20170142 Ver 1 - MB_USACE Stream Assessment_20171006 - 6/13/2018

USACE AID# DWQ # Site #5]&- 9?wdicate on attached map)
M 11 STREAM QUALITY ASSESSMENT WORKSHEET Ans
Provide the following information for the stream reach under assessment: r
1. Applicant's name: VM 2. Evaluator's name:
' w awl
3. Date of evaluation: �C7 �e j �—' 4 Time of evaluation:
5. Name of stream: orT 5� -P&r, G Gr�L��'4�ver basin: J2A(e,tn
7. Approximate drainage area: O • k� 1 Z 8. Stream order: Z�
9. Length of reach evaluated: () �P 10. County: l 7i k t ri
11. Site coordinates (if known):: rpprrefer in decimal degrees. 12. Subdivision name (if any): n)�g
Latitude (ex. 34.872312): �� . v 1 $ O g l Longitude (ex. -77.556611): y It+
Method location determined (circle): GPS Too Ortho (Aerial) Photo/GI Other GIS Other
13. Location of reach under evaluation (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): t-73� GVl
15. Recent weather
16. Site conditions at time of
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 A—(I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? YE NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential % Commercial Q% Industrial% Agricultural
✓Z %Forested % Cleared / Logged �% Other ( 9 k r & Ah-, c� )
22. Bankfull width: O • �o t 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 (>101/6)
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.
Total Score (from reverse): 3
Evaluator's Signature � 1 _ _ Date 'u (3 ( I 1 q
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change — version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
1
Presence of flow / persistent pools in stream
0-5
0-4
0-5
4 -
(no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
2
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
f
(no buffer = 0; contiguous, wide buffer = maxpoints)
4
Evidence of nutrient or chemical discharges
0— 5
0-4
0-4
d
extensive discharges = 0; no discharges = max points)
5
Groundwater discharge
0-3
0-4
0-4
3
U
(no discharge = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
'
(no floodplain = 0; extensive floodplain = max points)
7
Entrenchment/ floodplain access
0-5
0-4
0-2
p ,
g
(deeply entrenched = 0; frequent flooding = max points
8
Presence of adjacent wetlands
0-6
0-4
0-2
L�
(no wetlands = 0; large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander =max oints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment =max points)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
O
(deeply incised = 0; stable bed &banks =max points)
a
13
Presence of major bank failures
0-5
0-5
0-5
Z
(severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
1.
F
(no visible roots = 0; dense roots throughout = max points)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
0
(substantial impact =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0 — 5
0-6
I
(no riffles/ripples or pools = 0; well-developed = max points)
17
Habitat complexity
0-6
0-6
0-6
Z
F
(little or no habitat = 0; frequent, varied habitats =max points)
1 g
Canopy coverage over streambed
0-5
0 — 5
0-5
'j�
(no shading vegetation = 0; continuous canopy =max points)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0; common, numerous types = max points)
C�
21
Presence of amphibians
0-4
0-4
0-4
O
(no evidence = 0; common, numerous types = max points
O
22
Presence of fish
0-4
0-4
0-4
'
�
(no evidence = 0' common, numerous types =maxpoints)
23
Evidence of wildlife use
0-6
0-5
0-5
2
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
912
* These characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site 15i4'�mdicate on attached map)
Q STREAM QUALITY ASSESSMENT WORKSHEET Zha
Provide the following information for the stream reach under assessment:
1. Applicant's name: 2. Evaluator's name:irl Nt JlYlI1 G —
3. Date of evaluation: /6 t(• J 1 / 1- 4. Time of evaluation: t7Yn
5. Name of stream: W47i 5, [ - 1--6. River basin:
7. Approximate drainage area: WtZ 8. Stream order: �-
9. Length of reach evaluated: q102 fh'. 10. County: �ad un
11. Site coordinates (if known): prefer in decimal degrees. 12. Subdivision name (if any):
Latitude (ex. 34.872312): %. I + �2 '+I (a"'�- Longitude (ex. -77.556611): gO • �� �li SS 5�
Method location determined (circle): GP Topo She Ortho (Aerial) Photo/ Other GIS Other
13. Location of reach under evalui. ton (note nearby roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): 2n
15. Recent weather conditions: 5(/N n(i . CAL? /
16. Site conditions at time of visitt :�I Mrt+•LMM•L ii✓ot/
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 10 (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES NOI` yes, estimate the water surface area:
19. Does channel appear on USGS quad map? S NO 20. Does channel appear on USDA Soil Survey? YES NO
21. Estimated watershed land use: % Residential % Commercial 0 % Industrial rJa% Agricultural
�% Forested 0% Cleared / Logged -;-'/.Other(
22. Bankfull width: I (. V 23. Bank height (from bed to top of bank): ?✓. 'f I
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
highest quality.
Total Score (from reverse): 32-- Comments:
Evaluator's Signature Date I 1
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
*
* These characteristics are not assessed in coastal streams.
ECOREGION POINT RANGE
#
CHARACTERISTICS
SCORE
Coastal
Piedmont
Mountain
I
Presence of flow / persistent pools in stream
0-5
0-4
0-5
+
no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
Z
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
0
(no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
Q
extensive discharges = 0; no discharges = maxpoints)
a
5
Groundwater discharge
0-3
0-4
0-4
d(no
discharge = 0; springs, seeps, wetlands etc. = maxpoints)
J�
6
Presence of adjacent floodplain
0-4
0-4
0-2
no floodplain = 0; extensive floodplain =maxpoints)
7
Entrenchment/ floodplain access
0-5
0-4
0-2
p,
(deeply entrenched = 0; frequent flooding = max points)
g
Presence of adjacent wetlands
0-6
0-4
0-2
no wetlands = 0; laze adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0• natural meander = max points
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = maxpoints)2
12
Evidence of channel incision or widening
0-5
0-4
0-5
(deeply incised = 0; stable bed &banks =max points)
�
13
Presence of major bank failures
0-5
0-5
0-5
severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
F
(no visible roots = 0; dense roots throughout = max points)
rn
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
Q
(substantial impact --0• no evidence = max points)
16
Presence of riffle-poollripple-pool complexes
0-3
0-5
0-6
no riffles/ripples or pools = 0; well-developed = max points)
F
FHabitat
1
complexity
0-6
0 — 6
0-6
2
(little or no habitat = 0• frequent, varied habitats = max points)
rr
18
Canopy coverage over streambed
0-5
0-5
0-5
'
no shading vegetation = 0; continuous can = max points)
19
Substrate embeddeduess
NA*
0-4
0-4
i
(deeply embedded = 0• loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
(no evidence = 0• common, numerous types = max points
21
Presence of amphibians
0-4
0-4
0-4
O(no
evidence = 0; common, numerous types = maxpoints)
O
22
Presence of fish
0-4
0-4
0-4
/
�
(no evidence = 0; common numerous types =max points)
23
Evidence of wildlife use
0-6
0-5
0-5
2
(no evidence = 0• abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
3 -2--
*
* These characteristics are not assessed in coastal streams.

USACE AID# DWQ # Site #_� (indicate on attached map)
STREAM QUALITY ASSESSMENT WORKSHEET Ahs
Provide the following information for the stream reach under assessment:
1. Applicant's name:_ &/,,P/V,
3. Date of evaluation: l U l (p I
5. Name of stream: ���fbTs • •pG/.-, Cye eAt
T
7. Approximate drainage area: G • �p 1 rii Z
9. Length of reach evaluated: 3&+
11. Site coordinates (if known): prefer in decimal degrees.
2. Evaluator's name:_ Yom' 1 YtS'G nt,0-
4. Time of evaluation: 4t'rl
6.Riverbasin: ��Gi4.t'n Pca Gl�c�
8. Stream order:
10. County: �gA fit%
12. Subdivision name (if any): A)II&
Latitude (ex. 34.872312): -344 , 14-2-(c S.5 5(e Longitude (ex. -77.556611): FS(S 3 333 T
Method location determined (circle): GPS Topo Shee o (Aerial) Photo/GIST Other GIS Other
13. Location of reach under evaluation (note near y roads and landmarks and attach map identifying stream(s) location):
14. Proposed channel work (if any): reATOY03'f rn 0 Gn h 2i 1Gernf yfi""
15. Recent weather conditions: SW nil 4L4 j
16. Site conditions at time
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( (I-IV)
18. Is there a pond or lake located upstream of the evaluation point? YES OO If yes, estimate the water surface area:
19. Does channel appear on USGS quad map? (!9 NO 20. Does channel appear on USDA Soil Survey. YES O
21. Estimated watershed land use: (P % Residential —L% Commercial C) % Industrial 91% Agricultural
311% Forested Q% Cleared/ Logged J—% Other ( %V-11110rn of )
22. Bankfull width: (0 • -�- t 23. Bank height (from bed to top of bank): 2 `P t
24. Channel slope down center of stream: X Flat (0 to 2%) _Gentle (2 to 4%) _Moderate (4 to 10%) _Steep (>10%)
25. Channel sinuosity: Straight _Occasional bends _Frequent meander _Very sinuous _Braided channel
Instructions for completion of worksheet (located on page 2): Begin by determining the most appropriate ecoregion based on
location, terrain, vegetation, stream classification, etc. Every characteristic must be scored using the same ecoregion. Assign points
to each characteristic within the range shown for the ecoregion. Page 3 provides a brief description of how to review the
characteristics identified in the worksheet. Scores should reflect an overall assessment of the stream reach under evaluation. If a
characteristic cannot be evaluated due to site or weather conditions, enter 0 in the scoring box and provide an explanation in the
comment section. Where there are obvious changes in the character of a stream under review (e.g., the stream flows from a pasture
into a forest), the stream may be divided into smaller reaches that display more continuity, and a separate form used to evaluate each
reach. The total score assigned to a stream reach must range between 0 and 100, with a score of 100 representing a stream of the
highest quality.
Total Score (from reverse):
Evaluator's Signature Date )C"/ 3) /1 }
This channel evaluation form is intended to be used only as a guide to assist landowners and environmental professionals in
gathering the data required by the United States Army Corps of Engineers to make a preliminary assessment of stream
quality. The total score resulting from the completion of this form is subject to USACE approval and does not imply a
particular mitigation ratio or requirement. Form subject to change - version 06/03. To Comment, please call 919-876-8441 x 26.

STREAM QUALITY ASSESSMENT WORKSHEET
* These characteristics are not assessed in coastal streams.
#
CHARACTERISTICS
ECOREGION POINT RANGE
SCORE
Coastal
Piedmont
Mountain
I
Presence of flow / persistent pools in stream
0-5
0-4
0-5
y
(no flow or saturation = 0; strong flow = max points)
2
Evidence of past human alteration
0-6
0-5
0-5
2
(extensive alteration = 0; no alteration = max points)
3
Riparian zone
0-6
0-4
0-5
Z
no buffer = 0; contiguous, wide buffer = max points)
4
Evidence of nutrient or chemical discharges
0-5
0-4
0-4
(extensive discharges = 0; no discharges = maxpoints)
a
5
Groundwater discharge0—
3
0-4
0-4
3
U(no
discharge = 0; springs, seeps, wetlands, etc. = max points)
6
Presence of adjacent floodplain
0-4
0-4
0-2
'
y
(no floodplain = 0; extensive floodplain = maxpoints)
�i
Entrenchment / floodplain access
0-5
0 — 4
0-2
MW
(deeplyentrenched = 0; frequent flooding= max points)
8
Presence of adjacent wetlands
0-6
0-4
0-2
(no wetlands = 0• large adjacent wetlands = max points)
9
Channel sinuosity
0-5
0-4
0-3
(extensive channelization = 0; natural meander = maxpoints)
10
Sediment input
0-5
0-4
0-4
(extensive deposition= 0; little or no sediment = maxpoints)
11
Size & diversity of channel bed substrate
NA*
0-4
0-5
(fine, homogenous = 0; large, diverse sizes = max points)
12
Evidence of channel incision or widening
0-5
0-4
0-5
p
(deeply incised = 0; stable bed &banks =max points)
13
Presence of major bank failures
0-5
0-5
0-5
2
�l
(severe erosion = 0; no erosion, stable banks = max points)
14
Root depth and density on banks
0-3
0-4
0-5
2—
(no visible roots = 0; dense roots throughout =max points)
15
Impact by agriculture, livestock, or timber production
0-5
0-4
0-5
0
(substantial impact =0; no evidence = max points)
16
Presence of riffle-pool/ripple-pool complexes
0-3
0-5
0-6
(no riffles/ripples or pools = 0; well-developed = max points)
F
17
Habitat complexity
0-6
0-6
'2—
F0-6
(little or no habitat = 0; frequent, varied habitats =max points)
18
Canopy coverage over streambed
0-5
0-5
0-5
(no shading vegetation = 0; continuous canopy =max points)
19
Substrate embeddedness
NA*
0-4
0-4
(deeply embedded = 0; loose structure = max)
20
Presence of stream invertebrates (see page 4)
0-4
0-5
0-5
no evidence = 0; common, numerous types = max points)
Presence of amphibians
21
0-4
0-4
0-4
I
O
(no evidence = 0; common, numerous types = max points
0
22
Presence of fish
0-4
0-4
0-4
(no evidence = 0; common, numerous types =max points
23
Evidence of wildlife use
0-6
0-5
0-5
Z
(no evidence = 0; abundant evidence = max points)
Total Points Possible
100
100
100
TOTAL SCORE (also enter on first page)
7j q—
* These characteristics are not assessed in coastal streams.