsh Streams and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB). Consider storage capacity with regard to both overbank flow and upland
runoff.
LB RB
❑A ❑A Little or no alteration to water storage capacity over a majority of the streamside area
❑B ❑B Moderate alteration to water storage capacity over a majority of the streamside area
❑C ❑C Severe alteration to water storage capacity over a majority of the streamside area (examples: ditches, fill, soil
compaction, livestock disturbance, buildings, man-made levees, drainage pipes)
14. Streamside Area Water Storage — streamside area metric (skip for Size 1 streams, Tidal Marsh Streams, and B valley types)
Consider for the Left Bank (LB) and the Right Bank (RB) of the streamside area.
LB RB
❑A ❑A Majority of streamside area with depressions able to pond water 2 6 inches deep
❑B ❑B Majority of streamside area with depressions able to pond water 3 to 6 inches deep
❑C ❑C Majority of streamside area with depressions able to pond water < 3 inches deep
15. Wetland Presence — streamside area metric (skip for Tidal Marsh Streams)
Consider for the Left Bank (LB) and the Right Bank (RB). Do not consider wetlands outside of the streamside area or within the normal
wetted perimeter of assessment reach.
LB RB
®Y ®Y Are wetlands present in the streamside area?
❑N ❑N
16. Baseflow Contributors — assessment reach metric (skip for Size 4 streams and Tidal Marsh Streams)
Check all contributors within the assessment reach or within view of and draining to the assessment reach.
®A Streams and/or springs Qurisdictional discharges)
❑B Ponds (include wet detention basins; do not include sediment basins or dry detention basins)
❑C Obstruction passing flow during low -flow periods within the assessment area (beaver dam, leaky dam, bottom -release dam, weir)
❑D Evidence of bank seepage or sweating (iron in water indicates seepage)
®E Stream bed or bank soil reduced (dig through deposited sediment if present)
❑F None of the above
17. Baseflow Detractors — assessment area metric (skip for Tidal Marsh Streams)
Check all that apply.
❑A Evidence of substantial water withdrawals from the assessment reach (includes areas excavated for pump installation)
❑B Obstruction not passing flow during low -flow periods affecting the assessment reach (ex: watertight dam, sediment deposit)
❑C Urban stream (Z 24% impervious surface for watershed)
❑D Evidence that the streamside area has been modified resulting in accelerated drainage into the assessment reach
❑E Assessment reach relocated to valley edge
OF None of the above
18. Shading — assessment reach metric (skip for Tidal Marsh Streams)
Consider aspect. Consider "leaf -on" condition.
®A Stream shading is appropriate for stream category (may include gaps associated with natural processes)
❑B Degraded (example: scattered trees)
❑C Stream shading is gone or largely absent

19. Buffer Width — streamside area metric (skip for Tidal Marsh Streams)
Consider "vegetated buffer" and "wooded buffer" separately for left bank (LB) and right bank (RB) starting at the top of bank out
to the first break.
Vegetated
Wooded
LB
RB
LB RB
®A
®A
®A ❑A >_ 100 feet wide or extends to the edge of the watershed
❑B
❑B
❑B ®B From 50 to < 100 feet wide
❑C
❑C
❑C ❑C From 30 to < 50 feet wide
❑D
❑D
❑D ❑D From 10 to < 30 feet wide
❑E
❑E
❑E ❑E < 10 feet wide or no trees
20. Buffer Structure — streamside area metric (skip for Tidal Marsh Streams)
Consider for
left bank (LB) and right bank (RB) for Metric 19 ("Vegetated" Buffer Width).
LB
RB
❑C
®A
®A
Mature forest
❑B
❑B
Non -mature woody vegetation or modified vegetation structure
❑C
❑C
Herbaceous vegetation with or without a strip of trees < 10 feet wide
❑D
❑D
Maintained shrubs
❑E
❑E
Little or no vegetation
21. Buffer Stressors — streamside area metric (skip for Tidal Marsh Streams)
Check all appropriate boxes for left bank (LB) and right bank (RB). Indicate if listed stressor abuts stream (Abuts), does not abut but
is within 30 feet of stream (< 30 feet), or is between 30 to 50 feet of stream (30-50 feet).
If nate of the following stressors occurs on either bank, check here and skip to Metric 22:
Abuts
< 30 feet
30-50 feet
LB
RB
LB
RB
LB
RB
❑A
❑A
❑A
❑A
❑A
❑A
Row crops
❑B
❑B
❑B
❑B
❑B
❑B
Maintained turf
❑C
❑C
❑C
❑C
❑C
❑C
Pasture (no livestock)/commercial horticulture
❑D
❑D
❑D
❑D
❑D
❑D
Pasture (active livestock use)
22. Stem Density — streamside area metric (skip for Tidal Marsh Streams)
Consider for left bank (LB) and right bank (RB) for Metric 19 ("Wooded" Buffer Width).
LB RB
®A ®A Medium to high stem density
❑B ❑B Low stem density
❑C ❑C No wooded riparian buffer or predominantly herbaceous species or bare ground
23. Continuity of Vegetated Buffer — streamside area metric (skip for Tidal Marsh Streams)
Consider whether vegetated buffer is continuous along stream (parallel). Breaks are areas lacking vegetation > 10 feet wide.
LB RB
®A ®A The total length of buffer breaks is < 25 percent.
❑B ❑B The total length of buffer breaks is between 25 and 50 percent.
❑C ❑C The total length of buffer breaks is > 50 percent.
24. Vegetative Composition — streamside area metric (skip for Tidal Marsh Streams)
Evaluate the dominant vegetation within 100 feet of each bank or to the edge of the watershed (whichever comes first) as it contributes to
assessment reach habitat.
LB RB
❑A ®A Vegetation is close to undisturbed in species present and their proportions. Lower strata composed of native species,
with non-native invasive species absent or sparse.
®B ❑B Vegetation indicates disturbance in terms of species diversity or proportions, but is still largely composed of native
species. This may include communities of weedy native species that develop after clear -cutting or clearing or
communities with non-native invasive species present, but not dominant, over a large portion of the expected strata or
communities missing understory but retaining canopy trees.
❑C ❑C Vegetation is severely disturbed in terms of species diversity or proportions. Mature canopy is absent or communities
with non-native invasive species dominant over a large portion of expected strata or communities composed of planted
stands of non -characteristic species or communities inappropriately composed of a single species or no vegetation.
25. Conductivity — assessment reach metric (skip for all Coastal Plain streams)
25a. ®Yes ❑No Was conductivity measurement recorded?
If No, select one of the following reasons. ❑No Water ❑Other:
25b. Check the box corresponding to the conductivity measurement (units of microsiemens per centimeter).
❑A < 46 ❑B 46 to < 67 ❑C 67 to < 79 ®D 79 to < 230 ❑E _> 230
Notes/Sketch:
Contains debris jams restricting flow. Limited streamside area access. Invasive species in multiple taxa

Draft NC SAM Stream Rating Sheet
Accompanies User Manual Version 1
Rating Calculator Version 2
Stream Site Name Lakewood Drive Project Date of Assessment
09/13/16
Stream Category Mb1 Assessor Name/Organization
WEPG
Notes of Field Assessment Form (Y/N)
YES
Presence of regulatory considerations (Y/N)
NO
Additional stream information/supplementary measurements included (Y/N)
YES
NC SAM feature type (perennial, intermittent, Tidal Marsh Stream)
Perennial
USACE/ NCDWR
Function Class Rating Summary All Streams Intermittent
(1) Hydrology
HIGH
(2) Baseflow
HIGH
(2) Flood Flow
HIGH
(3) Streamside Area Attenuation
MEDIUM
(4) Floodplain Access
MEDIUM
(4) Wooded Riparian Buffer
HIGH
(4) Microtopography
NA
(3) Stream Stability
HIGH
(4) Channel Stability
HIGH
(4) Sediment Transport
LOW
(4) Stream Geomorphology
HIGH
(2) Stream/Intertidal Zone Interaction
NA
(2) Longitudinal Tidal Flow
NA
(2) Tidal Marsh Stream Stability
NA
(3) Tidal Marsh Channel Stability
NA
(3) Tidal Marsh Stream Geomorphology
NA
(1) Water Quality
MEDIUM
(2) Baseflow
HIGH
(2) Streamside Area Vegetation
HIGH
(3) Upland Pollutant Filtration
HIGH
(3) Thermoregulation
HIGH
(2) Indicators of Stressors
NO
(2) Aquatic Life Tolerance
LOW
(2) Intertidal Zone Filtration
NA
(1) Habitat
MEDIUM
(2) In -stream Habitat
LOW
(3) Baseflow
HIGH
(3) Substrate
LOW
(3) Stream Stability
HIGH
(3) In -stream Habitat
LOW
(2) Stream -side Habitat
HIGH
(3) Stream -side Habitat
HIGH
(3) Thermoregulation
HIGH
(2) Tidal Marsh In -stream Habitat
NA
(3) Flow Restriction
NA
(3) Tidal Marsh Stream Stability
NA
(4) Tidal Marsh Channel Stability
NA
(4) Tidal Marsh Stream Geomorphology
NA
(3) Tidal Marsh In -stream Habitat
NA
(2) Intertidal Zone
NA
Overall
MEDIUM